Treatment, medication and skin care for acne
Pressure ulcers, or decubitus ulcers (commonly called bed sores) rose nearly 80% between 1993 and 2006, according to the AHRQ government agency. Average estimated cost was $16,800 for hospitalization primarily for pressure ulcers in 2006 (often associated with paralysis, spinal cord injury, dementia, diabetes); 4.2% of these patients died in the hospital. Most pressure ulcer cases however had some Other main reason for being admitted – such as septicemia, pneumonia, or urinary tract infections; 11.6% of these patients died in hospital; average est. cost was over $20,000; over half were discharged to a long-term care facility. Average length of stay was 12.7 to 14.1 days, compared to 5 days for other types of adult admissions. Statistical Brief #64 published December 2008. Caution: publication is quite old, and has not been updated by AHRQ.
Prevent Bedsores and you contribute to survival. Also called pressure ulcers. One of the overview articles by the American Academy of Family Physicians describes the four stages of pressure sore development. Caregiving for bedsores is challenging. See the link to Taking Care of Pressure Sores by the University of Washington, Department of Rehabilitation Medicine
Find out about cellulitis infection and when to take skin rashes more seriously. Relationship to life-threatening sepsis. Read the overview written by the Mayo Clinic
Glossary of terms related to skin conditions, dermatologic procedures and other topics in the field of dermatology by the American Academy of Dermatology (AAD). Includes videos on special topics. For the public
Brief overview of melanoma, basal cell carcinoma (with picture) and squamous cell carcinoma; moles, prevention. safe sun behavior and more
Overview and details about melanoma, including risk factors, by the American Cancer Society. Great place to start
The top 10 of 20 most expensive conditions that people get hospitalized for are led by Septicemia, osteoarthritis, liveborn infants, complication of device, implant or graft; heart attack (AMI), congestive heart failure (CHF), back problems, pneumonia, coronary atherosclerosis and acute cerebrovascular disease. The full list identifies 20 health conditions that cost the nation the most in hospital charges in 2013. The top 10 represented nearly half (48%) of the total national hospital bill. For Medicaid patients, mood disorders, schizophrenia and previous C-section were in the top 10. For the uninsured, diabetes with complications was the 4th most expensive condition. 15-page Statistical Brief #204 by AHRQ uses 2013 HCUP data; published May 2016
Find average prices for about 80 outpatient ambulatory surgery procedures done in hospitals in 2007 (excluding surgeon’s or other physician fees.) Average colonoscopy & biopsy price then was $2369; upper GI endoscopy $3131; cataract & lens was $4870; tonsillectomy $5286; knee cartilage $7357; hernia repair $8187; outpatient gallbladder removal (cholecystectomy) $10,838; breast biopsy $3863; lumpectomy $7458; ear tube surgery (myringotomy) $3547; D&C $6366; arthroscopy $8970; incontinence procedures $9929; vericose veins $8459; bunionectomy $7699; wrist fracture $7807; $4770 for circumcision. Consumers will need to adjust the 2007 prices to estimate 2019 costs; add at least 40% for a rough estimate. Overall average was $6100, compared to nearly $40,000 for inpatient surgery. AHRQ Statistical Brief #86 published February 2010 unfortunately still has not been updated. No longer Editor’s Pick
Find prices for CA hospitals including Kaiser and Shriners. Inpatient prices are listed in the complicated Charge Master, which shows the charge for every pill, lab test and hospital room rate. MRI and CT tests should be included. More useful are the outpatient files (look for Common25 in the filename), which list the average cost (charge) for top 25 types of outpatient procedures or surgery with CPT code). Hospital Outpatient reports may show prices for Emergency Dept. ER visits, lab tests, CT, MRI, Mammo, x-ray, ultrasound, PT visit, Arthroscopy, colonoscopy, hernia repair, gall bladder removal, etc., depending on their highest volume. Files are in Excel file format. Prices are from June 2018. Consumers can see one hospital at a time. Provided through California OSHPD.
Find average 2018 cost across CO for more than 50 types of hospitalizations. Click on View Reimbursement by Diagnosis or Insurance Provider to see average total charge in 2017, and what the insurance company reimbursement was. While the patient’s responsibility is not shown, we appreciate the transparency between prices and amounts paid. Example: Major joint replacement without complications priced at $78,874 had an average insurance payment of $26,588, or about 1/3 of the charges. Uncomplicated delivery was priced at $16,500 in 2017 (17,545 in 2018), with insurance companies paying $7347 in 2017. Similar for newborns – $5171 average price, insurance paid $2341. Insurance company payments appeared to go down in 2017, while charges went up. Consumers are also able to see actual hospital prices (Click View Hospital Charges, then select year 2018 and procedure). Example: Average 2018 price for major joint replacement at hospitals that performed at least 100 procedures, ranged from $13,941 in Meeker (Pioneers Medical Center), to $131,513 at Sky Ridge Medical Center in Lone Tree (nearly 10 times higher; midrange 208 price across hospitals was about $79,000. Physician charges are not included. Published by the State Department of Regulatory Agencies, Division of Insurance, and Colorado Hospital Association. Updated 2019.
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
Indiana Medical Error Reporting System final report for 2017 summarizes 110 reportable events in hospitals and outpatient surgery centers in 2017. Five (5) of 110 events occurred at ambulatory surgery centers. Adverse Events such as leaving a foreign object inside a patient after surgery, operating on the wrong body part, (remarkably, these avoidable surgical errors still happen) or Stage 3 or 4 pressure ulcers (bedsores) acquired after admission, are based on NQF’s list of 28 serious, largely preventable adverse events. List of events by facility name is a separate 289-page pdf file called Data Tables. IU Health and St. Vincent in Indianapolis, Baptist Health Floyd (New Albany) and Methodist in Gary, IN had the greatest number of adverse reportable events in 2017. Market share data included. Published by IN State Dept. of Health (ISDH, in.gov) October 2018.
Hospital-specific prices (charges) for all inpatient hospitalizations (described in medical terms) and top 25 same-day surgery procedures in MN. Find average and median inpatient cost (before discounts) and volume for newborns and child birth delivery, pneumonia, chest pain, COPD, hip or knee replacement, appendectomy, cellulitis, hysterectomy, rehab, other surgeries & many more. Outpatient prices for biopsies, cataracts, colonoscopy, ear tubes, gallbladder (cholecystectomy), hernia repair, arthroscopy, tonsillectomy, upper GI endoscopy, hysteroscopy, carpal tunnel and other same-day surgery. Compare 3 hospitals, one procedure at a time; excludes doctor charges; by Minnesota Hospital Association, 2017 prices and volumes of cases
Find how much physicians charge for over 100 professional services in Minnesota, ND, SD, WI through Minnesota HealthScores’ Cost Report feature. Compare prices over 150 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. Unclear if it’s price before or after discounts
Compare MT hospital charges for ambulatory surgery and diagnostic tests such as colonoscopy, sigmoidoscopy, breast biopsy, cardiac stress tests, cardiac catheterization. All prices EXCLUDE surgeon fees and other physician costs. PricePoint system shows facility prices in the past, for common surgical procedures such as tonsillectomy, cataracts, ear tubes, knee cartilage, bunions (median $5483, $2000 more for big toe), child’s appendix removal, carpal tunnel, skin lesions, upper GI endoscopy; x ray, CT, MRI and other radiology imaging prices listed; 2015 costs
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
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
Median charge and length of stay for common hospitalizations including maternity and newborn births, hip or knee replacement surgery, gallbladder removal, heart surgery, angioplasty, arrhythmia (irregular heartbeat), valves, cardiac cath, pacemaker, pneumonia, bipolar and other mental health, stroke, back care, asthma, COPD, rehab; kidney, heart, lung or other transplant; hysterectomy, prostate surgery, bowel surgery & more. Also shows inpatient volumes if you click on more detail. From WHA Information Center, part of the Wisconsin Hospital Association WHA Information Center. Surgeon fees NOT included, nor are dates shown. Compare hospitals by city (anywhere in the state by adding cities). Wisc. Hospital Assn. created the PricePoint System now used in other states. This version of Pricepoint has been modified to be payer-specific, although gross charges (sticker price) should be the same for all patients. Must watch a video before proceeding to see the prices; you may also need specific medical information about the procedure in order to select the price you are interested in.