Updated fact sheet 2017 from CDC News release by NIH states that 30 million people (about 15% of US population) now have chronic kidney disease, with the vast majority (96%) of people having no idea they have the disease in its early to mid-stages. Such prevalence leads to more dialysis and kidney transplants. If sizable efficiency improvements don’t happen, and the incidence of kidney failure continues to rise, look for rising health insurance premiums
Diabetes and hypertension are the two most common causes of end stage renal disease (ESRD). Estimates that for every person on renal dialysis, 20 to 30 patients have some lesser degree of kidney disease. Pubmed article by Malvinder Parmar, a director of dialysis in Canada, published in BMJ July 2002 outlines the five stages of chronic kidney disease that results in end-stage renal disease, or kidney failure.
Kidney damage from diabetes, called diabetic nephropathy, begins before you show symptoms. Diabetes is listed as the most common cause of kidney failure in the US – for which people require kidney dialysis or a kidney transplant. Learn about the connection between diabetes and ending up on renal dialysis
Compare services and ratings on kidney dialysis facilities in any state or US territory, by Medicare.gov. Quality measures show relative survival among facilities and quality of care provided to Medicare patients at hospital-sponsored centers, nonprofit and for-profit dialysis centers. Patient satisfaction results also shown for each dialysis center. Time periods covered, are generally 2017 to 2018. Resources on kidney failure and end stage renal disease (ESRD) also linked
The American Kidney Fund (AKF) lists Patient Aid Programs (call toll-free at 1.866.300.2900) for qualified patients to get direct financial assistance for dialysis or kidney failure costs.
A comprehensive list of topics from the National Kidney and Urologic Diseases Information Clearinghouse, part of the National Institutes of Health (NIH). Consumer-friendly information on topics such as chronic kidney disease (CKD), dialysis, hemodialysis, kidney stones, transplants, urinary tract infection
NIH Fact Sheet on Diabetic Kidney Disease. Diabetes is the leading cause of kidney disease. About 1 out of 4 adults with diabetes has kidney disease. Updated 2017
Includes information on causes of kidney stones, symptoms, lithotripsy and more. Updated 2016. Toll-free number 1-800-622-9010
Waiting list numbers of people waiting for a transplant: Kidney, pancreas, liver, intestine, heart, lung transplants. In May 2019, about 95,000 people were waiting for a kidney, and 13,000 for a liver. Survival rates shown by age, sex and ethnicity.
One-page summary of number of organ transplants and grafts, shows 21,167 kidney transplants were done in 2018, up 28% from 2008. Next most common was liver transplants (8,250 in 2018, up 30% compared to ten years earlier.) Survival rates can also be found at this site by OPTN, the Organ Procurement and Transplantation Network.
Two volumes of fairly technical information and statistics (e.g. mortality) for CKD and ESRD. View chapters as slides or PDF. Annual Data Report published by the US Renal Data System (USRDS) 2017
See our main category on Costs to see how specific hospitals and ambulatory surgery centers or clinics COMPARE on average prices or charges for many surgeries, hospitalizations, procedures and outpatient tests. The LEARN MORE listings show general average costs in your region if available
The top 10 of 20 most expensive conditions that people get hospitalized for are led by Septicemia, osteoarthritis, liveborn infants, complication of device, implant or graft; heart attack (AMI), congestive heart failure (CHF), back problems, pneumonia, coronary atherosclerosis and acute cerebrovascular disease. The full list identifies 20 health conditions that cost the nation the most in hospital charges in 2013. The top 10 represented nearly half (48%) of the total national hospital bill. For Medicaid patients, mood disorders, schizophrenia and previous C-section were in the top 10. For the uninsured, diabetes with complications was the 4th most expensive condition. 15-page Statistical Brief #204 by AHRQ uses 2013 HCUP data; published May 2016
Find average prices for about 80 outpatient ambulatory surgery procedures done in hospitals in 2007 (excluding surgeon’s or other physician fees.) Average colonoscopy & biopsy price then was $2369; upper GI endoscopy $3131; cataract & lens was $4870; tonsillectomy $5286; knee cartilage $7357; hernia repair $8187; outpatient gallbladder removal (cholecystectomy) $10,838; breast biopsy $3863; lumpectomy $7458; ear tube surgery (myringotomy) $3547; D&C $6366; arthroscopy $8970; incontinence procedures $9929; vericose veins $8459; bunionectomy $7699; wrist fracture $7807; $4770 for circumcision. Consumers will need to adjust the 2007 prices to estimate 2019 costs; add at least 40% for a rough estimate. Overall average was $6100, compared to nearly $40,000 for inpatient surgery. AHRQ Statistical Brief #86 published February 2010 unfortunately still has not been updated. No longer Editor’s Pick
Find average charges (a proxy for average costs) for 40 common hospitalizations at specific AR hospitals by Clicking on INPATIENT PRICING after you’ve selected your hospital. Price List varies by hospital, but may include maternity and childbirth, stroke, chest pain, stomach disorders, back pain, nutritional problems (diabetes), blood infection (septicemia), rehabilitation, heart attack, cardiac cath, drug coated stent, congestive heart failure, kidney failure, urinary infection, COPD, pneumonia, total hip or knee replacement surgery, hysterectomy, psychiatric care, ventilator support and more. Note: Definitions conflict for whether data such as Volumes are Medicare-only, or reflect all patients. To find quality scores on emergency department, heart attack, heart failure, pneumonia, COPD, stroke, delivery or surgical infections, and patient opinions, click on QUALITY at each hospital’s page. Hospital Consumer Assist is provided by the Arkansas Hospital Association. Prices from 2016; Quality and Patient Satisfaction scores reflect 2017 ratings
Find prices for CA hospitals including Kaiser and Shriners. Inpatient prices are listed in the complicated Charge Master, which shows the charge for every pill, lab test and hospital room rate. MRI and CT tests should be included. More useful are the outpatient files (look for Common25 in the filename), which list the average cost (charge) for top 25 types of outpatient procedures or surgery with CPT code). Hospital Outpatient reports may show prices for Emergency Dept. 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.
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 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.
How much does an organ transplant cost in the US? Get ready to see some large numbers for the average charges of an organ transplant in 2017 dollars. The most common transplant – cornea – averages $30,200 in estimated billed charges. Kidney transplant estimated at $414,800 (up from $262,000 in 2011) for the entire process, including surgeon fees and drugs. Summary table of costs shown. Read the detailed report by Milliman (shows autologous bone marrow transplant at $409,600, bone marrow-allogenic at $892,700, double lung at $1,190,700 and liver at $812,500. Multiple organ transplants easily top an estimated $1 million, or $2.5M for heart-lung or kidney-heart.) By Transplant Living, a project of the nonprofit United Network for Organ Sharing (UNOS), organization that maintains the national Organ Procurement and Transplantation Network (OPTN) under contract with HRSA. Published August 2017.
Iowa Hospital Charges Compare provides information about volumes and average 2018 charges (amount billed) and median charge 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. Site allows 4 hospitals to be compared at one time for prices, length of stay, number of cases and more. Must select city first, then body system before finding the procedure. Provided by the Iowa Hospital Association, this is a starting point for comparing average cost of care between Iowa hospitals. Compare typical prices for surgery such as gall bladder removal, bowel surgery, knee joint replacement; childbirth and newborns, pneumonia, stroke, heart care, transplants, COPD,rehab, and many medical conditions. Severity of illness can be specified. Limited focus to one service and category at a time. Average cost (and median charges) across the state are also shown for each procedure.
Find range of charges (low price and high price) 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 (2017). LA Hospital Inform is sponsored by the Louisiana Hospital Association; Price ranges from 2017 (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
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
See this file for 25 procedure payments by Medicare and what they considered the Allowed Amount. This file shows average amounts Medicare paid to Ambulatory Surgery Center (ASC) facilities for selected outpatient surgery such as spinal injection (example: CPT code 62311 Medicare allowed $377, and paid $297), knee arthroscopy (CPT 29881 $1631 allowed), prostate needle biopsy (CPT code 55700 $670 average allowable cost; $530 average cost paid), simple cataract removal & lens insertion ($1679 allowed; Medicare paid $1339), bunion correction ($1825 allowed), crushing kidney stones ($2330 allowed), large bowel endoscopy ($586 allowed, plus $671 for removal of polyps), and more. Includes physician fees and payment to the ASC. Confusing file unless you know CPT codes and can use Excel files. Actual prices or charges are not shown. This is the best of what’s out there nationally, with state average charges. Old 2012 data published Sept. 2013
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
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
Montana PricePoint shows median and average charges at MT hospitals for inpatient stays (2016 prices), including newborns, deliveries, Cesarean section, knee or hip replacement, rehab, psychiatric hospitalization, back problems, heart failure, stent, chest pain, bowel surgery, more. Length of stay also shown. An admission for Psychoses averaged 6.3 days with a median charge of $10,400 and average $13,838 in 2016. Joint replacement was $39,052 average, 5.1 day stay. PricePoint site by MHA-An Association of Montana Health Care Providers
Find average price and typical charges for most types of inpatient hospital stays in Nebraska. 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, UTI, gall bladder surgery (inpatient only). If you can’t find it, check the comprehensive list (e.g. MDC 19 for mental health). Bipolar admission cost about $16,871 on average in 2018. Vaginal delivery (mom only) cost $9,204 on average; normal newborn was $5,071. 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 average cost. Or compare hospitals (statewide numbers are not shown in this view); 2018 data. All cities including Omaha, Lincoln, Grand Island, Creighton, Norfolk, Kearney. NHA Care Compare is sponsored by the Nebraska Hospital Association
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
OHA – Oregon Health Authority posts average hospital charges paid in 2015. Select inpatient Payment Report to compare hospitals on costs for appendectomy, chemotherapy, coronary bypass, dialysis, inpatient gallbladder surgery or hernia repair, hip replacement, hysterectomy, angioplasty and more. Select Pregnancy report to find maternity costs (about $7700 for normal delivery, $13,279 for uncomplicated c-section and $2200 for newborns). When estimating, add in medical inflation. Pub. July 2017
Compare 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.
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)
US News and World Report’s list of top 50 hospitals for kidney disease, led by Mayo Clinic and Cleveland Clinic, includes kidney transplant, major bladder procedures, renal failure conditions. Minimum volume of 192 patients over 3 years
Cleveland Clinic leads the Urology list of 50 best hospitals from US News & World Report, with Mayo Clinic and Johns Hopkins tied for second place. List uses Medicare data, reputation and other factors; includes cases of prostatectomy, TURP, kidney stones and other urologic surgery. Minimum 42 cases over 3 years, of which 17 required to be surgical
US News & World Report’s top pediatric hospitals listed for 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 Boston Children’s, Children’s Hospital of Philadelphia, and Cincinnati Children’s tied for third with Texas Children’s in Houston. List called Best Children’s Hospitals updated June 2019. Detailed hospital scores for individual measures such as survival, are in the Methodology report
What does ambulatory surgery cost in in Vermont? See Section called Pricing, Charges by Hospital. 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 $6074), upper GI endoscopy ($5420), knee cartilage surgery ($9520 average), arthrocentesis joint aspiration ($700), gall bladder removal (average $13,484), breast biopsy (avg. $4213), other biopsies, ear tubes (average $3530), tonsillectomy ($6948), pacemaker ($9254), bunion removal (12,114 avg), colonoscopy $3694 average; range $1575 at Northwestern Medical Center to $5169 at North Country Hospital; hernia repair $12,000; excision of skin lesion $2417; fetal monitoring cost $784; circumcision cost $4239; outpatient hysterectomy $21,995; peritoneal dialysis ($10,575), and many more procedures. 12-month avg. charges ending Sept. 30, 2017, 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. About two years old, published 2019. Table 2B shows how many of those procedures the hospital did.
2019 Hospital Report Card shows average prices (gross charges) for each VT hospital’s most frequent inpatient admissions – includes newborn delivery (normal newborn $3093; newborn with medical problems = $4946, but close to $22,000 if the baby had major problems), cesarean section ($17,000 to $20,000), average cost for vaginal delivery $9365 without complications; pneumonia; total hip or knee replacement (average $41,171), depression (average $16,853), psychoses such as schizophrenia (average $32,775), COPD & emphysema, heart failure, chest pain, rehabilitation, heart rhythm problems, back problems, Spinal fusion about $63,400; kidney or urinary tract infection, and other hospital stays. Compare costs on nearly 60 different types of cases, listed by MS-DRG. Links to hospital discount policies for consumers with cost concerns (see Financial Assistance); 2016-2017 average charges published May 2019
Find average price ALLOWED in 2015 for 30 common healthcare services, including 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 costs but doesn’t identify if it’s facility cost only or INCLUDES the surgeon or other physician fees. Each service shows the average allowed amount that you or your insurance plan paid in 2015. More relevant than most pricing information, but confusing because of the doctor fee questions. From Virginia Health Information (VHI), updated Dec. 2016
Median charge and length of stay for common hospitalizations including maternity and newborn births, hip or knee replacement surgery, gallbladder removal, heart surgery, angioplasty, arrhythmia (irregular heartbeat), valves, cardiac cath, pacemaker, pneumonia, bipolar and other mental health, stroke, back care, asthma, COPD, rehab; kidney, heart, lung or other transplant; hysterectomy, prostate surgery, bowel surgery & more. Also shows inpatient volumes if you click on more detail. From WHA Information Center, part of the Wisconsin Hospital Association WHA Information Center. Surgeon fees NOT included, nor are dates shown. Compare hospitals by city (anywhere in the state by adding cities). Wisc. Hospital Assn. created the PricePoint System now used in other states. This version of Pricepoint has been modified to be payer-specific, although gross charges (sticker price) should be the same for all patients. Must watch a video before proceeding to see the prices; you may also need specific medical information about the procedure in order to select the price you are interested in.