Charges and average costs for the 20 outpatient Ambulatory Payment Classifications (APCs) representing the highest Medicare outpatient payment to each hospital (excluding critical access hospitals). List varies by hospital. May include: cost for colonoscopy, laparoscopy, CT, MRI, clinic and emergency (ED or ER) visits, x-ray tests, upper GI, lower GI endoscopy, arthroscopy, cataract with lens, angiography, echocardiography, hernia repair, infusion therapy, nerve injection, observation services, outpatient cardiac catheterization, ultrasound. Scroll to bottom of the hospital page to Outpatient Utilization Statistics. Some rural critical access hospitals may not show any outpatient test and visit prices. Also shown: inpatient market share by local zip code; net income. Link is to the Free Hospital Information
Find 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.
Connecticut’s state Office of Health Strategy (OHS) provides a quick set of key financial statistics for each hospital in the state, including number of discharges, patient days, revenues, and operating margin, for the most recent fiscal years. Statewide operating margin declined to 2.95%. Dashboard updated through FY 2016
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.
Indiana Medical Error Reporting System final report for 2017 summarizes 110 reportable events in hospitals and outpatient surgery centers in 2017. Five (5) of 110 events occurred at ambulatory surgery centers. Adverse Events such as leaving a foreign object inside a patient after surgery, operating on the wrong body part, (remarkably, these avoidable surgical errors still happen) or Stage 3 or 4 pressure ulcers (bedsores) acquired after admission, are based on NQF’s list of 28 serious, largely preventable adverse events. List of events by facility name is a separate 289-page pdf file called Data Tables. IU Health and St. Vincent in Indianapolis, Baptist Health Floyd (New Albany) and Methodist in Gary, IN had the greatest number of adverse reportable events in 2017. Market share data included. Published by IN State Dept. of Health (ISDH, in.gov) October 2018.
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
Minnesota Hospital financial margins and performance reports. Scroll to the bottom of the screen to find the last set of reports, which show Operating Margin and Total profit margin. Volume data, Bottom Line reports and Uncompensated Care also on this page. Total Admissions and Imaging test volume are shown if you want to compare Market Share. Must have Excel to read the reports. Data from 2017. Released by MN Dept. of Health
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
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.
Two-page Cardiac Data Registry table showing number of open heart surgeries at each New Jersey hospital in 2017 and 2018. Scroll to Data Charts. Open heart surgery, diagnostic cardiac catheterization cases, PCI, total volume was over 105,000 cases in 2017. Morristown Memorial Hospital had the largest number of cardiac cases in the state in 2017. NJ Dept. of Health
Compare OR hospitals on healthcare-acquired infection rates in 2016 for central line infections (CLABSI), surgical site infections for cardiac bypass (CABG), colon, abdominal hysterectomy, hip prosthesis, knee (replacement) prosthesis, and laminectomy. Individual hospital reports (volumes and infections) are shown in the table if you are able to navigate this complex presentation. Must know name of hospital. Report by Health and Human Services (oregon.gov), pub. 2018
Quarterly Inpatient Market share for PA hospitals (volume of cases and percent of charges) is shown in the Utilization Reports by county. Overall statewide market share by hospital is also shown. Reports by the Pennsylvania Health Care Cost Containment Council
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)
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.
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
Find out how many outpatient surgeries (selected types) are done at each Vermont hospital, and the average price statewide (average gross charge) for period of Oct 2016 to Sept. 2017. Prices do not include physician charges. Volumes include cataract surgery, endoscopy, cholecystectomy (gall bladder surgery), colonoscopy, ear tubes (myringotomy), tonsillectomy, bunionectomy, circumcision, breast biopsy, outpatient cardiac catheterization, hernia repair and more. Part of the State Act 53 Hospital Community Report series, Table 2B published May 2019
Consumers can view median charge in 2016 for selected outpatient surgery by hospital, ambulatory surgery center and for the state. Surgeries show case volume and average (median) price for breast, hernia repair, colonoscopy, knee arthroscopy, fibroid removal, laparoscopy, gallbladder, hysterectomy. Hospital report shows inpatient cases by service line, financial performance & efficiency; patient satisfaction. Must click on additional tabs to see more information. See detail and read carefully. Prepared by Virginia Health Information (VHI) using 2016 price data, financial results for 2017, and patient satisfaction for 2017-2018.
Reports show WV hospital volumes, market share for discharges by county, Inpatient and cardiac cath reports are ready-made statewide. All payer data. From WV Healthcare Authority, 2016 reports published Sept. 2017
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. Average (facility) charges for 2017 also shown; excludes physician and surgeon fees. Full report also shows statewide median charges. Released by WHA Information Center July 2018
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
Compare hospital quality performance and patient satisfaction ratings for 125 hospitals in WI. Topics: heart attack, heart failure, pneumonia, surgical post-op infections and complications, survival for hip, knee surgery, heart, vascular, other cardiac, colon surgery and hysterectomy; patient safety problems such as falls and pressure ulcers; readmissions; deaths data. See how many patients would definitely recommend the hospital. (Ratings are listed under Patient Experience.) Also compare hospitals on how many patients “understood their care when they left hospital”. Statewide, only 57% said they understood their care in 2017-2018. Seven hospitals had fewer than half their patients understanding their care.
Some rankings are shown by stars (one, two, or 3 stars) instead of numbers. Wisconsin Hospital Association makes quarterly updates. Even though the clinical topic list may be sketchy (such as Digestive), WHA receives Editor’s Pick for going beyond CMS measures, for showing all hospitals side-by-side, consumer ease in getting a free overall quality report for one hospital, staying current, and showing comparisons to the benchmark best in the state
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.
Compare outpatient and ambulatory surgery volume and charges for colonoscopy, cataracts, eardrum surgery, shoulder or knee surgery, carpal tunnel surgery, removal of tonsils & adenoids, appendectomy, breast biopsy, endoscopy, gallbladder (cholecystectomy), upper GI, heart catheterization and more. Compare hospitals and surgical centers. Typical (median) price in county and statewide Wisconsin median prices shown, but no dates are provided for reference. Prices exclude surgeon and other doctors’ fees which may double the numbers you see here