Primary Listings

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

What age should you begin screening for breast cancer, cervical cancer or colorectal cancer? Read the two-page HINTS Brief #3 by the National Cancer Institute. It 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. 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 2018

Find Maryland HMO and PPO Health Insurance Plan Ratings for 2018. Compare Aetna, CareFirst BlueChoice, CFMI & GHMSI; Cigna, Kaiser Permanente, 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. 2018 Performance Report by Maryland Health Care Commission uses 2017 data

Medicare Coverage for Colonoscopy or other Colon Cancer Screens

Learn what Medicare covers for colonoscopy or other screens for colon cancer. Annual fecal occult blood tests (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. Medicare also covers at-home multi-target stool DNA lab test (e.g. Cologuard) once every 3 years for certain people ages 50 to 85. Cologuard identifies altered DNA and/or blood in stool, which are associated with the possibility of colon cancer or precancer. 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 perhaps 500 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 (we think). 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)

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

Virginia Healthcare Prices – Ambulatory Surgery, Tests, Hospital Stays

Virginia Healthcare Prices shows average price ALLOWED (commercial insurance prices) in 2017 for almost 40 common healthcare services in VA. Includes a mix of outpatient, clinic, hospital stays and other services such as an ambulance (average $522) or helicopter ride (almost $17,000). Examples: 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 median and range of costs and provides a breakout by type of cost: facility, surgeon, anesthesiologist, etc. Also shows average price by setting: clinic vs. hospital vs. ambulatory surgical center; and region of Virgina. Median physician office visit cost was $77.  The 2019 report shows the average allowed amount for each service that you or your insurance plan ACTUALLY PAID in 2017. More relevant than most pricing information, but lags in timeliness. Add at least 4.1% medical inflation rate to estimate 2019 costs. Virginia Healthcare Pricing Transparency, from Virginia Health Information (VHI), updated May 2019

Wisconsin – Ambulatory Surgery Facility Charges, 2018

Wisconsin ambulatory surgery facility charges (prices) for 2018 for each hospital and freestanding ambulatory surgery center How much does outpatient surgery cost in WI?  Scroll to bottom of page for Chapters VI and VII Ambulatory Surgery. Find average 2018 charges for 20 common ambulatory surgery procedures, such as Colonoscopy (6 codes), Endoscopy, Biopsy, Spinal Injection, Cataract & Lens ($7,439 hospital average), outpatient Knee surgery/arthroscopy ($11,699), Carpal Tunnel ($6,548), 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 ($5,478 average) and gall bladder removal (laparoscopic cholecystectomy at $18,389). Chapter VII compares average prices (along with median charge and number of cases) at each hospital and surgery center for twenty 2018 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. Health Care Data Report 2018 published by WHA Information Center September 2019.

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

Wisconsin CheckPoint helps you compare hospital quality performance and patient satisfaction ratings for 127 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. Six hospitals had fewer than half their patients understanding their care: Beloit Health, Holy Family Manitowoc, Ascension St. Francis, Mile Bluff Mauston, ThedaCare New London and Wild Rose Medical Centers.

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 on the consumer site. Must use the healthcare professionals site to see the dates and the volumes done at each hospital; 2018-2019 prices are shown. Prices exclude surgeon and other doctors’ fees which may double the numbers you see here

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