MedlinePlus topics on asthma (estimated to affect about 25 million Americans – about 8% of adults and 10% of children) include spirometry, asthma medications, inhalers, nebulizers, peak flow meters, increased risk for osteoporosis, and more. A service of the US National Library of Medicine and the National Institutes of Health
Topics on asthma in children (estimated nearly 9 million US kids) include asthma attacks, inhalers vs. nebulizers for children, playing sports and checklists for kids ages 1 to 4, 5 to 11 and ages 12 and up
Statistical Brief # 341 shows average cost for children’s asthma medications; average $123 out of pocket, of $605 total medication cost, in 2007-2008. With medical inflation, $605 in 2008 is estimated at $822 in 2019. Report also shows growth in number of asthma patients is compared to ten years earlier. MEPS data published Sept. 2011.
The top 5 most costly illnesses for children up to age 17 were Asthma/COPD, acute bronchitis, trauma-related disorders, mental disorders, and infectious diseases in 2012. Medical expenditures (payments) according to MEPS data (household component) show average costs were $290 for bronchitis, $690 for asthma (16% of which was out of pocket), $1142 per trauma patient, $499 for infectious diseases and $2195 for mental health care (10% out of pocket). Average out of pocket payments by consumers ranged from 9% to 16% of these expenditures. Mental health accounted for $13.9 billion in payments in 2012. AHRQ Statistical Brief 472, April 2015
Cancer, arthritis, trauma-related disorders, mental disorders, and heart conditions were identified as the top 5 most costly illnesses for adults ages 18 to 64 in 2012. For seniors, COPD and asthma replaced mental disorders. Medical expenditures (payments) according to MEPS data (household component) show average costs (ages 18-64) were $8125 for a cancer patient, $4852 for an adult with heart disease, $2603 per trauma patient, $1727 for mental health care, and $1909 for someone with arthritis. Average out of pocket payments by consumers not shown. AHRQ Statistical Brief 471, April 2015
Glossary for asthma, by the Cleveland Clinic. Find all the terms you want to know about asthma: spirometry, pulse oximetry, inhaler, nebulizer, bronchodilator, peak flow meter, pulmonary function tests, dyspnea, spacer, Theophylline, wheezing and more
Patient Education Resources (with pictures) , from the Chest Foundation. Includes topics such as shortness of breath (including asthma), bronchoscopy, COPD, lung cancer, MERS, obstructive sleep apnea (OSA), RSV, smoking e-cigarettes, more. Learn about the 6-minute walk test.
American Lung Association (lung.org) site includes extensive references for chronic lung disease such as asthma, COPD emphysema and chronic bronchitis, as well as lung cancer, tuberculosis, pneumonia, and other factors, such as smoking, that affect the lungs. Special feature on e-cigarettes and vaping. The organization also maintains a HelpLine staffed by Registered Nurses and Registered Respiratory Therapists to answer your lung health questions at 1-800-LUNGUSA (or 800-548-8252). Or submit a question via online chat to the ALA
Find California HMO, PPO and Medical Group ratings report card for 2019-2020. Kaiser Permanente of Southern California’s HMO Plan and Sharp Health Plan HMO received the highest ratings. The lowest rating went to Aetna PPO. Compare 10 largest California HMO health insurance plans: Aetna, Anthem Blue Cross HMO, Blue Shield, Cigna, Health Net, Kaiser Permanente Northern and Southern CA regions, Sharp Health Plan, United Healthcare and Western Health Advantage. Compare 6 of the largest PPOs: Aetna, Anthem Blue Cross, Blue Shield, Cigna, Health Net Life Insurance Company, United Healthcare. Clear, simple star system (5 stars = excellent; 4 stars = very good; 3 stars = good, 2 stars = fair; 1 star = poor) used for overall rating. Actual performance scores are not given, but may be available through NCQA. Quality measures (based on HEDIS scores) for asthma, cancer screening, child health, chlamydia screening, diabetes, heart care, maternity care, behavioral and mental health, and other expected care. Member satisfaction stars also shown. Complaint rates are reported for health plans in a separate report. Nearly 200 Medical Group ratings also provided by county for the larger groups of doctors. For example, nearly 60 different Kaiser Permanente medical groups are included; Sutter, Scripps, Sharp and many more. Prepared by the California state Office of the Patient Advocate (OPA), published December 2019.
Find average 2018 cost across CO for more than 50 types of hospitalizations. Click on View Reimbursement by Diagnosis or Insurance Provider to see average total charge in 2017, and what the insurance company reimbursement was. While the patient’s responsibility is not shown, we appreciate the transparency between prices and amounts paid. Example: Major joint replacement without complications priced at $78,874 had an average insurance payment of $26,588, or about 1/3 of the charges. Uncomplicated delivery was priced at $16,500 in 2017 (17,545 in 2018), with insurance companies paying $7347 in 2017. Similar for newborns – $5171 average price, insurance paid $2341. Insurance company payments appeared to go down in 2017, while charges went up. Consumers are also able to see actual hospital prices (Click View Hospital Charges, then select year 2018 and procedure). Example: Average 2018 price for major joint replacement at hospitals that performed at least 100 procedures, ranged from $13,941 in Meeker (Pioneers Medical Center), to $131,513 at Sky Ridge Medical Center in Lone Tree (nearly 10 times higher; midrange 208 price across hospitals was about $79,000. Physician charges are not included. Published by the State Department of Regulatory Agencies, Division of Insurance, and Colorado Hospital Association. Updated 2019.
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 2016 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 arthroscopy priced at over $33,000 average in IL, bunionectomy [which had a statewide list price nearing $20,000], hernia repair, colonoscopy, lens, lumpectomy, tonsillectomy). Prices may be found under the SERVICES tab. 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 2019, using 2017 prices and 2018 quality data
Iowa Hospital Charges Compare provides information about volumes and average 2018 charges (amount billed) and median charge at IA hospitals. This site is for consumers who want to find the average cost of surgery or other inpatient services. 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,rehab, and many medical conditions. Severity of illness can be specified. Limited focus to one service and category at a time. Average cost (and median charges) across the state are also shown for each procedure.
Compare physician groups in southeast Michigan. The Greater Detroit Area Health Council provides a 7-county health care performance report at MyCareCompare.org. Compare medical groups (side-by-side) for diabetes care, cancer screening, blood pressure control, antibiotic use, strep throat testing, well child visits, immunizations, weight assessment, physical activity counseling, nutrition counseling, sexual health, low back pain, asthma medications, cholesterol and heart disease care. Easy to use. Medical groups are in Detroit, Ann Arbor, Pontiac and counties: Wayne, Washtenaw, Livingston, Macomb, Monroe, Oakland, and St. Clair. GDAHC was an early leader in quality transparency. Medical group data from 2018
Compare side-by-side (5 measures at a time) over 500 participating medical groups, hundreds of clinic locations and urgent care centers in Minnesota, Fargo, Grand Forks, Sioux Falls, and some Wisconsin communities for diabetes, knee replacement, vascular care, mental health (depression), cancer screening, controlling high blood pressure, heart (coronary artery) disease, asthma, vaccinations, appropriate care for children with colds and sore throats and more. Some clinics also have patient satisfaction scores. Medical groups include Allina, Altru, Apple Valley, Aspen, Avera, Brainerd, Children’s Physician Network, Dakota Clinic, Edina, Fairview, Fergus, Grand Itasca, Gundersen, HealthEast, HealthPartners, Lakewood, Mankato, Mayo Clinic, North Memorial, Northfield, Olmsted, Park Nicollet, Ridgeview, Sanford, St. Cloud CentraCare, St. Luke’s, St. Mary’s Duluth Clinic (Essentia), Stillwater, United, University of Minnesota, Winona Health Services, and more; OB-GYN clinics and Orthopedic clinics. Report by MN Community Measurement (founded by the MN Medical Association and seven non-profit health insurance plans). Annual data, but report doesn’t specify what year (unclear why that is a secret). Otherwise, the interactive format is easy-to-use.
Compare six New Jersey health insurance companies (HMO/POS and PPO/EPO health insurance plans. Performance reports from Aetna, AmeriHealth, CIGNA, Horizon, Oxford and United, on quality ratings related to asthma, COPD, cancer screening, heart care, hypertension, diabetes, new moms, immunizations, strep tests, mental health medication and followup; frequency of imaging tests for lower back pain, cardiac cath and tonsillectomies; well child care, more. Easy to read. Pub. by NJ Dept. of Banking and Insurance, June 2019
Find the average charge (closest available to inpatient cost) for a Oklahoma hospital stay (compare OK hospital prices) by Principal Diagnosis (i.e., disease) or DRG. Example we found was the average commercial price in Oklahoma for mood disorders (mental health) was $13,280 in 2016, with an average length of stay of 6.2 days. Similarly, a major joint replacement (e.g. knee or hip replacement) without complications averaged about $51,000 for commercial insurance patients. Average stay in the hospital was 2.4 days. Statewide or county-specific statistics on volume and average length of stay also found in this dataset. May specify data for a certain age group and sex. Geared to researchers and health care professionals, rather than for consumers. If this website was meant for consumers, it would get the User-Unfriendly Award due to its complicated diagnosis choice sections. 2016 data are the most recent available from OK2SHARE by the OK State Dept. of Health’s Health Care Information
Detailed report by US Department of Health and Human Services (September 2003) addressing the cost of disease and illness. Specific sections are included on Overweight and Obesity, Diabetes, Cardiovascular (Heart) Disease, Asthma, and Tobacco Use. Metabolic Syndrome also discussed
Find top NCQA ratings for health insurance plans in Rhode Island. Tufts Associated HMO plan earned the top 5.0 rating from NCQA. Based on Quality, Member Satisfaction and accreditation results. 2019-2020 Ratings
Find out and compare SD hospitals on 2017 average charges, or median (typical) price. After you select one hospital, you can see the average charge in all of South Dakota (e.g. avg $5077 for normal newborn, or $3905 median. Vaginal delivery for mom was $10,736 average price, and $9868 median. C-section average cost $23,518.) All common hospitalizations shown, such as births and maternity delivery, knee replacement (average price about $47,000), heart failure, pneumonia, bowel procedures, COPD, angioplasty, kidney transplants (median $247,637), inpatient laparoscopic gallbladder removal (average price $48,000, but $50k to $55k avg. in Sioux Falls) and much more. Also shows volume and length of stay. PricePoint site sponsored by SDAHO (hospital association)
The Guide to Texas HMO Quality 2018-2019 shows detailed clinical quality comparisons of HMO health insurance plans. Compare HMOs Aetna, Christus, Cigna, Community First, FIRSTCARE, HMO Blue Texas, Humana, Memorial Hermann, Scott and White and United Healthcare of Texas. Indicators include asthma, childhood immunizations, cancer screening, heart care, high blood pressure, diabetes care, prenatal care, mental health care, flu shots, antibiotic utilization rates, rates of physician board certification, and more. Lengthy (211 pages) but valuable report. Pub. by TX Office of Public Insurance Council
Compare hospital inpatient charges, or prices, at Texas PricePoint. If you are looking for average cost of hospital care or surgery in TX, the prices at this PricePoint site by the Texas Hospital Association will give you an idea of what to expect on your hospital bill. (Consumers should add about 5% or more to estimate 2019 prices.) The average charge for a joint replacement in Texas was reported to be about $79.000 in 2017. A cesarean section without major complications averaged nearly $26,000, not counting the baby’s care. 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; for example: “Uterine & adnexa proc” instead of hysterectomy. Does not include surgeon or other physician fees. No updates as of February 2020.
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. To find psych (mental health, bipolar, schizophrenia) admission costs, for example, you will need to click on LOOKUP. Volumes (2016 data) and length of stay are included; does not include average cost for physicians. Consumers may adjust for 2019 costs by adding 3-year price inflation (at least 6% more). As with other PricePoint Systems, view one UT hospital at a time. Utah Hospital Association
Compare Virginia HMOs on both quality and member satisfaction. Easy to use tool to compare insurance plan ratings: Aetna, CareFirst BlueChoice, HealthKeepers (both Peninsula and Priority), Innovation Health Plan, Kaiser Mid-Atlantic, Optima, Optimum Choice, United Healthcare MidAtlantic and River Valley. Choose measures for access, asthma, ADHD, heart, diabetes, arthritis, immunizations, medications, mental health care (e.g., best plan for 7-day follow-up is Kaiser at 69%, compared to UnitedHealthcare of the Mid-Atlantic, Inc. at just 39%), preventive care, spirometry for COPD, prenatal, maternity and newborn care; weight assessment, well child visits and childhood illnesses, member satisfaction for 2017 and more. Also includes Board certification rates for some types of physicians, number of enrollees, and financial data.
Wisconsin PricePoint tool shows average hospital price, median charge and length of stay for common inpatient services. Hospitalizations include 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 if you click on more detail. From WHA Information Center, part of the Wisconsin Hospital Association WHA Information Center. Surgeon fees NOT included, nor are dates shown on the consumer version of the PricePoint tool. (See dates by going through the professional tool, from the Home page.) Compare hospitals by city (anywhere in the state by adding cities). Wisc. Hospital Assn. created the PricePoint System now used in other states. This version of Pricepoint has been modified to be payer-specific, although gross charges (sticker price) should be the same for all patients. Must watch a video before proceeding to see the prices; you may also need specific medical information about the procedure in order to select the price you are interested in.