Find the average cost for both hospital and doctor visits in Maine in 2019 to 2020. These “costs” may be less than charges or prices, since they are what 31 commercial payers actually paid for the service in the 12 months ending March 31, 2020. Compare costs at different clinics and hospitals. Typical vaginal delivery costs (median payment) averaged $14,281 for Childbirth delivery and 60 days of related care. (Does include physician care, but probably not newborn charges). An uncomplicated C-Section averaged $22,469. A few other charges by hospital, for hip or knee joint replacement, arthroscopy and gall bladder surgery. Find many median (middle) payments here physician office visits ($102 average cost for 15-minute appt for an established patient 99213), CT, MRI, x-ray, lab tests and more. A one hour crisis psychotherapy visit averaged $185. An ongoing 60 minute psychotherapy visit (90837) cost $100 on average. Uses CPT codes. More than 7 million claims were analyzed. However, no Medicare or Medicaid claims were included. From Maine Health Data Organization in State of Maine
Compare costs in Maine for surgery, x-ray, imaging and lab tests across hospitals and medical groups. MHDO Maine Health Data Organization’s website shows average amount paid (median “cost”) by commercial insurance for surgery such as hip or knee replacement, shoulder arthroscopy, carpal tunnel, gallbladder removal; skin growth removal; lab tests such as strep, blood tests, urine. Imaging tests such as mammogram, x-ray, CT, MRI, ultrasound. Diagnostic procedures such as colonoscopy. Good news is that both physician and hospital charges for surgery are shown to give you an idea of total cost (and discounts); CPT codes listed. Costs for surgery, office visits and tests are from 2019-2020 claims, excluding Medicare and Medicaid. Search by city or zip code radius. From maine.gov
MinuteClinic price list gives cash prices for hundreds of services or tests, many priced in the $99 to $139 range. MinuteClinic is owned by CVS Pharmacy. Some clinics are inside Target stores. Published list prices range from $99 to $139 for strep throat, plus $35-$45 for the strep throat test. Rapid Covid test is $120; Sport physical $69, but summer “special” $45 in select states during July to September 2021 only; seasonal flu shot $50 or $70; Vitamin B12 injection $35; pregnancy test $25 (pregnancy evaluation is $89 plus test costs). Other prices include costs for bug bites, skin rash, ear wax removal ($99-$139, possibly per ear); A1c checks, Shingles vaccine $179, urinary tract and bladder infections (up to $139); flu test for influenza A & B $70 to $100; monitoring or treatment for high blood pressure or high cholesterol; one-time medication renewal $99 to $139; HPV vaccination at $250 each; and many more. Services available in 40 states and DC, including AZ, CA, IL, TX, FL, GA, NY, NJ, MN, VA, WA, WI, PA, OH. Current 2021 prices are listed, but are subject to change. Updated July 2021.
Find how much physicians charge for over 100 professional services in Minnesota, ND, SD, WI through Minnesota HealthScores’ Cost Report feature. Click on tab “Cost of Services and Procedures”. Compare prices over 230 participating medical groups and hospitals, and hundreds of clinic locations in Minnesota, and some border communities, for doctor office visits, eye care, lab tests, vasectomy, minor office surgical procedures such as ear wax removal, circumcision and skin lesion removal; immunization, psychotherapy and mental health visits, x-ray, MRI, acupuncture, physical therapy. Some Obstetric services, including colposcopy. 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. Interactive easy-to-use format. Costs shown are claims through BCBS, Health Partners, Medica, and Preferred One in 2019, published in 2020. Unclear if it’s price before or after discounts.
Compare New Hampshire prices for physician office visits, Emergency Room, psychotherapy, dental care, hospital outpatient lab tests, PT visits and some surgery. Ambulance and medium level ER prices are included in NH. Prices are estimated at 2019-2020 prices plus 5% price inflation. Statewide cost estimate is also shown. Choose Medical or Dental. Select insurance, or uninsured to compare charges with your deductible. “Show All Procedures” will let you select procedure, test (e.g. lab, Radiology such as x-ray, MRI, CT or ultrasound), office visit or service. Tonsillectomy, gall bladder surgery, hernia repair, colonoscopy and a few other surgeries are bundled to include surgeon and anesthesia costs. Price transparency project developed by the New Hampshire Insurance Department. NH HealthCost is an excellent website, easy to navigate
Compare what hospitals in Vermont were charging for physician office visits in 2018-2019. For example, code 99213 averages $155 for the physician. Since hospitals may charge an additional fee, the total charge in the state was about $208 per visit. Fees ranged from $98 at Northeastern VT Regional Hospital to $662 at North Country) for an established patient code 99213. Code 99214 average price was $262. New patient prices also shown. If non-hospital medical groups exist in VT, their fees are not shown. Provided by state of Vermont; prices were good only through September 2019. No reports were provided for the year ending Sept. 30, 2020. Additionally, only 3 hospitals reported their physician office visit prices for the year ending Sept. 30, 2021, due to relaxing of rules during the pandemic.
Find average costs in the Medica Health Plan contract rates. Main Street Medica self-reports average cost ranges by hospital or clinic name, for 19 common hospital inpatient stays, 29 outpatient surgery procedures, over 50 diagnostic imaging tests, nearly 80 types of office visits; medical equipment, prosthetics, & supplies for diabetes & ostomy care, chiropractors. Also gives comparative costs for a few generic vs. prescription drugs. General range of lab test costs are in the Choosing Quality Care section. Includes Minnesota, Fargo, Bismarck and Grand Forks, ND, Sioux Falls, SD and many WI hospitals and clinics. Reported price estimates apply to Medica Choice Network services, not necessarily the general public. Dates of prices are not disclosed. Site is very responsive and easy to use if you search by Procedure, Disease or Condition. Medica is a large Twin Cities-based NCQA-accredited health insurance plan.
Find the average cost (payment) for healthcare services to Medicaid patients in South Carolina. SC Department of Health & Human Services shows how much the state paid for Medicaid costs, by type of service. It appears that the average amount paid per visit was about $38 (physician) and $88 (clinic); about $150 for a dental visit; $5,256 for a hospital inpatient stay, and $31,658 for a nursing facility resident in 2012. Consumers can also compare what each provider was paid by downloading the full datasheet (Excel file). Full charges (prices) are NOT shown. Medicaid Transparency Reporting project, FY 2012 data is latest available; very old.
Walmart’s Dallas, Georgia store 3403 reports 2019 prices for primary care office visits ($40), common lab tests ($10 for A1C), counseling ($60 for new patient intake), dental services ($75 to $125 for a filling) and optometry services ($45 for routine vision exam). Prices are listed for 10 medical services, 8 dental, 2 each in counseling and vision care. Applies only to the clinic Health and Wellness Destination in Dallas, GA. X-ray, EKG and hearing tests are reportedly offered at the clinic, but prices are not shown. Effective Sept. 11, 2019.