Maternity, Pregnancy, Delivery, OB, Newborn Baby, Birth

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Maternity, Pregnancy, Delivery, OB, Newborn Baby, Birth

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Blue Distinction Centers: Cardiac, Cancer, Hip, Knee, Fertility, Maternity, Back, Spine, Bariatric Surgery, Organ Transplants, Gene Therapy, Substance Abuse

The Blue Cross and Blue Shield companies have designated national Blue Distinction Centers meeting their standards and selection criteria for bariatric weight loss surgery, cancer care, cardiac (heart) care, fertility care, organ transplants (e.g. adult and pediatric bone marrow/stem cell, heart, kidney, liver); lung(adult only) transplants, total knee and hip replacement, maternity care, back spine surgery, Substance Use Treatment and Recovery (new in 2020), cellular immunotherapy, and gene therapy for ocular disorders (inherited blindness). Quality criteria can be found from the home page. In addition to Blue Distinction Centers, the Blue Distinction+ (Plus) designates high quality centers considered to have “more affordable care”. (No further information is available on prices.) Interactive database; updated 2022.

Childbirth (MedlinePlus)

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) – expand the box on right margin; information from the American College of Obstetricians and Gynecologists, and more. Reliable, fast and ad-free source of information

Deliveries and Births – N C H S – FastStats

Detailed FastStats data on deliveries and births provided by NCHS, the National Center for Health Statistics – noting that almost 32 percent of births were by Cesarean section (2020). Teen births continue to drop; in 2020 births to those age 15-19 were down 8% from 2019. Teen births have dropped steadily since the recent high in 2007. Published February 2022.

Early Elective Delivery – Reducing the Rate

Early Elective Deliveries are inductions or cesarean sections performed prior to 39 completed weeks gestation that are NOT medically necessary. The goal is to reduce the rate to 5% or lower, since they have significant health risks to both mother and baby, not to mention added costs. Leapfrog helped drive efforts to lower the number of babies delivered before 39 weeks of pregnancy (1 week before your due date). Dramatic improvement from 2010, when the rate was 17%. By 2020, it fell under 2% of deliveries (1.6%). In the 2021 report, over 600 hospitals had 0 early elective deliveries; 92% of hospitals reporting to Leapfrog met the standard of 5% or less. However, close to 60 hospitals did not yet meet that standard.

Glossary – Labor and Birth Terms

Glossary of labor and birth terms. Short descriptions of terminology 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. By the American Pregnancy Association.

HealthGrades OB-Gyn Awards – 2022

Find 2022 hospital awards for OB-Gyn from HealthGrades. HealthGrades lists its 5-star hospitals (Excellence Awards) in Obstetrics and Gynecology. Includes labor & delivery maternity ratings, gynecologic surgeries (such as hysterectomy) and Ob-Gyn services. HealthGrades used 2018-2020 “all-payer” data from 16 states for the awards in selected states. States include CO, FL, IA, IL, MD, NV, NY, NJ, OR, PA, RI, TX, VA, WA, WI, and WV.

How to Choose a Fertility Clinic

Wondering how to choose a fertility clinic? This article provides 20 questions women (and men) can ask a fertility clinic or specialist before selecting help in getting pregnant. In 2018, there were 456 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.

March of Dimes – Peristats Data Center – Maternal & Infant Health

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. 2022 Report cards are posted.

Newsweek: Best Maternity Hospitals 2023

Newsweek magazine selected the best maternity care hospitals in the US for 2023. Best Maternity Care Hospitals are given 5 ribbons (159 hospitals) or 3 ribbons (225 hospitals). No details, volumes, or actual scores; just a list. A major component of selecting best maternity hospitals was based on a survey in Feb. – March 2023. Consumers might be surprised to find that only 46 states and DC had a “best hospital” for maternity care. List published 2023.

Preterm Labor & Birth: Signs & Symptoms of Preterm Labor and What to Do

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.

Scheduled C-Sections Before 39 Weeks Not Advised, Costly

Scheduled 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, and according to some reports NICU stays can add $20,000 to the bill. See Cesarean Delivery on Maternal Request, from the American College of Obstetricians and Gynecologists (ACOG), January 2019.

usnews.com Best Hospitals 2022-2023: Maternity Care

US News & World Report’s list of nearly 300 “High Performing” hospitals for Maternity Care. Hospitals reported their results for 2020 deliveries. Strong weight was given to C-Section rates, unexpected newborn complications and breast feeding rates. Overall, 8 factors were measured and compared. The 2022-2023 list of Best Hospitals for Maternity was published December 2022.

Childbirth – Average Hospital C-Section and Vaginal Delivery Cost, Complications

Find average childbirth costs and complications in this report. Estimated average cost for a C-Section hospital delivery and maternity stay in 2011 with private insurance was $5,900 (which would be about $8,000 in 2022 dollars adding medical inflation). A vaginal delivery with private insurance averaged $3,400 in 2011 (about $4,600 in 2022 dollars). Prices (charges) would be higher (probably 2 to 5 times 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. Old data.

Childbirth – Average Total Cost for Having a Baby (AHRQ MEPS pdf)

Childbirth expenses. The average total 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 total childbirth cost would be about $17,400 in 2022 dollars. The estimate includes actual payments (expenditures, not charges) 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 November 2022. Very old data.

Other Helpful Listings

20 Most Expensive Conditions Requiring Hospital Stay, 2017

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

Ambulatory Surgery Average Charges in U.S. Hospitals, 2007

Find average charge for about 80 outpatient ambulatory surgery procedures done in hospitals in 2007 (excluding surgeon’s or other physician fees.) Consumers will need to adjust the 2007 prices for medical inflation, to estimate 2021 costs. Add at least 56% for a rough estimate. Overall average was $6,100, compared to nearly $40,000 for inpatient surgery. In today’s 2022 medical dollars, that would be $9,500 and more than $62,000. Average colonoscopy & biopsy price in 2007 was $2,369; upper GI endoscopy $3,131; cataract & lens was $4,870; tonsillectomy $5,286; knee cartilage $7,357; hernia repair $8,187; outpatient gallbladder removal (cholecystectomy) $10,838; breast biopsy $3,863; lumpectomy $7,458; ear tube surgery (myringotomy) $3,547; D&C $6,366; arthroscopy $8,970; incontinence procedures $9,929; varicose veins $,8459; bunionectomy $7,699; wrist fracture $7,807; $4,770 for circumcision. AHRQ Statistical Brief #86 was published in February 2010. The report was updated in December 2021, with 2019 volumes, as Statistical Brief 287. Unfortunately, the federal government did not include average charges, or cost estimates. in the new report.

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

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

Average Cost of Common Hospital Stays (HCUP)

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

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

Baby-Friendly Hospitals (breast-feeding)

The Baby-Friendly Hospital Initiative is a global program sponsored by the World Health Organization (WHO) and the United Nations Children’s Fund (UNICEF). It encourages and recognizes hospitals and birthing centers to support direct breastfeeding (compared to formula). As of November, the site suggests there are over 600 hospitals in the US & Puerto Rico who met the program criteria. The criteria are based on Ten Steps to Successful Breastfeeding.

Birthing – Find an Accredited Birth Center

This birthing directory identifies birth centers accredited by the Commission for the Accreditation of Birth Centers (CABC). 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.

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

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

California – Average Inpatient and Outpatient Prices, 2022 Hospital Chargemaster

California provides average prices for inpatient and outpatient procedures as of June 1, 2022, as listed in each hospital’s chargemaster. All CA hospitals are included. Excel files show prices for at least 25 common outpatient procedures. ER visits, MRI and CT test prices should be included, along with selected outpatient surgery. The average cost (charge) for top 25 types of outpatient procedures or surgery includes CPT codes. Outpatient reports may show hospital prices for Emergency Room visits, office visit code 99213, lab tests, CT, MRI, Mammogram, x-ray, ultrasound, Physical Therapy visit, Arthroscopy, colonoscopy, endoscopy, carpal tunnel, hernia repair, gall bladder removal (laparoscopic cholecystectomy), lumbar injections, tonsillectomy, ear tubes and more, depending on each hospital’s highest volume.

California 2022 inpatient prices are listed only in each hospital’s massive and complicated Charge Master, which shows the charge for every pill, lab test and hospital room rate. This is where you will find maternity, obstetrics, newborn nursery, labor and delivery charges. But you may need to wade through more than 10,000 individual services listed in the chargemaster to find what you want to know. Files are in Excel file format. Prices are from 2022. Consumers can see one hospital at a time by downloading their chargemaster file. Provided through California OSHPD, the state government Office of Statewide Health Planning and Development.

California: CalHospitalCompare.org – Hospital Quality Ratings & Patient Satisfaction

CalHospitalCompare shows California hospital quality ratings for cancer surgery, heart care, hip and knee, gallbladder infections, 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 2020-2021 data. Number of cancer cases is labeled as both 2014 and 2020, which is confusing. 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.

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

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

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

Consumer Guide to Prevention – USPSTF Recommendations Editor's Pick

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

Cost of an Office Visit (MEPS)

MEPS provides the average and median cost for a doctor’s office visit. Average cost paid (payments) for an office-based physician visit in 2016 was $265 (about $311 in 2022 dollars with medical inflation). For primary care (family medicine, internists and general practice) the 2016 average visit cost was $186. (For all 2016 numbers add about 17.2% to estimate 2022 prices.) 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 Medical Expenditure Panel Survey (MEPS) data; household component.

Fertility Clinic Success Rates – ART Report (CDC)

Find Fertility Clinic Success rates in ART clinics (Assisted Reproductive Technology) in the US and Puerto Rico. This 112-page report is by the CDC in conjunction with Reproductive Medicine societies. Shows success rates by age of woman, and percent of egg retrievals or embryo transfers from a donor that resulted in live births. In depth summaries are also available for each of 448 fertility clinics reporting 2019 data. Almost 40 clinics did not report results, even though they were required to. Success rates declined with age of woman. In evaluating fertility clinics, consumers can see how large or small the reproductive program is in any clinic or state. Published December 2021.

Florida Health Insurance Plans – Quality Ratings & Satisfaction

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

Florida Hospital C-Section Rates and Delivery Volumes

Find out the volume of deliveries and rate of Cesarean Sections at each Florida hospital from 2000 to 2019. Overall FL statewide average rate declined slightly to 37.4% of deliveries (2019). This compares to the statewide Cesarean rate in 2010 of 38.8%. Over 79,000 C-Sections in Florida. About 25 hospitals had C-Section rates over 40%. The largest number of C-Sections (5,018) were performed at Arnold Palmer Medical Center in Orange County, where the rate was over 37%. Excel file data was last updated August 2020 by Floridahealthfinder.gov

Florida Inpatient Hospital Ratings, Satisfaction, Average Price

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

Hospital Ratings at HealthGrades (all states) 2023

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

Illinois Hospital and Ambulatory Surgery Center Ratings and Prices (IDPH)

Illinois hospital and ambulatory surgery center ratings and prices, from IDPH. Compare IL hospitals on patient satisfaction ratings; heart attack, heart failure, pneumonia, surgical infection prevention, knee arthroscopy, cardiac surgery, safety measures, infection rates, some survival information, more. See volume and 2019-2020 median charges (closest you’ll get to average cost) for selected types of inpatients (e.g. birth, c-section, appendectomy, COPD, gall bladder), and outpatients at ambulatory surgery centers (such as arthroscopy priced at $42,000 average in IL), bunionectomy (which had a statewide list price at $23, 374), hernia repair ($24,600), colonoscopy ($7,400), lens, lumpectomy, tonsillectomy (almost $15,000). Prices may be found under the SERVICES tab after you select the hospital or facility. May get a full report for one hospital or ambulatory surgery center at a time, or one measure at a time for multiple facilities side-by-side, with state averages. Hospital Report Card by IL Dept. of Public Health (IDPH) for all IL cities incl. Chicago area, Peoria, Rockford, Springfield, Champaign. Updated with 2018-2020 prices, 2019 and 2020 quality data, and 2019 patient satisfaction scores. Add medical inflation costs of 10%.

Iowa Hospital Inpatient Charges Compare 2021 prices

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

Maine – Average Cost for Hospital and Doctor Visits (2020-2021) Editor's Pick

Find the average cost for both hospital and doctor visits in Maine in 2020 to 2021. These “costs” may be less than charges or prices, since they are what 35 commercial payers actually paid for the service in the 12 months ending March 31, 2021. Compare costs at different clinics and hospitals. Average cost for an ER visit in Maine was $604 for a moderate severity emergency department visit (before adding lab, imaging and other tests). A high severity visit (code 99284) to the ED cost $1,029 before other test costs were added in. Average vaginal delivery costs (median payment) was $16,451 for Childbirth delivery and 60 days of related care. This was up 15% from the prior year. (Does include physician care, but probably not newborn charges). An uncomplicated C-Section averaged $24,257, up 8%. Find costs for other surgeries by hospital, such as hip or knee joint replacement, arthroscopy, colonoscopy, hernia repair, tonsillectomy and gall bladder surgery. Find many median (middle) payments here physician office visits ($116 average cost for 15-minute appt for an established patient 99213), CT, MRI, x-ray, lab tests and more. A one hour crisis psychotherapy visit averaged $218. An ongoing 60 minute psychotherapy visit (90837) cost $100 on average. Uses CPT codes. All “average cost” figures are actually median payment. Almost 8 million claims were analyzed. However, no Medicare or Medicaid claims were included. More surgery costs were added this past year, so we are giving this the Editor’s Pick award. From Maine Health Data Organization in State of Maine

Maryland Hospital Prices, 2021 Editor's Pick

Compare hospital prices in Maryland for 2021. Volume (number of cases) and average charges (prices) at each Maryland hospital (by name) and statewide are available for more than 300 of the most common inpatient diagnoses. Includes newborns (average cost $2,371), childbirth vaginal delivery ($9,625), c-section (avg. $12,203), septicemia, heart failure, COPD, pneumonia, hip replacement ($32,015), knee joint replacement (average cost $33,602), cardiac arrhythmia, major depression ($14,207), bipolar admissions ($13,804 state average), schizophrenia ($18,932), cellulitis ($11,748), stroke, urinary tract infections ($11,438) and rehabilitation ($30,455). Data from first half of 2021. Hospital prices for the same procedure can vary widely. For example, inpatient hip replacement cost $35,199 on average at Johns Hopkins Bayview Medical Center, which had the largest program and an average length of stay of 4.3 days. Sinai Hospital, on the other hand had an average price over $52,000, which was the highest of any hospital that did at least 80 hip cases in six months. Sinai’s length of stay was 6.7 days. Mercy Medical Center had one of the shortest average stays – 1.8 days, and an average charge under $22,000. Easy to use website; easy to sort columns. Consumers can also view the average cost for commercial insurance patients compared to Medicare or Medicaid, for example. By MD Health Care Commission MHCC 2022.

Maryland Hospital Quality Ratings (MHCC)

Compare Maryland hospital quality ratings. Overall patient reviews (consumer satisfaction), quality and safety ratings for people hospitalized in Maryland. Topics include different types of infections, emergency department (ER) waiting time, heart conditions, pneumonia, COPD, hip and knee surgery, imaging, stroke, maternity and newborn care, surgery infections for hysterectomy, colon surgery and more. Search by condition or procedure might be the most helpful. Actual hospital scores are shown, but the dates are not. Also unclear what the definitions and dates are, for the national comparisons. Published by MD Health Care Commission (MHCC). Other than knowing how old the data used in the quality measures are, this might be the best state-based rating of hospitals in the US. Updated 2022.

MedlinePlus: Traveler’s Health Editor's Pick

MedlinePlus website on travelers’ health is ad-free. Recent links for coronavirus COVID-19 travel information from the CDC have been updated. International travel and Covid-19, mask requirements, vaccination status are included. The site also covers 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. Updated August 2021.

Michigan Hospital Ratings: VerifyMIcare.org

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 quality ratings reflect data from 2019-2020. Must 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 2018-2019. No updates as of April 2023.

Minnesota – Hospital Price Check (Inpatient & Outpatient)

Minnesota Hospital Price Check gives hospital-specific prices (charges) for all inpatient hospitalizations 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. Hospitalizations are described in medical terms. Because the site uses coding phrases and 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, 2021 prices and volumes of cases. Shows statewide average charge also.

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

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

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

Montana Hospital Inpatient Charges – Compare Prices

Compare inpatient prices at Montana hospitals. MHA PricePoint shows median and average charges for inpatient stays (2019-2020 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 (severe psychological disorders) in MT averaged 8.7 days with a median charge of $12,699 and average cost $18,085 in 2019-2020. Joint replacement was $40,885 average, 2.0 day stay. Uncomplicated maternity stay cost $11,051 in 2019-2020 (average charge). Average cost for a normal newborn stay was $3,231. Consumers may wish to add about 7% medical inflation to estimate 2022 prices. Discounts to insured patients are not shown. PricePoint site by MHA-Montana Hospital Association.

Nebraska Hospital PricePoint System (Inpatient Charges)

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

Nevada Hospital Inpatient, ER and Ambulatory Surgery 2022 Average Charges Editor's Pick

Find average hospital, ER, and ambulatory surgery charges in Nevada for 2022. Each hospital is listed by name. Nevada Compare Care shows average hospital charges (prices) for every NV inpatient DRG (Diagnosis Related Group), and overall average ER or ambulatory surgery charge. Overall Nevada 3rd quarter 2022 inpatient charge was a whopping $114,693 per stay, or $20,747 per day. Sample DRGs: Psychoses (average $24,696), Normal Newborn ($6,593), uncomplicated vaginal delivery ($32,945), Septicemia ($175,082 for DRG 871), Major hip or knee replacement ($163,524), Cesarean Section ($53,581 without complications).

The number of ER visits in Nevada during full year 2021 was more than one million. Average 3rd quarter 2022 NV emergency room visit charge was $11,214 statewide. Average ER charges ranged from $2,302 average at Banner Churchill Hospital, to $17,936 average at St. Rose Dominican Siena hospital. Statewide average Ambulatory Surgery Center charge was $8,666. No breakout by procedure type is shown. Endoscopy Center average charges are included. Outpatient surgery at a hospital averaged $55,801 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).

Nevada PricePoint Hospital Inpatient Charges for 2021

Nevada PricePoint Hospital Inpatient Charges for 2021. Find average cost and typical prices for many types of inpatient hospitalizations in NV. Examples: childbirth prices, COPD, heart surgery, pacemaker, stents, hip & knee surgery, digestive problems, psychiatric hospitalization, rehab. Volume and average length of stay in the hospital also given. A normal newborn charge in 2021 averaged $4,830. Most diagnosis types have 2021 prices, but maternity stays were not populated. (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 2018 price was $37,000, without complications.) Physician fees are extra and not shown. A psychiatric stay for depression had an average charge of nearly $21,000, average 5.2 days in hospital. (The median charge was $12,600.) Average hip or knee joint replacement had an average cost of $152,973 in Nevada in 2021, with a 2.1 day stay. Get one hospital/one disease or condition at a time, then select other hospitals to compare. Calendar year 2021 charges shown. Sponsored by the Nevada Hospital Association.

New Jersey HMO and PPO Performance Report – Compare plans

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

New York – Clinical Laboratory Evaluation Program (CLEP) – Approved Labs for all types of testing

Find approved laboratories in New York and other states, under the Clinical Laboratory Evaluation Program (CLEP). Labs approved for certain specialty testing are listed by category of testing. Examples include Andrology (fertility assessment e.g. sperm count), Blood transfusion testing, Blood plasma processing, Cellular Immunology, Endocrinology (e.g. thyroid function tests, TSH), Virology, Genetic testing, Toxicology labs, Trace Element labs, Transplant monitoring, labs for oncology tumor markers; many more. More than 650 labs overall in New York. Other states may also have approved labs listed here. For example in May 2022, there were 7 approved labs listed in Minnesota, 10 in Illinois, 77 in California (including 23andMe), 11 in Florida, 33 in Pennsylvania and 34 in Texas.

Oregon – compare hospital and outpatient surgery costs (2020)

Compare hospital and outpatient surgery costs in Oregon. The most recent data are from 2020 costs. However, only the difficult-to-use Excel files full of data are available from the government OHA – Oregon Health Authority. Click on HOSPITAL PAYMENT REPORTS. Look for the statewide numbers to see median commercial payment across the state. Hospitals with the larger volumes for any given procedure, also show their median cost for both 2020 and 2019. In the past, a set of reports (instead of just the data file) showed the median amount PAID by commercial insurance companies. Costs paid, are after any discounts off charges (prices) have been taken. The file may have more than one line for what appears to be the same procedure. For example, two median costs are shown for Hernia repair – the outpatient surgery cost was close to $11,000 while the inpatient cost was nearly $27,000. Read closely. The user-unfriendly data file was updated June 2022.

If you choose the older Reports (2017 or 2018), select OUTPATIENT SURGERIES Report for same-day procedures such as breast biopsy ($3,302 median paid in 2017), carpal tunnel ($4.313), colonoscopy ($2,383), ambulatory gallbladder surgery ($11,697), hernia repair ($8,605 median paid), knee or shoulder arthroscopy, tonsillectomy ($6,380), tympanostomy (ear tubes $4,680), upper endoscopy, and more. Select INPATIENT Procedures Report to compare hospitals on costs for appendectomy, coronary bypass, kidney removal, inpatient gallbladder surgery or hernia repair, inpatient hip replacement, hysterectomy, angioplasty and more. Select PREGNANCY report to find 2017 maternity costs paid (about $8,400 for normal delivery, $14,838 for uncomplicated c-section and $2,200 for newborns). Compare hospital payments for IMAGING such as CT, MRI, Nuclear Medicine tests, ECG, x-ray, bone density studies. Compare amounts paid for RADIATION AND (outpatient) CHEMOTHERAPY infusions or injections. The reports are easier to read, cover a large set of services, and show each hospital’s payment, along with what was paid the year before. Unfortunately, the information in the reports is 5 to 6 years old. When estimating, consider medical inflation which has been about 14% from 2017 to 2022. Hospital costs may have gone up much more than that. Average amount paid for one type of hernia repair surgery, for example, rose more than 9% per year in the past 3 years – to nearly $11,000.

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

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

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

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

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

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

Texas – Inpatient Care Ratings and Charges in Texas Hospitals

Compare Inpatient Care ratings and average charges for Texas hospitals. At least two dozen separate quality ratings and patient safety ratings include patients of any payer type and pediatric ratings. Compare hospital volumes, mortality (survival rates), and certain utilization rates (i.e. cesarean section, VBAC rate). Survival rates and number of cases for heart attack (AMI), heart failure CHF, stroke, GI hemorrhage, hip fracture, and pneumonia. Select the measure from the drop-down menu in each section to find quality ratings. Volume and death rates provided for heart bypass surgery (CABG), angioplasty (PCI), AAA Repair, esophageal resection, pancreatic resection, and carotid endarterectomy. See if your hospital’s risk-adjusted rate is significantly better or worse than other hospitals. Average inpatient charges for 2019 are also listed. Medical price inflation has been about 9.5% (on average) since 2019. The average cost of a primary C-Section in TX was $19,750, or with price inflation, about $21,623 in 2022 dollars. TX Dept. of State Health Services THCIC. Updated with 2019 data, as of December 2022.

Utah HMO and PPO Health Insurance Plan 2022 Ratings

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

Vermont – 2022 Outpatient Diagnostic Test Prices

Compare 2022 Vermont hospital outpatient diagnostic test prices for lab work, x-ray & imaging tests. Scroll to Pricing of Common Services at Community Hospitals, Pricing by Service Type. MRI charges with physician fee averaged $2,896 to $5,118. CT scan of head, neck, face, chest, spine, pelvis, abdomen (overall CT average $1,816 to $4,751); screening mammograms average $726 with physician charge. Specific test prices for urinalysis, glucose, Metabolic Panel ($127 average cost), lipid panel ($117), PSA test (average cost $188, hospital range 74 to 311), CBC (VT range $ 68 to $84), strep test group A swab ($74 state average), Pap test, blood typing, OB ultrasound first trimester, x-rays, Cardiology EKG or echocardiogram, PT evaluation, colonoscopies ($4,324 without biopsy) and more. CPT codes listed. Prices good through Sept. 2022. Tables 3B through 3O. Vermont probably has the best State site for hospital outpatient diagnostic test cost comparison. However, consumers may have to check multiple reports to find the test they are looking for. It can be a slow process. Published 2022.

Vermont – Hospital Outpatient Surgery Prices, 2022

How much does outpatient surgery cost in Vermont? To find 2022 prices (the most recent available), see Section called Pricing of Common Services at Community Hospitals.

Tables 2A and 3P let you compare average gross charge (the closest you will get to average cost) for most common ambulatory surgery procedures at 14 general hospitals in VT. Table 3P (Other) Prices is more current, to September 2022, and it includes the physician charge. Hip replacement averaged $38,895 in VT. Knee replacement average cost was over $39,000; knee arthroscopy averaged $14,541. Outpatient gallbladder removal was $17,128 on average. A prostate biopsy was about $4,000. Hernia repair averaged $18,297. A tonsillectomy with adenoid removal in a child under age 12 was $12,618. Cataract prices, carpal tunnel release and more than 20 outpatient procedures are shown. Prices varied by hospital.

Table 2A shows prices for some procedures, 12 months through September 30, 2020 (two to three years old). Here you can find prices for ear tubes (myringotomy), outpatient hysterectomy, bunion removal, lumpectomy and other procedures. This table DOES NOT include the surgeon or other physician fees. Medical inflation has been about 4.7% over the past 2 years, and 9% over 3 years. As with all of Vermont’s reports, the font size is about as small as you can get.

Vermont – Inpatient Hospital Average Prices

2022 Vermont Hospital Report Card shows average inpatient prices (gross charges) for each VT hospital’s most frequent inpatient admissions. Sample average prices include newborn delivery (normal newborn $3,529; newborn with medical problems = $5,455, but over $25,000 if the baby had major problems), cesarean section ($20,000 to $24,000), average cost for vaginal delivery $10,342 without complications; pneumonia; total hip or knee replacement (average $41,000), depression (average $19,000), psychoses such as schizophrenia (average $39,000), COPD & emphysema, heart failure, chest pain, rehabilitation, heart rhythm problems, back problems, Spinal fusion about $75,000; kidney or urinary tract infection, and other hospital stays. Compare costs on nearly 60 different types of cases, listed by MS-DRG. Compare all hospitals side-by-side in Table 1A; 2019-2020 average charges were published in 2022. Price hikes for 2022 and 2023 are likely.

Virginia – Compare HMOs (Quality and Satisfaction)

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

Virginia Healthcare Prices – ER Visit, Ambulatory Surgery, Test, Hospital Stay Costs

Find Virginia Healthcare Prices for ER visits, ambulatory surgery, tests and hospital stays. This site shows average price ALLOWED (commercial insurance prices) in 2018 for almost 40 common healthcare services in VA. Includes a mix of outpatient, clinic, hospital stays and other services such as an ambulance (median $550) or an emergency helicopter ride ($19,466 which includes average base cost of $14,402 plus mileage). 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 well-child visits (median $126). 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 Virginia. The median amount allowed for an ER visit (medium, code 99283) was $1,091. The 2020 report shows allowed amounts for each service that you or your insurance plan ACTUALLY PAID in 2018. More relevant than most pricing information, but lags in timeliness. Add at least 12% medical inflation rate to estimate 2022 costs. Virginia Healthcare Pricing Transparency, from Virginia Health Information (VHI), updated June 2020. No new updates as of August, 2022.

Virginia Hospital Charges and Price Estimates – Inpatient & Outpatient

Find estimated hospital inpatient and outpatient charges in Virginia. Check prices for common hospital stays in VA. Topics for many hospitals include costs for childbirth delivery, newborn, C-Section; mental health, depression, psychiatric, alcohol rehab; hip or knee replacement surgery; cardiac cath, pacemaker, valve, stent; pneumonia, rehabilitation, digestive disorders, small or large bowel surgery, back and neck problems, spinal fusion, bone cancer. Use the price estimator tool to find average cost of doctor’s office visit, gall bladder surgery (cholecystectomy), CT or MRI test, psychotherapy visit and many other common outpatient services. Procedure list and hospitalizations may vary for each hospital. The price estimator tools and “standard charges” machine readable file replace the former PricePoint system. Quality scores are no longer linked. No side-by-side comparisons. Consumers may be required to provide their name and personal information for some hospitals. Provided by the VA Hospital & Healthcare Association (VHHA).

Wisconsin CheckPoint – Hospital Ratings and Patient Opinions Editor's Pick

Wisconsin CheckPoint helps you compare hospital quality performance and patient opinion ratings for 127 hospitals in WI. Topics: Birth and C-Section delivery, infections, readmissions; deaths (mortality) data, patient satisfaction, patient safety. Many conditions are rated, such as heart attack, heart failure, CABG and PTCA; pneumonia, surgical post-op infections, hip and knee surgery, vascular, colon surgery and hysterectomy; COPD, pneumonia; patient safety problems such as falls and pressure ulcers.

Also see how many patients would definitely recommend the hospital. (Ratings are listed under Patient Experience.) Compare hospitals on how many patients “understood their care when they left hospital”. Statewide, only 56% said they understood their care during 12 months ending Sept. 30, 2021, down 2 points from 2019. Eighteen (18) hospitals had fewer than half their patients understanding their care when they left the hospital: Marshfield Medical Center (hospitals in Marshfield, Neillsville, Beaver Dam, Rice Lake and Weston); Beloit Health System, Ascension hospitals (St. Francis and Columbia St. Mary’s Hospital in Milwaukee, All Saints Racine, Ozaukee, Mequon), Reedsburg Medical Center, Mayo Clinic Oakridge in Osseo, HSHS St. Nicholas in Sheboygan, Aspirus hospitals (Medford Portage and Rhinelander), Froedert in Kenosha and ThedaCare in New London. Statewide, 29 hospitals significantly under-performed (one-star) on this measure compared to the state average.

Congratulations goes to Memorial Hospital of Lafayette County in Darlington, for achieving 100% healthcare staff influenza vaccination during the 2021-2022 season. At the other end of the spectrum, Hudson Hospital & Clinic came in at an abysmal and embarrassing 41% staff vaccination rate. Ten other hospitals may have been in that low range also, since they chose not to publicly report.

Rankings are shown by stars (one, two, or 3 stars), and consumers can switch to numbers by clicking ‘Show Rates”. Many individual measures reflect 2021-2022 scores. Long-term trends lines are shown for each hospital, measure by measure, and the number of cases for that illness or surgery. Wisconsin Hospital Association makes quarterly updates. 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. Updated 2022.

Wisconsin Hospitals PricePoint (Average Inpatient Prices)

Wisconsin PricePoint tool shows average hospital price, median charge and length of stay for common inpatient services. Full year 2021 prices are shown. 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. Dates are not shown on the consumer version of the PricePoint tool. (See dates by going through the professional tool, from the Home page.) Also shows inpatient volumes if you click on more detail. Median price for a uncomplicated vaginal delivery in 2021, with normal newborn care was just over $16,000 total (about $12,000 for mom and $4,000 for baby). From WHA Information Center, part of the Wisconsin Hospital Association WHA Information Center. Updated Apr. 2022.

Surgeon and other physician fees NOT included. Wisc. Hospital Assn. created the PricePoint System now used in other states. This version of Pricepoint has been modified to be payer-specific, so consumers can get a better idea of average cost. Gross charges (sticker price) should be the same for all patients who have identical care. 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.