Primary Listings

Age to Begin Screening for Breast Cancer, Cervical Cancer, Colorectal Cancer (pdf)

Two-page brief by the National Cancer Institute addresses when to get a mammogram, pap test, or one of the tests for colorectal cancer such as fecal occult blood tests, barium enema, sigmoidoscopy or colonoscopy. A large segment of men and women failed to identify the correct ages. HINTS Brief #3 updated August 2006. Information may be dated, so it is useful to also check the USPSTF (US Preventive Services Task Force) recommendations for the latest guidelines.

Colonoscopy: What it is, What to Expect

Overview of Colonoscopy, by the American Gastroenterological Association (AGA). Includes preparing for the procedure, what to expect during and after the test, its relationship to colon cancer and colon polyps, polypectomy and more

Cost of 3 Cancers: Lung, Breast and Colorectal Cancer

See how out-of-pocket costs could accumulate for lung cancer, colon cancer and breast cancer over time. Using 2010 to 2014 data (essentially before the Affordable Care Act), costs were examined over time. See esp. pages 9-10. Patient’s 4-year cost was over $11,000 for lung cancer (of $282,000); $8442 (of $165,000) for colorectal cancer; and $7500 out of pocket (of $101,000 total cost) for breast cancer. Study by Milliman Research, April 2017.

Other Helpful Listings

Iowa – Average Price for Ambulatory Surgery 2018

Compare average prices for ambulatory outpatient surgery at IA hospitals, before adding surgeon fee or other professional charges. 2018 prices. Check one procedure at a time. Average charge billed last year for Upper GI endoscopy was between $6000 and $6900; Diagnostic Colonoscopy averaged $4,941 excluding physician fees; simple cataract $7442 to $8201; Tonsillectomy over age 11 $10,896; one ear tube $10,265; shoulder surgery $20k to $23,000; laparoscopic gall bladder removal averaged $17k in hospital charges; inguinal hernia repair (laparoscopic) averaged over $21,000. Individual hospitals shown if they have enough volume. From Iowa Hospital Association

Maryland HMO & Health Insurance Plan Ratings 2017

Compare Aetna, CareFirst BlueChoice, CFMI & GHMSI; Cigna, Kaiser Permanente, KPIC, MAMSI, MD-IPA, Optimum Choice and United Healthcare on member satisfaction (CAHPS), getting appointments, flu shots, and many clinical measures of care such as Diabetes, breast cancer screening, behavioral health, well child care. Check both Consumer Ratings & Clinical Ratings. Other Medicaid HealthChoice plans (Amerigroup, JAI, Maryland Physicians Care, Medstar, Priority Partners, University of MD Health Partners) are listed separately. 2017 Performance Report by Maryland Health Care Commission uses 2016 data

Medicare Coverage for Colonoscopy or other Colon Cancer Screens

Annual FOBTs are free under Medicare. Other more expensive colon cancer screening tests such as colonoscopy and sigmoidoscopy are covered periodically, without cost to the patient if your doctor accepts Medicare assignment as full payment. Find out Medicare’s details. Unfortunately, Medicare does not provide cost estimates for the public at this site

MN Physician fees, office visit cost, colonoscopy, more

Find how much physicians charge for over 100 professional services in Minnesota, ND, SD, WI through Minnesota HealthScores’ Cost Report feature. Compare prices over 150 participating medical groups, and hundreds of clinic locations in Minnesota, and some border communities, for doctor office visits, lab tests, colonoscopy, endoscopy, minor office surgical procedures such as ear wax or wart removal; immunization, psychotherapy. Obstetric services, including inpatient delivery. 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, MeritCare, Innovis, North Memorial, Northstar, Olmsted, Osceola, Park Nicollet, Regina, Ridgeview, Sanford, St. Cloud CentraCare, St. Luke’s, St. Mary’s Duluth Clinic, Stillwater, United, University of Minnesota, Winona Clinic, and more; OB-GYN clinics, Report by MN Community Measurement. Does NOT include facility charges which are in the thousands for colonoscopy or childbirth. Interactive easy-to-use format. Costs shown are claims through BCBS, Health Partners, Medica, and Preferred One in 2017. Unclear if it’s price before or after discounts

Montana Hospital Outpatient Surgery and Test 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 facility prices in the past, for common surgical procedures such as tonsillectomy, cataracts, ear tubes, knee cartilage, bunions (median $5483, $2000 more for big toe), child’s appendix removal, carpal tunnel, skin lesions, upper GI endoscopy; x ray, CT, MRI and other radiology imaging prices listed; 2015 costs

Rhode Island – Top Ratings for Health Insurance Plans (NCQA)

Tufts Associated HMO plan earned the top 5.0 rating from NCQA. Based on Quality, Member Satisfaction and accreditation results. 2017-2018 Ratings

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

Wisconsin – Ambulatory Surgery Facility Charges, 2017

How much does outpatient surgery cost in WI?  Find average 2017 charges in Wisconsin for 20 common ambulatory surgery procedures, such as Colonoscopy (6 codes), Endoscopy, Biopsy, Spinal Injection, Cataract & Lens ($7353 hospital average), outpatient Knee surgery/arthroscopy ($11,285), Carpal Tunnel ($6463), Ear Tubes, and more. Volumes for each hospital and surgical center are shown for top 20 only. Go to Table 28 in Chapter VI for a longer list of 40 procedures including colonoscopy & biopsy, code 45380 ($5155 average) and gall bladder removal (laparoscopic cholecystectomy at $17,429). Chapter VII compares average prices (along with median charge and volume) at each hospital for twenty 2017 ambulatory surgeries. Prices do NOT include surgeon and physician fees, which may cost thousands of dollars and could double prices shown. Consumers should add medical inflation to estimate 2019 facility prices. Scroll to bottom of page for Chapters VI and VII Ambulatory Surgery, published by WHA Information Center July 2018.

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 post-op infections and complications, survival for hip, knee surgery, heart, vascular, other cardiac, colon surgery and hysterectomy; patient safety problems such as falls and pressure ulcers; readmissions; deaths data. See how many patients would definitely recommend the hospital. (Ratings are listed under Patient Experience.)  Also compare hospitals on how many patients “understood their care when they left hospital”. Statewide, only 57% said they understood their care in 2017-2018. Seven hospitals had fewer than half their patients understanding their care.

Some rankings are shown by stars (one, two, or 3 stars) instead of numbers. Wisconsin Hospital Association makes quarterly updates. Even though the clinical topic list may be sketchy (such as Digestive), WHA receives Editor’s Pick for going beyond CMS measures, for showing all hospitals side-by-side, consumer ease in getting a free overall quality report for one hospital, staying current, and showing comparisons to the benchmark best in the state

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, but no dates are provided for reference. Prices exclude surgeon and other doctors’ fees which may double the numbers you see here

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