Find the average cost for both hospital and doctor visits in Maine in 2020 to 2021. These “costs” may be less than charges or prices, since they are what 35 commercial payers actually paid for the service in the 12 months ending March 31, 2021. Compare costs at different clinics and hospitals. Average cost for an ER visit in Maine was $604 for a moderate severity emergency department visit (before adding lab, imaging and other tests). A high severity visit (code 99284) to the ED cost $1,029 before other test costs were added in. Average vaginal delivery costs (median payment) was $16,451 for Childbirth delivery and 60 days of related care. This was up 15% from the prior year. (Does include physician care, but probably not newborn charges). An uncomplicated C-Section averaged $24,257, up 8%. Find costs for other surgeries by hospital, such as hip or knee joint replacement, arthroscopy, colonoscopy, hernia repair, tonsillectomy and gall bladder surgery. Find many median (middle) payments here physician office visits ($116 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 $218. An ongoing 60 minute psychotherapy visit (90837) cost $100 on average. Uses CPT codes. All “average cost” figures are actually median payment. Almost 8 million claims were analyzed. However, no Medicare or Medicaid claims were included. More surgery costs were added this past year, so we are giving this the Editor’s Pick award. 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 2020-2021 claims, excluding Medicare and Medicaid. Search by city or zip code radius. From maine.gov; updated 2022.
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 or $149; $69; seasonal flu shot $50 or $74; Vitamin B12 injection $35; pregnancy test $25 (pregnancy evaluation is $89 plus test costs). Other prices include costs for Sport physicals, 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 $261 each; and many more. Services available in nearly all states and DC. E-Clinic visits (virtual consults) use the same providers and prices. They are available 9am to 5 pm. A cheaper $59 video visit with a telemedicine provider in their extended network may be available 24/7. Check Virtual Care telehealth. Current 2022 prices at Minute Clinic are listed, but are subject to change. Updated July 2022.
Find how much physician office visits cost for over 100 professional services in Minnesota, ND, SD, WI through Minnesota HealthScores’ Cost Report feature. Click on tab “Average Cost of Procedure”. Compare costs paid over 200 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 2020, published in 2022. Theses costs are the amounts paid after discounts. Useful website, though tiny print.
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 2021-2022 prices plus 5% price inflation. Statewide cost estimate is also shown. (Example is $286 average cost for an office visit 99214. But for the uninsured, costs after discounts in a few towns could be below $100.) Choose Medical or Dental. The average dental cleaning for an adult cost $122. The average cost for a comprehensive dental exam in New Hampshire is estimated at $120. 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. It is more current than most, and has earned Editor’s Pick.
Find estimated hospital inpatient and outpatient charges in Virginia. Check prices for common hospital stays in VA. Topics for many hospitals include costs for childbirth delivery, newborn, C-Section; mental health, depression, psychiatric, alcohol rehab; hip or knee replacement surgery; cardiac cath, pacemaker, valve, stent; pneumonia, rehabilitation, digestive disorders, small or large bowel surgery, back and neck problems, spinal fusion, bone cancer. Use the price estimator tool to find average cost of doctor’s office visit, gall bladder surgery (cholecystectomy), CT or MRI test, psychotherapy visit and many other common outpatient services. Procedure list and hospitalizations may vary for each hospital. The price estimator tools and “standard charges” machine readable file replace the former PricePoint system. Quality scores are no longer linked. No side-by-side comparisons. Consumers may be required to provide their name and personal information for some hospitals. Provided by the VA Hospital & Healthcare Association (VHHA).
Compare what hospitals in Vermont were charging for physician office visits in 2022. For example, code 99213 averages $162 for the physician. Since hospitals may charge an additional fee, the total charge in the state was about $240 per visit. Fees ranged from $69 at Copley’s physician groups and $98 at Northeastern VT Regional Hospital to $866 at North Country) for an established patient code 99213. Code 99214 average price was $311. New patient prices also shown. If non-hospital medical groups exist in VT, their fees are not shown. Provided by state of Vermont; prices are good only through September 30, 2022. The state and its hospitals seem to be back on track with their reporting, after relaxing their 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 15 common hospital inpatient stays, 32 outpatient surgery procedures, nearly 60 diagnostic imaging tests, nearly 70 types of office visits; chiropractors; medical equipment, c-pap, oxygen rental, prosthetics, wheelchairs, & supplies for diabetes & ostomy care. 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, unfortunately. 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.
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.