A difficult to use Excel file of amounts paid to hospitals by Medicare, on average for FY 2016 hospital stays. 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 has become meaningless for most people.
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. Note: Definitions conflict for whether data such as Volumes are Medicare-only, or reflect all patients. 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 2016; Quality and Patient Satisfaction scores reflect 2017 ratings
Find prices for CA hospitals including Kaiser and Shriners. Inpatient prices are listed in the complicated Charge Master, which shows the charge for every pill, lab test and hospital room rate. MRI and CT tests should be included. More useful are the outpatient files (look for Common25 in the filename), which list the average cost (charge) for top 25 types of outpatient procedures or surgery with CPT code). Hospital Outpatient reports may show prices for Emergency Dept. ER visits, lab tests, CT, MRI, Mammo, x-ray, ultrasound, PT visit, Arthroscopy, colonoscopy, hernia repair, gall bladder removal, etc., depending on their highest volume. Files are in Excel file format. Prices are from June 2018. Consumers can see one hospital at a time. Provided through California OSHPD.
Find average 2018 cost across CO for more than 50 types of hospitalizations. Click on View Reimbursement by Diagnosis or Insurance Provider to see average total charge in 2017, and what the insurance company reimbursement was. While the patient’s responsibility is not shown, we appreciate the transparency between prices and amounts paid. Example: Major joint replacement without complications priced at $78,874 had an average insurance payment of $26,588, or about 1/3 of the charges. Uncomplicated delivery was priced at $16,500 in 2017 (17,545 in 2018), with insurance companies paying $7347 in 2017. Similar for newborns – $5171 average price, insurance paid $2341. Insurance company payments appeared to go down in 2017, while charges went up. Consumers are also able to see actual hospital prices (Click View Hospital Charges, then select year 2018 and procedure). Example: Average 2018 price for major joint replacement at hospitals that performed at least 100 procedures, ranged from $13,941 in Meeker (Pioneers Medical Center), to $131,513 at Sky Ridge Medical Center in Lone Tree (nearly 10 times higher; midrange 208 price across hospitals was about $79,000. Physician charges are not included. Published by the State Department of Regulatory Agencies, Division of Insurance, and Colorado Hospital Association. Updated 2019.
Compare IL hospitals on heart attack, heart failure, pneumonia, surgical infection prevention, knee arthroscopy, cardiac surgery, safety measures, infection rates, some survival information, patient satisfaction, more. See volume and 2016 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 over $33,000 average in IL, bunionectomy [which had a statewide list price nearing $20,000], hernia repair, colonoscopy, lens, lumpectomy, tonsillectomy). Prices may be found under the SERVICES tab. 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 2019, using 2017 prices and 2018 quality data
Iowa Hospital Charges Compare provides information about volumes and average 2018 charges (amount billed) and median charge 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. Site allows 4 hospitals to be compared at one time for prices, 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 and newborns, pneumonia, stroke, heart care, transplants, COPD,rehab, and many medical conditions. Severity of illness can be specified. Limited focus to one service and category at a time. Average cost (and median charges) across the state are also shown for each procedure.
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).
Find range of charges (low price and high price) for Medicare patients at Louisiana hospitals, both inpatient and outpatient. Hospital-specific inpatient charges do not include childbirth or C-section, since it’s Medicare only. Find hip or knee surgery prices, 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 ER visits, heart tests such as cardiac cath, EKG, heart imaging, valve repair; CAT scan or CT angiography, GI endoscopy, more. Quality scores and volumes (which cover all patients), are similar to those at HospitalCompare, but may be less current (2017). LA Hospital Inform is sponsored by the Louisiana Hospital Association; Price ranges from 2017 (outpatient and inpatient)
Typical vaginal delivery costs (charges) in Maine in 2017 averaged $11,347 for Childbirth delivery and 60 days of related care. (Does include physician care, but probably not newborn charges). Add $9000 for an uncomplicated C-Section. A few other charges by hospital, for hip or knee joint replacement, arthroscopy and gall bladder surgery. Find many median (middle) prices here physician office visits ($97 average cost for 15-minute appt for an established patient 99213), CT, MRI, x-ray, lab tests and more. Uses CPT codes. From Maine Health Data Organization in State of Maine
Maine Health Data Organization’s website shows average charges (median prices) for surgery such as hip or knee replacement, shoulder arthroscopy, carpal tunnel, gall bladder removal; skin growth removal; lab tests such as strep, blood tests, urine. Imaging tests such as mammogram, x-ray, CT, MRI, ultrasound. 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. Surgical prices date from 2016-2017. Office visit and test prices are from 2017 charges. From maine.gov
Compare volume and average charges (prices) at each Maryland hospital (by name) and statewide for 100 most common inpatient diagnoses (severity adjusted using APR-DRGs) – including newborns (avg. $2142), childbirth vaginal delivery ($8173), c-section (avg. $10,081), heart failure, cardiac arrhythmia, pneumonia, COPD, septicemia, cellulitis ($11,000), knee joint replacement (avg. $22,643), major depression ($10,929), bipolar admissions ($10,411 state average), schizophrenia ($13,917) stroke, urinary tract infections ($9308) and rehabilitation ($26,196). Data from first half of 2018. State average not included for things like cancer, hysterectomy, digestive problems, but may be available for individual hospitals. Each hospital reports its top 100 types of cases. By MD Health Care Commission MHCC 2019
Hospital-specific prices (charges) for all inpatient hospitalizations (described in medical terms) 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. Compare 3 hospitals, one procedure at a time; excludes doctor charges; by Minnesota Hospital Association, 2017 prices and volumes of cases
Click on Find a Hospital, then Pricing Data to find the price (median charge) for common inpatient medical conditions and surgeries at Missouri (MO) hospitals. 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) base prices are separately shown by level. In Missouri, more than half of the ER visits were at the highest possible levels 4 and 5 (high severity). Median charges for Level 4 were $3538 and for Level 5 the median price was $6498, Oct. 2017 to Sept. 2018 data. Level 3 (moderate severity & moderately complex case) median charge was $1409. Prices shown for 2017-2018. Hospital Quality data for 2018 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. Published by Missouri Hospital Association
Montana PricePoint shows median and average charges at MT hospitals for inpatient stays (2016 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 averaged 6.3 days with a median charge of $10,400 and average $13,838 in 2016. Joint replacement was $39,052 average, 5.1 day stay. PricePoint site by MHA-An Association of Montana Health Care Providers
Find average price and typical charges for most types of inpatient hospital stays in Nebraska. 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, UTI, gall bladder surgery (inpatient only). If you can’t find it, check the comprehensive list (e.g. MDC 19 for mental health). Bipolar admission cost about $16,871 on average in 2018. Vaginal delivery (mom only) cost $9,204 on average; normal newborn was $5,071. 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 average cost. Or compare hospitals (statewide numbers are not shown in this view); 2018 data. All cities including Omaha, Lincoln, Grand Island, Creighton, Norfolk, Kearney. NHA Care Compare is sponsored by the Nebraska Hospital Association
NevadaCompareCare.net shows average charges (prices) for every NV hospital DRG (Diagnosis Related Group), and average ER or ambulatory surgery charge in 2018. Overall Nevada inpatient charge was a whopping $81,368 per stay, or more than $15,000 per day. Sample DRGs: Psychoses (average $17,304), Normal Newborn ($4,654), uncomplicated vaginal delivery ($21,933), Septicemia (about $110,000 with complications, $57k without), Major joint replacement (hip or knee) at $113,000, Cesarean Section ($38,000 without complications, $46,000 with). Births overall (all types including very ill babies) averaged $27,580 in charges, from $2,170 at Banner Churchill to $68,049 at Sunrise Hospital and Medical Center. Average NV emergency room visit charge was $8,757 statewide for over 1 million visits. ER charges ranged from $1,651 average at Mount Grant General Hospital, to $12,758 average at St. Rose Dominican – San Martin Campus. Statewide average Ambulatory Surgery Center charge was $8,534, but no breakout by procedure type. Outpatient surgery at a hospital averaged nearly $33,000 in charges. 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 May 2019
Find average price and typical charges 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. 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. A normal newborn charge averaged $4654. 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; 2018 charges shown. Sponsored by the Nevada Hospital Association. Information is very timely.
Here’s an Ohio hospital example of a 14-hospital system called OhioHealth showing their current prices for all services at 12 of their hospitals. Examples of items in the chargemaster include daily hospital room charge, ICU charges, labor, delivery, c-section and newborn prices, price for an ER visit (depends on Level of the emergency department), operating room charges, PT, OT, cardiology and pulmonary charges, prices for x-rays, CTs, MRI, ultrasound, DEXA scan, and many lab tests. Examples are CBC, BUN, Arterial blood gas, lipid panel, troponin, cultures, glucose, hemoglobin A1C, pap smear, creatinine. Because a hospital’s price list might be hundreds of pages long, with thousands of line items, it can be difficult to find what you’re looking for. The documents are not fully searchable. (For example, the category for Emergency Services requires scrolling to find it.) In addition, selected average charges are provided by each hospital for certain DRGs, without describing what time frame was covered in the calculation. Average charges list varies by hospital. Caution: Physician professional fees may not be included (even in the Emergency Department). Check each hospital’s website separately. Covers Riverside Methodist, Grant Medical Center, Doctors Hospital, Dublin Methodist and Grove City; Grady Memorial Hospital, Hardin, Marion General, Mansfield, Shelby, O’Bleness, and Berger Hospitals.
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 commercial price in Oklahoma for mood disorders (mental health) was $13,280 in 2016, with an average length of stay of 6.2 days. Similarly, a major joint replacement (e.g. knee or hip replacement) without complications averaged about $51,000 for commercial insurance patients. Average stay in the hospital was 2.4 days. 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. 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 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 4.1% from 2017 to 2019. Pub. July 1, 2019
Compare up to 3 hospitals at a time on 2016 costs paid by commercial insurance companies or patient-paid amounts. Median amounts paid (not charges) are shown for 100 most common outpatient procedures and 50 most common inpatient procedures. 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. Site by the Oregon Association of Hospitals and Health Systems (OAHHS) to meet state requirements. Hospitals also list their financial performance measures for 2017 at this website.
Compare hospitals or cardiac surgeons (by name) side-by-side for 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
Pennsylvania daily room rates 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 $1,606 cost per day for a private hospital room. Range goes up to $8,084 per day. Nine hospitals had average daily room rates over $7,000 per day: Hahnemann, Temple University, Mercy and St. Christophers Children, all in Philadelphia County; St. Lukes Sacred Heart and Bethlehem in Lehigh County; St. Luke’s in Monroe Campus, Northampton County(Anderson campus) and Quakertown in Bucks County). 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, 2018 prices.
Compare PA hospitals on Mortality Rating (relative survival rate), Average Charge (price), and Readmission rates. Sixteen (16) conditions in the pdf reports include heart failure, abnormal heartbeat, heart attack, angioplasty and stent, pneumonia, stroke, laparoscopic gallbladder removal, COPD, colorectal surgical procedures, diabetes, kidney failure, urinary tract infections, sepsis, chest pain, and respiratory failure. Grouped by region. As an example, there were over 68,000 sepsis cases in Pennsylvania in 2016-2017, with an average mortality rate of 9.3%, and average charge close to $56,000; about 18% were readmitted. Symbols for Mortality ratings can be confusing – a higher mortality rating means worse survival. No orthopedic (hip or knee) surgery included. Data from Oct. 2016 to Sept. 2017, published by the Pennsylvania Health Care Cost Containment Council (PHC4), November 2018.
Find out and compare SD hospitals on 2017 average charges, or median (typical) price. After you select one hospital, you can see the average charge in all of South Dakota (e.g. avg $5077 for normal newborn, or $3905 median. Vaginal delivery for mom was $10,736 average price, and $9868 median. C-section average cost $23,518.) All common hospitalizations shown, such as births and maternity delivery, knee replacement (average price about $47,000), heart failure, pneumonia, bowel procedures, COPD, angioplasty, kidney transplants (median $247,637), inpatient laparoscopic gallbladder removal (average price $48,000, but $50k to $55k avg. in Sioux Falls) and much more. Also shows volume and length of stay. PricePoint site sponsored by SDAHO (hospital association)
SD PricePoint shows average inpatient charges and typical (median) prices for 2017 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 2017 price for a vaginal delivery with no other procedures was $10,736 in SD hospitals. Costs exclude doctor fees and newborn care. Site by SDAHO (South Dakota Association of Healthcare Organizations, the state’s hospital association
Average charge for a joint replacement in Texas was reported to be about $79.000 in 2017. A cesarean section without major complications averaged nearly $26,000, not counting the baby’s care. If you are looking for average cost of hospital care or surgery, the prices at this PricePoint site by the Texas Hospital Association will give you an idea of what to expect on your hospital bill. 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.
Compare patient experience ratings and overall star quality ratings by hospital name in Utah. Site appears to use the same ratings as HospitalCompare. Dates are not shown. Click on the hospital name to see the full, detailed report which includes quality measures for infections, heart care, surgery, colonoscopy, readmissions, maternity care, pneumonia care, stroke and more. Also shown is median hospital cost for maternity care (covers mother and baby charges). Utah statewide cost in 2011 to 2013 was about $11,000 to $12,000 (vaginal, depending on having an epidural, about $13,000 to $14,000 in 2019 dollars); about $15,000 for Cesarean delivery ($18,000 in 2019 dollars). Consumers can compare the old maternity prices by viewing the individual hospital report, and scrolling. Utah HealthScape website is published by Health Insight, a QIO Quality Improvement Organization.
Utah provides average charges (price) statewide, and on a hospital-specific basis for many common inpatient stays, such as pneumonia, stroke, appendectomy, hip and knee procedures, gall bladder surgery, hysterectomy, heart failure, heart attack, chest pain, coronary bypass, heart valve procedures, vaginal and cesarean deliveries, newborn births, chemotherapy, psychoses, alcohol or drug abuse, rehabilitation, back and neck procedures, digestive disorders, abdominal surgery, nutritional/metabolic problems, transplants and much more. To find psych (mental health, bipolar, schizophrenia) admission costs, for example, you will need to click on LOOKUP. Volumes (2016 data) and length of stay are included; does not include average cost for physicians. Consumers may adjust for 2019 costs by adding 3-year price inflation (at least 6% more). As with other PricePoint Systems, view one UT hospital at a time. Utah Hospital Association
Vermont calls these ratings Act 53 report cards, in honor of 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 hospital is average, above average, or below average. Health conditions include heart care, pneumonia, surgical infection prevention, central line associated bloodstream infections, hysterectomy infections, knee replacement and hip replacement infection rates, volume and death rates for resection of esophagus or of pancreas (usually for cancer), abdominal aneurysm repair (AAA – listed as fix the artery), readmissions & 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. 2017-2018 data for quality; 2017 information on prices for some procedures, 2019 prices (through Sept. 30) for other services such as physician office visits. Published May 2019.
2019 Hospital Report Card shows average prices (gross charges) for each VT hospital’s most frequent inpatient admissions – includes newborn delivery (normal newborn $3093; newborn with medical problems = $4946, but close to $22,000 if the baby had major problems), cesarean section ($17,000 to $20,000), average cost for vaginal delivery $9365 without complications; pneumonia; total hip or knee replacement (average $41,171), depression (average $16,853), psychoses such as schizophrenia (average $32,775), COPD & emphysema, heart failure, chest pain, rehabilitation, heart rhythm problems, back problems, Spinal fusion about $63,400; kidney or urinary tract infection, and other hospital stays. Compare costs on nearly 60 different types of cases, listed by MS-DRG. Links to hospital discount policies for consumers with cost concerns (see Financial Assistance); 2016-2017 average charges published May 2019
Check prices (charges), volume, and average length of hospital stay for more than 100 types of common hospitalizations in Virginia. 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 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. Example: Vaginal Delivery (APR DRG 560) average cost was $12,274 statewide; median charge was $10,891. Add medical inflation for 2019 estimates. Provided by the VA Hospital & Healthcare Association (VHHA); PricePoint systems, 2017 data
Find out the typical charges (2016 prices) to estimate the average cost of hospital surgery or medical problems. About 60 types, including maternity care, psychiatric hospitalization and digestive problems, are covered. Shows one hospital at a time similar to other state pricepoint systems. Presented by the WA State Hospital Association (WSHA)
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.
Compare inpatient charges in Wyoming for 60 common types of hospital admissions, like childbirth (average price for uncomplicated vaginal delivery in state was $9323), 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. Average cost in WY is also shown. Site shows one hospital at a time. WyoPricePoint by the Wyoming Hospital Association, shows 2016-2017 prices
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 by PHC4 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. Separately, consumers can find surgeon volume and what Medicare paid (less than 25% of the average charge) in 2012
Main Street Medica provides 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, Bismark 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.Links to quality reports from MN Health Scores and Hospital Compare. Site is very responsive and easy to use if you search by Procedure, Disease or Condition. Medica is a Twin Cities-based NCQA-accredited health insurance plan serving 1.2 million people.
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); and $5256 for a hospital inpatient stay. 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
Find Texas hospitals with better survival rates for heart bypass (CABG). Scroll to CABG at this State of Texas site, to find the 2016 report. Observed mortality rate was 2.84% for Coronary Artery Bypass Graft. The average charge for CABG was about $234,000. The largest volume hospital for CABG surgeries (over 650 cases) was CHI St Lukes Health Baylor College of Medicine Medical Center in Houston, which had a 4.12% death rate. The highest observed mortality rate (8.08%) for CABG was at Northwest Texas Hospital in Amarillo; it had about 100 cases in 2016. Reports are part of the section called Indicators of Inpatient Care in Texas Hospitals Present on Admission (POA) at dshs.texas.gov.
Find Texas hospitals with better survival rates for PCI Angioplasty in 2016. Scroll to Percutaneous Coronary Intervention (PCI). The overall PCI mortality rate was 3% for 2016. Texas Health Harris Methodist in Fort Worth had a 2.95% mortality rate. Death rates were highest at Hopkins County Memorial Hospital in Sulphur Springs (8.57%) with only 35 cases, and at University Medical Center Brackenridge (8.47%,) with only 59 cases. Average charge per case in TX was about $127,000. Better hospitals sometimes cost less. Harris Methodist average charge was about $96,000. Report by the State of Texas Health Care Information Collection (THCIC)
This file is for administrators who want to examine UT hospital market share by DRG (62 DRGs) or APR-DRG or MDC, or Average Prices and Length of Stay, or case mix trends from 2014. Discharge status (e.g. to home care, or expired, etc.) also provided. Average statewide charges start on page 18; hospital-specific information starts on page 24. Sample average 2014 prices: Major joint replacement $41,224 ($46,600 in today’s dollars with medical inflation); uncomplicated delivery $7622, normal newborn $2829, and Psychoses $19,073 (9.7 day average length of stay). Title: 2014 Utah Inpatient Hospital Utilization and Charges Profile – Hospital Detail is 450 pages long; released by UT Health Data Committee, UT Dept. of Health, 2016. No updates available for 2019.