Find the average price in calendar year 2016 for various types of hospital outpatient charges to Medicare patients. File should show charges by physician name, state average and national average prices. Extremely difficult to use, even if somewhat familiar with using Excel files. From CMS updated 2019.
Charges and average costs for the 20 outpatient Ambulatory Payment Classifications (APCs) representing the highest Medicare outpatient payment to each hospital (excluding critical access hospitals). List varies by hospital. May include: 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 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
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.
Compare hospitals and ambulatory surgery volumes and range of charges (average cost is not shown) for common adult and pediatric outpatient surgery procedures, by hospital or surgical center name. Includes arthroscopy, cataracts, laser eye procedures, cardiac catheterization, pacemaker, upper GI & lower GI endoscopy, colonoscopy, hernia repair, hysteroscopy, tonsil removal, lithotripsy, skin biopsy, bunion removal, pediatric circumcision and more. You might be surprised to find outpatient hernia repair prices averaged $10,413 to $26.585, but individual hospitals ranged from $945 (Florida Medical Clinic in Tampa) to a high charge over $72,000 at Palms of Pasadena in St. Petersburg (ages 18 to 64, Level 1). Cataract procedures at the highest volume center (University of Miami Hospital Bascom Palmer Eye Institute) listed charges from nearly $17,000 to over $19,000. The second largest center, St. Luke’s Surgical Center in Tarpon Springs, did cataract procedures for $1400 (ages 18-64). Might be worth asking about price before you schedule the surgery. Links to inspection reports. FloridaHealthFinder.gov 2017-2018 data. Editor’s Pick.
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
Compare average prices for ambulatory outpatient surgery at IA hospitals, before adding surgeon fee or other professional charges. 2018 prices. Check one procedure at a time. Average charge billed last year for Upper GI endoscopy was between $6000 and $6900; Diagnostic Colonoscopy averaged $4,941 excluding physician fees; simple cataract $7442 to $8201; Tonsillectomy over age 11 $10,896; one ear tube $10,265; shoulder surgery $20k to $23,000; laparoscopic gall bladder removal averaged $17k in hospital charges; inguinal hernia repair (laparoscopic) averaged over $21,000. Individual hospitals shown if they have enough volume. From Iowa 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)
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
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
Compare MT hospital charges for ambulatory surgery and diagnostic tests such as colonoscopy, 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, cataracts, ear tubes, knee cartilage, bunions (median $5483, $2000 more for big toe), child’s appendix removal, carpal tunnel, skin lesions, upper GI endoscopy; x ray, CT, MRI and other radiology imaging prices listed; 2015 costs
Compare physician office visit prices, dental prices, hospital outpatient tests, PT visits and some surgery prices, as well as some ER prices (estimated at 2017-2018 prices plus 5% inflation) in NH. Choose procedure or test (e.g. lab, Radiology such as x-ray, MRI, CT or ultrasound). Select insurance, or uninsured to compare charges with your deductible. Tonsillectomy, colonoscopy and about 20 different surgeries are in Outpatient, which are bundled to include surgeon and anesthesia costs. Price transparency project developed by the New Hampshire Insurance dept. Excellent website, easy to navigate
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.
Average 2014 charges for the top 20 outpatient procedures & ambulatory surgery at each Utah hospital and freestanding ambulatory surgery center. File is in a difficult-to-read Excel format with CPT code or ICD-9 abbreviations. The format is extremely cumbersome for consumers. Possible procedures with average prices could be colonoscopy, upper or lower GI endoscopy, EGD, polpectomy, 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), septoplasty. Report by UT Department of Health
Compare 2018 hospital prices for lab work, x-ray & imaging tests. MRI charges averaged $2358 [pelvis angiography] to $4647 [MRI-pelvis, multiple sequences] with physician fee. CT scan of head, neck, face, chest, spine, pelvis, abdomen (overall CT average $1878 to $2932); digital screening mammograms average $602 with physician charge. Specific test prices for urinalysis, glucose, Metabolic Panel ($112 average), lipid panel ($98), PSA (average $151, range 42 to 304), CBC (range $25 to $126), strep test group A (range from $43 to $175), Pap test (average 121 to 152), pregnancy test (range $21 to $103), blood typing, OB ultrasound (average $774), x-rays, Cardiology EKG or echocardiogram, PT evaluation ($304 to 338 average) and more. CPT codes listed. Probably the best State site for hospital outpatient diagnostic test cost comparison. Some average prices have gone down this year, which may support useful price comparisons among hospitals. Prices good through Sept. 2018, so add inflation to update. Tables 3B through 3I
Table 2A lets you compare average gross charge (the closest you will get to average cost) for most common outpatient surgical procedures at 14 general hospitals in VT. Prices for procedures such as cataract surgery (average $5971), upper GI endoscopy ($3296), knee cartilage surgery ($8951 average), arthrocentesis joint aspiration ($774), gall bladder removal (average $12,804), breast biopsy (avg. $4422), other biopsies, ear tubes (average $3400), tonsillectomy ($6730), diagnostic cardiac cath ($22,834), bunion removal (11,501 avg; range $6401 in Springfield to $23,707 at Copley), colonoscopy $12,804 average, hernia repair $11,221, and many more procedures; 12-month avg. charges ending Sept. 30, 2015, DO NOT include the surgeon or other physician fees. As with all of Vermont’s reports, the font size is about as small as you can get. More than two years old, published 2017. Table 2B shows how many of those procedures the hospital did
Consumers can view median charge in 2016 for selected outpatient surgery (last tab) by hospital, ambulatory surgery center and for the state. Surgeries show case volume and common price for breast, hernia repair, colonoscopy, knee arthroscopy, fibroid removal, laparoscopy, gallbladder, hysterectomy. Hospital data (one facility at a time) shows inpatient cases by service line, financial performance & efficiency; patient satisfaction. Must click on additional tabs, or select printer-friendly in order to see more information. See detail and read carefully. Prepared by Virginia Health Information using 2016 data (some 2017)
Average 2016 charges in WI for 20 common ambulatory surgery procedures, such as Colonoscopy (6 codes), Endoscopy, Biopsy, Spinal Injection, Cataract & Lens ($7455 hospital average), outpatient Knee surgery/arthroscopy ($12,191), Carpal Tunnel ($6279), Ear Tubes, and more. Volumes for each hospital and surgical center are shown for top 20 only. Go to Table 28 for a longer list of 40 procedures including colonoscopy ($4934 average) and gall bladder removal (laparoscopic cholecystectomy at $16,206). Chapter VII compares average prices (along with median charge and volume) at each hospital for twenty 2016 ambulatory surgeries. Prices do NOT include surgeon and physician fees, which may cost thousands of dollars and could double prices shown. Consumers should add inflation to estimate 2018 facility prices. Scroll to bottom of page for Chapters VI and VII Ambulatory Surgery, published by WHA Information Center August 2017
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 for reference. Prices exclude surgeon and other doctors’ fees which may double the numbers you see here
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
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.
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)