Categories

Primary Listings

Calculate Your Risk for Cancer, Diabetes, Heart or Lung Disease, Osteoporosis and Stroke Editor's Pick

Calculate your Disease Risk. These tools will help you identify your personal risk of 12 different types of cancer, chronic bronchitis, diabetes, emphysema, heart disease, osteoporosis and stroke. Tips for preventing the diseases are personalized to your risk factors. Originally developed by the Harvard Center for Cancer Prevention, now offered by the Siteman Cancer Center, at Washington University in St. Louis.

Diabetes (MedlinePlus)

Diabetes at MedlinePlus explains Type 1 and Type 2 diabetes; gestational diabetes. A1C tests; genetics, kidney disease and diabetes, prevention, blood sugar test, diabetes medicines, genetics, pre-diabetes, more

Diabetes Fact Sheet (CDC, 2022)

Diabetes Fact Sheet is an excellent resource from CDC. The Diabetes At A Glance from the Centers for Disease Control shows how many people have diabetes (over 37 million) or prediabetes (estimated 96 million!). Millions don’t know they have diabetes or prediabetes.  Diabetes is the leading cause of kidney failure, lower limb amputations and adult-onset blindness. Gives facts on complications and deaths associated with diabetes. Medical spending associated with diabetes is estimated at $237 billion. Updated 2022.

Diabetes Hospital Stays, average cost & length of stay, 2018

An average hospital stay for diabetes cost between $6,000 to $14,200 in 2018. The average cost varied by age group. It also varied between whether the main diagnosis was Type 1 or Type 2 diabetes. Type 1 pediatric hospital stays had an average cost of $6,000. (With medical price inflation, it is equal to about $6,800 in 2023). A Type 2 inpatient stay averaged $12,100 for ages 18-64. (With medical inflation, the 2023 dollars would be about $13,700.) For ages 65+, the average cost for a Type 2 stay was about $14,200 ($16,100 in 2023 dollars). Charges (prices) would be a lot higher than “cost”. The report did not show Charges. Type 2 diabetes hospital stays cost more than Type 1, for each age group. The average length of stay was 5.3 days for a Pediatric Type 1 hospital stay. Adult Type 2 hospital stays averaged 5.1 days (ages 18 to 64) and 5.9 days (ages 65+). AHRQ Statistical Brief #279 “Diabetes Related Inpatient Stays” was published July 2021.

Diabetes Risk Assessment Tool (ADA)

The Diabetes Risk Assessment Tool requires easy to remember, basic information to see what your risk is for diabetes. Simply changing from inactive to active might reduce your risk. Instant results online, or have them emailed to you. By the American Diabetes Association (ADA)

Health Consequences of Smoking

What are the health consequences of smoking? Check out CDC’s overview of other diseases influenced or caused by smoking. Did you know that smoking can cause diabetes? Updated 2022. Causal links are now proven between smoking AND liver cancer, colorectal cancer, diabetes, erectile dysfunction, fertility problems, low birth weight, and age-related macular degeneration, as well as other known health problems such as lung cancer. Exposure to second hand smoke is a cause of stroke.

Lifestyle Improvements vs. Metformin to Prevent Diabetes – Which is better?

Which is better to prevent diabetes: lifestyle improvements or the medication metformin? The national Diabetes Prevention Program clinical trial found that lifestyle interventions of diet (less fat, fewer calories), exercise (150 minutes a week), and behavior modification highly effective. People on the 850 mg of Metformin twice a day and those on a placebo were compared to those in the Lifestyle Change program at 10 years and 15 years. Another followup study was started in 2016, and expected to last 10 years. Beginning in 2018, Medicare was expected to cover participation in the CDC’s National Diabetes Prevention Program for those who are eligible. Federal government NIH publication.

Prediabetes Management Guidelines (AACE)

Guidelines for the management of Prediabetes have been included in the Comprehensive Type 2 Diabetes Management Algorithm. Provided by the American Association of Clinical Endocrinologists (AACE). According to the CDC, more than twice the number of current diabetics, are those estimated to have prediabetes. Updated guidelines 2022, with another updated expected in May 2023.

See Also Consumer Health Ratings – Average Costs & Prices – Compare Hospital Charges Editor's Pick

See Consumer Health Ratings’ main category on Costs to COMPARE average costs, prices or charges among providers. Compare specific hospitals, ambulatory surgery centers or clinics for hospitalizations, many surgeries, procedures and outpatient tests. The LEARN MORE listings show general average costs of healthcare in your region, if available.

See also Consumer Health Ratings – Ratings, Report Cards and Credentials – Compare Quality Editor's Pick

See Consumer Health Ratings’ main page to compare Quality. Find ratings, report cards and credentials. Free public reports of quality ratings and comparisons among individual hospitals, nursing homes, health insurance plans, and other health care services. Check your physician’s credentials and look up your doctor’s medical license in this category.

Other Helpful Listings

20 Most Expensive Conditions Requiring Hospital Stay, 2017

The top 10 of 20 most expensive conditions that people got hospitalized for in 2017, were Septicemia, osteoarthritis, liveborn infants, heart attack (AMI), congestive heart failure (CHF), back problems, respiratory failure, coronary atherosclerosis, cerebral infarction (stroke), and diabetes with complication. The full list identifies 20 health conditions that cost the nation the most in hospital charges in 2017. The top 10 represented 43% of the total national hospital bill. For Medicaid patients, complications during childbirth, schizophrenia and previous C-section were in the top 10. For self-pay patients/no insurance, diabetes with complications was the 3rd most expensive condition. 18-page Statistical Brief #261 by AHRQ uses 2017 HCUP data; published July 2020.

Arkansas Hospital Volumes, Prices, Quality Ratings – by name of hospital

Arkansas hospital volumes, prices, quality ratings and patient satisfaction are listed by name of hospital. Find average charges (a proxy for average costs) for 40 common hospitalizations at specific AR hospitals by Clicking on INPATIENT PRICING after you’ve selected your hospital. Price List varies by hospital, but may include maternity and childbirth, stroke, chest pain, stomach disorders, back pain, nutritional problems (diabetes), blood infection (septicemia), rehabilitation, heart attack, cardiac cath, drug coated stent, congestive heart failure, kidney failure, urinary infection, COPD, pneumonia, total hip or knee replacement surgery, hysterectomy, psychiatric care, ventilator support and more. Volumes are listed under the hospital’s Profile. To find quality scores on emergency department, heart attack, heart failure, pneumonia, COPD, stroke, delivery or surgical infections, and patient opinions, click on QUALITY at each hospital’s page. Hospital Consumer Assist is provided by the Arkansas Hospital Association. Prices from 2017; Quality and Patient Satisfaction scores reflect 2018 ratings. Information is outdated. No updates were made during 2020, 2021, or 2022. Medical inflation has been at least 15% since 2017.

Average Cost of Common Hospital Stays (HCUP)

Learn about the average cost for common hospital stays, by diagnosis. Average cost per stay for all diagnoses was $11,700 in 2016. Based on information included in the report, it appears that the 2017 average cost per stay was about $12,100. Therefore the estimated cost in 2022 dollars with medical inflation alone, would be about $13,900 per hospital stay. These numbers are estimated costs, NOT prices; they do not include physician fees. Add at least 15% for medical cost inflation to 2022.

Report shows 20 conditions with the highest total inpatient costs in 2017. Consumers can calculate the 2017 average cost (a convenience not provided in this report, unfortunately) for more than 20 conditions. For example, the average cost per stay for osteoarthritis calculates to about $15,900 (2017 dollars). The average cost per stay for a liveborn (newborn) calculates to about $4,000. Conditions include septicemia, osteoarthritis, spondylosis, newborn baby, acute myocardial infarction (heart attack), heart failure, coronary atherosclerosis, stroke, diabetes with complications, COPD, pneumonia, hip fracture, depression (using Medicaid data), obesity, and more. Breakouts are shown for Medicare, Medicaid, and private payer cases. Prices or charges will be higher. Statistical Brief #261 National Inpatient Hospital Costs: The Most Expensive Conditions by Payer, 2017 from Healthcare Cost and Utilization Project (HCUP), AHRQ July 2020.

California – 2021-2022 HMO, PPO, & Medical Group Ratings Report Card Editor's Pick

Find California HMO, PPO and Medical Group ratings report card for 2021-2022. Kaiser Permanente HMO Plan of Southern California received the highest ratings for Quality. Sharp Health Plan HMO received the highest ratings for member satisfaction. Two plans got the lowest ratings (Poor, one-star) for member patient experience: Health Net Life PPO and United Healthcare PPO. Compare 16 largest California HMO health insurance plans: Aetna, Anthem Blue Cross HMO, Blue Shield, Cigna, Health Net, Kaiser Permanente Northern and Southern CA regions, Sharp Health Plan, United Healthcare and Western Health Advantage. Compare 6 of the largest PPOs: Aetna, Anthem Blue Cross, Blue Shield, Cigna, Health Net Life Insurance Company, United Healthcare. Clear, simple star system (5 stars = excellent; 4 stars = very good; 3 stars = good, 2 stars = fair; 1 star = poor) used for overall rating. Actual performance scores are not given, but may be available through NCQA. Quality measures (based on HEDIS scores) for asthma, cancer screening, child health, chlamydia screening, diabetes, heart care, maternity care, behavioral and mental health, and other expected care. Member satisfaction stars also shown. Complaint rates are reported for health plans in a separate report. Nearly 200 Medical Group ratings also provided by county for the larger groups of doctors. For example, nearly 60 different Kaiser Permanente medical groups are included; Sutter, Scripps, Sharp and many more.  Prepared by the California state Office of the Patient Advocate (OPA).

California – Average Inpatient and Outpatient Prices, 2022 Hospital Chargemaster

California provides average prices for inpatient and outpatient procedures as of June 1, 2022, as listed in each hospital’s chargemaster. All CA hospitals are included. 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 2022 inpatient prices are listed only in each hospital’s 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 2022. Consumers can see one hospital at a time by downloading their chargemaster file.  Provided through California OSHPD, the state government Office of Statewide Health Planning and Development.

Colorado Average Cost for Office Visit, ER Visit, Outpatient Tests and Hospital Stay

Find out the average charge and average amounts allowed (cost) for an office visit, ER visit, outpatient tests and hospital stays in Colorado. More than 60 types of hospitalizations and almost 90 outpatient types are listed. Web site shows average price and amount paid in 2020 for each major insurance company. Compare the 9 regions such as Denver, Boulder, Ft. Collins, East CO, etc. Average cost for a 15-minute office visit (code 99213) was $101 in CO in 2020, compared to an average charge of $199. A new patient visit (99203) cost $176 for 30 minutes; the average charge was $288.  The most common type of ER (emergency room department) visit cost $1,293 (allowed) compared to $2,432 in charges. The ER visit code was 99283. The next two most common ER visit types cost $2,202 and $3,586 on average; their charges averaged almost $4,800 and $6,600 respectively. Most likely there were additional tests and imaging charges that were added to the bill.

Almost 13,000 Medicare Advantage cataract and lens procedures were done in 2020 (code 66984). While the average cataract removal charge was over $4,400, the allowed amount was $1,053. The Medicare member was responsible to pay $105 to $227, depending on insurance company. For other insurance, the member might have to pay $943 for a cataract removal. View prices and average costs for colonoscopy and ambulatory knee arthroscopy surgery. Inpatient costs include maternity and newborn charges, C-Section delivery, psychiatric admission, alcohol treatment, rehab, depression, diabetes and many more hospital stays. Consumers may wish to add medical inflation of at least 4.4% for 2022. Provided by the State of Colorado.

Compare Community Health Center ratings – FQHC Editor's Pick

Find and compare performance levels of nearly 1400 federally qualified community health centers (FQHCs) in each state. Together, they served nearly 29 million patients in 2021. Ratings on clinical measures include diabetes, hypertension, prenatal care, low birth weight, asthma, childhood immunizations, depression screening, weight management, dental sealants, cervical cancer screening and more. See Clinical Data section for three-year trends on “Awardees”. Altogether, the health centers have thousands of different sites across the US. They receive federal money to lower the price to low income patients. They are locally owned and managed. Services include primary medical care, dentist services, and mental health care. Excellent program if your community is lucky enough to have a community health center. UDS data from 2021.

Consumer Guide to Prevention – USPSTF Recommendations Editor's Pick

Recommendations from the US Preventive Services Task Force (USPSTF) for more than 100 Screening tests, Preventive Medication, and Counseling activities. Individual Consumer Guides for all different types of cancer, obesity, high blood pressure, speech and language disorders, hearing loss, chronic kidney disease, depression, diabetes, abdominal aortic aneurysm, sexually transmitted disease, osteoporosis, and much more. Counseling for alcohol misuse, diet and physical activity. In some cases, the site includes screening guidelines published by other experts, such as JAMA, the Journal of the American Medical Association. The USPSTF is an independent, volunteer panel of national experts in prevention and evidence-based medicine. Updated 2022.

Five Things Doctors and Patients Should Question (SGIM)

New list of 5 things that both doctors and patients should question. According to SGIM (Society of General Internal Medicine), these items may add expense without being helpful. They also can harm patients without having enough upside to justify the tests or procedures. See the recommendations about home glucose monitoring for Type 2 diabetes, routine annual checkups for some types of patients, routine pre-op tests, cancer screening in those expected to live less than 10 years, and PICC lines. Read carefully. Published January 2023, part of the respected Choosing Wisely program from the ABIM Foundation.

Florida Health Insurance Plans – Quality Ratings & Satisfaction

Find Florida health insurance plans member satisfaction and quality ratings. Topics may vary from year to year. They usually include cancer screening, diabetes, prenatal care, well child care, children’s dental care, high blood pressure for HMOs, Medicare HMOs and Medicaid. Aetna, AvMed, Better Health, Capital, CIGNA, Clear Health Alliance, Community, Coventry, Florida Health Care, Freedom Health, Health First, Health Options, Humana, Molina, Neighborhood, Positive, Prestige, Simply, Staywell, Sunshine, United Healthcare, Children’s Medical Services and others. Search by county. Member satisfaction for Aetna, AvMed, Capital Health Plan HMO (highest member satisfaction), Cigna, Coventry, Florida Blue, Florida Health Care Plan, Golden Rule PPO (lowest member satisfaction), Health First, Humana, Molina, Neighborhood, Sunshine Health, United. Easy to read. Choose stars or actual scores / ratings. Member satisfaction is recent (2020) for Medicaid plans, but old (2017) for commercial health plans. FL reports from floridahealthfinder.gov.

Florida Inpatient Hospital Ratings, Satisfaction, Average Price

Compare Florida inpatient hospital ratings on infections, patient satisfaction, average price (cost estimate), and readmissions. In the Quality Report Card column, find volume (number of hospitalizations) or how many procedures they do each year in various specialty service line, average length of stay, and readmission rate. 2020 and 2021 data.  State inspection reports are also shown on each hospital’s individual page. Click on Care Bundle Pricing $ icon to find hospital and an old report on average statewide charge. Prices are old, and estimated to 2018 or 2019 only. All age groups (not just Medicare), extensive set of health conditions/diseases, and the ability to sort with best FL hospitals at the top of the list, make this website helpful. While the Quality and Satisfaction scores are current, the cost information is not. Click on the hospital name to additional information about the hospital. Hysterectomy listed under Women’s Health instead of Surgery. FloridaHealthFinder.gov, updated 2022.

Hospital Ratings at HealthGrades (all states) 2023

HealthGrades Hospital Ratings (5-star, 3-star, 1-star) for 2023 on over 30 diseases & inpatient procedures: Stroke, back surgery, COPD, diabetes, gall bladder surgery, bowel obstruction, GI Bleed, hip fracture repair, hip replacement, total knee replacement, prostate removal, TURP, hysterectomy (listed under gynecologic surgeries), respiratory failure, pneumonia, cardiac bypass, heart attack, heart failure, angioplasty, defibrillator, pacemaker, valve surgery, sepsis, pancreatitis, pulmonary embolism, abdominal aneurysm, stomach surgery, peripheral vascular bypass & more. Probably Medicare-only data for most conditions, although some states provide maternity, appendectomy, and bariatric surgery (gastric bypass) data. More extensive list than the federal government’s site. Publicly-traded company. Most data in 2023 ratings are from Medicare patients, from 2018 to 2020. Patient satisfaction ratings (2020-2021 data) are featured by HealthGrades. One hospital at time, unfortunately. No longer Editor’s Pick, since HealthGrades removed the 3-year patient volume, and actual mortality or complication rates compared to predicted. Mostly, the site shows which ratings awards were given to the hospital by HealthGrades – a fee likely was required for publicizing the award.

How often do physicians advise patients to exercise?

Data from the National Health Interview Survey, 2010, show that about one in three adults (32.4%) who had seen a physician or other health professional in the past 12 months had been advised to begin or continue to do exercise or physical activity. NCHS Data Brief 86, February 2012. This data brief is no longer updated. However, updated results from the 2016 (or later) NHIS questionnaire may become available in the future.

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 10%.

Iowa Hospital Inpatient Charges Compare 2021 prices

Iowa Hospital Charges Compare provides information about volumes and average 2021 charges (amount billed) and median price at IA hospitals. This site is for consumers who want to find the average cost of surgery or other inpatient services. Select one hospital to begin. See price, length of stay, number of cases and more. Must select city first, then body system before finding the procedure. Provided by the Iowa Hospital Association, this is a starting point for comparing average cost of care between Iowa hospitals. Compare typical prices for surgery such as gall bladder removal, bowel surgery, knee joint replacement (only general knee surgery is shown for 2021, average cost of about $70,000); childbirth (listed under women’s health) and newborns, pneumonia, stroke, heart care, transplants, COPD, rehab, and many medical conditions. Severity of illness is shown. Limited focus to one service and category at a time. Average cost (and median charges) across the state are also shown for each procedure. Average charge for delivering a baby (vaginal, uncomplicated) was $11,618 in Iowa in 2021; moderate severity averaged $13,224. Average newborn (normal weight, uncomplicated) charge was $4,485. Physician and surgeon’s charges are not included in the prices. Updated 2022.

Joint Commission Disease-Specific Care – Certified Hospitals

Joint Commission Disease-Specific Care – Certified Hospitals helps you find hospitals that have achieved Certification or Advanced Certification in any of about 9 programs. Advanced certification in stroke care (Primary Stroke Centers or two other stroke designations) is the most common. Other advanced certification programs are in hip and knee, inpatient diabetes, perinatal services, and ventricular assist devices. Add-on certification is available for palliative care and primary care medical home. Many are listed as having Advanced programs. The Joint Commission is the leading accrediting body for hospitals.

Maryland HMO & Health Insurance Plan Ratings 2020-2022

Find the latest Maryland HMO and PPO Health Insurance Plan Ratings. The only plan to get a full 5-star rating was Kaiser Permanente HMO. Compare KP with Aetna HMO and PPO, CareFirst BlueChoice and GHMSI, Cigna, MAMSI PPO, MD-IPA, Optimum Choice and United Healthcare HMO and PPO. Member satisfaction (CAHPS), getting appointments, flu shots, and many clinical measures of care such as Diabetes, breast cancer screening, behavioral health, well child care are some of the measures. Quality scores are 80% of the overall performance rating. Check Consumer Ratings, Clinical Ratings and Provider Network Ratings that make up the total score. Most scores reflect what happened in 2021. They were published in October 2022. Maryland Health Plan guide is by the Maryland Health Care Commission.

Medical Terms – What did my doctor say? (MLA)

Medical Terms – What did my doctor say? is explained by the Medical Library Association (MLA).  This site explains and defines common healthcare terms, so you can better understand your doctors and staff. From words ending in “ectomy” to Zygote, many medical terms are defined here. Includes definition of RSV.

Michigan – Compare Physician Groups in SE Mich.

Compare physician groups in southeast Michigan. The Greater Detroit Area Health Council provides a 7-county health care performance report at MyCareCompare.org. Compare medical groups (side-by-side) for diabetes care, cancer screening, blood pressure control, antibiotic use, strep throat testing, well child visits, immunizations, weight assessment, physical activity counseling, nutrition counseling, sexual health, low back pain, asthma medications, cholesterol and heart disease care. Easy to use. Medical groups are in Detroit, Ann Arbor, Pontiac and counties: Wayne, Washtenaw, Livingston, Macomb, Monroe, Oakland, and St. Clair. GDAHC was an early leader in quality transparency. Medical group data from 2018; no updates as of March 2022.

Minnesota, ND, SD, WI – Physician Clinic Ratings – HealthScores

Find HealthScores Physician Clinic Ratings in Minnesota, North Dakota, South Dakota and Wisconsin. See one clinic at a time. Over 500 participating medical groups, hundreds of clinic locations and urgent care centers in MN; Fargo, Grand Forks, ND;  Sioux Falls, SD and some WI communities for diabetes, knee replacement, vascular care, mental health (depression), cancer screening, controlling high blood pressure, heart (coronary artery) disease, asthma, vaccinations, appropriate care for children with colds and sore throats and more. Some clinics also have patient satisfaction scores. Medical groups include Allina, Altru, Apple Valley, Aspen, Avera, Brainerd, Children’s Physician Network, Dakota Clinic, Edina, Fairview, Fergus, Grand Itasca, Gundersen, HealthEast, HealthPartners, Lakewood, Mankato, Mayo Clinic, North Memorial, Northfield, Olmsted, Park Nicollet, Ridgeview, Sanford, St. Cloud CentraCare, St. Luke’s, St. Mary’s Duluth Clinic (Essentia), Stillwater, United, University of Minnesota, Winona Health Services, and more; OB-GYN clinics and Orthopedic clinics. Report by MN Community Measurement (founded by the MN Medical Association and seven non-profit health insurance plans). Annual data from 2021. Updated 2022. Very small font and no side-by-side comparisons make this less user-friendly than in the past.

Missouri Hospital ER Cost and Inpatient Prices and Quality – Compare Hospitals Editor's Pick

Missouri hospital ER prices, inpatient cost and quality ratings. To compare hospital costs, click on Find a Hospital, then Pricing Data to find the average 2021 price (median charge) for common inpatient medical conditions and surgeries at Missouri (MO) hospitals. In addition, if you click on the arrow to expand, you will find a range of charges, average length of stay, and number of cases per year shown. Childbirth, maternity, mental health, hip and knee surgery, heart care, etc. Must know the general body system (such as musculoskeletal) in order to search inpatient prices.

Emergency department (ER Emergency Room) visit costs are shown separately by “level”. In Missouri, nearly 2/3 of the ER visits were at Levels 3 and 4. Median charge for Level 3 ER visit in 2021 (the most common, moderate severity & moderately complex case) was $1,746. This was 7.6% higher than last year. The second most common ER visit was Level 4 (high severity), had an average cost of $4,435, up almost 7% from 2020. The highest possible Level 5 visit cost $7,748 on average, up 9% from 2020. Just 11% of ER patients were classified as Level 1 or 2; the median prices for these low level visits were $541 and $880 respectively. Average prices shown for 2021. We assume these average costs reflect base price only, without “extra” test costs, and possibly without physician fees. Such information was not readily available at the site. The cost numbers are “sticker price”, not what insurance pays after discounts. Hospital “self-pay discounts” (e.g., 30% or 40% discount off the full charges) are listed at the site. Hospital Quality data also shown at this site. Compare hospitals on infections, readmissions, falls, and other patient safety results. Editor’s Pick for putting all of this information in one place and timely reporting on quality and costs. Published by the Missouri Hospital Association.

NCQA Physician Recognition Programs: Diabetes, Heart & Stroke, Oncology

NCQA Physician Recognition Programs for Diabetes, Heart/Stroke, Oncology (Cancer care) and various other electronic record or Patient-Centered Medical Home programs. In addition, one can filter results to show those with Distinction in Behavioral Health Integration. Report Card lists physicians who meet program requirements and high-quality care standards in these programs. NCQA is National Committee for Quality Assurance. Limited information on doctors – name, address, phone

Nebraska Hospital PricePoint System (Inpatient Charges)

Find average price and typical charges for most types of inpatient hospital stays in Nebraska for 2019. Compare average hospital prices in the PricePoint system. Example of hospitalizations: maternity prices, angioplasty, heart surgery, some cancer services, hip & knee surgery, bowel surgery, kidney and other transplants, pneumonia, stroke, some mental health psych services, UTI, gall bladder surgery (inpatient only). If you can’t find it, check the comprehensive list (e.g. MDC 19 for mental health).  Vaginal delivery (mom only) cost $9,725 on average; normal newborn was $3,575. Includes volume, average length of stay in the hospital, and median age of patient. Does not include physician costs. Shows one hospital/ one disease or condition at a time along with the state median charge. Or compare hospitals (statewide numbers are not shown in this view); 2019 data. All cities including Omaha, Lincoln, Grand Island, Creighton, Norfolk, Kearney. NHA Care Compare is sponsored by the Nebraska Hospital Association. No updates as of April 2022.

New Jersey HMO and PPO Performance Report – Compare plans

Compare six New Jersey health insurance companies (HMO/POS and PPO/EPO health insurance plans). Performance reports from Aetna, AmeriHealth, CIGNA, Horizon, Oxford and United, on quality ratings related to asthma, COPD, cancer screening, heart care, hypertension, diabetes, new moms, immunizations, strep tests, mental health medication and followup; frequency of imaging tests for lower back pain, cardiac cath and tonsillectomies; well child care, more. Easy to read. 2018 report published by NJ Dept. of Banking and Insurance, June 2019. No updates as of mid-October 2022. However, recent enrollment in each health plan is provided through 2021. Quarterly enrollment reports available.

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.

Pennsylvania Hospital Performance Report 2021 | PHC4 Editor's Pick

Find hospital performance reports in Pennsylvania for 2021, through PHC4. Compare PA hospitals on Mortality Rating (relative survival rate), Average Charge (price), and Readmission rates. Thirteen (13) conditions in the reports include heart failure, abnormal heartbeat, heart attack, stroke, intestinal obstruction, COPD, diabetes, kidney failure, urinary tract infections, sepsis, blood clot in lung, chest pain, and respiratory failure. As an example, there were 57,037 sepsis cases in Pennsylvania in 2020-2021, with an average mortality rate of 10.9%. (In the prior year report, those with Covid were separated. The sepsis patients with Covid, led to a 27.9% mortality rate in the prior year). The average charge for Sepsis was $73,112. (In a separate report, you can find that Medicare most often paid an average $12,830 for sepsis.) About 18% were readmitted. There were 24 hospitals that had worse mortality than expected for sepsis; and 18 hospitals that had significantly lower mortality than expected. Symbols for Mortality ratings can be confusing – a higher mortality rating means worse survival.  Older reports may have laparoscopic gallbladder removal information and pneumonia information. No orthopedic (hip or knee) surgery included. Data from Oct. 2020 to Sept. 2021, published by the Pennsylvania Health Care Cost Containment Council (PHC4), December 2022.

Rhode Island – Top Ratings for Health Insurance Plans (NCQA)

Find top NCQA ratings for health insurance plans in Rhode Island. No plans earned the top 5.0 rating from NCQA this year. 2022-2023 Ratings. Based on Quality, Member Satisfaction and accreditation results. Five health plans earned 4.5 stars. Updated October 2022.

South Dakota Hospital Prices – by name of hospital, 2021 costs

Find South Dakota hospital prices (2021 costs), by name of hospital. SD PricePoint shows average inpatient charges and typical (median) prices for 2021 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 2021 price for a vaginal delivery with no other procedures was $11,316 in SD hospitals; average healthy newborn stay was $4,638. Costs exclude doctor fees. All common hospitalizations shown, such as births and maternity delivery, knee replacement (average price about $44,512 minor severity), heart failure, pneumonia, bowel procedures, COPD, angioplasty, inpatient laparoscopic gallbladder removal (average price $52,222 for moderate severity) and much more. Site shows number of cases and length of stay also. Site by SDAHO (South Dakota Association of Healthcare Organizations, the state’s hospital association. Formerly affiliated with PricePoint. Updated in 2022.

Texas – Guide to Texas HMO Quality 2020-2021 (OPIC)

The Guide to Texas HMO Quality 2020-2021 shows detailed clinical quality comparisons of HMO health insurance plans.  Compare HMOs Aetna, Christus, Cigna, Community First, FIRSTCARE, HMO Blue Texas, Humana Health Plan, Memorial Hermann, Scott and White, and United Healthcare of Texas. Indicators include asthma, childhood immunizations, cancer screening, heart care, high blood pressure, diabetes care, prenatal care, behavioral health, mental illness care and followup, opioid prescriptions, flu shots, antibiotic utilization rates, rates of physician board certification, and more. Lengthy (226 pages) but valuable report. Published by TX Office of Public Insurance Council. No updates as of October 2022.

usnews.com Best Hospitals 2022-2023: Diabetes Rankings

Mayo Clinic (Rochester, MN) and Massachusetts General Hospital (Boston) lead the 2022-2023 US News & World Report ranking of 50 best hospitals for Diabetes and Endocrine Disorders. Uses Medicare data from 2018 to 2020 (required minimum number of 234 Medicare patients in this specialty, over a 3-year period).

usnews.com Best Hospitals 2023-24: Pediatric and Children’s Hospitals

US News & World Report’s top pediatric hospitals for 2023-2024. Best children’s hospitals ranked and rated for pediatric cancer; cardiology and heart surgery; diabetes and endocrinology; gastroenterology (digestive disorders) & GI surgery; neonatology; nephrology (kidney); neurology and neurosurgery; orthopedics; pulmonology (respiratory problems) and lung surgery; and urology. Honor roll of 10 hospitals is led by Cincinnati Children’s Hospital, Boston Children’s Medical Center, (second), and Texas Children’s in Houston (third). Regional pediatric ratings also available. (For example, best children’s hospital in the Mid-Atlantic region was Children’s Hospital of Philadelphia.) Ratings called Best Children’s Hospitals updated June 2023. Detailed hospital scores and ranking for individual measures such as survival, are in the Methodology report. Consumers can compare children’s hospital scores side-by-side in Appendix C.

Utah HMO and PPO Health Insurance Plan 2022 Ratings

Get Utah HMO and PPO health insurance ratings for 2022. Includes commercial health insurance plans Aetna, Cigna, Humana, Regence Blue Cross Blue Shield, SelectHealth, United Health Care; and Medicaid plans (Health Choice Utah, Healthy U, Molina, SelectHealth Community Care and CHIP Molina, CHIP SelectHealth) on on antidepressant medications, back pain, cancer screening, and high blood pressure; diabetes, prenatal & maternity, preventive care, well-child visits & immunizations, and more. Additional information for Medicaid plans on dental visits and mental health followup care. Shows actual performance rates. Quality Measures Performance Report uses 2020 data. By utah.gov Office of Healthcare Statistics, January 2022.

Virginia – Compare HMOs (Quality and Satisfaction)

Compare Virginia HMOs on both quality and member satisfaction. Easy to use tool to compare insurance plan ratings: Aetna, CareFirst BlueChoice, Coventry Health Care, HealthKeepers (both Peninsula and Priority), Innovation Health Plan, Kaiser Mid-Atlantic, Optima, Optimum Choice, United Healthcare MidAtlantic and River Valley. Choose measures for access, asthma, ADHD, cancer screening, heart, diabetes, immunizations, medications including opioid prescribing, mental health care (e.g., best results for 7-day follow-up after a Mental Health ER visit is Kaiser foundation Health Plan at 54%, compared to Optimum Choice at just 36%), preventive care, spirometry for COPD, prenatal, maternity and newborn care; weight assessment, well child visits and childhood illnesses, member satisfaction for 2020 and more. Also includes number of physicians, number of enrollees, and financial data. Updated February 2022.

Wisconsin Collaborative (WCHQ) – Compare Physician Group Ratings

Physician group ratings from the Wisconsin Collaborative (WCHQ). Compare Wisconsin doctor clinics on scores for behavioral health (Depression screening); diabetes, cancer screening (Breast Cancer, Cervical Cancer & Colorectal Cancer); heart care, high blood pressure, tobacco use; HPV vaccine, pediatric vaccines, well child visits; Oral health and more. Includes Agnesian, Aspirus, Aurora; Ascension Columbia St. Mary’s, Wheaton, North Region & Fox Valley; Associated Physicians, Bellin, Beloit, Children’s Hospital of WI, Divine Savior, Mayo Clinic Eau Claire and Franciscan La Crosse, Fort Healthcare, Froedert, Gundersen Clinic, Marshfield Clinic, MercyHealth, Monroe, Prairie Clinic, Prevea, Primary Care Associates Appleton, ProHealth, Reedsburg, SSM Dean, Sauk Prairie, ThedaCare, Unity Point-Meriter, UW Health, and Wildwood. Some medical groups report scores by individual clinic location. The Sort-by-Result option helps you see better performers on the top of your list for some items. Bar chart reports; use the hover feature in order to see the actual performance scores. Reports by WI Collaborative for Healthcare Quality (WCHQ); 2019 and 2020 data for most measures.

Health Conditions, Glossary and Specialty Reports
Related Blog Posts
Contact Us

We're not around right now. But you can send us an email and we'll get back to you, asap.

Start typing and press Enter to search

Consumer Health Ratings