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Leapfrog Hospital Quality Ratings – For Consumers (all states) Editor's Pick

The Leapfrog Group, an employer-based coalition, asks hospitals to voluntarily report how closely they follow recommended quality and safety practices. CLICK on the Show More arrow underneath each green bar chart to find additional important information. You will find actual rates of performance,and whether the hospital you’re interested in, meets volume standards for certain complex surgeries. Many, but unfortunately not all hospitals participate; easy to compare. Updated December 2020, using a shortened survey due to the Covid-19 pandemic. The period covered is unclear. Leapfrog was a pioneer in getting ratings in the public eye.

Bunions

The American Academy of Orthopaedic Surgeons provides a detailed description of bunions, who gets them, surgical treatment options, many pictures and drawings. Does not discuss podiatrists.

Hernia: Causes and Surgical Treatment Editor's Pick

Excellent descriptions on 5 types of Hernia Repair surgery and causes, from the American College of Surgeons. Describes what groin hernia is, risk factors, differences between inguinal hernia and femoral hernia, and which ones are more common in men vs. women; hernia repair surgical treatment for both adults and children. Site also includes brochures on other types of operations, written for patients.

National Healthcare Infections from CDC (2018 NHSN Report)

National Healthcare Infections from CDC (2018 NHSN Report). CDC manages the system that tracks healthcare-associated infections. Thousands of hospitals and others participate in this voluntary reporting system. Aggregate reports are available to the public by state. Report shows device-related infection rates for central lines (CLABSI), urinary catheter-associated UTI, ventilator-associated pneumonia (VAP), surgical site infections (SSIs); c.difficile events and MRSA bacteremia. Counts available on the number of hospitals that have statistically worse infection rates, but no names provided. Standardized Infection Ratios (SIR) shown for 2018 data. Website and reports are difficult to use and understand. Updated November 2019.

Vascular Conditions, Disease, Tests, Treatments

Learn about vascular conditions, vascular disease, tests and treatments. The Society for Vascular Surgery web site for patients has resources about Abdominal Aortic Aneurysm (AAA), Deep Vein Thrombosis (DVT), Peripheral Arterial Disease (PAD), Pulmonary Embolism, Varicose Veins, Carotid Endarterectomy, Surgical AAA Repair, and much more. Includes drawings

When Should Antibiotics be given to prevent Surgical Site Infections?

Should antibiotics be given to patients in order to prevent surgical site infections? According to the Merck Manual: “Most surgical procedures do not require prophylactic or postoperative antibiotics. However, certain patient-related and procedure-related factors alter the risk/benefit ratio in favor of prophylactic use.” Specific surgeries and patient factors are addressed. Written in clinical language. Updated November 2020.

See Also Consumer Health Ratings – Average Costs & Prices – Compare Hospital Charges Editor's Pick

See Consumer Health Ratings’ main category on Costs to COMPARE average costs, prices or charges among providers. Compare specific hospitals, ambulatory surgery centers or clinics for hospitalizations, many surgeries, procedures and outpatient tests. The LEARN MORE listings show general average costs in your region, if available.

See also Consumer Health Ratings – Ratings, Report Cards and Credentials – Compare Quality Editor's Pick

See Consumer Health Ratings’ main page to compare Quality. Ratings, report cards and credentials. Find free public reports of quality ratings and comparisons among individual hospitals, nursing homes, health insurance plans, and other health care services. Check your physician’s credentials and look up your doctor’s license in this category.

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 to estimate 2020 costs; add at least 48% for a rough estimate. Overall average was $6,100, compared to nearly $40,000 for inpatient surgery. In today’s 2020 medical dollars, that would be over $9,000 vs. $59,000. 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 $7699; wrist fracture $7,807; $4,770 for circumcision. AHRQ Statistical Brief #86 published February 2010 unfortunately still has not been updated by the federal government. No longer Editor’s Pick

Ambulatory Surgery in U.S. Hospitals, 2003: HCUP Fact Book No. 9

Facts and figures on ambulatory surgery in US hospitals, from the 2003 HCUP Fact Book No. 9. Shows outpatient surgery volumes, average prices, gender, comparisons to inpatient surgery, and more in 2003. The Appendix shows the average charge per visit for each type of ambulatory surgery. Average charge in 2003 was $5,600, which is approximately equal to $9,771 in 2020 dollars (medical inflation only). However, technology has also changed, so the average prices listed are for reference only. Read sections online. Published January 2007. Amazingly, the federal government never updated this publication, despite the public’s desire to know more about ambulatory surgery costs!

America’s Best Hospitals list (Medicare) 2021 from HealthGrades

HealthGrades 2021 list of America’s Best Hospitals shows their choice for the top 50 hospitals and 100 best and top 250 hospitals in the US. List is based on clinical quality for Medicare patients over 3 years ending 2019. It shows which hospitals have held clinical excellence in consecutive years over “an extended period of time” (top 1%), and those in the top 2%. The 250 best hospitals (top 5%) were formerly known as receiving the Distinguished Hospital Award for Clinical Excellence.  HealthGrades examined complication rates or survival rates for 32 diagnoses (such as heart failure, COPD, pneumonia, stroke, diabetes, pancreatitis, sepsis) or surgical procedures (such as hip or knee replacement, gall bladder removal, back surgery, bowel obstruction, prostatectomy, angioplasty, valve surgery, and heart bypass). Hospitals are listed by state; about 39 states had hospitals that ranked in the top 5%. Published Feb. 2021

American Hospital Directory – Outpatient Charges and Volumes (ahd.com) Editor's Pick

The American Hospital Directory at ahd.com shows average charge and average cost for many hospital outpatient services. Charges and average costs for the 20 outpatient Ambulatory Payment Classifications (APCs) that made up the highest Medicare outpatient payment to each hospital. Critical access hospitals are excluded. List varies by hospital. Top 20 procedures may include volume (number of claims) and cost for colonoscopy, laparoscopy, CT, MRI, clinic and emergency (ED or ER) visits, x-ray tests, upper GI, lower GI endoscopy, arthroscopy, cataract with lens, angiography, echocardiography, hernia repair, infusion therapy, nerve injection, observation services, outpatient cardiac catheterization, ultrasound. Scroll to bottom of the hospital page to find Outpatient Utilization Statistics. Some rural critical access hospitals may not show any outpatient test and visit prices. Also shown: inpatient market share by local zip code; net income. Link is to the Free Hospital Information

Appendectomy (Removal of the Appendix) American College of Surgeons Editor's Pick

Professional, easy-to-read description of Appendectomy (removal of the appendix), by the American College of Surgeons (ACS). Describes symptoms of appendicitis, who most often gets it, how fast it develops, reasons for the operation, options for surgery, risks and complications, recovery from surgery. Short and informative, with drawings. Updated 2017

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. No updates were made during 2020.

California – Average Inpatient and Outpatient Prices, 2020 Hospital Chargemaster

California provides average prices for inpatient and outpatient procedures as of June 1, 2020, as listed in each hospital’s chargemaster. All CA hospitals are included; however, the prices are now one year out of date. 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 2020 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 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 2020. Consumers can see one hospital at a time.  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 2018-2019 data.  Number of cancer cases is labeled as both 2014 and 2018, 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 2019 Hospital Charges and Insurance Allowed Amounts

Compare average charges at Colorado hospitals and amounts allowed by insurance in 2019. More than 50 types of hospitalizations. Click on View Reimbursement by Diagnosis or Insurance Provider to see average total charge in 2019, and how much the insurance company allowed. Amazingly, the patient’s responsibility (called member liability) is also shown. Consumers can appreciate the transparency between prices and insurance-allowed amounts. Example: Major joint replacement without complications (such as a hip or knee replacement) had an average price near $82,000 in 2019, and had an average insurance allowed cost near $34,000, or about 41% of the charges; member liability portion was an average of $1,607. Uncomplicated delivery had an average price of $16,151 in 2018, with insurance companies allowing $8,104, or about 50% of the charge. The patient responsibility averaged $1,714. (Maternity 2019 prices were not yet available.) Consumers are also able to see actual hospital prices (Click View Hospital Charges, then select year 2019 and procedure). Example: Average 2019 price for major joint (hip or knee) replacement without major complications at CO hospitals that performed at least 100 procedures, ranged from $40,685 in Delta, to $211,612 at North Suburban Medical Center in Thornton (over 5 times higher). Physician charges are not included in the inpatient costs. However, outpatient prices on average for the state, or region, are also available for 2019. Cataract surgery, colonoscopy, emergency room visit, knee arthroscopy, physician office visit and pregnancy test prices are examples of average charges available on the insurance report. Regions are Denver, Ft. Collins, Boulder, Colorado Springs, Grand Junction, Greeley, Pueblo, East and West. The information is jointly published by the Colorado Hospital Association, in conjunction with the  state Division of Insurance’s Department of Regulatory Agencies (colo.gov). Updated 2020. Specific hospital prices are listed, showing both charges and amounts allowed by insurance, along with the member patient responsibility. All are excellent features. However, the site is no longer current enough to earn Editor’s Pick in 2021.

Colorado Hospital & Ambulatory Surgery Infection Rates 2020

Find Infection Rates for Colorado hospitals, Ambulatory Surgery facilities, and outpatient dialysis centers, 2020. CO Dept. of Public Health (CDPHE) reports patient infections in health facilities, including hospitals, ambulatory surgery centers, dialysis centers. Infection Rates are compared to national average, on surgical site infections for breast surgery, colon surgeries, hip replacement, knee replacement surgery, outpatient hernia repair, hysterectomy; c.diff infections, central line bloodstream infections (CLABSI) in adult or neonatal ICU, critical care units & long-term acute care hospitals (LTACHs), and dialysis treatment centers (DTCs). If a facility is significantly better or worse, it’s highlighted. 2020 data published in July 2021. Kudos to Colorado for getting a recent report out, despite the pandemic.

Colorado Hospital Quality Ratings, Report Card

Find hospital ratings and report card on quality in Colorado. Click on View Report Card Website. See hospital-specific data on mortality (survival rates) and volume. Mortality Measures show survival rate information for heart care (heart failure, heart attack AMI), pneumonia, stroke, hip fracture, or bleeding stomach (GI). Compare CO hospitals on Patient Safety bedsores (pressure sores/ decubitus ulcer), post-surgical blood clots (DVT, PE), sepsis (bloodstream infections) and falls. Volumes and infections for six procedures (hysterectomy, breast surgery, colon surgery, cardiac bypass CABG, hip or knee replacement). 2018 data, except for surgery infection rates (2017), all patients. Select Denver, or one of four other regions. Number of cesarean sections for each hospital also shown. Report Card website by the Colorado Hospital Association at cha.com and cohospitalquality.org. Updated 2020.

Ear Tubes – What is Myringotomy Surgery?

Ear Tubes – Just what is myringotomy surgery? Read this brief, consumer-friendly explanation of Ear Tubes, by the American Academy of Otolaryngology – Head and Neck Surgery (AAO-HNS). Covers what ear tubes are, who needs them, outpatient surgical procedure, and what to expect after surgery. Complications are reportedly minimal. Link to find an ENT surgeon (Ear/ Nose/ Throat).

Find an Orthopedic Surgeon (Orthopaedist)

Find an orthopedic surgeon (orthopaedist) anywhere in the US. Easy-to-use site, by the American Academy of Orthopaedic Surgeons (AAOS). Provides office location address.

Florida 2021 Reported Healthcare Incident Summaries

Aggregate healthcare incident summaries reported in FL hospitals, ambulatory surgery centers, assisted living facilities, and nursing homes for 2020 and YTD 2021. The most common “Code 15 Adverse Incidents” in the last full year (2020) were 3,256 incidents requiring transfer to a more acute facility; 1,804 fracture dislocations; and nearly 1,200 incidents reported to law enforcement for investigation. Most of these types of events were reported as coming from Assisted Living facilities. Other types of incidents include surgical procedure mistakes (60 times in hospitals and ambulatory surgery centers), death or brain injury from medical care; elopements, and other categories. Code 15 reports are required for each serious patient injury as defined in state statute, within 15 days of when injury occurred. No facility names given. Updated year to date and each quarter, with annual summary by provider type. In 2020, there were 20 reported deaths (unexpected) in ambulatory surgery centers, and 145 hospital incidents resulting in patient deaths. Maintained by Florida AHCA Adverse Incident Reporting System (AIRS).

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. 2019 and 2020 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 July 1, 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 2021.

Healthgrades – Hospital Awards for Patient Safety Excellence, 2021

Healthgrades 2021 awards for patient safety excellence lists top 10% (453) hospitals. These hospitals are distinguished for their Medicare patient safety, using 2017 to 2019 data. Hospitals were evaluated on 14 types of preventable patient safety incidents, such as leaving foreign objects behind during surgery, pressure ulcers [bedsores], accidental cuts during medical care; deep blood clots, collapsed lung pneumothorax, postoperative hip fracture, bloodstream infection, deaths after surgical complications, and postop sepsis. Annual study released May 2021 by Healthgrades.

Hip Replacement Surgery (MedlinePlus)

The MedlinePlus site for Hip replacement surgery is free of advertisement. Information provided on implants, hip resurfacing, total hip joints, risk of deep vein thrombosis (DVT)/blood clot, minimally invasive hip surgery; hip rehab exercises.

Hospital Compare – at medicare.gov (all states) Hospital star ratings, complications Editor's Pick

Visit Hospital Compare to find hospital star ratings and complications for hospitals in all states. Compare 3 hospitals at one time. Federal government (at medicare.gov) gives 1 to 5 stars and compares hospital ratings for heart attack (AMI), heart failure, pneumonia, COPD, stroke, hip & knee, preventing infections and surgical complications, timeliness of Emergency (ER) dept., use of medical imaging. Most data are from calendar 2019, but may vary by measure. Includes death rate comparisons from heart failure, heart attack, pneumonia, COPD, stroke, CABG; and return to hospital (readmission) rates. Click on Timely & Effective Care, or Complications. Shows patient satisfaction HCAHPS ratings (patient experience opinions) from 2019. Some info on colonoscopies and cataracts. Editor’s Pick because it’s the best of what is out there. The federal government standardized broad ratings for all hospitals, and most ratings are based on more than just Medicare patients. Small volume hospitals will not show data for some measures. Graphs are no longer available. Today’s stars may reflect older data than shown at the website. Read the fine print. Updated 2021.

Hospital Ratings at HealthGrades (all states) 2021

HealthGrades Hospital Ratings (5-star, 3-star, 1-star) for 2021 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 2021 ratings are from Medicare patients, from 2017 to 2019. Patient satisfaction ratings (2019 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.

Hysterectomy: What, Why, Recovery, Risks

Get the basics (what, why, recovery, risks) on hysterectomy surgery (uterus removal) from womenshealth.gov, and find out how common hysterectomies are. Links to information on endometriosis. Toll free help line if you want more information: 1-800-994-9662 (weekdays), National Women’s Health Information Center

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 2018-2019 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 nearly $37,000 average in IL, bunionectomy (which had a statewide list price at about $21,000), hernia repair, colonoscopy, lens, lumpectomy, tonsillectomy). Prices may be found under the SERVICES tab after you select the hospital or facility. 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 2020, using 2018-2019 prices, 2018 quality data, and 2018-2019 patient satisfaction scores.

Indiana Ambulatory Surgical Center Consumer Reports

Indiana Ambulatory Surgical Center consumer reports show information current to 2021. IN State Dept. of Health (ISDH) reports license expiration date, accreditation status, survey inspection findings, deficiencies, substantiated complaints, services available and more, for outpatient ambulatory surgery centers.

Indiana Hospital & Ambulatory Surgery Center Medical Errors 2018

Find medical errors for Indiana hospitals and ambulatory surgery centers in 2018. The Indiana Medical Error Reporting System (MERS) final report summarizes 134 reportable events in hospitals and outpatient surgery centers in 2018. Eight (8) of 134 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 285-page pdf file called Data Tables. IU Health and St. Vincent in Indianapolis, Methodist in Gary, Reid in Richmond, and St. Joseph in Ft. Wayne, IN had the greatest number of adverse reportable events in 2018. Market share data included. Published by IN State Dept. of Health (ISDH, in.gov) December 2019. No updates available as of July 9, 2021.

Infection Prevention Basics for Consumers (APIC)

Find the basics on infection prevention for consumers, from APIC. Learn how patients and families can break the chain of infection inside and outside of healthcare settings.  Monthly alerts are provided by the Association For Professionals in Infection Control and Epidemiology (APIC). Formerly PreventInfection.org

Iowa – Average Price for Ambulatory Surgery 2020

Compare average prices for ambulatory outpatient surgery at IA hospitals, before adding surgeon fee or other professional charges. 2020 prices. Check one procedure at a time. Average charge billed last year for Upper GI endoscopy was between $6,500 and $8,000; Diagnostic Colonoscopy averaged $5,373 excluding physician fees; simple cataract $8,104-8,787; Tonsillectomy with adenoid removal, over age 11 $9,842; one ear tube $7,990; shoulder surgery $22k to $24,000; laparoscopic gall bladder removal averaged $19k in hospital charges; inguinal hernia repair (laparoscopic) averaged over $26,000; knee ACL repair averaged $32,700 in Iowa; bunion correction surgery was nearly $23,000 in average charges. Individual hospitals shown if they have enough volume. However, volumes are not shown. More ambulatory surgery procedures are listed. From the Iowa Hospital Association; reasonably easy to use. Updated 2021.

Iowa Hospital Inpatient Charges Compare 2020 prices

Iowa Hospital Charges Compare provides information about volumes and average 2020 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; 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, unless one downloads the full detailed file (which also shows volume in each category at each hospital). Average cost (and median charges) across the state are also shown for each procedure. Average charge for delivering a baby (vaginal) was $10,812 in Iowa in 2020; average newborn (normal weight) charge was $4,278. Average knee replacement cost was about $50,000. Physician and surgeon’s charges are not included in the prices. Updated 2021.

Knee Replacement Surgery (MedlinePlus)

MedlinePlus website on Knee Replacement Surgery shows important topics: total knee replacement surgery, joint replacement (arthroplasty), revision surgery, conditioning, rehabilitation exercises, deciding to have hip or knee surgery, and more. Many videos on minimally invasive surgery. We like MedlinePlus so much better than WebMD. It’s ad-free, a service of our National Library of Medicine (NLM) and the National Institutes of Health (NIH)

Leapfrog – Minimum Volume Surgery Recommendations (Evidence-based Hospital Referral) Editor's Pick

The Leapfrog Group has Evidence-Based Hospital Referral Safety Standards that include recommended minimum volumes for certain surgical procedures. They include minimum annual hospital volumes as follows: 50 procedures for knee replacement (minimum 25 for a surgeon), minimum 50 hospital procedures for hip replacement (minimum 25 for surgeon), 40 mitral valve repair and replacement (minimum 20 for a surgeon), minimum 20 for pancreatic resections for cancer (10 for surgeon), esophageal resection 20 (7 for surgeon); 40 minimum for lung resections (15 per surgeon); minimum 50 bariatric surgery for weight loss (20 for surgeon); minimum 20 carotid endarterectomy (10 for surgeon) and other volume standards for rectal cancer and the Norwood procedure (heart). Read about the specifics, then go to the Hospital Quality Ratings category, and check the Leapfrog data for information on your local hospitals. Updated January 2021.

Leapfrog Hospital Quality Ratings – For Consumers (all states) Editor's Pick

The Leapfrog Group, an employer-based coalition, asks hospitals to voluntarily report how closely they follow recommended quality and safety practices. CLICK on the Show More arrow underneath each green bar chart to find additional important information. You will find actual rates of performance,and whether the hospital you’re interested in, meets volume standards for certain complex surgeries. Many, but unfortunately not all hospitals participate; easy to compare. Updated December 2020, using a shortened survey due to the Covid-19 pandemic. The period covered is unclear. Leapfrog was a pioneer in getting ratings in the public eye.

Louisiana Hospital Ratings and Prices – LA Hospital Inform

Louisiana Hospital Ratings and Prices from lahospitalinform.org. The most recent outpatient and inpatient costs at this site are from 2019; consumers could add minimum 5% medical inflation to translate to 2021 dollars. Medicare patients only, therefore childbirth delivery, C-section and newborn average costs are not included. Compare hospitals on number of cases and range of charges (low price and high price only) for Medicare patients at LA hospitals, both inpatient and outpatient. Find hip or knee surgery price range, gall bladder removal, psychiatric admission, rehab, heart problems, stent, stomach problems, stroke, GI hemorrhage, kidney failure, COPD, pneumonia, diabetes, bowel surgery, more. Outpatient Medicare prices include heart tests such as cardiac cath, heart imaging, pacemaker; CAT scan or CT angiography; GI endoscopy, mental health, general surgery, chest x-ray, MRI, more. Quality tab shows volumes for each procedure and old scores from Hospital Compare (federal government site). LA Hospital Inform is sponsored by the Louisiana Hospital Association.

Maine – Average Cost for Hospital and Doctor Visits (2019-2020)

Find the average cost for both hospital and doctor visits in Maine in 2019 to 2020. These “costs” may be less than charges or prices, since they are what 31 commercial payers actually paid for the service in the 12 months ending March 31, 2020. Compare costs at different clinics and hospitals. Typical vaginal delivery costs (median payment) averaged $14,281 for Childbirth delivery and 60 days of related care. (Does include physician care, but probably not newborn charges). An uncomplicated C-Section averaged $22,469. A few other charges by hospital, for hip or knee joint replacement, arthroscopy and gall bladder surgery. Find many median (middle) payments here physician office visits ($102 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 $185. An ongoing 60 minute psychotherapy visit (90837) cost $100 on average. Uses CPT codes. More than 7 million claims were analyzed. However, no Medicare or Medicaid claims were included. From Maine Health Data Organization in State of Maine

Maine Costs for Surgery, x-ray, imaging, lab tests (MHDO)

Compare costs in Maine for surgery, x-ray, imaging and lab tests across hospitals and medical groups. MHDO Maine Health Data Organization’s website shows average amount paid (median “cost”) by commercial insurance for surgery such as hip or knee replacement, shoulder arthroscopy, carpal tunnel, gallbladder removal; skin growth removal; lab tests such as strep, blood tests, urine. Imaging tests such as mammogram, x-ray, CT, MRI, ultrasound. Diagnostic procedures such as colonoscopy. Good news is that both physician and hospital charges for surgery are shown to give you an idea of total cost (and discounts); CPT codes listed. Costs for surgery, office visits and tests are from 2019-2020 claims, excluding Medicare and Medicaid. Search by city or zip code radius. From maine.gov

Maryland Hospital Prices, 2020 Editor's Pick

Compare hospital prices in Maryland for 2020. Volume (number of cases) and average charges (prices) at each Maryland hospital (by name) and statewide are available for 100s of the most common inpatient diagnoses. Includes newborns (average cost $2,481), childbirth vaginal delivery ($9,512), c-section (avg. $11,921), septicemia, heart failure, COPD, pneumonia, hip replacement ($28,694), knee joint replacement (average cost $28,634), cardiac arrhythmia, major depression ($13,575), bipolar admissions ($13,556 state average), schizophrenia ($18,976), cellulitis ($11,382), stroke, urinary tract infections ($11,069) and rehabilitation ($26,241). Data from first half of 2020. Hospital prices for the same procedure can vary widely. For example, inpatient hip replacement cost $20,991 on average at University of Maryland St. Joseph Medical Center, which had the largest program and an average length of stay of 1.7 days. Sinai Hospital, on the other hand had an average price over $48,000, which was the highest of any hospital that did at least 100 hip cases in six months. Sinai’s length of stay was almost 5 days. Mercy Medical Center had the shortest average stay – just 1.1 days, and an average charge just over $18,000. 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 2021.

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 2021.

Massachusetts – Serious Reportable Events in Hospitals and Ambulatory Surgery Centers, 2019

Massachusetts 2019 Serious Reportable Events shows surgical mistakes, pressure ulcers (bedsores), or serious injury or death after a fall or medication error, and other mishaps in MA acute care hospitals, non-acute hospitals and ambulatory surgery centers. Wrong site surgery (e.g. operating on the wrong body part) occurred during 2019 at Massachusetts General Hospital (9 incidents), 23 other hospitals, and 2 ambulatory surgery centers. Of the 497 Stage 3 & 4 pressure ulcers on acute care patients in 2019, 109 occurred at Brigham & Women’s Hospital. In non-acute hospitals, more than half of the reportable events were serious injury or death after a fall. Hebrew Rehabilitation Center (both locations) and Tewksbury Hospital each reported more than 15 serious falls. Excel files only. From Mass.gov Health and Human Services, November 2020.

Massachusetts Hospital Ratings – Infection Rates

Find infection rates for Massachusetts hospitals in 2019. Healthcare Associated Infections (HAI) in MA hospitals, show infection rates for hip, knee, hysterectomy, CABG and colon surgery. Volume of cases also shown. Choose the Interactive HAI Map to see ratings for each individual hospital. Published by Mass. Health and Human Services, July and October 2020.

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; 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 2018-2019.

Minnesota – Adverse Health Events in MN Hospitals & Ambulatory Surgery Ctrs 2019

Report of 366 adverse health events required to be reported by Minnesota law, that occurred in Minn. hospitals, ambulatory surgery centers and behavioral health hospitals. These [Never Events] such as pressure ulcers (bedsores) that resulted in a patient’s death or serious injury; falls; a foreign object left in during surgery, or operating on the wrong patient or wrong body part, were reported between October 2018 and Oct. 2019. There were 143 serious injuries and 12 deaths. View facility-specific data in a separate interactive database. Adverse Events in the 2020 report came from 99 hospitals and 15 ambulatory surgery centers. Report by MN Department of Health December 2020.

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, 2019 prices and volumes of cases

Missouri Healthcare-Associated Infections – Central Line, Surgery

Find healthcare associated infections for surgery in Missouri and central line infections. Both hospitals and ambulatory surgery centers (ASC) are included. Compare surgery infections for hysterectomy, hip, heart bypass (CABG), outpatient breast surgery and hernia repair. Click on DATA if you want to see the actual numbers of cases and infections. Hospital-acquired Central Line Associated Bloodstream (CLAB) Infections are also presented by hospital. The site includes a symbol identifying whether the facility has a lower or higher rate than its comparison group. Data periods vary. Report by the MO Department of Health and Senior Services (DHSS) shows 2018 data. Click on Infection Reporting Data to search.

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 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 2020 (the most common, moderate severity & moderately complex case) was $1,622. The second most common ER visit was Level 4 (high severity), had an average cost of $4,068. The highest possible Level 5 visit cost $7,081 on average. Just 11% of ER patients were classified as Level 1 or 2; the median prices for these low level visits were $501 and $857 respectively. Average prices shown for 2020. 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., 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 Outpatient Surgery and Test Costs

Find out how much outpatient surgery and imaging tests cost in Montana in 2019-2020. Compare MT hospital charges for ambulatory surgery and diagnostic tests such as colonoscopy (median charge $2,611 for a diagnostic colonoscopy code 45378), 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 (median $6,004 with adenoid removal, under age 12, code 42820), cataracts, ear tubes, knee cartilage, bunions, child’s appendix removal, carpal tunnel, gallbladder removal, skin lesions, upper GI endoscopy; x ray, CT, MRI (e.g. spine MRI without dye had a median price of $1,692, code 72148) and other radiology imaging prices listed. Costs are from July 2019-June 2020. Consumers may wish to add medical inflation to estimate 2021 prices, although these costs are more current than many other sites.

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.

Nevada Hospital Ratings and Patient Satisfaction Scores

Compare Nevada hospital ratings and patient satisfaction scores. NV hospital performance ratings on Emergency care, mortality for Heart care, pneumonia, stroke, and COPD; infections, adverse events (mistakes), plus patient opinion ratings. Shows 2019 data (some data older). Click on the green “ABOUT” button on each measure to see how old the ratings are, for each measure. Some measures may be the same as at CMS Hospital Compare website, but dates may vary. Consumers may view 3 or more hospitals side-by-side. Nevada Hospital Association website.

Nevada PricePoint Hospital Inpatient Charges for 2019

Nevada PricePoint Hospital Inpatient Charges for 2019. Find average cost and typical prices 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. A normal newborn charge in 2019 averaged $5,280, up 13% from 2018. Most diagnosis types have 2019 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 price was $37,000, without complications.) 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; 2019 charges shown. Sponsored by the Nevada Hospital Association. No updates as of August 18, 2021. Add medical inflation to estimate 2021 costs.

New Hampshire Prices for Physician Visits, ER, Outpatient Hospital and Dental Care – Compare (free)

Compare New Hampshire prices for physician office visits, Emergency Room, psychotherapy, dental care, hospital outpatient lab tests, PT visits and some surgery. Ambulance and medium level ER prices are included in NH. Prices are estimated at 2019-2020 prices plus 5% price inflation. Statewide cost estimate is also shown. Choose Medical or Dental. Select insurance, or uninsured to compare charges with your deductible. “Show All Procedures” will let you select procedure, test (e.g. lab, Radiology such as x-ray, MRI, CT or ultrasound), office visit or service. Tonsillectomy, gall bladder surgery, hernia repair, colonoscopy and a few other surgeries are bundled to include surgeon and anesthesia costs. Price transparency project developed by the New Hampshire Insurance Department. NH HealthCost is an excellent website, easy to navigate

New Jersey Hospital Quality Assessment – heart, pneumonia, infections

Compare NJ hospitals on Heart Attacks, Heart Failure, Pneumonia, and Infection Prevention for surgery, cardiac bypass grafts, surgical infections; central line (CLABSI) and catheter (CAUTI) infections prepared by the NJ Department of Health and Senior Services. Mortality ratings for heart attack, heart failure, pneumonia, stroke, and CABG are also shown. Patient Safety Indicators, Infections, and most other reports use 2018 quality assessment data. Some outpatient measures are included. NJ Dept. of Health prepares the NJ Hospital Quality Assessment.

New York State Hospital Quality Ratings – health.ny.gov

Find hospital ratings on quality in New York state. Select NY hospitals to compare in care areas like maternity, emergency department waiting time, post-op complications, cardiac, patient satisfaction, readmissions, death rates or infection prevention. Data are pretty old and very hard to find (hover over the hospital’s score, or see the dates on the Printable Page). Most data are from somewhere between 2015 and 2018. Patient satisfaction, if reported, reflects 2019 scores. Services include maternity (2017 scores) and volumes for some types of surgery (e.g. endoscopy, colonoscopy, hernia repair) and procedure counts for MRI, CT, cancer chemotherapy and psych evaluations. Many measures (e.g. surgery complications and mortality) and volume data go back to 2015. New York State Department of Health (health.ny.gov) site NY Health Profiles. Select one hospital at a time. You can select hospitals to compare, to see performance measures side by side.

Nova Scotia Wait Times for Tests and Surgery Editor's Pick

Excellent government web site from Nova Scotia Canada shows the wait times for diagnostic tests such as MRIs, CT, bone density scans, mammograms, breast biopsy (needle), ultrasound, and upper GI series. Waiting times for scheduled surgery such as ear tubes, hip or knee replacement, bunionectomy, carpal tunnel, gallbladder removal, heart or valve surgery, hysterectomy, hernia repair, tonsillectomy, and cataract surgery; and how long to get a consult with physician specialists (such as cancer specialists). View by doctor’s or surgeon’s name, in addition to hospital and facility. Information is very recent, updated 2020. Editor’s Pick for novascotia.ca

Oregon – compare hospital and outpatient surgery costs (2017)

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 10% from 2017 to 2021. Pub. July 1, 2019. No updates as of April 8, 2021.

Pennsylvania Hospital Performance Report 2019 | PHC4 Editor's Pick

Find hospital performance reports in Pennsylvania for 2019, through PHC4. Compare PA hospitals on Mortality Rating (relative survival rate), Average Charge (price), and Readmission rates. Sixteen (16) conditions in the reports include heart failure, abnormal heartbeat, heart attack, angioplasty and stent, pneumonia, stroke, intestinal obstruction, COPD, diabetes, kidney failure, urinary tract infections, sepsis, chest pain, and respiratory failure. Grouped by region. As an example, there were 70,000 sepsis cases in Pennsylvania in 2018-2019, with an average mortality rate of 8.7% (a great improvement from 5 years earlier), and an average charge nearly $63,000; about 18% were readmitted. There were 26 hospitals that had worse mortality than expected for sepsis; and 18 hospitals that had significantly lower mortality than expected. Symbols for Mortality ratings can be confusing – a higher mortality rating means worse survival.  Older reports may have laparoscopic gallbladder removal information. No orthopedic (hip or knee) surgery included. Data from Oct. 2018 to Sept. 2019, published by the Pennsylvania Health Care Cost Containment Council (PHC4), December 2020.

South Carolina – Compare Hospital Associated Infection Rates (HAIs)

Compare hospital infection rates (HAIs) at South Carolina hospitals. Surgical site infection rates at SC hospitals for colon surgery, hysterectomy (abdominal), hip and knee replacements, and heart bypass (CABG), 2019 data. Central line infections in hospital ICUs, c. difficile and MRSA also shown. Compare hospitals for each type of infection, beginning on page 31. Published December 2020 by South Carolina state Department of Health (DHEC). Also check the list for rates of annual influenza vaccination of healthcare workers in hospitals, in the Healthcare Personnel Vaccination Report published in August.

Surgeon Scorecard – Knees, Hips, Gallbladder, Spinal Fusion, Prostate Surgery, Medicare 2015

Surgeon Scorecard for knee, hip, gallbladder, spinal fusion and prostate surgery shows complications for each hospital and doctor. It compares individual surgeons’ complication rates (risk-adjusted) for Medicare patients having one of 8 types of inpatient surgery: hip or knee replacement, laparoscopic gallbladder removal, cervical (neck) or lumbar spinal fusion (either posterior or anterior technique), and prostate resection or removal. Analysis by ProPublica looked at billing records from 2009 to 2013. Numbers of cases shown are MEDICARE-ONLY (although the column title omits that point), and require at least 20 cases for a doctor’s rate to be shown. Physician’s rate combines his/her Medicare cases at all hospitals. Website was somewhat controversial in 2015. Tool is easy to use. Unfortunately, data have not been updated by ProPublica.

Surgical Safety Checklist proves effective – NEJM

Surgical Safety Checklist proves to be effective, as published by the New England Journal of Medicine (NEJM). Article by Haynes, Weiser et al (including our favorite Atul Gawande MD) outlines the effectiveness of an easy-to-implement surgical checklist. The study tested the tool and approach with about 4000 patients in eight hospitals (incl. one in Seattle) in 8 countries, providing a diverse application of the checklist. Results showed significant and dramatic improvement in lowering surgical site infections, returns to OR, deaths, and complications. Very exciting stuff when published in January 2009. Now it has become standard of care. Classic article.

Texas – Guide to Texas HMO Quality 2019-2020 (OPIC)

The Guide to Texas HMO Quality 2019-2020 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, mental health care and followup, flu shots, antibiotic utilization rates, rates of physician board certification, and more. Lengthy (232 pages) but valuable report. Published by TX Office of Public Insurance Council

Texas – Inpatient Care Ratings and Charges in Texas Hospitals

Compare Inpatient Care ratings and average charges 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. Average charges for 2017 are also listed. In addition to this page, select “Patient Safety Indicators” from the drop-down menu under HOSPITALS. TX Dept. of State Health Services THCIC. Updated with 2017 data.

usnews.com Best Hospitals 2021-2022: Ear, nose, and throat

US News rankings list of best hospitals for 2021-2022 in ear, nose and throat, uses 3 years of Medicare data (minimum number of 120 Medicare inpatients over 3 years 2017-2019), to select the top 50 best hospitals for ENT. Top of the list:  Memorial Sloan Kettering Cancer Center (New York), and Massachusetts Eye and Ear Hospital (Boston).

usnews.com Best Hospitals 2021-2022: Gastroenterology

Find the best hospitals in gastroenterology for 2021-2022 from usnews.com. Fifty hospitals are ranked, using Medicare data 2017-2019, survival rates (30-day mortality scores), volume, reputation and other factors. Mayo Clinic once again leads the 2021-22 list; Cedars Sinai Medical Center in Los Angeles is ranked number 2. GI problems, inpatient Gall bladder cases, & bowel surgery are included in this best hospitals category. Minimum 3-year volume of 464 inpatient Medicare cases.

usnews.com Best Hospitals 2021-2022: Gynecology Rankings

Mayo Clinic (Rochester, MN) which received a “perfect score” and Memorial Sloan Kettering Cancer Center (New York) lead the list of 2021-2022 best hospitals for Gynecology from US News & World Report. Gynecology rankings use data Medicare data from 2017 to 2019. Relative survival rates are included. Minimum 100 Medicare gynecology inpatients over 3 years.

usnews.com Best Hospitals 2021-2022: Neurology and Neurosurgery

US News & World Report’s list of top 50 hospitals for Neurology care and Neurosurgery. UCSF Medical Center (San Francisco) and New York-Presbyterian Hospital-Columbia and Cornell (New York) lead the 2021-2022 list. Stroke, carotid artery stent, craniotomy and multiple sclerosis included in this category. Minimum number of Medicare cases = 265 over 3 years, 2017-2019. Neuro rankings published July 2021.

usnews.com Best Hospitals 2021-2022: Urology Rankings

Find the best hospitals for urology, according to the rankings by usnews.com for 2021-2022. Mayo Clinic (Rochester, MN) and Cleveland Clinic lead the Urology list of 50 best hospitals from US News & World Report. List uses Medicare data from 2017-2019, reputation and other factors; includes cases of prostatectomy, TURP, kidney stones and other urologic surgery. Minimum 66 Medicare cases over 3 years.

usnews.com Best Hospitals 2021-22: Pediatric and Children’s Hospitals

US News & World Report’s top pediatric hospitals for 2021-2022. Best children’s hospitals listed for cancer; cardiology and heart surgery; diabetes and endocrinology; gastroenterology (digestive disorders) & GI surgery; neonatology; nephrology (kidney); neurology and neurosurgery; orthopedics; pulmonology (respiratory problems) and lung surgery; and urology. Honor roll of 10 hospitals is led by Boston Children’s, Children’s Hospital of Philadelphia (second), and Texas Children’s in Houston (third). List called Best Children’s Hospitals updated July 2021. Detailed hospital scores for individual measures such as survival, are in the Methodology report. Consumers can compare children’s hospital scores side-by-side.

usnews.com Best Hospitals 2021: Ophthalmology (Eye)

Who are the best hospitals for eye surgery (ophthalmology) in 2021-2022, according to usnews.com? Bascom Palmer Eye Institute at University of Miami Hospital, and Wills Eye Hospital at Thomas Jefferson in Philadelphia top US News & World Report’s 2021-22 list of best hospital Ophthalmology programs.  Thirteen hospitals are listed for eye surgery, ranked using reputation scores only from 2019-2021 physician surveys. No clinical outcomes data were examined (except what individual physicians responding to the survey may have considered on their own).

Vermont – 2020 Hospital Report Cards (Act 53)

Vermont 2020 hospital ratings are called Act 53 report cards – legislation passed in 2003, requiring VT hospitals to publish annual community reports about hospital quality, safety, financial health, costs for services and more. This government site links the data, including outpatient prices. See if your VT hospital is average, above average, or below average. Health conditions include heart care, pneumonia, surgical infection prevention, central line associated bloodstream infections, c. diff. infections, hysterectomy infections, knee replacement and hip replacement infection rates, volume and death rates, readmissions, psychiatric hospital quality & more. This site permits access to Quality Ratings, Survival Rate information, links to patient satisfaction and current medical prices all on the same web page for easy access. Nurse staffing also available for 2020. Dates for other reports vary, usually up to 2018 or 2019 data. Information on prices for some procedures, and services such as physician office visits also available. Published at healthvermont.gov April-May 2020.

Vermont – Hospital Outpatient Surgery Prices, 2018

How much does outpatient surgery cost in Vermont? To find 2018 prices (the most recent available), see Section called Pricing of Common Services at Community Hospitals. Table 2A lets 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. Prices for procedures such as cataract surgery (average $6,159), colonoscopy $3,999 average (range $1,628 [up 3%] at Northwestern Medical Center to $6,903 [up 53%] at Gifford Medical Center); upper GI endoscopy with biopsy ($3,519), knee cartilage surgery ($9,046 average, reduced 5%), arthrocentesis joint aspiration ($735), gall bladder removal (average $13,399, down 1%), breast biopsy (avg. $4,456), other biopsies; excision of skin lesion $2,461; ear tubes (average $3,756), tonsillectomy ($7,059, up 1.6%), bunion removal ($12,199 avg), hernia repair $12,960 (up 8%); circumcision cost $4,296, up 1.3%; fetal monitoring cost $799, up 1.9%; outpatient hysterectomy $22,969; peritoneal dialysis ($11,946, up 13%), and many more procedures. 12-month average charges ending Sept. 30, 2018, 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. Prices are about two years old; the 2020 Report Cards were published June 2020. Medical inflation has been about 6.4% over the past 2 years. Table 2B shows how many of those procedures the hospital did.

Vermont – Inpatient Hospital Average Prices

2021 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 $3,354; newborn with medical problems = $5,323, but over $31,000 if the baby had major problems), cesarean section ($19,000 to $22,500), average cost for vaginal delivery $10,000 without complications; pneumonia; total hip or knee replacement (average $41,000), depression  (average $17,000), psychoses such as schizophrenia (average $37,500), 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; 2018-2019 average charges were published 2021. Price hikes for 2021 are likely.

Vermont – Outpatient Surgery counts and average price statewide

Find out how many outpatient surgeries (selected types) were done at each Vermont hospital, and the average price statewide. Shows counts (volume, to calculate market share) and average gross charge for period of Oct 2018 to Sept. 2019. Average cost does not include physician charges. Volumes include arthrocentesis, cataract surgery, endoscopy, cholecystectomy (gall bladder surgery), colonoscopy, ear tubes (myringotomy), tonsillectomy, bunionectomy, circumcision, breast biopsy, outpatient vascular catheterization, hernia repair and more. Part of the VT State Act 53 Hospital Community Report series, Table 2B published in 2021.

Virginia Healthcare Prices – Ambulatory Surgery, Tests, Hospital Stays

Find Virginia Healthcare Prices for 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). 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 7% medical inflation rate to estimate 2020 costs. Virginia Healthcare Pricing Transparency, from Virginia Health Information (VHI), updated June 2020.

Virginia Hospital Outpatient Charges, Case Numbers, Patient Satisfaction

Compare hospital outpatient charges (prices) in Virginia. Consumers can view median charge (proxy for average cost) in 2018 for selected outpatient surgery by hospital, ambulatory surgery center and for the state. Includes breast surgery, hernia repair, colonoscopy, knee arthroscopy, fibroid removal, laparoscopy, gallbladder, hysterectomy, other gyne surgery, liposuction, eye-lifts or eyelid surgery, and more. Surgeries also show case numbers or volume. Each hospital report shows inpatient cases by service line, financial performance & efficiency; patient satisfaction. Must click on additional tabs to see more information. See detail and read carefully. Prepared by Virginia Health Information (VHI) using 2018 price data, financial results for 2019, and hospital patient satisfaction for 2019. The prices are old; consumers can add medical inflation factor of 8.1% to guess 2021 prices. It’s nice that ambulatory surgery centers are included for many comparisons, but the average prices need to be more current. Updated 2021.

Washington Hospital Quality Ratings and Satisfaction Levels, 2019-2021

Compare WA hospital quality ratings and scores for patient satisfaction (patient opinions); Surgical Infections (cardiac surgery, orthopedics, hysterectomy, colon); other infections (CLABSI, CAUTI); some maternity measures; Heart Attack, Heart Failure, Pneumonia, Stroke, Surgery (including hip and knee complications), readmissions,  Mortality (survival) data for heart care and pneumonia; and more. Consumers can find some of this information at the federal Hospital Compare site. Here all hospital ratings are side-by-side and are easier to see. Data periods may vary from the federal site. Most data are calendar year 2019. Some Emergency Care measures (such as average 24 minutes before patients see a doctor or nurse) reflect older data (2017-2018), since this measure is no longer used. Click on “More Info” to see scores for all hospitals in the state quickly. This website has been redesigned in the past two years and is very easy to use and to read. Washington State Hospital Association site.

Weight Loss Surgery (MedlinePlus)

Find good (and ad-free) information on weight loss surgery at MedlinePlus. Bariatric surgeries are estimated at 256,000 (2019). revisions which comprise about 17 percent of the total. Information about risks, bariatric surgery, gastric bypass, laparoscopic Roux-en-Y RYGB procedure (about 18%), sleeve gastrectomy (about 59% of surgeries), stomach band, Body Mass Index (BMI), directories of bariatric physicians, Medicare coverage for weight loss surgery, laparoscopic surgery videos and more. Updated 2021.

Wisconsin – Ambulatory Surgery Facility Charges, 2020

How much does outpatient surgery cost in WI?  Compare Wisconsin ambulatory surgery facility charges (prices) for 2020 for each hospital and freestanding ambulatory surgery center. Find average 2020 charges for 20 common ambulatory surgery procedures, such as Colonoscopy (5 codes), Endoscopy, Biopsy, Spinal Injection, Cataract & Lens ($7,675 average), Total knee replacement (arthroplasty) average price $39,538; outpatient Knee surgery/arthroscopy ($12,397), Carpal Tunnel ($7,247) and more. For colonoscopy, a less-frequent Colorectal Cancer Screening, or colonoscopy for a patient that is NOT high risk (code G0121) had an average charge of $3,728 in 2020. However, the two most common colonoscopy procedures had an average charge of about $6,000. Number of procedures for each hospital and surgical center are shown for top 20 only. Go to the Overview report for a longer list of 40 procedures including gall bladder removal (laparoscopic cholecystectomy at $19,649 average statewide cost, ear tubes, and tonsillectomy. Prices do NOT include surgeon and physician fees, which may cost thousands of dollars and could double prices shown. Consumers should add medical inflation to estimate 2021 facility prices. Health Care Data Report 2020 by WHA Information Center, published August 2021.

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. See how many patients would definitely recommend the hospital. (Ratings are listed under Patient Experience.)  Also compare hospitals on how many patients “understood their care when they left hospital”. Statewide, only 58% said they understood their care in 2019, up just one point from last report. Six hospitals had fewer than half their patients understanding their care: Marshfield Medical Center at Neillsville, Beloit Health System, Ascension St. Francis in Milwaukee, Holy Family in Manitowoc, Reedsburg Medical Center, and Ascension Columbia St. Mary’s Hospital in Milwaukee. Statewide, 27 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 2020-2021 season. At the other end of the spectrum, Hudson Hospital & Clinic came in at an abysmal and embarrassing 59% staff vaccination rate. Nine 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 a full year 2020 ratings or 2020-2021 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 2021.

Wisconsin Hospitals PricePoint (Average Inpatient Prices)

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.

Wisconsin PricePoint – Outpatient & Ambulatory Surgery Cost

Compare outpatient and ambulatory surgery volume and charges for colonoscopy, cataracts, eardrum surgery, shoulder or knee surgery, carpal tunnel surgery, removal of tonsils & adenoids, appendectomy, breast biopsy, endoscopy, gallbladder (cholecystectomy), upper GI, heart catheterization and more. Compare hospitals and surgical centers. Typical (median) price in county and statewide Wisconsin median prices shown, but no dates are provided on the consumer site. Must use the healthcare professionals site to see the dates and the number of procedures done at each hospital; 2019-2020 prices are shown. Prices exclude surgeon and other doctors’ fees which may double the numbers you see here

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