The Blue Cross and Blue Shield companies have designated national Blue Distinction Centers meeting their standards and selection criteria for bariatric weight loss surgery, cardiac (heart) care, fertility care, organ transplants (e.g. adult and pediatric bone marrow/stem cell, heart, lung, liver, pancreas (adult only) transplants, total knee and hip replacement, cancer care, maternity care, spine surgery, cellular immunotherapy, and gene therapy for ocular disorders. Quality criteria can be found from the home page. Substance Use Treatment and Recovery distinction to launch Jan. 1, 2020. In addition to Blue Distinction Centers, the Blue Distinction+ (Plus) designates high quality centers that also consider cost of care. (No further information is available on prices.) Interactive database; updated 2019
Childbirth topics at MedlinePlus include pre-term labor, pain relief, elective delivery before 39 weeks, Midwives, Stages of labor, Episiotomy, Cesarean, VBAC and Trial of Labor After a Cesarean Delivery (TOLAC), information from the American College of Obstetricians and Gynecologists, and more. Reliable, fast and ad-free source of information
Estimated average cost for a C-Section hospital delivery and maternity stay in 2011 with private insurance was $5900 (which would be close to $7300 in 2019 dollars adding medical inflation). A vaginal delivery with private insurance averaged $3400 in 2011 (about $4200 in 2019 dollars). Prices (charges) would be higher; the report does not disclose the “cost to charge ratios” it used. The C-section rate was over 33% of all births, and about 1/3 of the C-sections occurred in low-risk deliveries. Numbers exclude physician fees, prenatal care, and newborn costs. Most women giving birth – more than 3 out of 4 – had at least one complicating condition, such as perineal laceration, anemia, previous cesarean section, abnormality in fetal heart rate or rhythm; post term pregnancy or preeclampsia. Complicating conditions for vaginal births were more common among privately insured than Medicaid-covered deliveries, regardless of the mother’s age. AHRQ Statistical Brief #173 uses 2011 HCUP data, published May 2014.
The average cost of having a baby was about $12,000 in 2009, If you were privately insured and had an uncomplicated pregnancy. Adjusting for medical inflation (only), the childbirth cost would be about $15,700 in 2019 dollars. The estimate includes actual payments for all prenatal office visits, hospital childbirth (inpatient maternity and newborn delivery), prescription medications and other services for an uncomplicated pregnancy. In 2009, privately insured patients paid just under 10% out of pocket. Report from the Agency for Healthcare Research and Quality uses Medical Expenditure Panel Survey (MEPS) data for 2006 to 2009 patients; Research Findings #32 published June 2012. No update available as of July 2019.
Detailed FastStats data on deliveries and births provided by NCHS, the National Center for Health Statistics – noting that 32 percent of births were by Cesarean section (2017). Teen births at its lowest rate in more than 20 years.
Leapfrog helped drive efforts to lower the number of babies delivered before 39 weeks of pregnancy (1 week before your due date). A reported 84% improvement from 2010, to now just under 2% of deliveries. Unnecessarily early delivery through inducing labor or c-sections that weren’t medically necessary, added risk to both mothers and babies.
Short descriptions of terms related to pregnant women going into labor and giving birth – including amniotic fluid, APGAR, breech, epidural, fetal distress, placenta previa, post partum to name a few. Updated 2014 by the American Pregnancy Association
HealthGrades lists its 5-star hospitals (Excellence Awards) in women’s care defined as labor & delivery maternity ratings, gynecologic procedures (such as hysterectomy) and Ob-Gyn services. Uses 2014-2016 All-payer from 15 states and the District of Columbia for the 2018 awards in selected states. States include CO, FL, IA, MD, NV, NY, NJ, OR, PA, RI, TX, VA, WA, WI, WV and DC.
This article provides 20 questions women (and men) can ask a fertility clinic or specialist before selecting help in getting pregnant. In 2016, there were 463 fertility clinics in the US and Puerto Rico who were required to submit annual reports on fertility success rates. The National Women’s Health Resource Center recommends research to weed through the masses to find two to five centers you’re interested in. Then sit down for a face-to-face interview and consultation with each fertility center, armed with these 20 questions.
The March of Dimes PeriStats Data Center measures maternal and infant health. It uses data from 12 government agencies and organizations, to provide the most current mother and baby health statistics on topics such as prenatal care, preterm birth, low birth weight, newborn screening, infant mortality; smoking, alcohol, & drugs; C-section rates, health insurance coverage, and more. All states, and some county-specific or city data. 2019 Report cards are posted.
Six common pregnancy complications including ectopic pregnancy, gestational diabetes, Group B strep infection, low birth weight, preterm labor, and RH Factor. Easy to read resource, updated 2017 by the American Pregnancy Association.
Preterm Labor signs and symptoms, from the March of Dimes. Click on 39+ Weeks Quality Improvement to receive a lot of good information, as well as a list of hospitals that meet the March of Dimes Quality Improvement package to reduce elective deliveries
C-Sections that are elective (by choice for convenience or other reasons) before the baby is in his/her 39th week increase risks, and may land the premature infant in the neonatal intensive care unit. Full term is considered 39-40 weeks (not 36), and according to some reports NICU stays can add $20,000 to the bill. Don’t Rush the Baby, in Health & Health Networks magazine July 2013
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
See our main page for public reporting of quality ratings and comparisons for individual hospitals, nursing homes, health insurance plans, and other health care services. Check your physician’s credentials and doctor’s license in this category
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
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
Learn about the average cost for common hospital stays, by diagnosis. Average cost per stay for all diagnoses was $10,000 in 2011 (about $12,300 in 2019 dollars). Report shows 20 conditions with the highest total inpatient costs in 2011. Includes newborn baby ($3300), septicemia ($18,600), osteoarthritis ($15,400), coronary atherosclerosis ($17,200), acute myocardial infarction (heart attack, $18,900), congestive heart failure ($10,900), pneumonia ($9500), stroke ($14,000), COPD ($7800, physical rehab ($13,100), diabetes with complications ($9600), hip fracture ($15,400), mood disorders ($15,400) and more. These numbers are estimated costs, NOT prices. Add about 23% for cost inflation. Prices will be more. Statistical Brief #168 from Healthcare Cost and Utilization Project, AHRQ Dec. 2013. No updates available yet.
Average cost for a hospital stay in 2012 was estimated at $10,400. (Charges were higher, but not revealed.) Surgical stays averaged $21,200. Medical stays averaged $8500, and Maternity $4300 including the baby’s cost. A hospital stay for a child ages 1 to 17 was nearly $10,000. Add about 19% to adjust to 2019 dollars, after medical inflation. Statistical Brief #181, published October 2014
The Baby-Friendly Hospital Initiative is a global program sponsored by the World Health Organization (WHO) and the United Nations Children’s Fund (UNICEF) to encourage and recognize hospitals and birthing centers that offer an optimal level of care for lactation. As of October 2019, there were over 500 hospitals in the US & Puerto Rico who met the program criteria, which are based on Ten Steps to Successful Breastfeeding.
This directory identifies birth centers accredited by the Commission for the Accreditation of Birth Centers. Standards are set by the American Association of Birth Centers (AABC). Birthing centers practice midwifery (midwives) and take a wellness and holistic approach to pregnancy and maternity care
Find California HMO, PPO and Medical Group ratings report card for 2019-2020. Kaiser Permanente of Southern California’s HMO Plan and Sharp Health Plan HMO received the highest ratings. The lowest rating went to Aetna PPO. Compare 10 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), published December 2019.
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.
CalHospitalCompare shows California hospital quality ratings for heart care, hip and knee, gall bladder, surgery volume, pneumonia, COPD, stroke, preventing surgical infections & complications, maternity care including c-sections and VBAC, emergency department and patient opinion ratings, readmissions; some mortality/survival rates. Dates of data are hard to find (click on the red question marks when at the hospital report). When reported, most contain 2017-2018 data. Number of cancer cases is labeled as both 2014 and 2017. Compare hospitals side by side to find Superior Hospitals. Hospitals may be the best in one area but not in another. When viewing hospital report, click on View All, or you’ll miss most of the information. Cal Hospital Compare is supported by IBM Watson Health
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.
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. Updated 2019. the USPSTF is an independent, volunteer panel of national experts in prevention and evidence-based medicine. Updated 2019
MEPS provides the average and median cost for an office visit. Average cost paid (payments) for an office-based physician visit in 2016 was $265 (about $283 in 2019 with medical inflation). For primary care (family medicine, internists and general practice) the 2016 average was $186. Pediatrics came in at $169; psychiatry at $159, Dermatology at $268, OB/GYN was $280 per visit. Specialists in Ophthalmology were $307, but Orthopedics and Cardiology jumped to $419 and 335 respectively. Other specialists (as a group) averaged $365. Median or typical expenses were considerably lower at $116 overall, and $107 for primary care, $103 for psychiatry and ranging up to $134 median for ophthalmology and orthopedics. Mean out of pocket expense was highest for ophthalmology ($125) and lowest for pediatrics ($40). Primary care was $50 average out of pocket, if the patient had some responsibility. Statistical Brief # 517, pub. October 2018 by AHRQ using MEPS data
Find out about ART clinics (Assisted Reproductive Technology) in the US and Puerto Rico, in this 588-page report by the CDC in conjunction with Reproductive Medicine societies. Shows success rates by age of woman, and both fresh and frozen embryo transfers (nondonor and donor eggs). One-page summaries for each of 463 fertility clinics reporting 2016 data. Nationally, for women under age 35, 45.7% of fresh embryo transfers from fresh nondonor eggs resulted in live births, with 49.4% of frozen embryos from nondonor eggs resulting in live births. Success rates decline with age of woman. With the less common donor eggs, about 56% of frozen embryo transfers resulted in pregnancies, with nearly 45% of transfers resulting in live births. In evaluating fertility clinics, consumers can see how large or small the reproductive program is in any state. Pub. Oct. 2018
Find Florida health insurance plans member satisfaction and quality ratings. Topics 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. Data reflect services received in 2017 or 2018 for satisfaction ratings; measurement year for the Quality ratings is not shown. 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 ratings. FL reports from floridahealthfinder.gov.
Find out the volume of deliveries and rate of Cesarean Sections at each Florida hospital from 2000 to 2018. Overall FL statewide average rate declined slightly to 37% of deliveries (2018). This compares to the statewide Cesarean rate in 2000 of 26.3%. Over 80,000 C-Sections in Florida. About 25 hospitals had C-Section rates over 40%. The highest rate was over 62% of births by C-Section, at Kendall Regional Hospital in Miami-Dade. The largest number of C-Sections (5500) were performed at Arnold Palmer Medical Center, where the rate was over 39%. Excel file data updated June 2019 by Floridahealthfinder.gov
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.
Hospital Ratings (5-star, 3-star, 1-star) for 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 2019 ratings are from Medicare patients, from 2015 to 2017. Patient satisfaction ratings (2017 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.
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
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.
Typical vaginal delivery costs (charges) in Maine in 2017 averaged $11,347 for Childbirth delivery and 60 days of related care. (Does include physician care, but probably not newborn charges). Add $9000 for an uncomplicated C-Section. A few other charges by hospital, for hip or knee joint replacement, arthroscopy and gall bladder surgery. Find many median (middle) prices here physician office visits ($97 average cost for 15-minute appt for an established patient 99213), CT, MRI, x-ray, lab tests and more. Uses CPT codes. From Maine Health Data Organization in State of Maine
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
Compare Maryland hospital quality ratings. Overall consumer satisfaction, and Quality Measures on common groups of illnesses or conditions for which people are hospitalized in Maryland. Topics include different types of infections, emergency department waiting time, heart conditions, pneumonia, COPD, hip and knee surgery, imaging, stroke, maternity and newborn care, surgery infections for hysterectomy, colon surgery and more. Click on hospital name to see actual scores and details. MD Hospital Guide generally shows 2016-2017 data, pub. by MD Health Care Commission (MHCC)
Topics for consumers who travel, such as jet lag, ears and altitude, motion sickness, in-flight medicine, traveler first aid kits, Cruise ships, Zika, vaccine recommendations, pregnancy and flying can all be found at this site
Find Michigan hospital ratings at verifyMIcare.org. Website from Michigan Hospital Association’s Keystone Center allows consumers to compare care at MI hospitals. Compare 3 hospitals at a time on how well they rate on infections, overall mortality (survival rates), readmissions, some obstetrics care such as c-sections, complications from surgery, and length of stay for hip or knee replacement surgery, stroke, heart failure or pneumonia. Includes critical access hospitals in rural areas and metro hospitals in the Detroit, Ann Arbor and Lansing areas. Most data are from 2018-2019; some are older. Click on the checkmark (or plus or minus signs) to see the dates, which are otherwise hidden. Patient satisfaction and experience ratings are also shown for 2017-2018. The updated web site was redesigned in January 2018.
Minnesota Hospital Price Check gives 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. Because the site uses medical terms (e.g cholecystectomy instead of gall bladder), consumers should be prepared ahead to type in the correct term. Compare 3 hospitals, one procedure at a time; excludes doctor charges; by Minnesota Hospital Association, 2018 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
Find how much physicians charge for over 100 professional services in Minnesota, ND, SD, WI through Minnesota HealthScores’ Cost Report feature. Compare prices perhaps 500 participating medical groups, and hundreds of clinic locations in Minnesota, and some border communities, for doctor office visits, lab tests, colonoscopy, endoscopy, minor office surgical procedures such as ear wax or wart removal; immunization, psychotherapy. Obstetric services, including inpatient delivery. 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, MeritCare, Innovis, North Memorial, Northstar, Olmsted, Osceola, Park Nicollet, Regina, Ridgeview, Sanford, St. Cloud CentraCare, St. Luke’s, St. Mary’s Duluth Clinic, Stillwater, United, University of Minnesota, Winona Clinic, and more; OB-GYN clinics, Report by MN Community Measurement. Does NOT include facility charges which are in the thousands for colonoscopy or childbirth. Interactive easy-to-use format. Costs shown are claims through BCBS, Health Partners, Medica, and Preferred One in 2017 (we think). Unclear if it’s price before or after discounts
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
NevadaCompareCare.net shows average charges (prices) for every NV hospital DRG (Diagnosis Related Group), and average ER or ambulatory surgery charge in 2018. Overall Nevada inpatient charge was a whopping $81,368 per stay, or more than $15,000 per day. Sample DRGs: Psychoses (average $17,304), Normal Newborn ($4,654), uncomplicated vaginal delivery ($21,933), Septicemia (about $110,000 with complications, $57k without), Major joint replacement (hip or knee) at $113,000, Cesarean Section ($38,000 without complications, $46,000 with). Births overall (all types including very ill babies) averaged $27,580 in charges, from $2,170 at Banner Churchill to $68,049 at Sunrise Hospital and Medical Center. Average NV emergency room visit charge was $8,757 statewide for over 1 million visits. ER charges ranged from $1,651 average at Mount Grant General Hospital, to $12,758 average at St. Rose Dominican – San Martin Campus. Statewide average Ambulatory Surgery Center charge was $8,534, but no breakout by procedure type. Outpatient surgery at a hospital averaged nearly $33,000 in charges. Standard Reports also show case volume by facility. No information about how much was actually paid. NV reports are a joint effort between Center for Health Information Analysis (CHIA) and the Division of Health Care Financing and Policy (DHCFP). Updated May 2019
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.
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. Pub. by NJ Dept. of Banking and Insurance, June 2019
Laboratories approved for certain specialty testing in New York are listed here by category of testing. Examples include Andrology (fertility assessment e.g. sperm count), Blood transfusion testing, Cellular Immunology, Endocrinology (e.g. thyroid function tests, TSH), Virology, Genetic testing, Toxicology labs, Trace Element labs, Transplant monitoring; many more. Nearly 100 labs overall
Here’s an Ohio hospital example of a 14-hospital system called OhioHealth showing their current prices for all services at 12 of their hospitals. Examples of items in the chargemaster include daily hospital room charge, ICU charges, labor, delivery, c-section and newborn prices, price for an ER visit (depends on Level of the emergency department), operating room charges, PT, OT, cardiology and pulmonary charges, prices for x-rays, CTs, MRI, ultrasound, DEXA scan, and many lab tests. Examples are CBC, BUN, Arterial blood gas, lipid panel, troponin, cultures, glucose, hemoglobin A1C, pap smear, creatinine. Because a hospital’s price list might be hundreds of pages long, with thousands of line items, it can be difficult to find what you’re looking for. The documents are not fully searchable. (For example, the category for Emergency Services requires scrolling to find it.) In addition, selected average charges are provided by each hospital for certain DRGs, without describing what time frame was covered in the calculation. Average charges list varies by hospital. Caution: Physician professional fees may not be included (even in the Emergency Department). Check each hospital’s website separately. Covers Riverside Methodist, Grant Medical Center, Doctors Hospital, Dublin Methodist and Grove City; Grady Memorial Hospital, Hardin, Marion General, Mansfield, Shelby, O’Bleness, and Berger Hospitals.
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 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
Compare up to 3 hospitals at a time on 2016 costs paid by commercial insurance companies or patient-paid amounts. Median amounts paid (not charges) are shown for 100 most common outpatient procedures and 50 most common inpatient procedures. Medicare and Medicaid are excluded. Includes maternity & newborn payments, heart care, stents, cardiac cath, hip and knee replacement, many surgery payments such as cataracts, hernia, hysterectomy, kidney removal, gall bladder, breast biopsy, carpal tunnel, mastectomy, tonsillectomy, endoscopy, shoulder surgery, appendectomy. Amounts paid for CT, MRI, Nuclear Medicine, x-ray and ultrasound; chemotherapy and radiation treatments. Site by the Oregon Association of Hospitals and Health Systems (OAHHS) to meet state requirements. Hospitals also list their financial performance measures for 2017 at this website.
Find top NCQA ratings for health insurance plans in Rhode Island. Tufts Associated HMO plan earned the top 5.0 rating from NCQA. Based on Quality, Member Satisfaction and accreditation results. 2019-2020 Ratings
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)
The Guide to Texas HMO Quality 2018-2019 shows detailed clinical quality comparisons of HMO health insurance plans. Compare HMOs Aetna, Christus, Cigna, Community First, FIRSTCARE, HMO Blue Texas, Humana, 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, mental health care, flu shots, antibiotic utilization rates, rates of physician board certification, and more. Lengthy (211 pages) but valuable report. Pub. by TX Office of Public Insurance Council
Compare Inpatient Care ratings for Texas hospitals. Sixteen (16) separate quality ratings include patients of any payer type. Compare hospital volumes, mortality (survival rates), and certain utilization rates (i.e. cesarean section, VBAC rate). Survival rates for heart attack (AMI), heart failure CHF, stroke, GI hemorrhage, hip fracture, and pneumonia. Volume and/or death rates provided for heart bypass surgery (CABG), angioplasty (PCI), AAA Repair, hip replacement, craniotomy, esophageal resection, pancreatic resection, and carotid endarterectomy. TX Dept. of State Health Services THCIC. Updated with 2016 data
Compare hospital inpatient charges, or prices, at Texas PricePoint. If you are looking for average cost of hospital care or surgery in TX, the prices at this PricePoint site by the Texas Hospital Association will give you an idea of what to expect on your hospital bill. (Consumers should add about 5% or more to estimate 2019 prices.) The average charge for a joint replacement in Texas was reported to be about $79.000 in 2017. A cesarean section without major complications averaged nearly $26,000, not counting the baby’s care. Information for one hospital at a time (no side-by-side comparisons) for maternity, childbirth, newborn, c-section; hip or knee replacement (look up Joint), fracture repair; hysterectomy, pneumonia, COPD, bronchitis, asthma; heart failure, chest pain, cardiac cath, bypass, stent, heart transplant; mental health, psychiatric hospitalization, depression; alcohol rehab; bowel surgery; back problems including spinal fusion and more. Volumes at each hospital are shown. Uses abbreviated medical terms instead of lay language; for example: “Uterine & adnexa proc” instead of hysterectomy. Does not include surgeon or other physician fees. No updates as of February 2020.
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.
Compare Utah HMOs and PPOs – health insurance plans Aetna, Altius, Cigna, Deseret, Educators Mutual EMI, Humana, PEHP, Regence Blue Cross Blue Shield, SelectHealth, United Health Care, and Medicaid plans (Health Choice, Healthy U, Molina, SelectHealth CHIP) on member satisfaction, antidepressant medications, back pain, cancer screening, and high blood pressure; diabetes, prenatal & maternity, preventive care, well-child visits & immunizations, and more. Shows actual performance rates. 2018 Performance Report published by utah.gov uses 2017 data
Compare 2019 hospital prices for lab work, x-ray & imaging tests. MRI charges averaged $1942 [pelvis angiography] to $4134 [MRI-brain, multiple sequences] with physician fee. CT scan of head, neck, face, chest, spine, pelvis, abdomen (overall CT average $1358 to $4120); digital screening mammograms average $548 with physician charge. Specific test prices for urinalysis, glucose, Metabolic Panel ($111 average), lipid panel ($97), PSA (average $131, range 61 to 267), CBC (range $59 to $72), strep test group A (range from $74 to $82), Pap test (average 122 to 129), pregnancy test (average $58), blood typing, OB ultrasound first trimester (average $903), x-rays, Cardiology EKG or echocardiogram, PT evaluation ($302 average, moderate complexity), colonoscopies ($3660 without biopsy) and more. CPT codes listed. Vermont probably has the best State site for hospital outpatient diagnostic test cost comparison. Some average prices in VT have gone down this year, which may support useful price comparisons among hospitals. Prices good through Sept. 2019. Tables 3B through 3O.
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
Compare Virginia HMOs on both quality and member satisfaction. Easy to use tool to compare insurance plan ratings: Aetna, CareFirst BlueChoice, 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, heart, diabetes, arthritis, immunizations, medications, mental health care (e.g., best plan for 7-day follow-up is Kaiser at 69%, compared to UnitedHealthcare of the Mid-Atlantic, Inc. at just 39%), preventive care, spirometry for COPD, prenatal, maternity and newborn care; weight assessment, well child visits and childhood illnesses, member satisfaction for 2017 and more. Also includes Board certification rates for some types of physicians, number of enrollees, and financial data.
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
Find out the typical charges (2016 prices) to estimate the average cost of hospital surgery or medical problems. About 60 types, including maternity care, psychiatric hospitalization and digestive problems, are covered. Shows one hospital at a time similar to other state pricepoint systems. Presented by the WA State Hospital Association (WSHA)
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