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Hospital Infection Prevention Ratings - State-level  Editor's Pick

Compare hospitals in certain states on how well they prevent infections. Half the states (CA, CO, CT, DE, FL, IL, ME, MD, MA, MN, MO, NH, NJ, NM, NY, OH, OK, OR, PA, RI, SC, TN, VT, VA, WA) produce a report on healthcare infections. Consumers Union (the publisher of Consumer Reports), actively promotes public disclosure of hospital infection rates at stophospitalinfections.org and tracks state laws on infection reporting. Time periods and reports vary

Leapfrog Hospital Quality Ratings - For Consumers (all states)  Editor's Pick

The Leapfrog Group, an employer-based coalition, asks hospitals to voluntarily report how closely they follow recommended quality and safety practices, including Evidence-Based Hospital Referral for high-risk procedures. CLICK on the blue [i] to the right of each green bar chart to find out if your hospital meets survival expectations and volume standards of 120 for aortic valve replacement; 50 High-Risk Delivery-Neonatal ICU patients per year. Info on infection rates and early elective cesarean deliveries also reported. Many hospitals participate; easy to compare. Updated for 2016, but period covered is unclear. Leapfrog was a pioneer in getting ratings in the public eye

Bunion Removal Surgery (pdf)

The United Kingdom's British Medical Journal provides an excellent description of bunions, who gets them, surgical treatment options, and the difference between an orthopedic surgeon and a podiatrist. Discusses osteotomy, arthoplasty, and arthrodesis. Maybe everything you wanted to know, except the average cost. Updated Oct. 2006

Hernia Repair (inguinal hernia surgery)

Description of Inguinal hernia Surgery and who may benefit from it. Pictures

Hernia: Causes and Surgical Treatment

Excellent description from the American College of Surgeons. Describes what groin hernia is, risk factors, differences between inguinal hernia and femoral hernia, and which ones are more common in men vs. women; hernia repair surgery

National Healthcare Infections from CDC (2016 NHSN Report)

CDC manages the system that tracks healthcare-associated infections. Over 2400 hospitals and others participate in this voluntary reporting system. Only aggregate and academic reports are available to the public at the current time. Look to the far right of the screen to find this report. Report shows progress on device-related infection rates for central lines (CLABSI), urinary catheter-associated UTI, ventilator-associated pneumonia (VAP), NICU infections; 2014 data; pub. March 2016

Vascular Conditions, Conditions, Tests, Treatments

The Society for Vascular Surgery has a Web site (VascularWeb) for patients to learn about Abdominal Aortic Aneurysm (AAA), Deep Vein Thrombosis (DVT), Peripheral Arterial Disease (PAD), Pulmonary Embolism, Varicose Veins, Carotid Endarterectomy, Surgical AAA Repair, and much more. Includes drawings

What Consumers Should Know - For Safer Surgery (pdf)

Two-page summary developed as part of the national Surgical Care Improvement Project. Discusses preventing surgical infections and more. As published in 2014, the project proved to be successful from 2007 to 2010 in reducing surgical site infections (See Cataife, Guido; Weinberg, Daniel A.; et al, in Medical Care: February 2014 - Volume 52 - p S66S73)

When Should Antibiotics be given to prevent Surgical Site Infections?

Merck Manual describes the rationale for giving antibiotics before the surgical procedure starts. Written in clinical language. Updated 2015

See Also Consumer Health Ratings - Average Costs & Prices - Compare Hospital Charges  Editor's Pick

See our main category on Costs to see how specific hospitals and ambulatory surgery centers or clinics COMPARE on average prices or charges for many surgeries, hospitalizations, procedures and outpatient tests. The LEARN MORE listings show general average costs in your region

See also Consumer Health Ratings - Ratings, Report Cards and Credentials - Compare Quality  Editor's Pick

See our main page for public reporting of quality ratings and comparisons for individual hospitals, nursing homes, health insurance plans, and other health care services. Check your physician's credentials and doctor's license in this category

Other Helpful Listings

20 Most Expensive Conditions Requiring Hospital Stay, 2011 (pdf)

Septicemia, osteoarthritis, complication of device, implant or graft, childbirth, heart attack (AMI), back problems, pneumonia, congestive heart failure (CHF), coronary atherosclerosis and respiratory failure were the top 10 of a list of 20 health conditions that cost the nation the most in hospital charges in 2011 - to nearly half (47%) of the total national hospital bill. Most expensive condition billed to the uninsured was heart attack (AMI). 12-page Statistical Brief #160 by AHRQ uses 2011 HCUP data; pub. Aug. 2013

Accredited Ambulatory Surgery Facilities (AAAASF)

Browse the news releases to find outpatient surgery facilities accredited by the nonprofit American Association for Accreditation of Ambulatory Surgery (AAAASF). Over 2200 facilities are reportedly accredited, and include cosmetic and plastic surgery centers, & endoscopy centers. No database. Consumers may wish to read about the standards

AMA: 271 Clinical Performance Measures for Physicians, 2012 (pdf)  Editor's Pick

The American Medical Association's Consortium for Performance Improvement has agreed on 271 measures in 42 clinical topics, that are supported by evidenced-based clinical guidelines. Topics include diabetes, asthma, COPD, heart care, osteoarthritis, osteoporosis, stroke, pneumonia, emergency care, prenatal testing, cancer screening, smoking, prostate cancer care, ear and eye problems, depression, surgical infection prevention, GERD, end-stage renal disease, chronic kidney disease, substance abuse, wound care and more. Written for medical professionals, but consumers might learn something about appropriate physician care

Ambulatory Surgery Average Charges in U.S. Hospitals, 2007  Editor's Pick

Find average prices (mean charge) for about 80 outpatient ambulatory surgery procedures done in hospitals in 2007 (excluding surgeon's or other physician fees.) Average colonoscopy & biopsy price was $2369; upper GI endoscopy $3131; cataract & lens was $4870; tonsillectomy $5286; knee cartilage $7357; hernia repair $8187; outpatient gallbladder removal (cholecystectomy) $10,838; breast biopsy $3863; lumpectomy $7458; ear tube surgery (myringotomy) $3547; D&C $6366; arthroscopy $8970; incontinence procedures $9929; vericose veins $8459; bunionectomy $7699; wrist fracture $7807; $4770 for circumcision. Consumers will need to adjust the 2007 prices to estimate 2010 facility costs; 2007 prices for many surgeries were up 25% to 41 percent over 2003 prices. Overall average was $6100, compared to nearly $40,000 for inpatient surgery. AHRQ Statistical Brief # 86 is based on 28 states (2/3 of US population) published February 2010

Ambulatory Surgery in U.S. Hospitals, 2003: HCUP Fact Book No. 9

Facts and figures on hospital outpatient surgery in 2003 - volumes, average prices, gender, comparisons to inpatient surgery, more. Read sections online. Published January 2007. Amazingly, the federal government never updated this publication, despite the public's desire to know more about ambulatory surgery costs!

America's 50 Best Hospitals list (Medicare) 2016 (pdf)

HealthGrades choice for the top 50 hospitals and 100 best in the US, based on clinical quality for Medicare patients over 3 years ending 2014. List shows which hospitals have held clinical distinction for 3 years, and those for 6 consecutive years. They examined complication rates or survival rates for 30 diagnoses (such as heart failure, COPD, pneumonia, stroke, diabetes, pancreatitis, sepsis) or surgical procedures (such as hip or knee replacement, gall bladder removal, back surgery, bowel obstruction, prostatectomy, angioplasty, valve surgery, and heart bypass)

American Hospital Directory - Outpatient Charges and Volumes (ahd.com)  Editor's Pick

Charges and average costs for the 20 outpatient Ambulatory Payment Classifications (APCs) representing the highest Medicare outpatient payment to each hospital (excluding critical access hospitals). List varies by hospital. May include: cost for colonoscopy, laparoscopy, CT, MRI, clinic and emergency (ER) visits, x-ray tests, upper GI, lower GI endoscopy, arthroscopy, cataract with lens, angiography, echocardiography, hernia repair, infusion therapy, nerve injection, outpatient cardiac catheterization, ultrasound. Scroll to bottom of the hospital page to Outpatient Utilization Statistics. Also shown: inpatient market share by local zip code; net income. Link is to the Free Hospital Information

Appendectomy (Removal of the Appendix) American College of Surgeons

Describes symptoms of appendicitis, who most often gets it, how fast it develops, options for surgery, risks and complications, recovery from surgery. Short and informative, with drawings. Updated 2014

Arizona Hospital Prices - Find average cost by hospital

The Arizona Hospital and Healthcare Association provides a way for participating hospitals to share their charges (the closest substitute for average cost information). A few hospitals provide this information online. No dates are shown

Arkansas Hospital Volumes, Prices, Quality Ratings - by name of hospital

Find average charges (a proxy for average costs) for 40 common hospitalizations at specific AR hospitals by Clicking on INPATIENT PRICING after you've selected your hospital. Price List varies by hospital, but may include maternity and childbirth, stroke, chest pain, stomach disorders, back pain, nutritional problems (diabetes), blood infection (septicemia), rehabilitation, heart attack, cardiac cath, drug coated stent, congestive heart failure, kidney failure, urinary infection, COPD, pneumonia, total hip or knee replacement surgery, hysterectomy, psychiatric care, ventilator support and more. Note: Definitions conflict for whether data such as Volumes are Medicare-only, or reflect all patients. To find quality scores on emergency department, heart attack, heart failure, pneumonia, COPD, stroke, delivery or surgical infections, and patient opinions, click on QUALITY at each hospital's page. Hospital Consumer Assist is provided by the Arkansas Hospital Association. Prices from 2014; Quality and Patient Satisfaction scores reflect 2015 ratings

Average Medicare Payments for Hospital Outpatient Services

Average 2014 Medicare costs for certain outpatient procedures commonly performed in hospitals, listed by county and state, as well as US overall average Medicare payment. Files are detailed and complicated, not user-friendly.

California - Average Costs for Inpatient Surgery, 2014

Compare charges (price) among Calif. hospitals for 37 common elective inpatient surgeries such as assisted childbirth delivery, c-section, gastric bypass, gall bladder removal (open or laparoscopy), inpatient hernia repair, hysterectomy, mastectomy, hip or knee replacement, disc removal, prostatectomy TURP, TULIP, heart valve replacement, PTCA angioplasty, heart bypass CABG, endarterectomy, thyroidectomy, bladder tumor removal, repair stress incontinence and kidney removal. Shows number of surgeries and average length of stay. All hospitals except Kaiser and Shriners; website by CA state Office of Statewide Health Planning and Development, (OSHPD.ca.gov). Easy to use, 2014 prices

California - Average Inpatient and Outpatient Hospital Prices, 2014

Find prices for CA hospitals including Kaiser and Shriners. Inpatient prices are listed in the complicated Charge Master, which shows the charge for every pill, lab test and hospital room rate. MRI and CT tests should be included. More useful are the outpatient files (look for Common25 in the filename), which list the average cost (charge) for top 25 types of outpatient procedures or surgery with CPT code). Hospital Outpatient reports may show prices for Emergency Dept. visit, lab tests, CT, MRI, Mammo, x-ray, ultrasound, PT visit, Arthroscopy, colonoscopy, hernia repair, gall bladder removal, etc., depending on their highest volume. Files are in Excel file format. Prices are from June 2014. Consumers can see one hospital at a time

California: www.CalHospitalCompare.org - Hospital Quality Ratings & Patient Satisfaction  Editor's Pick

CA hospital quality ratings for heart attack, heart failure, heart bypass surgery (including mortality/ survival rate), pneumonia, ICU mortality rate, preventing surgical infections & complications, maternity care (e.g. breast-feeding and c-sections), and patient opinion ratings. Most data from 2008 to 2009, but some date to 2003. Compare 5 hospitals at once to find Superior Hospitals. Consumers may be surprised at the number of times they see a Poor performance rating. When viewing hospital report, click on View All, or you'll miss half the information. Web site by the California HealthCare Foundation (CHCF) in partnership with UCSF and CHART

CareChex America's Top Quality Hospitals 2015

Lists of top 10% hospitals in specialties such as cancer care, cardiac surgery, inpatient gall bladder surgery, GI care, general surgery, hip fractures, joint replacement, organ transplants, spinal fusion, stroke care, and more. Methodology does not disclose dates covered by the data. Announcing award-winning hospitals requires license fee to be paid. CareChex is a division of Comparion Medical Analytics, a for-profit information company, which appears to be a competitor to HealthGrades

Colorado 2010 Hospital Charges & Length of Stay (pdf)

Find 2010 average charges (prices), a likely range of costs, number of patients and average length of stay by CO hospital name, for 35 common inpatient medical conditions and surgical procedures. Excludes doctors' fees and outpatient surgery. Shown by region, e.g. Denver area. At the end of each category (APR-DRG), statewide total averages are shown. You may read the pages free on online, but to be able to print any page, you may have to purchase the $250 report (338 pages). Published by the Colorado Hospital Association Aug. 2011

Colorado Hospital & Ambulatory Surgery Infection Rates 2011 (pdf)

CO Dept. of Public Health (CDPHE) reports 2009-2010 patient infections acquired in health facilities, including hospitals, ambulatory surgery centers, dialysis centers). Infection Rates are compared to national average, on surgical site infections for cardiac bypass, hip replacement, knee replacement surgery, inpatient & outpatient hernia repair, catheter associated bloodstream infections (CLABSI) in adult or neonatal ICU, critical care units & long-term acute care hospitals (LTACHs), and dialysis treatment centers (DTCs). Hospital list starts on page 25 (of 127) in 2011 Annual Report, pub. Jan. 2011

Colorado Hospital Quality Ratings, Report Card

Colorado Hospital Association website shows hospital-specific data on mortality (survival rates) and volume. Mortality Measures show survival rate information for heart care (heart failure, PTCA angioplasty, heart attack AMI, or cardiac bypass CABG), pneumonia, stroke, neck artery surgery (CEA) hip replacement, hip fracture, bleeding stomach (GI), or craniotomy. Compare CO hospitals on Patient Safety bedsores (pressure sores/ decubitus ulcer), post-surgical blood clots (DVT, PE), and sepsis (bloodstream infections). Volumes for four procedures (cardiac bypass, PTCA, carotid endarterectomy, and AAA [abdominal aortic aneurysm]) where quality has been associated with higher volumes also shown, although the desired volume levels are not given. Risk-adjusted 2010 data, all patients

Compare Hospitals at Why Not the Best? (IPRO)  Editor's Pick

If you could choose only one website to check hospital ratings, this might be it. Shows trends and in many cases which hospital has the best performance in the country. Currently using 2015-2016 data for most measures. Some measure are older. Heart care, pneumonia, surgery, patient satisfaction, survival rates (mortality) and more. Trends are shown for many hospitals, and you might be able to find Top Performers in the country at this website. Operated by IPRO

CPT and ICD-9 CM Codes for Outpatient Surgical Procedures (pdf)

Includes procedure codes for outpatient colonoscopy, laparoscopy & laparoscopic surgery including hysteroscopy and cholecystectomy (gallbladder removal), breast biopsy & surgery such as reconstruction, hernia repair, liposuction, facial surgery such as blepharoplasty, and knee arthroscopy. Geared to people with coding or clinical knowledge. June 2006 by Virginia Health Information (vhi.org)

Ear Tubes - What is Myringotomy Surgery?

Brief, consumer-friendly explanation of Ear Tubes, by the American Academy of Otolaryngology - Head and Neck Surgery (AAO-HNS). Covers what ear tubes are, who needs them, outpatient surgical procedure, and what to expect after surgery. Complications are reportedly minimal. Link to find an ENT surgeon (Ear/ Nose/ Throat).

Find an Orthopedic Surgeon (Orthopaedist)

Find an orthopedic surgeon anywhere in the US. Easy-to-use and informative site, by the American Academy of Orthopaedic Surgeons (AAOS).

Florida - Average Charges for Inpatient Hospital Stays (Top 10 DRGs) (pdf)

Average charges (price) & Length of Stay for top 10 types of hospital stays, such as childbirth (vaginal delivery without complicating diagnoses was over $11,000 plus normal newborn charges of about $2500) and Cesarean section ($20k); psychoses ($14,824); chest pain; joint replacement (e.g. hip and knee) surgery [average $59,000], cellulitis; kidney & UTI. While the top 10 averaged $17,000 per case, the average charge when all of Florida's 2.6 million cases were examined was $39,000. Report by the FL Hospital Association; find 2010 data on page 3. Updated 2011

Florida 2016 Reported Healthcare Incident Summaries

Aggregate summaries for Code 15 Adverse incidents in FL hospitals, ambulatory surgery centers and HMOs. Includes surgical procedure mistakes and deaths from medical injury. Code 15 reports are required for each serious patient injury as defined in state statute, within 15 days of when injury occurred. No facility names given. One quarter at a time, no annual summary. Updated every quarter

Florida Inpatient Hospital Ratings, Average Charges, Survival Rates, Readmissions  Editor's Pick

Search feature, mortality (survival rates), complication rates, volume, and average charges (price range), 2011 data. (We couldn't find the readmission rates.) All age groups (not just Medicare), extensive set of health conditions/diseases, and the ability to rank order by top hospitals at the head of the list. Click on the hospital name to see actual risk-adjusted mortality rates for heart attack, stroke, heart failure (CHF), GI hemorrhage, hip fracture, hip replacement, pneumonia, AAA repair, heart bypass, craniotomy, surgery to remove the pancreas, or esophageal resection. Compare hospitals on infections, iatrogenic pneumothorax, and post-op sepsis. Hysterectomy listed under Women's Health instead of Surgery. FloridaHealthFinder.gov

Florida Outpatient Surgery Prices & Visit Volume (2012 data)

Compare hospitals and ambulatory surgery volumes and range of charges (average cost is not shown) for common adult and pediatric outpatient surgery procedures, by hospital or surgical center name. Includes arthroscopy, cataracts, laser eye procedures, cardiac catheterization, pacemaker, upper GI & lower GI endoscopy, colonoscopy, hernia repair, hysteroscopy, tonsil removal, lithotripsy, skin biopsy, bunion removal, pediatric circumcision and more. You might be surprised to find outpatient hernia repair prices averaged $7955 to $18,674, but individual hospitals ranged from $1000 to $52,000 (ages 18 to 64, Level 1); Level 2 common range was $11,000 to $24,000. FloridaHealthFinder.gov 2011-2012 data

Healthgrades - Hospital Awards for Patient Safety Excellence, 2017

List of top 10% (460) hospitals, distinguished for their Medicare patient safety, using 2013 to 2015 data. List evaluates hospital patient safety incidents, such as leaving foreign objects behind during surgery, pressure ulcers [bedsores], accidental cuts during medical care; deep blood clots, collapsed lung pneumothorax, postoperative hip fracture, bloodstream infection and postop sepsis. Annual study released 2017 by Healthgrades

HealthInsight: National Rankings for Hospitals (all states)  Editor's Pick

Overall hospital rankings based on a summary of readmissions, mortality, AMI (heart attack), heart failure, stroke, blood clot, surgical infection prevention rankings, plus patient opinions and more. Health Insight, a project of Utah, New Mexico and Nevada, developed a helpful composite ranking for nearly every hospital in the nation, using at least 30 national CMS measures and satisfaction ratings from inpatients. Results shown by state. Easier to use than the federal HospitalCompare website, but less detail. Updated with 2014-2015 data

Hip Replacement Surgery (MedlinePlus)

Hip replacement surgery, implants, hip resurfacing, total hip joints, risk of deep vein thrombosis (DVT)/blood clot, minimally invasive hip surgery, anterior approach; links to a dozen OR-Live videos

Hospital Compare - at medicare.gov (all states) Hospital star ratings, complications  Editor's Pick

Federal government gives 1 to 5 stars and compares hospital ratings for heart attack (AMI), heart failure, pneumonia, COPD, stroke, hip & knee, preventing surgery infections, timeliness of Emergency (ER) dept., use of medical imaging in 2015 to 2016. Includes death rate comparisons from heart failure, heart attack, pneumonia, COPD, stroke, CABG; and return to hospital (readmission) rates. Click on Timely & Effective Care, or Complications. Shows patient satisfaction HCAHPS ratings from 2016. Editor's Pick because the government standardized broad ratings for all hospitals, and most ratings are based on more than just Medicare patients. However, it is still complicated. Small volume hospitals will not show data for some measures. Be sure to click on Show Graphs or View More Details. Overall Star Ratings were controversial in 2016. Today's stars may reflect older data than shown at the website. Read the fine print

Hospital Quality in US (Selected Conditions) 2010 Report

Accreditation agency Joint Commission (formerly JCAHO) Annual Report identifies the percentage of hospital patients that received recommended care on more than 30 measures of quality for heart attack, heart failure care, pneumonia, surgical care (infection prevention only) and children's asthma. In aggregate, 2009 hospital performance went up in nearly all conditions, compared to 2008 and earlier data. Lowest surgical infection performance ratings continue for colon surgery; discharge instructions for heart failure have improved to 88%. New inpatient psychiatric measures. Published Sept. 2010. See HospitalCompare if you want hospital names and performance results

Hospital Ratings at HealthGrades (all states) 2018  Editor's Pick

Hospital Ratings (5-star, 3-star, 1-star) for over 30 diseases & inpatient procedures: Stroke, back surgery, COPD, diabetes, gall bladder surgery (cholecystectomy), bowel obstruction, GI Bleed, hip fracture repair, hip replacement, total knee replacement, prostate removal, TURP, hysterectomy (listed under gynecologic surgeries), respiratory failure, pneumonia, cardiac bypass, heart attack, heart failure, angioplasty, defibrillator, pacemaker, valve surgery, sepsis, pancreatitis, pulmonary embolism, abdominal aneurysm, stomach surgery, peripheral vascular bypass & more. Probably Medicare-only data for most conditions, although some states provide maternity, appendectomy, and bariatric surgery (gastric bypass) data. More extensive list than the federal government's site. Publicly-traded company. Most data in 2018 ratings are from Medicare patients, from 2014 to 2016. Click on More to see 3-year patient volume, and actual mortality or complication rates compared to predicted. Patient satisfaction ratings are featured by HealthGrades. One hospital at time, unfortunately

Hysterectomy: What, Why, Recovery, Risks

Get the basics on hysterectomy surgery (uterus removal) from womenshealth.gov, and find out how common hysterectomies are. Links to information on endometriosis. Toll free help line if you want more information: 1-800-994-9662 National Women's Health Information Center

Illinois Hospital and Ambulatory Surgery Center Ratings and Prices (IDPH)

Compare IL hospitals on heart attack, heart failure, pneumonia, surgical infection prevention, knee arthroscopy, cardiac surgery, safety measures, infection rates, some survival information, patient satisfaction, more. See volume and 2015 median charges (closest you'll get to average cost) for selected types of inpatients (e.g. birth, c-section, appendectomy, COPD, gall bladder), and outpatients at ambulatory surgery centers (such as bunionectomy, hernia repair, colonoscopy, lens, lumpectomy, tonsillectomy). May get a full report for one hospital at a time, or one measure at a time for multiple hospitals side-by-side, with state averages. Hospital Report Card by IL Dept. of Public Health (IDPH) for all IL cities incl. Chicago area, Peoria, Rockford, Springfield, Champaign. Updated 2017, using 2015 data

Indiana Ambulatory Surgical Center Consumer Reports

IN State Dept. of Health (ISDH) reports of accreditation status, survey inspection findings, deficiencies and complaints for outpatient surgery centers

Indiana Hospital & Ambulatory Surgery Center Medical Errors 2014

Indiana Medical Error Reporting System final report for 2014 summarizes 114 reportable events in hospitals and outpatient surgery centers in 2014. Adverse Events such as leaving a foreign object inside a patient after surgery, operating on the wrong body part. or Stage 3 or 4 pressure ulcers (bedsores) acquired after admission, are based on NQF's list of 28 serious, largely preventable adverse events. List of events by facility name is a separate 293-page pdf file called Data Tables. Market share data included. Published by IN State Dept. of Health (ISDH, in.gov) October 2015

Infection Prevention Basics (APIC)

Learn how patients and families can break the chain of infection in healthcare settings in this site managed by the Association For Professionals in Infection Control and Epidemiology (APIC). Formerly PreventInfection.org

Iowa - Average Price for Ambulatory Surgery 2011

Learn about average price for IA hospital-based ambulatory outpatient surgery, before adding surgeon fee or other professional charges. Upper GI endoscopy $4,358; Colonoscopy averages up to $4440; cataract $5163; Tonsillectomy $6082; laparoscopic gall bladder removal averages $11k to $13,000 in hospital charges. 30 procedures listed (scroll to bottom of report) from Iowa Hospital Association April 2012

Iowa Hospital Inpatient Charges Compare

Iowa Hospital Charges Compare provides information about volumes and average 2010-2011 charges (amount billed) at IA hospitals. Select one hospital to begin. Site allows 4 hospitals to be compared at one time for prices, length of stay, number of cases and more. Must select city first, then body system before finding the procedure. Provided by the Iowa Hospital Association, this is a starting point for comparing average cost of care between Iowa hospitals. Compare typical prices for surgery such as gall bladder removal, bowel surgery, knee joint replacement; childbirth and newborns, pneumonia, stroke, heart care, transplants, COPD, psych, rehab, and most medical conditions. Severity of illness can be specified. Consumers will need to inflate old prices to estimate current charges

Iowa Hospital Quality, Safety and Satisfaction Ratings 2011  Editor's Pick

Compare Iowa hospitals on heart care, pneumonia, readmissions, patient safety (including deaths of patients who were unlikely to die during hospitalization in [low-mortality DRGs]); surgical care, including survival rates (mortality info) for hip replacement surgery; infection prevention and more. Patient satisfaction recommendations and ratings also shown. Interactive report only; must be familiar with drop-down menus. Use the Table of Contents to find which measures show hospital names, rather than state averages. 2011 Iowa Report by the Iowa Healthcare Collaborative (based in Des Moines, IA) uses 2009 and 2010 data

Joint Commission's Top Performing Hospitals 2014

Hospital accrediting organization, the Joint Commission, named 1224 Top Performers for 2014 (2013 data). Hospitals may make the quality grade for heart attack, heart failure, pneumonia, or surgical care; children's asthma care, inpatient psych, stroke, VTE and immunization. Listed by state and city. Some Veterans Admin hospitals are among the top performers

Knee Replacement Surgery (MedlinePlus)

Topics: total knee replacement surgery, joint replacement (arthroplasty), revision surgery, conditioning, rehabilitation exercises, and more. Many videos on minimally invasive surgery. We like MedlinePlus so much better than WebMD. It's a service of our National Library of Medicine (NLM) and the National Institutes of Health (NIH)

Leapfrog - Minimum Volume Recommendations (Evidence-based Hospital Referral pdf)  Editor's Pick

The Leapfrog Group has Evidence-Based Hospital Referral Safety Standards that include recommended volumes for certain procedures. They include minimum annual hospital volumes as follows: 120 aortic valve replacement, and at least 50 babies in neonatal intensive care (NICU). Other procedures under evaluation include heart bypass (CABG), Percutaneous coronary intervention procedures (PCI angioplasty), abdominal aortic aneurysm repair (AAA), pancreatic resections, esophagectomy. Read about the specifics, then go to the Hospital Quality Ratings category, and check the Leapfrog data for information on your local hospitals. Updated 2017

Leapfrog Hospital Quality Ratings - For Consumers (all states)  Editor's Pick

The Leapfrog Group, an employer-based coalition, asks hospitals to voluntarily report how closely they follow recommended quality and safety practices, including Evidence-Based Hospital Referral for high-risk procedures. CLICK on the blue [i] to the right of each green bar chart to find out if your hospital meets survival expectations and volume standards of 120 for aortic valve replacement; 50 High-Risk Delivery-Neonatal ICU patients per year. Info on infection rates and early elective cesarean deliveries also reported. Many hospitals participate; easy to compare. Updated for 2016, but period covered is unclear. Leapfrog was a pioneer in getting ratings in the public eye

Louisiana Hospital Ratings and Prices - LA Hospital Inform

Search by Parish. Must click on View Reports on the left side of page to see LA hospital-specific selected inpatient charges (e.g. child birth, C-section, hip or knee surgery, gall bladder removal, appendectomy, heart problems, stent, cardiac cath, stomach problems, stroke, kidney failure, COPD, pneumonia, more); outpatient Medicare prices include ER visits, heart tests such as cardiac cath, EKG, stress test, echo; CT scan, MRI, x-ray and ultrasound, GI endoscopy, mammography, more. Quality scores similar to those at HospitalCompare, but may be less current. Louisiana Hospital Inform is sponsored by the Louisiana Hospital Association; Prices from 2009 (outpatient and inpatient)

Maine - Average Charge for Hospital and Doctor Visits (2014-2015)

Typical vaginal delivery costs (charges) in Maine in 2014 to March 2015, averaged $ 11,056 for Childbirth delivery and 60 days of related care. (Does include physician care, but unclear if newborn charges are included). Add $9000 for an uncomplicated C-Section. A few other charges by hospital, for hip or knee joint replacement, arthroscopy and gall bladder surgery. Find many median (middle) prices here physician office visits, CT, MRI, x-ray, lab tests and more. Uses CPT codes. From Maine Health Data Organization in State of Maine

Maine Charges for Surgery, x-ray, imaging tests (MHDO)

Maine Health Data Organization's website shows average charges (median prices) for surgery such as hip or knee replacement, shoulder arthroscopy, carpal tunnel, gall bladder removal; lab tests such as strep, blood tests, urine. Imaging tests such as mammogram, x-ray, CT, MRI, ultrasound. Good news is that both physician and hospital charges are shown to give you an idea of total cost (and discounts); CPT codes listed. Bad news: prices date from 2014-2015. From maine.gov

Maryland Hospital Pricing Guide, May 2011 (pdf)

Compare average charges (prices) at each MD hospital (by name) and volumes statewide for 15 most common inpatient diagnoses (severity adjusted using APR-DRGs) - including newborns (avg. $1831), childbirth vaginal delivery ($5859), c-section (avg. $8219), heart failure, chest pain, angina & atherosclerosis, cardiac arrhythmia, pneumonia, COPD ($8287), septicemia ($17,653), cellulitis ($6840), knee joint replacement (avg. $22,027), bipolar admissions ($8168 state avg.) urinary tract infections ($7052) and renal failure ($10,469). Data from 2009 - 2010. Not included: costs for cancer, stroke, hysterectomy, rehabilitation, digestive problems. By MD Health Care Commission MHCC May 2011

Maryland Hospital Quality Ratings (MHCC)

Overall consumer satisfaction, and Quality Data on common groups of illnesses or conditions for which people are hospitalized in Maryland. Topics include infections, heart conditions, pneumonia, COPD, hip and knee surgery, imaging, stroke, maternity and newborn care, and more. Click on details to see raw scores, since symbols can be confusing. MD Hospital Guide shows 2015-2016 data, pub. by MD Health Care Commission

Massachusetts - Serious Reportable Events in Hospitals and Ambulatory Surgery Centers, 2014

See latest report on Serious Reportable Events - like Falls, Pressure Ulcers (bedsores), or surgical mistakes in MA acute care hospitals, non-acute hospitals and ambulatory surgery centers during 2014. Excel file only; PDF no longer available. From Mass.gov Health and Human Services, June 2015; updated every 6 months

Medicare Ambulatory Outpatient Surgery Average Cost (2010)

Find out the average prices (charges) to Medicare patients in your state and county, and how much Medicare actually pays for 50 common ambulatory surgeries for rotator cuff repair, wrist fracture pinning, hernia repair, shoulder scopes, endoscopy, colonoscopy, bladder scopes and stents, laser coagulation or vaporization of prostate for urine flow, lower back injections and more. Example: Hernia repair CPT 49560 has average charge of $4274, with Medicare allowing $907 and actually paying $711. Over 80% discount! Average payments do NOT show how much your costs for co-pays and deductibles are, nor are physician fees shown. Consumers are expected to know CPT codes and how to use Excel files. Not our favorite, but this is the best of what's out there, and it shows how messed up healthcare pricing is. No longer Editor's Pick, since in four years and the Value-Driven Health Care initiative, we expected improved reports. 2009 data published Aug. 20, 2010

Medicare Ambulatory Surgery Charges - 13 Other Commonly Performed Procedures (2010)

See this second file for 13 more procedure prices and discounts to Medicare. This file covers Ambulatory Surgery Center facility charges and Medicare payments for selected outpatient surgery such as breast biopsy (example: $3660 national average breast biopsy charge, with Medicare allowing $444, and paying $349 - over 90% discount), surgical change of stomach tube, prostate needle biopsy (CPT code 55700 $1599 average charge, $396 allowable; $310 average cost paid), nerve blocks, cataract removal & lens insertion ($3135 charge, $953 allowed), cancer screen colon scope for high risk patients, and more. Does not include physician fees. Confusing file unless you know CPT codes. This is the best of what's out there nationally, with state and county average charges. 2009 data published Aug. 20, 2010

Michigan - Compare Hospitals in SE Michigan  Editor's Pick

The Greater Detroit Area Health Council provides a 7-county health care performance report at MyCareCompare.org . Compare MI hospitals (side-by-side) for heart attack, heart failure, pneumonia, surgical infection prevention and children's asthma. View how much Medicare usually paid for the care in 2010-2011. See 3-year mortality summary (2008-2011) of Medicare patients (survival rate) for heart attack, heart failure (including readmission rate) and pneumonia. IPhysician group results have also been added. ncludes Detroit, Ann Arbor, Pontiac and counties: Wayne, Washtenaw, Livingston, Macomb, Monroe, Oakland, and St. Clair. GDAHC was an early leader in quality transparency. Data from 2011 and 2012

Michigan Hospital Prices, Patient Opinion and Quality Ratings

Michigan Hospital Association's Keystone Center web site shows Medicare charges, and how much Medicare pays after they apply federal discounts (for an idea of average cost) and volumes for the top 50 most common inpatient and 50 outpatient services at nonprofit hospitals. Includes services like clinic visit (without the doctor's charge), ER visit, MRI, CT scan, ultrasound. Inpatient conditions like stroke, hip, knee or ankle surgery, GI problems, psych admission, heart problems also show average Medicare charges. Compare quality of Emergency transfers from critical access hospitals in rural areas. Patient Satisfaction (HCAHPS) and Quality ratings like those at CMS hospital compare are listed for heart attack, heart failure, pneumonia and surgical infection prevention, except the dates may be older here and no side-by-side comparisons. Prices from 2010-2011, one hospital at a time

Minnesota - Adverse Health Events in MN Hospitals & Ambulatory Surgery Ctrs 2016

Report of 316 adverse health events required to be reported by Minn. law, that occurred in hospitals, ambulatory surgery centers and behavioral health hospitals. These [Never Events] such as falls or pressure ulcers (bedsores) that resulted in a patient's death or serious injury, or a foreign object left in during surgery, or operating on the wrong patient or wrong body part, were reported between October 2014 and Oct. 2015. There were 93 serious injuries and 16 deaths. View facility-specific data in the 120-pg pdf (near end of the report). Adverse Events in the 2016 report came from 78 hospitals or ambulatory surgery centers. Report by MN Department of Health Feb. 2016

Minnesota - Hospital Price Check (Inpatient & Outpatient)

Hospital-specific prices (charges) for all inpatient hospitalizations (described in medical terms) and top 25 same-day surgery procedures in MN. Find average and median inpatient cost (before discounts) and volume for newborns and child birth delivery, pneumonia, chest pain, COPD, hip or knee replacement, appendectomy, cellulitis, hysterectomy, rehab, other surgeries & many more. Outpatient prices for biopsies, cataracts, colonoscopy, ear tubes, gallbladder, hernia repair, arthroscopy, tonsillectomy, upper GI endoscopy, hysteroscopy, carpal tunnel and other same-day surgery. Compare 3 hospitals, one procedure at a time; excludes doctor charges; by Minnesota Hospital Association, 2016 prices

Minnesota: How Much Does It Cost? (word doc)

Short document from the Minnesota Council of Health Plans, 2005, displays average charges (from 2003) for nearly 50 common medical treatments (including endoscopy, ear tubes, hysterectomy, tonsillectomy, having a baby, and some prescription drugs), using Minnesota data. An interesting comparison is the cost for the same problem (e.g. sore throat or ear ache), depending on whether the patient seeks office care, urgent care or ER care. This report adds together charges from both the hospital and the physician - not commonly seen in reports of charges. In a time when price data are so difficult to get, this report earns an Editor's Pick as a starting point. After all, did you know that stepping on a rusty nail could cost over $1000, or that a colonoscopy could be a $2000 question? (And this was BEFORE 15 years of steady price increases!)

Missouri Healthcare-Associated Infections - Central Line, Surgery & Ventilators  Editor's Pick

Three types of hospital-acquired infections - Central Line Associated Bloodstream (CLAB) Infections, Surgical Site Infection rate, and Head of Bed elevation to prevent ventilator-associated pneumonia - are presented by hospital or ambulatory surgery center (ASC) name, along with a symbol identifying whether the facility has a lower or higher rate than its comparison group. Click on DATA if you want to see the actual numbers of infections. Surgery infections available for hysterectomy, hip, heart bypass (CABG), outpatient breast surgery and hernia repair. Report by the MO Department of Health and Senior Services (DHSS) uses 2011 data. Click on Infection Reporting Data

Montana Hospital Inpatient Charges - Compare Prices

Montana PricePoint shows average charges at MT hospitals for inpatient stays (2010 prices), including newborns, deliveries, Cesarean section, knee or hip replacement, rehab, psychiatric hospitalization, back problems, heart failure, stent, chest pain, bowel surgery, more. Many hospitalizations (such as diabetes, kidney or urinary tract infections, appendectomy, inpatient gall bladder removal) can only be found by using the comprehensive search. Site by MHA-An Association of Montana Health Care Providers

Montana Hospital Outpatient Surgery Costs

Compare MT hospital charges for ambulatory surgery and diagnostic tests such as colonoscopy, sigmoidoscopy, breast biopsy, cardiac stress tests, cardiac catheterization. All prices EXCLUDE surgeon fees and other physician costs. PricePoint system shows last year's facility prices for common surgical procedures such as tonsillectomy, cataracts, ear tubes, knee cartilage, bunions, child's appendix removal, carpal tunnel, skin lesions, upper GI endoscopy; 2010 costs

Nebraska Hospital PricePoint System (Inpatient Charges)

Find average price and typical charges for many types of inpatient hospital stays in NE. Examples: maternity prices, angioplasty, heart surgery, some cancer services, hip & knee surgery, bowel surgery, pneumonia, stroke, UTI, gall bladder surgery (inpatient only). Includes volume, average length of stay in the hospital, and median age of patient. Does not include physician costs. Shows one hospital/ one disease or condition at a time; 2009-2010 data. All cities including Omaha, Lincoln, Grand Island, Creighton, Norfolk, Kearney. NHA Care Compare is sponsored by the Nebraska Hospital Association

Nevada Hospital Ratings and Patient Satisfaction Scores

Nevada Hospital Association shows NV hospital performance ratings on Heart attack, heart failure, pneumonia and surgical infection prevention, plus patient opinion ratings. Shows 2010 data for same hospital performance measures as CMS HospitalCompare website (no composite scores). Newer scores have been added for sentinel events (e.g. mistakes in the hospital) - three pages worth of information. Consumers may view all hospitals in the state side-by-side

Nevada PricePoint (Hospital Inpatient Charges)

Find average price and typical charges for 67 types of inpatient hospitalizations in NV. Examples: childbirth prices, COPD, heart surgery, pacemaker, stents, hip & knee surgery, digestive problems, psychiatric hospitalization, rehab. Average length of stay in the hospital also given. Choose Comprehensive Query for prices on many other conditions not on the Basic list. Get one hospital/one disease or condition at a time, then select other hospitals to compare; 2011 charges shown. Must inflate and add physician fees to estimate 2012 average costs. Sponsored by the Nevada Hospital Association

New Hampshire Physician Visit, Outpatient Hospital and Dental Prices - Compare (free)

Compare physician office visit prices, dental prices, hospital outpatient tests, PT visits and some surgery prices, as well as some ER prices (2015-2016 plus 5% inflation) in NH. Choose procedure or test (e.g. lab, Radiology such as x-ray, MRI, CT or ultrasound). Select insurance, or uninsured to compare charges with your deductible. Tonsillectomy, colonoscopy and about 20 different surgeries are in Outpatient, which are bundled to include surgeon and anesthesia costs. Price transparency project developed by the New Hampshire Insurance dept.

New Jersey 2011 Hospital Performance Report Card - heart, pneumonia, infections

Guide to compare NJ hospitals on Heart Attacks (including PCI angioplasty within 90 minutes), Heart Failure, Pneumonia, and Infection Prevention for surgery, cardiac bypass grafts, hysterectomy; central line (CLABSI) and catheter (CAUTI) infections prepared by the NJ Department of Health and Senior Services. More than half the individual hospitals were achieving scores in 2010 nearing 100% overall quality performance in 2010. Top 10% and 50% hospitals are shown. Details are available including mortality rates for heart attack, heart failure, pneumonia, stroke, and CABG. Patient Safety Indicators use 2009 data. Easy to read, but 82-pages long. Released March 2012

New York State Hospital Quality Ratings - nyhealth.gov

Select NY hospitals to compare in care areas like cardiac, or patient satisfaction, readmissions, death rates or infection prevention. Data updated each year, although dates are hard to find (hover over the hospital's score). The search by service feature shows burn care, maternity, kidney and other organ transplants. State Department of Health site. Able to search by county or region such as Long Island. Currently showing 2014-2015 data

North Carolina Hospital Ratings and Patient Satisfaction

Compare NC hospital performance (grouped by region) for patient recommendations (HCAHPS), Heart Attack, Heart Failure, Pneumonia and Surgical Infection Prevention. Similar information is at the federal HospitalCompare site, but here all hospitals are side-by-side and may be easier to see by region. Consumers can choose graphs, tables of scores, trends, overall ratings and detailed questions. Site by the North Carolina Hospital Association. Data are current to 2009 or 2010

Nova Scotia Wait Times for Tests and Surgery  Editor's Pick

Excellent government web site from Nova Scotia Canada showing the wait times for diagnostic tests such as MRIs, CT, bone density scans, mammograms, breast biopsy (needle), ultrasound, and upper GI series. Waiting times for scheduled surgery such as ear tubes, hip or knee replacement, bunionectomy, carpal tunnel, gallbladder removal, heart or valve surgery, hysterectomy, hernia repair, tonsillectomy, and cataract surgery; and how long to get a consult with physician specialists (such as cancer specialists). Hospital and facility information is very recent to 2017

Ohio Hospital Prices - Inpatient, Top 60 Outpatient average charge

Selected prices are provided by each hospital through the Ohio Health Department. Click on the name of the hospital, then the tab for either inpatient (top 60 services) or outpatient (top 60). No year is shown, so the numbers could be old. Hospital charges shown for labor and delivery (obstetrics) and other high volume admissions. Outpatient procedures are listed with ICD9 codes and may include some ambulatory surgeries. Imaging and lab tests are not included. Price list varies by hospital. Caution: Physician professional fees may not be included

Ohio Hospitals - Top 60 Inpatient Hospital Prices (OHA)

As required by the Ohio Department of Health, the average and typical prices for the top 60 most common hospitalizations are listed by Diagnosis Related Groups (DRGs) for all payer cases. Reports published by the Ohio Hospital Association show volume, average charge and length of stay. No side-by-side comparisons. Surgery procedures and hospitalizations (such as joint replacement, delivery, hysterectomy [DRG 358], psychiatric admission, COPD, etc.) are listed in the order of volume for each hospital, requiring consumers to search for the condition they want, and check each individual hospital's report. Dates for data are not easily found at Ohio Hospital Compare

Oklahoma PricePoint (Hospital Inpatient Charges)

Find average 2007 price and typical charges for many types of inpatient hospitalizations in OK. Examples: childbirth delivery prices, heart surgery, cardiac cath, hip & knee surgery, digestive problems, pneumonia, psychiatric hospitalization, rehab. Average length of stay in the hospital also given. Choose Comprehensive Query for prices on many other conditions not on the Basic list. Get one hospital/one disease or condition at a time. Sponsored by the Oklahoma Hospital Association. Consumers will need to inflate the old 2007 charges to estimate 2010 prices

Oregon - compare hospital costs (2015)

OHA - Oregon Health Authority posts average hospital charges paid in 2015. Select inpatient Payment Report to compare hospitals on costs for appendectomy, chemotherapy, coronary bypass, dialysis, inpatient gallbladder surgery or hernia repair, hip replacement, hysterectomy, angioplasty and more. Select Pregnancy report to find maternity costs (about $7700 for normal delivery, $13,279 for uncomplicated c-section and $2200 for newborns). When estimating, add in medical inflation. Pub. July 2017

Oregon Hospital Quality Ratings (heart, pneumonia, surgery, satisfaction scores)

Oregon's hospital association (OAHHS) provides almost the same information here as reported for the national HospitalCompare website, but the site is easier to use, since it shows the data all at once across the state. Four types of quality measures are shown: heart attack, heart failure, pneumonia and hospital infections (surgery); plus patient satisfaction scores; Medicare mortality (death) rates and readmission rates for heart attack, heart failure or pneumonia. Most data from 2009-2010

Pennsylvania - Hospital Quality Ratings & Patient Opinions (PHCQA)

Compare PA hospitals side-by-side for heart failure, heart attack, pneumonia, cancer care, stroke, surgical infection prevention, Emergency Room, patient satisfaction (Consumer Assessment) and more. Similar info at the CMS HospitalCompare (dates may vary), but this may be easier to use and more than 3 hospitals can be compared at once; 2014-2015 data. Pennsylvania Health Care Quality Alliance (PHCQA) now merged with the Health Care Improvement Foundation, includes the PA Hospital Association (HAP), the Blue Cross Plans, the PA Medical Society and others

Pennsylvania Hospital Performance Report 2014 | PHC4 (Dec. 2015)  Editor's Pick

Compare PA hospitals on Mortality Rating (relative survival rate), Average Charge (price), and Readmission rates. Seventeen (17) conditions in the pdf reports include congestive heart failure, abnormal heartbeat, heart attack, angioplasty and stent, pneumonia, stroke, laparoscopic & open gallbladder removal, COPD, colorectal surgical procedures, diabetes, kidney failure, urinary tract infections, septicemia, chest pain, and fainting. Grouped by region. Older reports may contain additional conditions. Symbols for Mortality ratings can be confusing - a higher mortality rating means worse survival (we think). No orthopedic (hip or knee) surgery included. Data from calendar year 2014

Pennsylvania: Hospital-acquired Infections, 2007 (PHC4)

Study of 165 Pennsylvania hospitals shows hospital-acquired infections are dangerous (may contribute to lower survival rates: 12.2% mortality for those with such infections, vs. 2.0% for those without) and costly. Nearly 28,000 hospital acquired infections were reported in 2007, on nearly 1.6 million patients. Almost half of infections were Urinary Tract Infections. Hospitals are shown with peer group hospitals based on size, service complexity and volume of surgery. Average charges shown, but PA hospitals were only paid 27% of charges in 2007. Readers advised to read the full introduction before viewing individual hospital results. Report by Pennsylvania Health Care Cost Containment Council, an independent state agency, January 2009

South Carolina - Compare Hospital Associated Infection Rates (HAIs)

Find surgical site infection rates at SC hospitals for colon surgery, hysterectomy (abdominal), hip and knee replacements, and heart bypass (CABG), 2016 data. Central line infections in hospital ICUs, c. difficile and MRSA also shown; compare hospitals for one type of infection at a time. Provided by state Department of Health (DHEC)

South Dakota Charges for Inpatient Hospital Stays - 2014

Find out and compare SD hospitals on 2014 average charges, or median (typical) price. After you select the hospital, you can see the average charge in all of South Dakota (e.g. avg $4368 for normal newborn, or $3265 median. Vaginal delivery for mom was $8891 average, and $8373 median.) All common hospitalizations shown, such as births and maternity delivery, knee replacement, heart failure, pneumonia, bowel procedures, COPD, angioplasty, kidney transplants (median $205,601), inpatient laparoscopic gallbladder removal (avg $40,071, but $44k to $46k avg. in Sioux Falls) and much more. Also shows length of stay. PricePoint site sponsored by SDAHO (hospital association)

South Dakota Hospital Quality Ratings and Patient Opinions - free

Compare quality of SD hospitals on heart attack, heart failure care, pneumonia, infections and complications in surgery patients, patient satisfaction recommendations, children's asthma (limited data); MRI, Mammogram, CT and other imaging scans; ER care, stroke, hip and knee ratings, some pregnancy & delivery scores. Readmission and survival ratings are also shown for heart and pneumonia. Site by SDAHO (hospital association) generally shows 2012-2013 data. Same data as reported to CMS HospitalCompare (time periods may differ), but here all hospitals are side-by-side. State average, national avg and best 10% scores are shown. Easy to use, can sort to get best scoring hospitals on top

Surgeon Scorecard - Knees, Hips, Gallbladder, Spinal Fusion, Prostate Surgery, Medicare 2015

Compare individual surgeons' complication rates (risk-adjusted) for Medicare patients having one of 8 types of inpatient surgery: hip or knee replacement, laparoscopic gallbladder removal, cervical (neck) or lumbar spinal fusion (either posterior or anterior technique), and prostate resection or removal. Analysis by ProPublica looked at billing records from 2009 to 2013. Numbers of cases shown are MEDICARE-ONLY (although the column title omits that point), and require at least 20 cases for a doctor's rate to be shown. Physician's rate combines his/her Medicare cases at all hospitals. Website was somewhat controversial in 2015. Tool is easy to use; data have not been updated

Surgical Safety Checklist proves effective - NEJM Jan. 29, 2009

Article by Haynes, Weiser et al (including our favorite Atul Gawande MD) published in the New England Journal of Medicine, outlines the effectiveness of an easy-to-implement surgical checklist. The study tested the tool and approach with about 4000 patients in eight hospitals (incl. one in Seattle) in 8 countries, providing a diverse application of the checklist. Results showed significant and dramatic improvement in lowering surgical site infections, returns to OR, deaths, and complications. Very exciting stuff when published in 2009. Now it has become standard of care

Tennessee Hospital Quality Comparison Ratings

The Tennessee Hospital Association and BlueCross BlueShield of TN have teamed up to compare hospital quality on mortality (survival rates), readmissions, volume and length of stay data. Interactive site for gall bladder surgery (laparoscopic & open cholecystectomy), cardiac valves, CABG, defibrillators, heart failure, diabetes, stomach and GI problems, COPD, pacemakers, brain surgery, back surgery, and vascular procedures. Uses 2013-2014 data

Texas - Guide to Texas HMO Quality 2016 (OPIC)

Lengthy (252 pages) but valuable report showing detailed clinical quality comparisons between HMO health insurance plans for indicators such as asthma, childhood immunizations, cancer screening, heart care, high blood pressure, diabetes care, prenatal care, mental health care, flu shots, ER visit rates, rates of physician board certification, and more. Pub. by TX Office of Public Insurance Council Nov. 2016

Texas - Inpatient Care Ratings in Texas Hospitals, 2014

Nineteen (19) separate quality ratings include patients of any payer type. Compare hospital volumes, mortality (survival rates), and certain utilization rates (i.e. cesarean section, VBAC rate, laparoscopic cholecystectomy (gall bladder), cardiac cath, appendectomy in elderly). Survival rates for heart attack (AMI), heart failure CHF, stroke, GI hemorrhage, hip fracture, and pneumonia. Volume and/or death rates provided for heart bypass surgery (CABG), angioplasty (PCI), AAA Repair, hip replacement, craniotomy, esophageal resection, pancreatic resection, and carotid endarterectomy. TX Dept. of State Health Services THCIC. If your hospital has a * by it, its mortality rate is significantly lower (good), but if it has two ** by it, its risk-adjusted mortality was found to be significantly higher; must look VERY closely to find the asterisks. Updated 2017

Texas PricePoint - Compare Hospital Inpatient Charges (Prices)

If you are looking for average cost of hospital care or surgery, the 2010-2011 prices at this site by the Texas Hospital Association might be the closest you can find. Information for one hospital at a time (no side-by-side comparisons) for maternity, childbirth, newborn, c-section; hip or knee replacement (look up Joint), fracture repair; hysterectomy, pneumonia, COPD, bronchitis, asthma; heart failure, chest pain, cardiac cath, bypass, stent, heart transplant; mental health, psychiatric hospitalization, depression; alcohol rehab; bowel surgery; back problems including spinal fusion and more. Volumes at each hospital are shown. Uses abbreviated medical terms instead of lay language. Does not include surgeon or other physician fees

Top Performers - Why Not the Best Hospitals (IPRO)

Side-by-side comparison tool of 4500 US hospitals called Why Not the Best? Using current data from the CMS Hospital Compare website, this tool helps people compare overall and composite performance on heart failure, heart attack, pneumonia, surgical infection prevention, and patient satisfaction, and identifies the top 1% of hospitals. Easy to use, but geared to health care professionals to improve hospital performance.Created by the Commonwealth Fund, transferred to IPRO in Jan. 2015

usnews.com Best Hospitals 2017: Ear, nose, and throat

Uses 3 years of Medicare data (minimum 45 cases), to select the top 50 best hospitals for ENT. Top of the list: Johns Hopkins (Baltimore), and Massachusetts Eye and Ear (Mass Gen), Boston. Strong weight to Reputation scores and volume. Rankings also consider survival rates

usnews.com Best Hospitals 2017: Gastroenterology

Fifty hospitals ranked, using Medicare data 2013-2015, survival rates (30-day mortality scores), volume, reputation and other factors. Mayo Clinic and Cleveland Clinic again lead the 2017 list. GI problems, inpatient Gall bladder cases, & bowel surgery are included in this best hospitals category. Minimum 3-yr volume of 438 inpatient cases, of which 111 needed to be surgical

usnews.com Best Hospitals 2017: Gynecology Rankings

Mayo Clinic (Rochester, MN) and Memorial Sloan Kettering (New York) lead the list of 2017-2018 best hospitals for Gynecology from US News & World Report. Gynecology rankings include hysterectomy surgeries, and use data Medicare data from 2013 to 2015. Relative survival rates are included. Minimum 50 Medicare gynecology cases (3-yrs)

usnews.com Best Hospitals 2017: Neurology and neurosurgery

US News & World Report's list of top 50 hospitals for Neuro care and Neurosurgery. Mayo Clinic and Johns Hopkins lead the 2016 list. Stroke, carotid artery stent, craniotomy and multiple sclerosis included in this category. Minimum number of Medicare cases = 236 over 3 years

usnews.com Best Hospitals 2017: Ophthalmology (Eye)

Twelve hospitals listed for eye surgery, ranked using reputation scores only, no clinical outcomes data were examined (except what individual physicians responding to the survey had investigated on their own). Bascom Palmer in Miami and Wills Eye/Thomas Jefferson in Philadelphia top US News & World Report's 2017-18 list of best hospital Ophthalmology programs

usnews.com Best Hospitals 2017: Pediatric & Children's Hospitals

US News & World Report's top pediatric hospitals listed for cancer, diabetes and endocrinology; gastroenterology (digestive disorders) & GI surgery, cardiology and heart surgery, nephrology (kidney), neonatology, neurology and neurosurgery, orthopedics, pulmonology (respiratory problems), and urology. Honor roll of 10 hospitals is led by Boston Children's and Children's Hospital of Philadelphia. List called Best Children's Hospitals updated June 2017

usnews.com Best Hospitals 2017: Urology Rankings

Cleveland Clinic and the Mayo Clinic lead the Urology list of 50 best hospitals from US News & World Report. List uses Medicare data, reputation and other factors; includes cases of prostatectomy, TURP, kidney stones and other urologic surgery. Minimum 38 cases over 3 years, of which 15 required to be surgical

Utah Inpatient Hospital Charges, 2010 - Utah PricePoint

Utah provides average charges (price) statewide, and on a hospital-specific basis for many common inpatient stays, such as pneumonia, stroke, appendectomy, hip and knee procedures, gall bladder surgery, hysterectomy, heart failure, heart attack, chest pain, coronary bypass, heart valve procedures, vaginal and cesarean deliveries, newborn births, chemotherapy, psychoses, alcohol or drug abuse, rehabilitation, back and neck procedures, digestive disorders, abdominal surgery, nutritional/metabolic problems, transplants and much more. Volumes (2010 data) and length of stay are included; does not include average cost for physicians. Consumers may adjust for 2012 costs by adding 2-year price inflation. As with other PricePoint Systems, view one UT hospital at a time. Utah Hospital Assn

Vermont - 2015 Hospital Report Cards (Act 53)

Vermont calls these ratings Act 53 report cards, in honor of legislation passed in 2003, requiring VT hospitals to publish annual community reports about hospital quality, safety, financial health, costs for services and more. This government site links the data, including outpatient prices. Health conditions include heart care, pneumonia, surgical infection prevention, central line associated bloodstream infection rates, hysterectomy infections, knee replacement and hip replacement infection rates, volume and death rates for resection of esophagus or of pancreas (usually for cancer), pediatric heart surgery, abdominal aneurysm repair (AAA), & more. This site permits access to Quality Ratings, Survival Rate information, links to patient satisfaction and current medical prices all on the same web page for easy access. Nurse staffing also available. 2014 data for quality; 2013 information on prices

Vermont - Hospital Outpatient Surgery Prices, 2013 (pdf)

Table 2A lets you compare average gross charge (the closest you will get to average cost) for most common outpatient surgical procedures at 14 general hospitals in VT. Prices for procedures such as carpal tunnel ($4241), cataract surgery (average $5720), endoscopy ($2671), bladder endoscopy $1419, knee cartilage surgery ($6609 average), shoulder surgery (18,580), gall bladder removal (average $11,631, range $8404 to $25,707 for laparoscopy), breast biopsy (avg. $4038), other biopsies, ear tubes (average $3044), tonsillectomy (about $5900), nerve block ($1717), bunion removal (range $6276 to $17,348), nonsurgical skin treatments (avg $2356), hernia repair $9191, and many more procedures; 12-month avg. charges ending Sept. 30, 2013, DO NOT include the surgeon or other physician fees. As with all of Vermont's reports, the font size is about as small as you can get. More than two years old. Table 2B shows how many of those procedures the hospital did

Vermont - Inpatient Hospital Average Prices, 2013 (pdf)

Report shows average prices (charges) for each VT hospital's most frequent inpatient admissions - includes newborn delivery, cesarean section, pneumonia, total hip or knee replacement, depression, psychoses such as schizophrenia, COPD & emphysema, heart failure, chest pain, rehabilitation, stomach problems, appendectomy, hysterectomy, bowel, TURP and other surgery; stent, heart cath, heart rhythm problems, back problems, kidney or urinary tract infection, and other hospital stays. All common hospital admissions except newborns were more than $7500. Knee replacement about $40,000. Compare costs on 55 different types of cases, listed by MS-DRG. Links to hospital discount policies for consumers with cost concerns; 2012-2013 average charges

Vermont - Outpatient Surgery Market Share & Average 2013 Prices (pdf)

Find out how many outpatient surgeries are done at each Vermont hospital, and the average price statewide (average gross charge) for period of Oct 2012 to Sept. 2013. Prices do not include physician charges. Average price for cataract surgery $5720, large intestine endoscopy (colonoscopy) $2671, ear tubes $3044, tonsillectomy without removing adenoids $5904, removal of a bunion $11,084 for most common procedure code. Part of the State Act 53 Hospital Community Report series

Virginia Healthcare Prices (2015)

Find average price ALLOWED in 2015 for 30 common healthcare services, including hospitalizations (maternity), outpatient xray/imaging, CT and MRI tests; colonoscopy, mammogram; inpatient or ambulatory surgery (e.g. hernia, gall bladder, knee replacement, tonsillectomy, kidney stones); and ER or office visits. Shows costs but doesn't identify if it's facility cost only or INCLUDES the surgeon or other physician fees. Each service shows the average allowed amount that you or your insurance plan paid in 2015. More relevant than most pricing information, but confusing because of the doctor fee questions. From Virginia Health Information (VHI), updated Dec. 2016

Washington (state) Hospital Inpatient Prices

Find out the typical charges (2010-2011 prices) to estimate the average cost of hospital surgery or medical problems. About 60 types, including maternity care, psychiatric hospitalization and digestive problems, are covered. Shows one hospital at a time similar to other state pricepoint systems. Presented by the WA State Hospital Association (WSHA)

Washington Hospital Quality Ratings and Satisfaction Levels

Compare WA hospital scores for Surgical Infections (cardiac surgery, orthopedics, hysterectomy) Heart Attack, Heart Failure, Pneumonia, childrens Asthma Care, and patient opinions. Mortality (survival) data for heart care and pneumonia. Consumers can find some of this information at the federal HospitalCompare site, but here all hospitals are side-by-side and may be easier to see. Most data are up to 2011; Washington State Hospital Association

Weight Loss Surgery (MedlinePlus)

Information about risks, bariatric surgery, gastric bypass, laparoscopic Roux-en-Y procedure, stomach band, Body Mass Index (BMI), directories of bariatric physicians, Medicare coverage for weight loss surgery, laparoscopic surgery videos and more

Wisconsin - Ambulatory Surgery Facility Charges, 2014

Average 2014 charges in WI for 20 common ambulatory surgery procedures, such as Colonoscopy (6 codes), Endoscopy, Biopsy, Spinal Injection, Cataract & Lens ($7455 hospital average), outpatient Knee surgery/arthroscopy ($12,191), Carpal Tunnel ($6279), Ear Tubes, and more. Volumes for each hospital and surgical center are shown for top 20 only. Go to Chapter VI, Table 28 for a longer list of procedures including gall bladder removal (cholecystectomy). Prices do NOT include surgeon and physician fees, which may cost thousands of dollars and could double prices shown. Consumers should add inflation to estimate 2016 facility prices. Scroll to bottom of page for Chapters VI and VII Ambulatory Surgery, published by WHA Information Center 2015

Wisconsin CheckPoint - Hospital Ratings and Patient Opinions  Editor's Pick

Compare hospital quality performance and patient satisfaction ratings for 125 hospitals in WI. Topics: heart attack, heart failure, pneumonia, surgical infection prevention and survvival for hip, knee surgery, heart, vascular, other cardiac, colon surgery and hysterectomy; patient safety practices, incidental appendectomy rate; deaths data. See how many patients would definitely recommend the hospital. Most data are from 2015-2016. Wisconsin Hospital Association makes quarterly updates. Even though the clinical topic list is sketchy (such as Bones and Digestive), WHA receives Editor's Pick for going beyond CMS measures, for showing all hospitals side-by-side, consumer ease in getting a free comprehensive quality report for one hospital, staying current, and showing comparisons to the benchmark best in the state

Wisconsin Collaborative for Healthcare Quality - Hospital Inpatient Ratings & Prices

Compare hospital performance ratings for Surgery (including heart valves, gastric bypass [weight loss], angioplasty [PCI]), Heart Care, Maternity Care, Pneumonia, computerized physician orders to prevent medication errors, ICU staffing and more. Over 20 hospitals participate. Shows charges (average 2008 price) for some heart care, knee replacement, childbirth delivery, and pneumonia care; includes Leapfrog, CMS/Joint Commission measures. Some 2009 data. WCHQ report

Wisconsin Hospital Survival Ratings for Surgical Procedures  Editor's Pick

Compare 86 WI hospitals (side-by-side) on their survival rates for AAA Repair, Craniotomy, heart (cardiac) bypass, PTCA angioplasty, CEA endarterectomy, resection of the esophagus or pancreas, and hip replacement surgery. Wisconsin Hospital Association report Deaths During a Procedure shows most hospitals performed As Expected, with a few significantly Worse, or Better than the others. Source data from 2007 (detailed practices shown for 2008), published 2009

Wisconsin Hospitals PricePoint (Average Inpatient Prices)

Average charge and length of stay for common hospitalizations including maternity and newborn births, hip or knee replacement surgery, gallbladder removal, heart surgery, angioplasty, arrhythmia (irregular heartbeat), valves, cardiac cath, pacemaker, pneumonia, bipolar and other mental health, stroke, back care, asthma, COPD, rehab; kidney, heart, lung or other transplant; hysterectomy, prostate surgery, bowel surgery & more. Also shows inpatient volumes. From WHA Information Center, part of the Wisconsin Hospital Association, using 2016-2017 data. Surgeon fees NOT included. Compare hospitals by city (anywhere in the state by adding cities). Wisc. Hospital Assn. created the PricePoint System now used in other states

Wisconsin PricePoint - Outpatient & Ambulatory Surgery Cost

Compare outpatient and ambulatory surgery volume and charges for colonoscopy, cataracts, eardrum surgery, shoulder or knee surgery, carpal tunnel surgery, removal of tonsils & adenoids, appendectomy, breast biopsy, endoscopy, gallbladder (cholecystectomy), upper GI, heart catheterization and more. Compare hospitals and surgical centers. Typical (median) price in county and statewide Wisconsin median prices shown for 2016-2017. Prices exclude surgeon and other doctors' fees which may double the numbers you see here

Wyoming Hospital PricePoint - compare hospital costs

Compare inpatient charges in Wyoming for 60 common types of hospital admissions, like childbirth, joint replacement, surgery, heart valves or stents, pneumonia, rehab, and many more. Average cost in WY is also shown. Site shows one hospital at a time, and uses clinical names instead of layperson language for the illnesses. WyoPricePoint launched Feb. 2011 by the Wyoming Hospital Association, with 2009-2010 prices

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