Arkansas hospital volumes, prices, quality ratings and patient satisfaction are listed by name of hospital. Find average charges (a proxy for average costs) for 40 common hospitalizations at specific AR hospitals by Clicking on INPATIENT PRICING after you’ve selected your hospital. Price List varies by hospital, but may include maternity and childbirth, stroke, chest pain, stomach disorders, back pain, nutritional problems (diabetes), blood infection (septicemia), rehabilitation, heart attack, cardiac cath, drug coated stent, congestive heart failure, kidney failure, urinary infection, COPD, pneumonia, total hip or knee replacement surgery, hysterectomy, psychiatric care, ventilator support and more. Volumes are listed under the hospital’s Profile. To find quality scores on emergency department, heart attack, heart failure, pneumonia, COPD, stroke, delivery or surgical infections, and patient opinions, click on QUALITY at each hospital’s page. Hospital Consumer Assist is provided by the Arkansas Hospital Association. Prices from 2017; Quality and Patient Satisfaction scores reflect 2018 ratings. No updates were made during 2020.
California provides average prices for inpatient and outpatient procedures as of June 1, 2020, as listed in each hospital’s chargemaster. All CA hospitals are included; however, the prices are now one year out of date. Excel files show prices for at least 25 common outpatient procedures. ER visits, MRI and CT test prices should be included, along with selected outpatient surgery. The average cost (charge) for top 25 types of outpatient procedures or surgery includes CPT codes. Outpatient reports may show hospital prices for Emergency Room visits, office visit code 99213, lab tests, CT, MRI, Mammogram, x-ray, ultrasound, Physical Therapy visit, Arthroscopy, colonoscopy, endoscopy, carpal tunnel, hernia repair, gall bladder removal (laparoscopic cholecystectomy), lumbar injections, tonsillectomy, ear tubes and more, depending on each hospital’s highest volume.
California 2020 inpatient prices are listed only in the massive and complicated Charge Master, which shows the charge for every pill, lab test and hospital room rate. This is where you will find maternity, obstetrics, newborn nursery, labor and delivery charges. But you may need to wade through more than 10,000 individual services listed in the chargemaster to find what you want to know. Files are in Excel file format. Prices are from 2020. Consumers can see one hospital at a time. Provided through California OSHPD, the state government Office of Statewide Health Planning and Development.
Compare average charges at Colorado hospitals and amounts allowed by insurance in 2019. More than 50 types of hospitalizations. Click on View Reimbursement by Diagnosis or Insurance Provider to see average total charge in 2019, and how much the insurance company allowed. Amazingly, the patient’s responsibility (called member liability) is also shown. Consumers can appreciate the transparency between prices and insurance-allowed amounts. Example: Major joint replacement without complications (such as a hip or knee replacement) had an average price near $82,000 in 2019, and had an average insurance allowed cost near $34,000, or about 41% of the charges; member liability portion was an average of $1,607. Uncomplicated delivery had an average price of $16,151 in 2018, with insurance companies allowing $8,104, or about 50% of the charge. The patient responsibility averaged $1,714. (Maternity 2019 prices were not yet available.) Consumers are also able to see actual hospital prices (Click View Hospital Charges, then select year 2019 and procedure). Example: Average 2019 price for major joint (hip or knee) replacement without major complications at CO hospitals that performed at least 100 procedures, ranged from $40,685 in Delta, to $211,612 at North Suburban Medical Center in Thornton (over 5 times higher). Physician charges are not included in the inpatient costs. However, outpatient prices on average for the state, or region, are also available for 2019. Cataract surgery, colonoscopy, emergency room visit, knee arthroscopy, physician office visit and pregnancy test prices are examples of average charges available on the insurance report. Regions are Denver, Ft. Collins, Boulder, Colorado Springs, Grand Junction, Greeley, Pueblo, East and West. The information is jointly published by the Colorado Hospital Association, in conjunction with the state Division of Insurance’s Department of Regulatory Agencies (colo.gov). Updated 2020. Specific hospital prices are listed, showing both charges and amounts allowed by insurance, along with the member patient responsibility. All are excellent features. However, the site is no longer current enough to earn Editor’s Pick in 2021.
Compare Florida inpatient hospital ratings on infections, patient satisfaction, average price (cost estimate), and readmissions. In the Quality Report Card column, find volume (number of hospitalizations) or how many procedures they do each year in various specialty service line, average length of stay, and readmission rate. 2019 and 2020 data. State inspection reports are also shown on each hospital’s individual page. Click on Care Bundle Pricing $ icon to find hospital and an old report on average statewide charge. Prices are old, and estimated to July 1, 2019 only. All age groups (not just Medicare), extensive set of health conditions/diseases, and the ability to sort with best FL hospitals at the top of the list, make this website helpful. While the Quality and Satisfaction scores are current, the cost information is not. Click on the hospital name to additional information about the hospital. Hysterectomy listed under Women’s Health instead of Surgery. FloridaHealthFinder.gov, updated 2021.
Illinois hospital and ambulatory surgery center ratings and prices, from IDPH. Compare IL hospitals on patient satisfaction ratings; heart attack, heart failure, pneumonia, surgical infection prevention, knee arthroscopy, cardiac surgery, safety measures, infection rates, some survival information, more. See volume and 2018-2019 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 nearly $37,000 average in IL, bunionectomy (which had a statewide list price at about $21,000), hernia repair, colonoscopy, lens, lumpectomy, tonsillectomy). Prices may be found under the SERVICES tab after you select the hospital or facility. 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 2020, using 2018-2019 prices, 2018 quality data, and 2018-2019 patient satisfaction scores.
Iowa Hospital Charges Compare provides information about volumes and average 2020 charges (amount billed) and median price 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. See price, 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 (listed under women’s health) and newborns, pneumonia, stroke, heart care, transplants, COPD, rehab, and many medical conditions. Severity of illness is shown. Limited focus to one service and category at a time, unless one downloads the full detailed file (which also shows volume in each category at each hospital). Average cost (and median charges) across the state are also shown for each procedure. Average charge for delivering a baby (vaginal) was $10,812 in Iowa in 2020; average newborn (normal weight) charge was $4,278. Average knee replacement cost was about $50,000. Physician and surgeon’s charges are not included in the prices. Updated 2021.
(Note: The Kentucky site was not working as of April 5, 2021.) Find hospital inpatient prices, free, in Kentucky. Compare KY hospitals side-by-side on inpatient charges for the most recent 12-month period. Current to 2018. Organized by body area, which must be selected before you can see the inpatient service desired. (This is an improvement over the former, more complicated MSDRG system). Average charge for a normal newborn in 2018 was $3,661. Vaginal delivery without complications cost $10,860; an uncomplicated c-section averaged over $18,000. A mental health 7.4 average length of stay with Psychoses diagnosis, was $16,399 average price. A joint replacement (hip or knee) had a $63,000 sticker price, for an average length of stay of 2.3 days. Offered by the Kentucky Hospital Association (KHA).
Louisiana Hospital Ratings and Prices from lahospitalinform.org. The most recent outpatient and inpatient costs at this site are from 2019; consumers could add minimum 5% medical inflation to translate to 2021 dollars. Medicare patients only, therefore childbirth delivery, C-section and newborn average costs are not included. Compare hospitals on number of cases and range of charges (low price and high price only) for Medicare patients at LA hospitals, both inpatient and outpatient. Find hip or knee surgery price range, gall bladder removal, psychiatric admission, rehab, heart problems, stent, stomach problems, stroke, GI hemorrhage, kidney failure, COPD, pneumonia, diabetes, bowel surgery, more. Outpatient Medicare prices include heart tests such as cardiac cath, heart imaging, pacemaker; CAT scan or CT angiography; GI endoscopy, mental health, general surgery, chest x-ray, MRI, more. Quality tab shows volumes for each procedure and old scores from Hospital Compare (federal government site). LA Hospital Inform is sponsored by the Louisiana Hospital Association.
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
Compare hospital prices in Maryland for 2020. Volume (number of cases) and average charges (prices) at each Maryland hospital (by name) and statewide are available for 100s of the most common inpatient diagnoses. Includes newborns (average cost $2,481), childbirth vaginal delivery ($9,512), c-section (avg. $11,921), septicemia, heart failure, COPD, pneumonia, hip replacement ($28,694), knee joint replacement (average cost $28,634), cardiac arrhythmia, major depression ($13,575), bipolar admissions ($13,556 state average), schizophrenia ($18,976), cellulitis ($11,382), stroke, urinary tract infections ($11,069) and rehabilitation ($26,241). Data from first half of 2020. Hospital prices for the same procedure can vary widely. For example, inpatient hip replacement cost $20,991 on average at University of Maryland St. Joseph Medical Center, which had the largest program and an average length of stay of 1.7 days. Sinai Hospital, on the other hand had an average price over $48,000, which was the highest of any hospital that did at least 100 hip cases in six months. Sinai’s length of stay was almost 5 days. Mercy Medical Center had the shortest average stay – just 1.1 days, and an average charge just over $18,000. Easy to use website; easy to sort columns. Consumers can also view the average cost for commercial insurance patients compared to Medicare or Medicaid, for example. By MD Health Care Commission MHCC 2021.
Medicare inpatient prices for hospitalizations during 2018 are in this difficult to use Excel file. Amounts paid to hospitals by Medicare, on average for FY 2018 hospital stays, are shown. Listed by DRG and provider. Consumers can see the Medicare volume for that diagnosis and how much the hospital was allowed as Covered Charges, plus what Medicare payments were. If you can wade through it, you’ll see that total payments were quite often only one-fourth of what the covered charges were – a 75% discount. Hence, the file illustrates how hospital pricing (charge) has become meaningless for most people. Here are a few examples. A hip or knee joint replacement at the Hospital for Special Surgery in New York City, had an average charge of $72,000 for over 4,000 cases. However, the total payment on average was just over $22,000, an effective discount of 69% of the total charges. The hospital with the second largest Medicare volume of hip and knee replacements, New England Baptist Hospital in Boston, had an average charge of about $24,000, and average total payment of $15,500. Their average discount was 35%. NorthShore University in Evanston, IL and NYU Langone Hospital in NYC, had effective discounts of 70% and 82% respectively. All four hospitals received total average payments for joint replacement (DRG 470), between $16,000 and $26,000, but average charges ranged from $24,000 to $141,000.
Minnesota Hospital Price Check gives hospital-specific prices (charges) for all inpatient hospitalizations and top 25 same-day surgery procedures in MN. Find average and median inpatient cost (before discounts) and volume for newborns and child birth delivery, pneumonia, chest pain, COPD, hip or knee replacement, appendectomy, cellulitis, hysterectomy, rehab, other surgeries & many more. Outpatient prices for biopsies, cataracts, colonoscopy, ear tubes, gallbladder (cholecystectomy), hernia repair, arthroscopy, tonsillectomy, upper GI endoscopy, hysteroscopy, carpal tunnel and other same-day surgery. Hospitalizations are described in medical terms. Because the site uses coding phrases and medical terms (e.g cholecystectomy instead of gall bladder), consumers should be prepared ahead to type in the correct term. Compare 3 hospitals, one procedure at a time; excludes doctor charges; by Minnesota Hospital Association, 2019 prices and volumes of cases
Missouri hospital ER prices, inpatient cost and quality ratings. To compare hospital costs, click on Find a Hospital, then Pricing Data to find the average price (median charge) for common inpatient medical conditions and surgeries at Missouri (MO) hospitals. In addition, if you click on the arrow to expand, you will find a range of charges, average length of stay, and number of cases per year shown. Childbirth, maternity, mental health, hip and knee surgery, heart care, etc. Must know the general body system (such as musculoskeletal) in order to search inpatient prices. Emergency department (ER Emergency Room) visit costs are shown separately by “level”. In Missouri, nearly 2/3 of the ER visits were at Levels 3 and 4. Median charge for Level 3 ER visit in 2020 (the most common, moderate severity & moderately complex case) was $1,622. The second most common ER visit was Level 4 (high severity), had an average cost of $4,068. The highest possible Level 5 visit cost $7,081 on average. Just 11% of ER patients were classified as Level 1 or 2; the median prices for these low level visits were $501 and $857 respectively. Average prices shown for 2020. We assume these average costs reflect base price only, without “extra” test costs, and possibly without physician fees. Such information was not readily available at the site. The cost numbers are “sticker price”, not what insurance pays after discounts. Hospital “self-pay discounts” (e.g., 40% discount off the full charges) are listed at the site. Hospital Quality data also shown at this site. Compare hospitals on infections, readmissions, falls, and other patient safety results. Editor’s Pick for putting all of this information in one place and timely reporting on quality and costs. Published by the Missouri Hospital Association.
Compare inpatient prices at Montana hospitals. MHA PricePoint shows median and average charges for inpatient stays (2019-2020 prices), including newborns, deliveries, Cesarean section, knee or hip replacement, rehab, psychiatric hospitalization, back problems, heart failure, stent, chest pain, bowel surgery, more. Length of stay also shown. An admission for Psychoses (severe psychological disorders) in MT averaged 8.7 days with a median charge of $12,699 and average cost $18,085 in 2019-2020. Joint replacement was $40,885 average, 2.0 day stay. Uncomplicated maternity stay cost $11,051 in 2019-2020 (average charge). Average cost for a normal newborn stay was $3,231. Consumers may wish to add about 5.1% medical inflation to estimate 2021 prices. Discounts to insured patients are not shown. PricePoint site by MHA-Montana Hospital Association.
Find average price and typical charges for most types of inpatient hospital stays in Nebraska for 2019. Compare average hospital prices in the PricePoint system. Example of hospitalizations: maternity prices, angioplasty, heart surgery, some cancer services, hip & knee surgery, bowel surgery, kidney and other transplants, pneumonia, stroke, some mental health psych services, UTI, gall bladder surgery (inpatient only). If you can’t find it, check the comprehensive list (e.g. MDC 19 for mental health). Vaginal delivery (mom only) cost $9,725 on average; normal newborn was $3,575. Includes volume, average length of stay in the hospital, and median age of patient. Does not include physician costs. Shows one hospital/ one disease or condition at a time along with the state median charge. Or compare hospitals (statewide numbers are not shown in this view); 2019 data. All cities including Omaha, Lincoln, Grand Island, Creighton, Norfolk, Kearney. NHA Care Compare is sponsored by the Nebraska Hospital Association.
Find average hospital, ER, and ambulatory surgery charges in Nevada for 2019. Each hospital is listed by name. NevadaCompareCare.net shows average hospital charges (prices) for every NV inpatient DRG (Diagnosis Related Group), and overall average ER or ambulatory surgery charge. Prices really escalated in 2019. Overall Nevada inpatient charge was a whopping $87,649 per stay, or close to $17,000 per day. Average charges increased almost 8% over last year; with a slightly lower case mix index. Sample DRGs: Psychoses (average $20,289, up 17%), Normal Newborn ($5,280, up 13%), uncomplicated vaginal delivery ($25,014, up 14%), Septicemia ($122,702 for DRG 871), Major joint replacement (hip or knee) at $117,150, Cesarean Section ($42,234 without complications). Births overall (all types including very ill babies) averaged $35,106 in charges (up 27%), from $2,276 at Banner Churchill to almost $115,000 at Sunrise Hospital and Medical Center. Average NV emergency room visit charge was $8,436 statewide (up 7.8%) for over 1.1 million visits. Average ER charges ranged from $2,133 average at Battle Mountain General Hospital, to $13,992 average at Centennial Hills Hospital Medical Center. Statewide average Ambulatory Surgery Center charge was $8,516 (no increase from 2018), but no breakout by procedure type is shown. Outpatient surgery at a hospital averaged $36,522 in charges, up more than 10%. Standard Reports also show case volume by facility. No information about how much was actually paid. NV reports are a joint effort between Center for Health Information Analysis (CHIA) and the Division of Health Care Financing and Policy (DHCFP). Updated April 2020.
Nevada PricePoint Hospital Inpatient Charges for 2019. Find average cost and typical prices for 67 types of inpatient hospitalizations in NV. Examples: childbirth prices, COPD, heart surgery, pacemaker, stents, hip & knee surgery, digestive problems, psychiatric hospitalization, rehab. Average length of stay in the hospital also given. A normal newborn charge in 2019 averaged $5,280, up 13% from 2018. Most diagnosis types have 2019 prices, but maternity stays were not populated. (Average price for vaginal delivery without complications in Nevada in 2018 (mom only) was a whopping $22,150, 1.9 days average length of stay. The median charge was about the same, for a cost of nearly $12,000 per day. Average c-section price was $37,000, without complications.) Physician fees are extra and not shown. Choose Comprehensive Query for prices on many other conditions not on the Basic list. Get one hospital/one disease or condition at a time, then select other hospitals to compare; 2019 charges shown. Sponsored by the Nevada Hospital Association. No updates as of August 18, 2021. Add medical inflation to estimate 2021 costs.
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 price in Oklahoma for mental illness was $23,723 in 2016, with an average length of stay of 9.4 days. (With medical inflation, the mental illness cost would be $26,767 in 2021 dollars.) 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, but not specific procedures such as a knee replacement. 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 as of April 2021, from OK2SHARE by the OK State Dept. of Health’s Health Care Information.
Compare hospital and outpatient surgery costs in Oregon. The most recent set of 5 reports by the government OHA – Oregon Health Authority, shows the median amount PAID by commercial insurance companies in 2017. Costs paid, are after any discounts off charges (prices) have been taken. Select OUTPATIENT SURGERIES Report for same-day procedures such as breast biopsy ($3,302 median paid in 2017), carpal tunnel ($4.313), colonoscopy ($2,383), ambulatory gallbladder surgery ($11,697), hernia repair ($8,605 median paid), knee or shoulder arthroscopy, tonsillectomy ($6,380), tympanostomy (ear tubes $4,680), upper endoscopy, and more. Select INPATIENT Procedures Report to compare hospitals on costs for appendectomy, coronary bypass, kidney removal, inpatient gallbladder surgery or hernia repair, inpatient hip replacement, hysterectomy, angioplasty and more. Select PREGNANCY report to find 2017 maternity costs paid (about $8,400 for normal delivery, $14,838 for uncomplicated c-section and $2,200 for newborns). Compare hospital payments for IMAGING such as CT, MRI, Nuclear Medicine tests, ECG, x-ray, bone density studies. Compare amounts paid for RADIATION AND (outpatient) CHEMOTHERAPY infusions or injections. These helpful reports cover a large set of services, are easy to use, and show each hospital’s payment, along with what was paid the year before. Unfortunately, the information is two years old. When estimating, consider medical inflation which has been about 10% from 2017 to 2021. Pub. July 1, 2019. No updates as of April 8, 2021.
Pennsylvania daily room rates in 2019 for hospitals are provided in Table 13, under the Individual Reports. The Excel file shows the per-day charge (price) of a PA hospital inpatient room. Median rate is about $2,100 cost per day for a private hospital room. Range goes up to nearly $10,000 per day. Nine hospitals had average daily room rates over $7,000 per day. Daily room rates do not include any surgery, lab or imaging tests, or doctor fees, so use information with great caution. Rates are in an Excel file. From Pennsylvania Dept. of Health, Dec. 31, 2019 prices.
Find hospital performance reports in Pennsylvania for 2019, through PHC4. Compare PA hospitals on Mortality Rating (relative survival rate), Average Charge (price), and Readmission rates. Sixteen (16) conditions in the reports include heart failure, abnormal heartbeat, heart attack, angioplasty and stent, pneumonia, stroke, intestinal obstruction, COPD, diabetes, kidney failure, urinary tract infections, sepsis, chest pain, and respiratory failure. Grouped by region. As an example, there were 70,000 sepsis cases in Pennsylvania in 2018-2019, with an average mortality rate of 8.7% (a great improvement from 5 years earlier), and an average charge nearly $63,000; about 18% were readmitted. There were 26 hospitals that had worse mortality than expected for sepsis; and 18 hospitals that had significantly lower mortality than expected. Symbols for Mortality ratings can be confusing – a higher mortality rating means worse survival. Older reports may have laparoscopic gallbladder removal information. No orthopedic (hip or knee) surgery included. Data from Oct. 2018 to Sept. 2019, published by the Pennsylvania Health Care Cost Containment Council (PHC4), December 2020.
Find South Dakota hospital prices (2019 costs), by name of hospital. SD PricePoint shows average inpatient charges and typical (median) prices for 2019 at South Dakota hospitals. View one hospital at a time, or compare to hospitals for the same type of hospitalization. Select additional cities to add comparisons. Average hospital prices across the state are also listed. As an example, the average 2019 price for a vaginal delivery with no other procedures was $11,705 in SD hospitals; average healthy newborn stay was $5,661. Costs exclude doctor fees. All common hospitalizations shown, such as births and maternity delivery, knee replacement (average price about $50,400), heart failure, pneumonia, bowel procedures, COPD, angioplasty, kidney transplants (median $252,418), inpatient laparoscopic gallbladder removal (average price $54,200, but $62k average in Sioux Falls) and much more. Site shows number of cases and length of stay also. Site by SDAHO (South Dakota Association of Healthcare Organizations, the state’s hospital association. Last updated in 2020 (as of August 2021).
Compare Inpatient Care ratings and average charges for Texas hospitals. Sixteen (16) separate quality ratings include patients of any payer type. Compare hospital volumes, mortality (survival rates), and certain utilization rates (i.e. cesarean section, VBAC rate). Survival rates for heart attack (AMI), heart failure CHF, stroke, GI hemorrhage, hip fracture, and pneumonia. Volume and/or death rates provided for heart bypass surgery (CABG), angioplasty (PCI), AAA Repair, hip replacement, craniotomy, esophageal resection, pancreatic resection, and carotid endarterectomy. Average charges for 2017 are also listed. In addition to this page, select “Patient Safety Indicators” from the drop-down menu under HOSPITALS. TX Dept. of State Health Services THCIC. Updated with 2017 data.
Find pediatric hospital ratings and charges in Texas for four types of quality measures. Numbers of cases in children’s hospitals and average charge (cost) for 2017. Pediatric quality indicators are from State of Texas Health Data, Texas Health Care Information Collection.
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. Because the costs listed are quite old, consumers should add at least 10% to account for medical inflation in 2021 prices. The average charge for a joint replacement in Texas was reported to be over $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 March 2021.
Vermont 2021 hospital ratings are called Act 53 report cards – legislation passed in 2003, requiring VT hospitals to publish annual community reports about hospital quality, safety, financial health, costs for services and more. This government site links the data, including outpatient prices. See if your VT hospital is average, above average, or below average. Health conditions include heart care, pneumonia, surgical infection prevention, central line associated bloodstream infections, c. diff. infections, hysterectomy infections, knee replacement and hip replacement infection rates, volume and death rates, readmissions, psychiatric hospital quality & more. This site permits access to Quality Ratings, Survival Rate information, links to patient satisfaction and current medical prices all on the same web page for easy access. Nurse staffing also available for 2020 or 2021, depending on whether the hospital provided updated reports. Dates for other reports vary, usually up to 2019 data. Information on prices for some procedures, and services such as physician office visits also available. Published at healthvermont.gov July-August 2021.
2021 Vermont Hospital Report Card shows average inpatient prices (gross charges) for each VT hospital’s most frequent inpatient admissions. Sample average prices include newborn delivery (normal newborn $3,354; newborn with medical problems = $5,323, but over $31,000 if the baby had major problems), cesarean section ($19,000 to $22,500), average cost for vaginal delivery $10,000 without complications; pneumonia; total hip or knee replacement (average $41,000), depression (average $17,000), psychoses such as schizophrenia (average $37,500), COPD & emphysema, heart failure, chest pain, rehabilitation, heart rhythm problems, back problems, Spinal fusion about $75,000; kidney or urinary tract infection, and other hospital stays. Compare costs on nearly 60 different types of cases, listed by MS-DRG. Compare all hospitals side-by-side in Table 1A; 2018-2019 average charges were published 2021. Price hikes for 2021 are likely.
Compare hospital inpatient charges and quality scores in Virginia’s PricePoint system. Check prices, volume, average length of hospital stay for more than 100 types of common hospital stays in VA. Side-by-side comparisons if you select additional hospitals. Topics include costs for childbirth, delivery, newborn, C-Section; mental health, depression, psychiatric, alcohol rehab; hip or knee replacement surgery; heart failure, chest pain, cardiac cath, bypass, heart transplant, pacemaker, valve, stent; pneumonia, rehabilitation, digestive disorders, small or large bowel surgery, back and neck problems, spinal fusion, bone cancer and more. Includes state and regional average charges. We were surprised to find the average charge for a hip or knee replacement (MSDRG 470) in Richmond, for example, was a whopping $224,000 at CJW Medical Center (which had the largest volume, despite the average cost of about $126,000 per day). The second largest volume Richmond hospital, VCU Medical Center (formerly Medical College of Virginia Hospitals) had an average charge just over $82,000. VCU was just over 1/3 the price, and had a lower readmission rate than CJW. Since many quality scores and safety measures are now linked, we have given this an Editor’s Pick. Consumers should know that many times top quality costs LESS in healthcare, since it avoids costs from medical mistakes. Another price example: Vaginal Delivery (MSDRG 807) average cost was $13,700 statewide; median charge was $12,011. Add medical inflation for 2021 estimates. Provided by the VA Hospital & Healthcare Association (VHHA); PricePoint systems, 2020 data.
Washington Health Alliance’s 2018 Hospital Value Report lets consumers compare hospital ratings on three key elements of value: quality, patient experience and price. Online tool lets consumers compare two hospitals at a time. While 48 hospitals are listed to compare, the 4 highest-rated hospitals for value are highlighted:
Results are based on 2015 to 2017 performance for quality and safety (13 measures related to deaths and complications), patient satisfaction, and the gross charges “sticker price” from 2015 Medicare claims. Washington Health Alliance is a health plan-focused nonprofit organization with many partners, including the WA Hospital Association.
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.
The Oregon Hospital Guide to Costs lets consumers compare hospitals on 2016 (old) costs. Compare up to 3 hospitals at a time for inpatient and outpatient surgery procedures, imaging tests, newborn care, chemotherapy and radiation paid by commercial insurance companies or patient-paid amounts. Median amounts paid in 2016 (not charges) are shown for most common outpatient procedures and most common inpatient procedures. Consumers may wish to add minimum medical inflation factor (13%) to guess 2021 prices. Better yet, contact the hospital. Medicare and Medicaid are excluded. Includes maternity & newborn payments, heart care, stents, cardiac cath, hip and knee replacement, many surgery payments such as cataracts, hernia, hysterectomy, kidney removal, gall bladder, breast biopsy, carpal tunnel, mastectomy, tonsillectomy, endoscopy, shoulder surgery, appendectomy. Amounts paid for CT, MRI, Nuclear Medicine, x-ray and ultrasound; chemotherapy and radiation treatments. Hospitals also list their financial performance measures for 2018 at this website. Site by the Oregon Association of Hospitals and Health Systems (OAHHS) to meet state requirements, but not particularly relevant in 2021.
Pennsylvania Cardiac Surgery, by hospital & surgeon 2016, lets you compare hospital ratings or cardiac surgeons (by name) side-by-side. Cardiac (heart) Bypass surgery (CABG) and heart valve cases for 27 months 2014-2016. Risk-adjusted Mortality (survival) rate and readmissions, open heart surgery volume, length of stay in hospital, and average charges (price). Case volume and performance ratings by surgeon’s name are shown in separate reports. Survival rates for CABG without valve were high (1.5% mortality) in 2015. In 2014, Medicare paid an average of $44,246 for a valve procedure, about the same they paid in 2011. Average charge for a valve procedure was $221,000. Report by PHC4, the PA Health Care Cost Containment Council, Jan. 2017. By now, this report is somewhat dated.
Pennsylvania Total Hip and Knee Replacements Cost and Quality. 2016 report shows hospital complication rates for hip & knee replacements in 2014. Statewide, the rate was 2.2% for knees and 2.8% for hip complications. The older 2015 report shows 2013 volume and readmission rates by hospitals in Penn. Average PA hospital charges also shown, with 2013 prices (excluding surgeon fee) at $52,912 and $55,493 for knees and hip replacements, respectively. Consumers may wish to add about 22% medical inflation to translate to 2020 dollars. Separately, consumers can find surgeon volume and what Medicare paid (less than 25% of the average charge) in 2012. The orthopedic reports by PHC4 are quite dated.
Washington State Hospital Association (WSHA) has discontinued its inpatient price comparison site. Another disappointment for consumers who used to be able to compare hospital inpatient prices in the state of Washington. The old site also helped consumers estimate the average cost of about 60 types of hospital surgery or medical problems, including maternity care, newborn cost, psychiatric hospitalization, knee joint replacement, and digestive problems. 2021 note.
Compare costs at Wyoming hospitals through the Hospital PricePoint website. Inpatient charges in WY are shown for 60 common types of hospital admissions. Average statewide cost in WY is also shown, like childbirth (average price for uncomplicated vaginal delivery in state was $9,323, which would be more than $10,500 in 2021 dollars), newborn, hip or knee joint replacement surgery (average charge $54,605 without complications), heart valves or stents, pneumonia, psychiatric admission ($19,055 average price for severe psychological disorders including schizophrenia, with average 9 day stay in hospital), rehab, and many more. Site shows one hospital at a time. Unfortunately, the charges are quite old, showing 2016-2017 prices; add at least 13% medical inflation for 2021. (Better yet, call the hospital for current information.) WyoPricePoint is by the Wyoming Hospital Association.
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.
This file on Utah hospital charges, number of cases and severity mix is for administrators and financial analysts who are interested in UT hospital market share. Each hospital lists number of cases by APR-DRG, CMS DRG or MDC, total charges and length of stay, from 2018. Title: 2018 report, Utah Hospital Utilization and Charges Profile, Hospital Detail. Format is Excel file only; difficult for average consumers to find useful. Enable editing lets you open up the + sign to see the details. Must do your own calculations of average charge, or market share. Number of cases by hospital and county can be found under “Local Health District” category. Online file by UT Office of Health Care Statistics, UT Department of Health. No updates as of August 2021.