A difficult to use Excel file of amounts paid to hospitals by Medicare, on average for FY 2015. 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.
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 2014; Quality and Patient Satisfaction scores reflect 2015 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. visit, 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 2016. Consumers can see one hospital at a time
Find average 2016 cost across CO for more than 50 types of hospitalizations. Click on View Reimbursement by Diagnosis or Insurance Provider to see average total charge, and what the insurance company reimbursement is. 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 $77,000 had an average insurance payment of $27,520. Uncomplicated delivery was priced over $15,000, with insurance companies paying $7377. Similar for newborns – $5000 average price, insurance paid $2500. Consumers are also able to see actual hospital prices (Click View Hospital Charges, then select procedure). Example: Average price for major joint replacement at hospitals that performed at least 100 procedures, ranged from $38,386 in Montrose, to $134,232 at Presbyterian St Lukes in Denver; midrange price across hospitals was about $71,000. Published by the State Department of Regulatory Agencies, Division of Insurance, and Colorado Hospital Association
Search condition, readmission rates, infections, volume, length of stay and range of charges (price range), 2016-2017 data. All age groups (not just Medicare), extensive set of health conditions/diseases, and the ability to rank order by top hospitals at the head of the list. Patient satisfaction results also shown. Definitions at this site are not always easy to find. Click on the hospital name to additional information about the hospital. Hysterectomy listed under Women’s Health instead of Surgery. FloridaHealthFinder.gov
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 bunionectomy, 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 2018, using 2016 data
Iowa Hospital Charges Compare provides information about volumes and average 2016-2017 charges (amount billed) and median charge at IA hospitals. Select one hospital to begin. Site allows 4 hospitals to be compared at one time for prices (if you select all cities to begin), 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.
Compare KY hospitals side-by-side on inpatient charges for the most recent 12-month period. Current to 2016. Organized by MSDRG, which makes it complicated for average consumers. Offered by the Kentucky Hospital Association
Find range of charges 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 (2015). Louisiana Hospital Inform is sponsored by the Louisiana Hospital Association; Price ranges from 2015 (outpatient and inpatient)
Typical vaginal delivery costs (charges) in Maine in 2015 to Dec. 31, 2016, averaged $11,707 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; 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 are shown to give you an idea of total cost (and discounts); CPT codes listed. Bad news: prices date from 2015-2016. From maine.gov
Compare volume and average charges (prices) at each MD hospital (by name) and statewide for 25 most common inpatient diagnoses (severity adjusted using APR-DRGs) – including newborns (avg. $2068), childbirth vaginal delivery ($7576), c-section (avg. $9646), heart failure, cardiac arrhythmia, pneumonia, COPD, septicemia, cellulitis ($8578), knee joint replacement (avg. $22,046), major depression ($10,362), bipolar admissions ($9537 state avg), schizophrenia ($13,047) stroke, urinary tract infections ($8457) and rehabilitation ($25,161). Data from 2017. 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 2018
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, 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, 2016 prices
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 NE. 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 $15,000 on average in 2016. 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; 2016 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 for every hospital DRG (Diagnosis Related Group) in 2016. Sample DRGs: Psychoses (average $18,000), Normal Newborn ($3700), uncomplicated vaginal delivery ($18,500), Septicemia ($98,000 with complications, $53k without), Major joint replacement (hip or knee) at $101,000, Cesarean Section ($30,000 without complications, $40,000 with). Overall inpatient charge was a whopping $71,710 per stay, or more than $13,000 per day. Births overall (all types including very ill babies) averaged $25,000 in charges, from $2100 at Banner Churchill to $67,600 at Sunrise Hospital and Medical Center. Average emergency visit charge was $7344 statewide for over 1 million visits. Ranged from $1571 average at Mount Grant General Hospital, to $10,508 average at St. Rose Dominican – Siena Campus. Statewide average Ambulatory Surgery Center charge was $7662, but no breakout by procedure type. Standard Reports also show 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 June 2017
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. 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; 2014 charges shown. Must inflate and add physician fees to estimate 2018 average costs. Sponsored by the Nevada Hospital Association
Here’s an example of Ohio hospitals (7-hospital system called OhioHealth) showing their current January 2018 prices for 100 common tests and hospital services. Selected prices are provided by each hospital. Examples 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. Price list varies by hospital. Caution: Physician professional fees may not be included (even in the Emergency Department). Check each hospital’s website separately.
Find the average charge (closest available to inpatient cost) for a hospital stay (compare hospitals) by Principal Diagnosis (i.e., disease) or DRG. 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. 2014 data are the most recent available from OK2SHARE by the OK State Dept. of Health’s Health Care Information
OHA – Oregon Health Authority posts average hospital charges paid in 2015. Select inpatient Payment Report to compare hospitals on costs for appendectomy, chemotherapy, coronary bypass, dialysis, inpatient gallbladder surgery or hernia repair, hip replacement, hysterectomy, angioplasty and more. Select Pregnancy report to find maternity costs (about $7700 for normal delivery, $13,279 for uncomplicated c-section and $2200 for newborns). When estimating, add in medical inflation. Pub. July 2017
Compare up to 3 hospitals at a time on 2015 costs paid by commercial insurance companies or patient-paid amounts. Median amounts 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. Consumers can try to get an idea of 2018 prices by calling the hospital
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
See Table 13 to find the per-day charge (price) of a PA hospital inpatient room. Median rate is about $1555 for a private room. Range goes up to $7746 (Hahnemann). 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, 2016 prices published July 2017
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. Older reports may contain additional conditions. Symbols for Mortality ratings can be confusing – a higher mortality rating means worse survival (we think). No orthopedic (hip or knee) surgery included. Data from Oct. 2015 to Sept. 2016.
Find out and compare SD hospitals on 2016 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 $4714 for normal newborn, or $3682 median. Vaginal delivery for mom was $9948 average, and $9203 median. C-section average $21,448.) All common hospitalizations shown, such as births and maternity delivery, knee replacement (average price about $46,000), heart failure, pneumonia, bowel procedures, COPD, angioplasty, kidney transplants (median $232,218), inpatient laparoscopic gallbladder removal (avg $44,342, but $44k to $46k 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 2016 at South Dakota hospitals. Can see one hospital at a time, or compare to hospitals within the same city for one type of hospitalization. Can select additional cities to add comparisons. Link has been added to cross-reference quality scores, however it was not operating correctly in Feb. 2018. Site by SDAHO, the state’s hospital association
If you are looking for average cost of hospital care or surgery, the 2015-2016 prices at this site by the Texas Hospital Association might be the closest you can find. 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. Does not include surgeon or other physician fees
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 admission costs, for example, you will need to click on LOOKUP. Volumes (2014 data) and length of stay are included; does not include average cost for physicians. Consumers may adjust for 2018 costs by adding 4-year price inflation. As with other PricePoint Systems, view one UT hospital at a time. Utah Hospital Assn
Median hospital cost for Utah maternity care in 2011 to 2013 was about $11,000 to $12,000 (vaginal, depending on having an epidural); about $15,000 for Cesarean delivery. Compare 2014 prices by hospital name for maternity care (covers mother and baby) for 2014. Shows median (middle) price, and the min-max range of costs for hospital care. Maternity quality measures are also shown – click on the hospital name to see the full, detailed report. Utah HealthScape website is published by Health Insight, a QIO Quality Improvement Organization.
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. 2015-2016 data for quality; 2015 and 2017 information on prices
2017 Hospital Report Card shows average prices (gross charges) for each VT hospital’s most frequent inpatient admissions – includes newborn delivery (nomal newborn $2920; newborn with medical problems = $4984), cesarean section ($15,000 to $19,000), average vaginal delivery $8563 without complications; pneumonia, total hip or knee replacement (average $42,898), depression (average $11,778), psychoses such as schizophrenia (average $31,105), COPD & emphysema, heart failure, chest pain, rehabilitation, heart rhythm problems, back problems, kidney or urinary tract infection, and other hospital stays. All common hospital admissions except newborns averaged more than $10,300 statewide. Spinal fusion about $64,000. Compare costs on nearly 60 different types of cases, listed by MS-DRG. Links to hospital discount policies for consumers with cost concerns; 2014-2015 average charges
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. Provided by the VA Hospital & Healthcare Association (VHHA); PricePoint systems, 2016 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 hospitals 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.
Median charge and length of stay for common hospitalizations including 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. 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, hip or knee joint replacement, surgery, heart valves or stents, pneumonia, psychiatric admission, rehab, and many more. Average cost in WY is also shown. Site shows one hospital at a time, and uses clinical names instead of layperson language for the illnesses. WyoPricePoint by the Wyoming Hospital Association, shows 2013-2014 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
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; 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