California provides average prices for inpatient and outpatient procedures for 2019, as listed in the hospital’s chargemaster. All CA hospitals are included. The most useful and understandable Excel files are the ones that show prices for at least 25 common outpatient procedures. Look for separate file names (e.g. Common25 in the filename), or the tab sheet for form AB 1045. 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 2019 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 will need to wade through a few thousand services listed in the chargemaster to find what you want to know. Look for CDM in the file name.
Files are in Excel file format. Prices are from 2019. Consumers can see one hospital at a time. Rate increases are also shown in these files. Provided through California OSHPD, the state government Office of Statewide Health Planning and Development.
Find average 2018 cost across CO for more than 50 types of hospitalizations. Click on View Reimbursement by Diagnosis or Insurance Provider to see average total charge in 2017, and what the insurance company reimbursement was. While the patient’s responsibility is not shown, we appreciate the transparency between prices and amounts paid. Example: Major joint replacement without complications priced at $78,874 had an average insurance payment of $26,588, or about 1/3 of the charges. Uncomplicated delivery was priced at $16,500 in 2017 (17,545 in 2018), with insurance companies paying $7347 in 2017. Similar for newborns – $5171 average price, insurance paid $2341. Insurance company payments appeared to go down in 2017, while charges went up. Consumers are also able to see actual hospital prices (Click View Hospital Charges, then select year 2018 and procedure). Example: Average 2018 price for major joint replacement at hospitals that performed at least 100 procedures, ranged from $13,941 in Meeker (Pioneers Medical Center), to $131,513 at Sky Ridge Medical Center in Lone Tree (nearly 10 times higher; midrange 208 price across hospitals was about $79,000. Physician charges are not included. Published by the State Department of Regulatory Agencies, Division of Insurance, and Colorado Hospital Association. Updated 2019.
Compare Florida inpatient hospital ratings on patient satisfaction, how many procedures they do each year and infections. Search by condition to find volume (number of hospitalizations) and length of stay, 2017-2018 data. State inspection reports are also shown on each hospital’s individual page. Find average statewide charge, and range of charges (price range) for each condition, with prices dating back to 2016. 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. Click on the hospital name to additional information about the hospital. Hysterectomy listed under Women’s Health instead of Surgery. Florida no longer provides hospital-specific price ranges or readmission rates. FloridaHealthFinder.gov, updated 2019.
Compare IL hospitals on heart attack, heart failure, pneumonia, surgical infection prevention, knee arthroscopy, cardiac surgery, safety measures, infection rates, some survival information, patient satisfaction, more. See volume and 2016 median charges (closest you’ll get to average cost) for selected types of inpatients (e.g. birth, c-section, appendectomy, COPD, gall bladder), and outpatients at ambulatory surgery centers (such as arthroscopy priced at over $33,000 average in IL, bunionectomy [which had a statewide list price nearing $20,000], hernia repair, colonoscopy, lens, lumpectomy, tonsillectomy). Prices may be found under the SERVICES tab. May get a full report for one hospital at a time, or one measure at a time for multiple hospitals side-by-side, with state averages. Hospital Report Card by IL Dept. of Public Health (IDPH) for all IL cities incl. Chicago area, Peoria, Rockford, Springfield, Champaign. Updated 2019, using 2017 prices and 2018 quality data
Acute care hospitals in Indiana report financial information for 2018. Includes revenue, expenses, and some community education & training activities. Site by IN State Department of Health. Last updated 2019
Find the average charge for both hospital and doctor visits in 2018 to 2019. Typical vaginal delivery costs (charges) in Maine in the 12 months ending March 31, 2019 averaged $12,659 for Childbirth delivery and 60 days of related care. (Does include physician care, but probably not newborn charges). An uncomplicated C-Section averaged just over $21,000. 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 ($102 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 $225. An ongoing 60 minute psychotherapy visit (90837) cost $100 on average. Uses CPT codes. From Maine Health Data Organization in State of Maine
Compare recent charges in Maine for surgery, x-ray, imaging and lab tests across hospitals and medical groups. MHDO Maine Health Data Organization’s website shows average charges (median prices) 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. Surgical prices from 2018-2019. Office visit and test prices are from 2018-2019 charges. Updated in 2020. Search by city or zip code radius. From maine.gov
Compare volume and average charges (prices) at each Maryland hospital (by name) and statewide for 100 most common inpatient diagnoses (severity adjusted using APR-DRGs) – including newborns (avg. $2142), childbirth vaginal delivery ($8173), c-section (avg. $10,081), heart failure, cardiac arrhythmia, pneumonia, COPD, septicemia, cellulitis ($11,000), knee joint replacement (avg. $22,643), major depression ($10,929), bipolar admissions ($10,411 state average), schizophrenia ($13,917) stroke, urinary tract infections ($9308) and rehabilitation ($26,196). Data from first half of 2018. State average not included for things like cancer, hysterectomy, digestive problems, but may be available for individual hospitals. Each hospital reports its top 100 types of cases. By MD Health Care Commission MHCC 2019
Click on Find a Hospital, then Pricing Data to find the price (median charge) for common inpatient medical conditions and surgeries at Missouri (MO) hospitals. Range of charges, average length of stay, and number of cases per year shown. Childbirth, maternity, mental health, hip and knee surgery, heart care, etc. Must know the general body system (such as musculoskeletal) in order to search inpatient prices. Emergency department (ER Emergency Room) base prices are separately shown by level. In Missouri, more than half of the ER visits were at the highest possible levels 4 and 5 (high severity). Median charges for Level 4 were $3538 and for Level 5 the median price was $6498, Oct. 2017 to Sept. 2018 data. Level 3 (moderate severity & moderately complex case) median charge was $1409. Prices shown for 2017-2018. Hospital Quality data for 2018 also shown at this site. Compare hospitals on infections, readmissions, falls, and other patient safety results. Editor’s Pick for putting all of this information in one place and timely reporting on quality. Published by Missouri Hospital Association
Compare inpatient prices at Montana hospitals. MHA PricePoint shows median and average charges for inpatient stays (2018 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 in MT averaged 6.5 days with a median charge of $11,243 and average cost $15,062 in 2018. Joint replacement was $41,084 average, 2.3 day stay (less than half as long in 2016). Uncomplicated maternity stay cost $10,485 in 2018 (average charge). Consumers may wish to add about 5.8% medical inflation to estimate 2020 prices. Discounts to insured patients are not shown. PricePoint site by MHA-Montana Hospital Association.
Find average price and typical charges for 67 types of inpatient hospitalizations in NV. Examples: childbirth prices, COPD, heart surgery, pacemaker, stents, hip & knee surgery, digestive problems, psychiatric hospitalization, rehab. Average length of stay in the hospital also given. Average price for vaginal delivery without complications in Nevada in 2018 (mom only) was a whopping $22,150, 1.9 days average length of stay. The median charge was about the same, for a cost of nearly $12,000 per day. Average c-section price was $37,000, without complications. A normal newborn charge averaged $4654. Physician fees are extra and not shown. Choose Comprehensive Query for prices on many other conditions not on the Basic list. Get one hospital/one disease or condition at a time, then select other hospitals to compare; 2018 charges shown. Sponsored by the Nevada Hospital Association. Information is very timely.
Find the average charge (closest available to inpatient cost) for a Oklahoma hospital stay (compare OK hospital prices) by Principal Diagnosis (i.e., disease) or DRG. Example we found was the average commercial price in Oklahoma for mood disorders (mental health) was $13,280 in 2016, with an average length of stay of 6.2 days. Similarly, a major joint replacement (e.g. knee or hip replacement) without complications averaged about $51,000 for commercial insurance patients. Average stay in the hospital was 2.4 days. Statewide or county-specific statistics on volume and average length of stay also found in this dataset. May specify data for a certain age group and sex. Geared to researchers and health care professionals, rather than for consumers. If this website was meant for consumers, it would get the User-Unfriendly Award due to its complicated diagnosis choice sections. 2016 data are the most recent available from OK2SHARE by the OK State Dept. of Health’s Health Care Information
Compare PA hospitals on Mortality Rating (relative survival rate), Average Charge (price), and Readmission rates. Sixteen (16) conditions in the pdf reports include heart failure, abnormal heartbeat, heart attack, angioplasty and stent, pneumonia, stroke, laparoscopic gallbladder removal, COPD, colorectal surgical procedures, diabetes, kidney failure, urinary tract infections, sepsis, chest pain, and respiratory failure. Grouped by region. As an example, there were over 68,000 sepsis cases in Pennsylvania in 2016-2017, with an average mortality rate of 9.3%, and average charge close to $56,000; about 18% were readmitted. Symbols for Mortality ratings can be confusing – a higher mortality rating means worse survival. No orthopedic (hip or knee) surgery included. Data from Oct. 2016 to Sept. 2017, published by the Pennsylvania Health Care Cost Containment Council (PHC4), November 2018.
SC Department of Health & Human Services shows how much the state paid for Medicaid costs, by type of service. It appears that the average amount paid per visit was about $38 (physician) and $88 (clinic); and $5256 for a hospital inpatient stay. Consumers can also compare what each provider was paid by downloading the full datasheet (Excel file). Full charges (prices) are NOT shown. Medicaid Transparency Reporting project, FY 2012 data is latest available
Find out and compare SD hospitals on 2017 average charges, or median (typical) price. After you select one hospital, you can see the average charge in all of South Dakota (e.g. avg $5077 for normal newborn, or $3905 median. Vaginal delivery for mom was $10,736 average price, and $9868 median. C-section average cost $23,518.) All common hospitalizations shown, such as births and maternity delivery, knee replacement (average price about $47,000), heart failure, pneumonia, bowel procedures, COPD, angioplasty, kidney transplants (median $247,637), inpatient laparoscopic gallbladder removal (average price $48,000, but $50k to $55k avg. in Sioux Falls) and much more. Also shows volume and length of stay. PricePoint site sponsored by SDAHO (hospital association)
SD PricePoint shows average inpatient charges and typical (median) prices for 2017 at South Dakota hospitals. View one hospital at a time, or compare to hospitals for the same type of hospitalization. Select additional cities to add comparisons. Average hospital prices across the state are also listed. As an example, the average 2017 price for a vaginal delivery with no other procedures was $10,736 in SD hospitals. Costs exclude doctor fees and newborn care. Site by SDAHO (South Dakota Association of Healthcare Organizations, the state’s hospital association
Compare patient experience ratings and overall star quality ratings by hospital name in Utah. Site appears to use the same ratings as HospitalCompare. Dates are not shown. Click on the hospital name to see the full, detailed report which includes quality measures for infections, heart care, surgery, colonoscopy, readmissions, maternity care, pneumonia care, stroke and more. Also shown is median hospital cost for maternity care (covers mother and baby charges). Utah statewide cost in 2011 to 2013 was about $11,000 to $12,000 (vaginal, depending on having an epidural, about $13,000 to $14,000 in 2019 dollars); about $15,000 for Cesarean delivery ($18,000 in 2019 dollars). Consumers can compare the old maternity prices by viewing the individual hospital report, and scrolling. Utah HealthScape website is published by Health Insight, a QIO Quality Improvement Organization.
This file is for administrators who want to examine UT hospital market share by DRG (62 DRGs) or APR-DRG or MDC, or Average Prices and Length of Stay, or case mix trends from 2014. Discharge status (e.g. to home care, or expired, etc.) also provided. Average statewide charges start on page 18; hospital-specific information starts on page 24. Sample average 2014 prices: Major joint replacement $41,224 ($46,600 in today’s dollars with medical inflation); uncomplicated delivery $7622, normal newborn $2829, and Psychoses $19,073 (9.7 day average length of stay). Title: 2014 Utah Inpatient Hospital Utilization and Charges Profile – Hospital Detail is 450 pages long; released by UT Health Data Committee, UT Dept. of Health, 2016. No updates available for 2019.
Utah provides average charges (price) statewide, and on a hospital-specific basis for many common inpatient stays, such as pneumonia, stroke, appendectomy, hip and knee procedures, gall bladder surgery, hysterectomy, heart failure, heart attack, chest pain, coronary bypass, heart valve procedures, vaginal and cesarean deliveries, newborn births, chemotherapy, psychoses, alcohol or drug abuse, rehabilitation, back and neck procedures, digestive disorders, abdominal surgery, nutritional/metabolic problems, transplants and much more. To find psych (mental health, bipolar, schizophrenia) admission costs, for example, you will need to click on LOOKUP. Volumes (2016 data) and length of stay are included; does not include average cost for physicians. Consumers may adjust for 2019 costs by adding 3-year price inflation (at least 6% more). As with other PricePoint Systems, view one UT hospital at a time. Utah Hospital Association
State of Vermont (Act 53 Hospital reports) lists volume of inpatient hospital admissions for each VT hospital, along with the average price (charge) for the top 20 types of admission (by MS-DRG). Section on Pricing of Common Serivces – Counts. 2019 report cards show counts to calculate market share for year ending Sept. 30, 2017
Virginia Healthcare Prices shows average price ALLOWED (commercial insurance prices) in 2017 for almost 40 common healthcare services in VA. Includes a mix of outpatient, clinic, hospital stays and other services such as an ambulance (average $522) or helicopter ride (almost $17,000). Examples: hospitalizations (maternity), outpatient xray/imaging, CT and MRI tests; colonoscopy, mammogram; inpatient or ambulatory surgery (e.g. hernia, gall bladder, knee replacement, tonsillectomy, kidney stones); and ER or office visits. Shows median and range of costs and provides a breakout by type of cost: facility, surgeon, anesthesiologist, etc. Also shows average price by setting: clinic vs. hospital vs. ambulatory surgical center; and region of Virgina. Median physician office visit cost was $77. The 2019 report shows the average allowed amount for each service that you or your insurance plan ACTUALLY PAID in 2017. More relevant than most pricing information, but lags in timeliness. Add at least 4.1% medical inflation rate to estimate 2019 costs. Virginia Healthcare Pricing Transparency, from Virginia Health Information (VHI), updated May 2019
Check prices (charges), volume, and average length of hospital stay for more than 100 types of common hospitalizations in Virginia. Side-by-side comparisons if you select additional hospitals. Topics include costs for childbirth, delivery, newborn, C-Section; mental health, depression, psychiatric, alcohol rehab; hip or knee surgery; heart failure, chest pain, cardiac cath, bypass, heart transplant, pacemaker, valve, stent; pneumonia, rehabilitation, digestive disorders, small or large bowel surgery, back and neck problems, spinal fusion, bone cancer and more. Includes state and regional average charges. Example: Vaginal Delivery (APR DRG 560) average cost was $12,274 statewide; median charge was $10,891. Add medical inflation for 2019 estimates. Provided by the VA Hospital & Healthcare Association (VHHA); PricePoint systems, 2017 data
Compare hospital inpatient prices in the state of Washington. Find out the typical charges (2018-2019 prices) to estimate the average cost of hospital surgery or medical problems. About 60 types, including maternity care, newborn cost, psychiatric hospitalization, knee joint replacement, and digestive problems are covered. Shows one procedure or type of hospitalization at a time, similar to other state pricepoint systems. Up to 4 hospitals can be compared at once. Number of cases for each illness are shown. Search by city or by county. Presented by the WA State Hospital Association (WSHA)
Find average facility charges and volumes for each Wisconsin hospital. Charges exclude physician and surgeon fees. Two-page summary for each WI hospital’s number of births, and other types of inpatient stays: Stroke, Knee replacement (APR-DRG 302), hip replacement (301), COPD, Pneumonia, Heart Failure, Bowel surgery, Septicemia, Psychoses, etc. Full report also shows statewide median charges for the year 2018. Released by WHA Information Center September 2019
Wisconsin PricePoint tool shows average hospital price, median charge and length of stay for common inpatient services. Hospitalizations include maternity and newborn births, hip or knee replacement surgery, gallbladder removal, heart surgery, angioplasty, arrhythmia (irregular heartbeat), valves, cardiac cath, pacemaker, pneumonia, bipolar and other mental health, stroke, back care, asthma, COPD, rehab; kidney, heart, lung or other transplant; hysterectomy, prostate surgery, bowel surgery & more. Also shows inpatient volumes if you click on more detail. From WHA Information Center, part of the Wisconsin Hospital Association WHA Information Center. Surgeon fees NOT included, nor are dates shown on the consumer version of the PricePoint tool. (See dates by going through the professional tool, from the Home page.) Compare hospitals by city (anywhere in the state by adding cities). Wisc. Hospital Assn. created the PricePoint System now used in other states. This version of Pricepoint has been modified to be payer-specific, although gross charges (sticker price) should be the same for all patients. Must watch a video before proceeding to see the prices; you may also need specific medical information about the procedure in order to select the price you are interested in.
Compare inpatient charges in Wyoming for 60 common types of hospital admissions, like childbirth (average price for uncomplicated vaginal delivery in state was $9323), newborn, hip or knee joint replacement, surgery (average charge $54,605 without complications), heart valves or stents, pneumonia, psychiatric admission ($19,055 average price for severe psychological disorders including schizophrenia, with average 9 day stay in hospital), rehab, and many more. Average cost in WY is also shown. Site shows one hospital at a time. WyoPricePoint by the Wyoming Hospital Association, shows 2016-2017 prices
Compare hospital and outpatient surgery costs in Oregon. The most recent set of 5 reports by the government OHA – Oregon Health Authority, shows the median amount PAID by commercial insurance companies in 2017. Costs paid, are after any discounts off charges (prices) have been taken. Select OUTPATIENT SURGERIES Report for same-day procedures such as breast biopsy ($3,302 median paid in 2017), carpal tunnel ($4.313), colonoscopy ($2,383), ambulatory gallbladder surgery ($11,697), hernia repair ($8,605 median paid), knee or shoulder arthroscopy, tonsillectomy ($6,380), tympanostomy (ear tubes $4,680), upper endoscopy, and more. Select INPATIENT Procedures Report to compare hospitals on costs for appendectomy, coronary bypass, kidney removal, inpatient gallbladder surgery or hernia repair, inpatient hip replacement, hysterectomy, angioplasty and more. Select PREGNANCY report to find 2017 maternity costs paid (about $8,400 for normal delivery, $14,838 for uncomplicated c-section and $2,200 for newborns). Compare hospital payments for IMAGING such as CT, MRI, Nuclear Medicine tests, ECG, x-ray, bone density studies. Compare amounts paid for RADIATION AND (outpatient) CHEMOTHERAPY infusions or injections. These helpful reports cover a large set of services, are easy to use, and show each hospital’s payment, along with what was paid the year before. Unfortunately, the information is two years old. When estimating, consider medical inflation which has been about 4.1% from 2017 to 2019. Pub. July 1, 2019