Primary Listings

Hospital Clinic and Office Visit Charges and Medicare Payments 2020

Find Hospital Clinic and Office Visit charges (average price) for 2020, and the payments that Medicare made. Find average charges for about 13,000 different codes (depending whether office or hospital facility-based). National average prices are in a large dataset file. Extremely difficult to use, even if somewhat familiar with using Excel files. File uses HCPCS codes. The most common codes were office visits 99213 (average charge about $149) and 99214 (average charge about $222). Medicare allowed about $72 for code 99213 and about $105 for 99214. Therapeutic exercise (code 97110) had average charge of $63, with Medicare allowing about $26. Lab tests, x-ray, emergency department visits are in the file. An Emergency Department visit (code 99285) had a national average facility charge of $1,201, with Medicare allowing just $174 for the ER visit facility charge. A CBC lab test 85025 had an average charge of $35 (Medicare allowed $8); a blood test coded 88053 had an average charge of $56, with Medicare allowing $10. State by state average prices are also listed. Physician charges may be available in the Provider dataset. Calendar year 2020 data from CMS updated July 2022.

American Hospital Directory – Outpatient Charges and Volumes (ahd.com) Editor's Pick

The American Hospital Directory at ahd.com shows average charge and average cost for many hospital outpatient services. Most recent period is 2020 costs. Charges and average costs for the 20 outpatient Ambulatory Payment Classifications (APCs) that made up the highest Medicare outpatient payment to each hospital. Critical access hospitals are excluded. List varies by hospital. Top 20 procedures may include volume (number of claims) and cost for colonoscopy, laparoscopy, CT, MRI, clinic and emergency (ED or ER) visits, x-ray tests, upper GI, lower GI endoscopy, arthroscopy, cataract with lens, angiography, echocardiography, hernia repair, infusion therapy, nerve injection, observation services, outpatient cardiac catheterization, ultrasound. Scroll to bottom of the hospital page to find Outpatient Utilization Statistics. Some rural critical access hospitals may not show any outpatient test and visit prices. Also shown: inpatient market share by local zip code; net income. Link is to the Free Hospital Information

California – Average Inpatient and Outpatient Prices, 2020 Hospital Chargemaster

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.

Illinois Hospital and Ambulatory Surgery Center Ratings and Prices (IDPH)

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 2019-2020 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 $42,000 average in IL), bunionectomy (which had a statewide list price at $23, 374), hernia repair ($24,600), colonoscopy ($7,400), lens, lumpectomy, tonsillectomy (almost $15,000). Prices may be found under the SERVICES tab after you select the hospital or facility. May get a full report for one hospital or ambulatory surgery center at a time, or one measure at a time for multiple facilities 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 with 2018-2020 prices, 2019 and 2020 quality data, and 2019 patient satisfaction scores. Add medical inflation costs of at least 7%.

Iowa – Average Price for Ambulatory Surgery 2021

Compare 2021 average prices for ambulatory outpatient surgery at Iowa hospitals. Costs do not include surgeon fee or other professional charges. Check one procedure at a time. Average charge billed last year for Upper GI endoscopy was between $7,000 and $8,000 (rounded to the nearest thousand dollars). Colonoscopy average cost was between $5,000 and $8,000 excluding physician fees. Simple cataract $8,000 to $9,000. Tonsillectomy with adenoid removal, over age 11 was $10,000. One ear tube cost $12,000. Average charge for shoulder surgery $23k to $25,000. Laparoscopic gall bladder removal averaged $20k in hospital charges. Inguinal hernia repair (laparoscopic) averaged $28,000. Knee ACL repair averaged $34,000 in Iowa. Bunion correction surgery was $22,000 in average charges. An outpatient vasectomy was $7,000. Hysterectomy average charges were $26,000. Individual hospitals shown if they have enough volume. However, volumes are not shown. More ambulatory surgery procedures are listed. From the IA Hospital Association; reasonably easy to use. Updated 2022.

Louisiana Hospital Ratings and Prices – LA Hospital Inform

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.

Maine – Average Cost for Hospital and Doctor Visits (2020-2021) Editor's Pick

Find the average cost for both hospital and doctor visits in Maine in 2020 to 2021. These “costs” may be less than charges or prices, since they are what 35 commercial payers actually paid for the service in the 12 months ending March 31, 2021. Compare costs at different clinics and hospitals. Average cost for an ER visit in Maine was $604 for a moderate severity emergency department visit (before adding lab, imaging and other tests). A high severity visit (code 99284) to the ED cost $1,029 before other test costs were added in. Average vaginal delivery costs (median payment) was $16,451 for Childbirth delivery and 60 days of related care. This was up 15% from the prior year. (Does include physician care, but probably not newborn charges). An uncomplicated C-Section averaged $24,257, up 8%. Find costs for other surgeries by hospital, such as hip or knee joint replacement, arthroscopy, colonoscopy, hernia repair, tonsillectomy and gall bladder surgery. Find many median (middle) payments here physician office visits ($116 average cost for 15-minute appt for an established patient 99213), CT, MRI, x-ray, lab tests and more. A one hour crisis psychotherapy visit averaged $218. An ongoing 60 minute psychotherapy visit (90837) cost $100 on average. Uses CPT codes. All “average cost” figures are actually median payment. Almost 8 million claims were analyzed. However, no Medicare or Medicaid claims were included. More surgery costs were added this past year, so we are giving this the Editor’s Pick award. From Maine Health Data Organization in State of Maine

Maine Costs for Surgery, x-ray, imaging, lab tests (MHDO)

Compare costs in Maine for surgery, x-ray, imaging and lab tests across hospitals and medical groups. MHDO Maine Health Data Organization’s website shows average amount paid (median “cost”) by commercial insurance for surgery such as hip or knee replacement, shoulder arthroscopy, carpal tunnel, gallbladder removal; skin growth removal; lab tests such as strep, blood tests, urine. Imaging tests such as mammogram, x-ray, CT, MRI, ultrasound. Diagnostic procedures such as colonoscopy. Good news is that both physician and hospital charges for surgery are shown to give you an idea of total cost (and discounts); CPT codes listed. Costs for surgery, office visits and tests are from 2020-2021 claims, excluding Medicare and Medicaid. Search by city or zip code radius. From maine.gov; updated 2022.

Minnesota – Hospital Price Check (Inpatient & Outpatient)

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, 2020 prices and volumes of cases

Montana Hospital Outpatient Surgery and Test Costs

Find out how much outpatient surgery and imaging tests cost in Montana in 2019-2020. Compare MT hospital charges for ambulatory surgery and diagnostic tests such as colonoscopy (median charge $2,611 for a diagnostic colonoscopy code 45378), sigmoidoscopy, breast biopsy, cardiac stress tests, cardiac catheterization. All prices EXCLUDE surgeon fees and other physician costs. PricePoint system shows facility prices in the past, for common surgical procedures such as tonsillectomy (median $6,004 with adenoid removal, under age 12, code 42820), cataracts, ear tubes, knee cartilage, bunions, child’s appendix removal, carpal tunnel, gallbladder removal, skin lesions, upper GI endoscopy; x ray, CT, MRI (e.g. spine MRI without dye had a median price of $1,692, code 72148) and other radiology imaging prices listed. Costs are from July 2019-June 2020. Consumers may wish to add medical inflation to estimate 2022 prices, although these costs are more current than many other sites.

New Hampshire Prices for Physician Visits, ER, Outpatient Hospital and Dental Care – Compare (free) Editor's Pick

Compare New Hampshire prices for physician office visits, Emergency Room, psychotherapy, dental care, hospital outpatient lab tests, PT visits and some surgery. Ambulance and medium level ER prices are included in NH. Prices are estimated at 2020-2021 prices plus 5% price inflation. Statewide cost estimate is also shown. (Example is $263 average cost for an office visit 99214. But for the uninsured, costs after discounts in some towns could be below $100.) Choose Medical or Dental. Select insurance, or uninsured to compare charges with your deductible. “Show All Procedures” will let you select procedure, test (e.g. lab, Radiology such as x-ray, MRI, CT or ultrasound), office visit or service. Tonsillectomy, gall bladder surgery, hernia repair, colonoscopy and a few other surgeries are bundled to include surgeon and anesthesia costs. Price transparency project developed by the New Hampshire Insurance Department. NH HealthCost is an excellent website, easy to navigate. It is more current than most, and has earned Editor’s Pick.

Oregon – compare hospital and outpatient surgery costs (2020)

Compare hospital and outpatient surgery costs in Oregon. The most recent data are from 2020 costs. However, only the difficult-to-use Excel files full of data are available from the government OHA – Oregon Health Authority. Click on HOSPITAL PAYMENT REPORTS. Look for the statewide numbers to see median commercial payment across the state. Hospitals with the larger volumes for any given procedure, also show their median cost for both 2020 and 2019. In the past, a set of reports (instead of just the data file) showed the median amount PAID by commercial insurance companies. Costs paid, are after any discounts off charges (prices) have been taken. The file may have more than one line for what appears to be the same procedure. For example, two median costs are shown for Hernia repair – the outpatient surgery cost was close to $11,000 while the inpatient cost was nearly $27,000. Read closely. The user-unfriendly data file was updated June 2022.

If you choose the older Reports (2017 or 2018), 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. The reports are easier to read, cover a large set of services, and show each hospital’s payment, along with what was paid the year before. Unfortunately, the information in the reports is 5 to 6 years old. When estimating, consider medical inflation which has been about 14% from 2017 to 2022. Hospital costs may have gone up much more than that. Average amount paid for one type of hernia repair surgery, for example, rose more than 9% per year in the past 3 years – to nearly $11,000.

Utah – How Much Does a Colonoscopy Cost?

How much does a colonoscopy cost in Utah? A Utah Department of Health report shows a median amount allowed by commercial insurance companies of $1,761 for a colonoscopy done between July 2019 and June 2020. Clinics allowed amounts were lower compared to Ambulatory Surgery settings. These were in turn lower than in Hospital Outpatient settings. Costs went up about $200 with each more sophisticated setting.

  • The median office/clinic allowed amount for a colonoscopy was $1,428.
  • The median amount in an ambulatory surgery center was $1,636.
  • The hospital outpatient colonoscopy median was $1,818.

The report compares prices and median allowed payments for 61 locations: 9 clinics, 12 ambulatory surgery centers, and 40 hospital outpatient locations.

The lowest allowed amount at a location that had at least 500 procedures (on commercially insured patients) was Ridgeline Surgicenter in Ogden. The Ridgeline median charge of $7,209 compares to the allowed median of just $1,405. The 15 locations that did at least 500 procedures performed 80% of all the commercial insurance colonoscopies in Utah. Of the large centers, Bountiful Surgery Center and Wasatch Endoscopy Center had median charges near $8,000 for a colonoscopy. Granite Peaks Gastroenterology had the smallest gap between charges and allowed amounts. They accepted $1,446 as the median payment amount, on median charges of just $2,661.

The Utah report shows the wide gap between prices and allowed amounts that actually get paid. Nine colonoscopy locations had an average charge over $7,000. The report found median charges could be as high as $8,134, at Utah Surgery Center. But this ambulatory surgery center accepted on average, an allowed price of $1,900. That is effectively a 77% discount off charges. Ambulatory surgery centers tended to charge more than hospitals, then offer larger discounts. Insurance companies appeared to have a maximum allowed charge (up to $3,730), despite the billing price. Discounts vary by insurance plan. The most expensive location paid by commercial insurance was San Juan Health Services District hospital, which did just 17 commercial insurance procedures. Their median allowed amount was $3,279. Of the large centers, University Hospitals and Clinics (2,417 procedures) had the highest median allowed cost of $2,253. Sixteen locations across the state had allowed costs higher than University Hospital.

CPT codes 45385, 45380 and 45378 were used in the study, along with associated anesthesia, surgeon or GI physician, pathology, and procedure costs. These codes covered over 95% of all colonoscopies on commercial patients. Additional details such as volume, and actual numbers for each provider are in Utah’s OpenData Catalog linked in the report. Medicare patients and quality indicators were not included in the study. Published by the Office of Healthcare Statistics, March 2021.

Utah – How Much Does Cataract Surgery Cost?

How much does cataract surgery cost in Utah? A Utah Department of Health report shows commercial insurance companies allowed a $3,295 median price for cataract surgery between July 2019 and June 2020. Ambulatory Surgery settings allowed amounts were lower (at $2,732) compared to Hospital Outpatient settings ($3,710). That is almost a $1,000 difference between the two. The lowest allowed amount at a location that had at least 100 procedures (on commercially-insured patients) was The SurgiCare Center of Utah (at the Eye Institute). The SurgiCare Center allowed median was $2,659, compared to a median charge of $4,142. The report found median charges could be as high as $16,294, at St. Mark’s Hospital in Millcreek, Utah. But St. Mark’s accepted, on average, a 72% discount off charges. That made St. Mark’s average allowed price $4,563. A charge in the $6,300 range was more common across the 33 locations, with an allowed amount of $3,295. While the difference between charges and allowed amounts results in about a 50% discount, prices varied greatly even within some locations. Discounts vary by insurance plan. The most expensive place was University Hospitals and Clinics, with a median allowed cost of $5,168. Both University Hospital and Mt. Ogden Surgical Center had median charges over $9,000.

Nineteen ambulatory surgery centers and 14 hospital outpatient locations were in the study. CPT code 66984 was used, along with associated anesthesia, surgeon, and procedure costs. Code 66984 covers cataract removal with lens insertion and excludes more complex surgeries. Generally, each surgery is for one eye only. Additional details such as volume, and actual numbers for each provider are in Utah’s OpenData Catalog linked in the report. Medicare patients and quality indicators were not included in the study. Published by the Office of Healthcare Statistics, March 2021.

Utah Outpatient Ambulatory Surgery Charges – 2020 by facility

Compare costs of colonoscopies and cataracts at Utah hospitals and ambulatory surgery centers.  These reports are easy to understand. Select SHOW ALL to see reports created March 2021, which compare charges through June 2020. Other reports in the Outpatient Box such as Utah Outpatient Ambulatory Surgery Charges, 2019 – by facility, may not quite be ready for primetime. In the future, Utah may provide average charges for the top 20 outpatient procedures & ambulatory surgery at each Utah hospital and freestanding ambulatory surgery center. The “Charge Profile” currently lumps together all procedures and all charges for each facility, so the Outpatient Surgery reports are useful only to see counts of procedures, not prices. Scroll to the bottom of the page to see Outpatient reports. The report format is in a difficult-to-read Excel format with CPT codes. One must exit “Protected View” to expand the cells and see details. Counts of colonoscopy, upper or lower GI endoscopy, EGD, polypectomy, knee arthroscopy, cataract and laser eye procedures, myringotomy (ear tubes), tonsillectomy, cardiac cath, pacemaker, spinal injection, cochlear implants, carpal tunnel release, complex laparoscopic procedures (e.g., lap choley gall bladder removal), and septoplasty may be available for hospitals and surgery centers. Report by Utah Department of Health.

Vermont – 2022 Outpatient Diagnostic Test Prices

Compare 2022 Vermont hospital outpatient diagnostic test prices for lab work, x-ray & imaging tests. Scroll to Pricing of Common Services at Community Hospitals, Pricing by Service Type. MRI charges with physician fee averaged $2,896 to $5,118. CT scan of head, neck, face, chest, spine, pelvis, abdomen (overall CT average $1,816 to $4,751); screening mammograms average $726 with physician charge. Specific test prices for urinalysis, glucose, Metabolic Panel ($127 average cost), lipid panel ($117), PSA test (average cost $188, hospital range 74 to 311), CBC (VT range $ 68 to $84), strep test group A swab ($74 state average), Pap test, blood typing, OB ultrasound first trimester, x-rays, Cardiology EKG or echocardiogram, PT evaluation, colonoscopies ($4,324 without biopsy) and more. CPT codes listed. Prices good through Sept. 2022. Tables 3B through 3O. Vermont probably has the best State site for hospital outpatient diagnostic test cost comparison. However, consumers may have to check multiple reports to find the test they are looking for. It can be a slow process. Published 2022.

Vermont – Hospital Outpatient Surgery Prices, 2022

How much does outpatient surgery cost in Vermont? To find 2022 prices (the most recent available), see Section called Pricing of Common Services at Community Hospitals.

Tables 2A and 3P let you compare average gross charge (the closest you will get to average cost) for most common ambulatory surgery procedures at 14 general hospitals in VT. Table 3P (Other) Prices is more current, to September 2022, and it includes the physician charge. Hip replacement averaged $38,895 in VT. Knee replacement average cost was over $39,000; knee arthroscopy averaged $14,541. Outpatient gallbladder removal was $17,128 on average. A prostate biopsy was about $4,000. Hernia repair averaged $18,297. A tonsillectomy with adenoid removal in a child under age 12 was $12,618. Cataract prices, carpal tunnel release and more than 20 outpatient procedures are shown. Prices varied by hospital.

Table 2A shows prices for some procedures, 12 months through September 30, 2020 (two to three years old). Here you can find prices for ear tubes (myringotomy), outpatient hysterectomy, bunion removal, lumpectomy and other procedures. This table DOES NOT include the surgeon or other physician fees. Medical inflation has been about 4.7% over the past 2 years, and 9% over 3 years. As with all of Vermont’s reports, the font size is about as small as you can get.

Virginia Hospital Charges and Price Estimates – Inpatient & Outpatient

Find estimated hospital inpatient and outpatient charges in Virginia. Check prices for common hospital stays in VA. Topics for many hospitals include costs for childbirth delivery, newborn, C-Section; mental health, depression, psychiatric, alcohol rehab; hip or knee replacement surgery; cardiac cath, pacemaker, valve, stent; pneumonia, rehabilitation, digestive disorders, small or large bowel surgery, back and neck problems, spinal fusion, bone cancer. Use the price estimator tool to find average cost of doctor’s office visit, gall bladder surgery (cholecystectomy), CT or MRI test, psychotherapy visit and many other common outpatient services. Procedure list and hospitalizations may vary for each hospital. The price estimator tools and “standard charges” machine readable file replace the former PricePoint system. Quality scores are no longer linked. No side-by-side comparisons. Consumers may be required to provide their name and personal information for some hospitals. Provided by the VA Hospital & Healthcare Association (VHHA).

Virginia Hospital Outpatient Charges, Case Numbers, Patient Satisfaction

Compare hospital outpatient charges (prices) in Virginia. Consumers can view median charge (proxy for average cost) in 2019 for selected outpatient surgery by hospital, ambulatory surgery center and for the state. Includes breast surgery, hernia repair, colonoscopy, knee arthroscopy, fibroid removal, laparoscopy, gallbladder, hysterectomy, other gyne surgery, liposuction, eye-lifts or eyelid surgery, and more. Surgeries also show case numbers or volume. Each hospital report shows inpatient cases by service line, financial performance & efficiency; patient satisfaction. Must click on additional tabs to see more information. See detail and read carefully. Prepared by Virginia Health Information (VHI) using 2019 price data, service volume and financial results for 2020, and hospital patient satisfaction for 2020-2021. The prices are old; consumers can add medical inflation factor of 8.2% to guess 2022 prices. It’s nice that ambulatory surgery centers are included for many comparisons, but the average prices need to be more current. Updated 2022.

Wisconsin – Ambulatory Surgery Facility Charges, 2020

How much does outpatient surgery cost in WI?  Compare Wisconsin ambulatory surgery facility charges (prices) for 2020 for each hospital and freestanding ambulatory surgery center. Find average 2020 charges for 20 common ambulatory surgery procedures, such as Colonoscopy (5 codes), Endoscopy, Biopsy, Spinal Injection, Cataract & Lens ($7,675 average), Total knee replacement (arthroplasty) average price $39,538; outpatient Knee surgery/arthroscopy ($12,397), Carpal Tunnel ($7,247) and more. For colonoscopy, a less-frequent Colorectal Cancer Screening, or colonoscopy for a patient that is NOT high risk (code G0121) had an average charge of $3,728 in 2020. However, the two most common colonoscopy procedures had an average charge of about $6,000. Number of procedures for each hospital and surgical center are shown for top 20 only. Go to the Overview report for a longer list of 40 procedures including gall bladder removal (laparoscopic cholecystectomy at $19,649 average statewide cost, ear tubes, and tonsillectomy. Prices do NOT include surgeon and physician fees, which may cost thousands of dollars and could double prices shown. Consumers should add medical inflation to estimate 2021 facility prices. Health Care Data Report 2020 by WHA Information Center, published August 2021.

Wisconsin PricePoint – Outpatient & Ambulatory Surgery Cost

Find average cost for outpatient and ambulatory surgery in 2021, from Wisconsin PricePoint. Compare outpatient and ambulatory surgery volume and charges for colonoscopy, cataracts, eardrum surgery, shoulder or knee surgery, carpal tunnel surgery, removal of tonsils & adenoids, appendectomy, breast biopsy, endoscopy, gallbladder (cholecystectomy), upper GI, heart catheterization and more. Compare hospitals and surgical centers. Typical (median) price in county and statewide Wisconsin median prices shown, but no dates are provided on the consumer site. Must use the healthcare professionals site to see the dates and the number of procedures done at each hospital; 2021 prices are shown. Prices exclude surgeon and other doctors’ fees which may double the numbers you see here

Other Helpful Listings

Oregon Hospital Guide to Costs

The Oregon Hospital Guide to Costs lets consumers compare hospitals on 2016 (very 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. Full charges or prices are not shown. Consumers may wish to add minimum medical inflation factor (17%) to guess 2022 costs. 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. Such information is also outdated. Site by the Oregon Association of Hospitals and Health Systems (OAHHS) to meet state requirements, but not particularly relevant in 2022.

Self-Reported Average Costs – Medica (Health Plan Contract Rates) Editor's Pick

Find average costs in the Medica Health Plan contract rates. Main Street Medica self-reports average cost ranges by hospital or clinic name, for 15 common hospital inpatient stays, 32 outpatient surgery procedures, nearly 60 diagnostic imaging tests, nearly 70 types of office visits; chiropractors; medical equipment, c-pap, oxygen rental, prosthetics, wheelchairs, & supplies for diabetes & ostomy care. Also gives comparative costs for a few generic vs. prescription drugs. General range of lab test costs are in the Choosing Quality Care section. Includes Minnesota, Fargo, Bismarck and Grand Forks, ND, Sioux Falls, SD and many WI hospitals and clinics. Reported price estimates apply to Medica Choice Network services, not necessarily the general public. Dates of prices are not disclosed, unfortunately. Site is very responsive and easy to use if you search by Procedure, Disease or Condition. Medica is a large Twin Cities-based NCQA-accredited health insurance plan.

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