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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 blue [i] to the right of each green bar chart to find out if your hospital meets survival expectations and/or volume standards of 50 very-low birth weight babies for High-Risk Delivery-Neonatal ICU patients per year. Info on infection rates and early elective cesarean deliveries also reported. Many, but unfortunately not all hospitals participate; easy to compare. Updated for 2018, but 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

Excellent descriptions 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 surgery

National Healthcare Infections from CDC (2018 NHSN Report)

CDC manages the system that tracks healthcare-associated infections. Over 3600 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 2017 data; trends to 2018 also available

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

What Consumers Should Know – For Safer Surgery (pdf)

Two-page summary developed as part of the national Surgical Care Improvement Project. Discusses preventing surgical infections and more. As published in 2014, the project proved to be successful from 2007 to 2010 in reducing surgical site infections (See Cataife, Guido; Weinberg, Daniel A.; et al, in Medical Care: February 2014 – Volume 52 – p S66–S73)

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 2018

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

See our main category on Costs to see how specific hospitals and ambulatory surgery centers or clinics COMPARE on average prices or charges for many surgeries, hospitalizations, procedures and outpatient tests. The LEARN MORE listings show general average costs in your region if available

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

See our main page for public reporting of quality ratings and comparisons for individual hospitals, nursing homes, health insurance plans, and other health care services. Check your physician’s credentials and doctor’s license in this category

Other Helpful Listings

20 Most Expensive Conditions Requiring Hospital Stay, 2013 (pdf)

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

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

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

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

Facts and figures on hospital outpatient surgery in 2003 – volumes, average prices, gender, comparisons to inpatient surgery, more. 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 50 Best Hospitals list (Medicare) 2019 from HealthGrades

HealthGrades choice for the top 50 hospitals and 100 best and top 250 hospitals in the US, based on clinical quality for Medicare patients over 3 years ending 2017. List shows which hospitals have held clinical excellence for 6 or 7 years (top 1%), and those for 5 consecutive years (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)

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

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

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

Short 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

Find average charges (a proxy for average costs) for 40 common hospitalizations at specific AR hospitals by Clicking on INPATIENT PRICING after you’ve selected your hospital. Price List varies by hospital, but may include maternity and childbirth, stroke, chest pain, stomach disorders, back pain, nutritional problems (diabetes), blood infection (septicemia), rehabilitation, heart attack, cardiac cath, drug coated stent, congestive heart failure, kidney failure, urinary infection, COPD, pneumonia, total hip or knee replacement surgery, hysterectomy, psychiatric care, ventilator support and more. Note: Definitions conflict for whether data such as Volumes are Medicare-only, or reflect all patients. To find quality scores on emergency department, heart attack, heart failure, pneumonia, COPD, stroke, delivery or surgical infections, and patient opinions, click on QUALITY at each hospital’s page. Hospital Consumer Assist is provided by the Arkansas Hospital Association. Prices from 2016; Quality and Patient Satisfaction scores reflect 2017 ratings

California – Average Inpatient and Outpatient Hospital Prices, 2018

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.

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

CA hospital quality ratings for heart care, hip and knee, gall bladder, surgery volume, pneumonia, COPD, stroke, preventing surgical infections & complications, maternity care including c-sections and VBAC, emergency department and patient opinion ratings, readmissions; some mortality/survival rates. Dates of data are hard to find (click on the red question marks when at the hospital report). When reported, most contain 2017 data.  Number of cancer cases is for 2014. 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 Truven Health Analytics

CareChex America’s Top Quality Hospitals 2019

Lists of top 10% hospitals in specialties such as bariatric surgery, cancer care, cardiac surgery, inpatient gall bladder surgery, GI care, general surgery, hip fractures, hip or knee joint replacement, organ transplants, spinal fusion, stroke care, and more. Top hospitals listed by nation, state or region.Categories include Medical Excellence, Patient Safety and Patient Satisfaction. Consumers can choose Medical Excellence results for Overall Surgical Care only. 2019 report covers Medicare claims data and HCAHPS patient satisfaction from 2014 to 2016, or in some cases to 2017. Announcing award-winning hospitals may require a license fee to be paid. CareChex is a division of Quantros, a for-profit software solutions company, which appears to be a competitor to HealthGrades

Colorado 2018 Hospital Charges and 2017 Insurance Payments

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.

Colorado Hospital & Ambulatory Surgery Infection Rates 2018

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 cardiac,colon, breast, hip replacement, knee replacement surgery, outpatient hernia repair, hysterectomy, catheter associated 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. 2017 data

Colorado Hospital Quality Ratings, Report Card

Click on Hospital Quality Report at the Report Card Website by the Colorado Hospital Association. 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). 2017 data, all patients. Nurse staffing information also provided. Consumers may need to use the Chrome browser only, to see the hospital information. cohospitalquality.org

Compare Hospitals at Why Not the Best? (IPRO) Editor's Pick

WhyNotTheBest.org is a helpful website to compare hospitals and check ratings, although the number of measures is few. Allows comparisons within a state, up to 70 hospitals at a time. Currently using 2017-2018 data for most measures. Some measure are older. Emergency room care, blood clots, infections, influenza vaccination, patient satisfaction, survival rates (mortality for heart care, pneumonia, COPD and stroke), readmissions, old charges from 2011 and more. Must SCROLL in the measures selected box, to find all the other kinds of reports and measures that don’t readily appear. Trends are shown for many hospitals, and you might be able to find Top Performers in the country at this website. Operated by IPRO

Ear Tubes – What is Myringotomy Surgery?

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 anywhere in the US. Easy-to-use and informative site, by the American Academy of Orthopaedic Surgeons (AAOS).

Florida 2019 Reported Healthcare Incident Summaries

Aggregate healthcare incident summaries for Code 15 Adverse incidents in FL hospitals, ambulatory surgery centers, assisted living facilities, nursing homes and health plans. Includes surgical procedure mistakes and deaths from medical injury; fracture dislocations, elopements, law enforcement incidents, transfer incidents, 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 each quarter, with annual summary by provider type. Consumers may be surprised to learn that Assisted Living Centers had the greatest number of adverse incidents in 2018. Also, there were 23 reported deaths (unexpected) in ambulatory surgery centers, and 131 hospital incidents resulting in patients’ death in 2018. Maintained by Florida AHCA Adverse Incident Reporting System (AIRS).

Florida Inpatient Hospital Ratings, Satisfaction, Average Price

Compare Florida inpatient hospital ratings on patient satisfaction, how many procedures they do each year and infections. Search by condition to find volume (number of hospitalizations) and length of stay, 2017-2018 data.  State inspection reports are also shown on each hospital’s individual page. Find average statewide charge, and range of charges (price range) for each condition, with prices dating back to 2016. All age groups (not just Medicare), extensive set of health conditions/diseases, and the ability to sort with best FL hospitals at the top of the list, make this website helpful. Click on the hospital name to additional information about the hospital. Hysterectomy listed under Women’s Health instead of Surgery. Florida no longer provides hospital-specific price ranges or readmission rates. FloridaHealthFinder.gov, updated 2019.

Florida Outpatient Surgery Prices & Visit Volume (2018 data) Editor's Pick

Compare hospitals and ambulatory surgery volumes and range of charges (average cost is not shown) for common adult and pediatric outpatient surgery procedures, by hospital or surgical center name. Includes arthroscopy, cataracts, laser eye procedures, cardiac catheterization, pacemaker, upper GI & lower GI endoscopy, colonoscopy, hernia repair, hysteroscopy, tonsil removal, lithotripsy, skin biopsy, bunion removal, pediatric circumcision and more. You might be surprised to find outpatient hernia repair prices averaged $10,413 to $26.585, but individual hospitals ranged from $945 (Florida Medical Clinic in Tampa) to a high charge over $72,000 at Palms of Pasadena in St. Petersburg (ages 18 to 64, Level 1). Cataract procedures at the highest volume center (University of Miami Hospital Bascom Palmer Eye Institute) listed charges from nearly $17,000 to over $19,000. The second largest center, St. Luke’s Surgical Center in Tarpon Springs, did cataract procedures for $1400 (ages 18-64). Might be worth asking about price before you schedule the surgery. Links to inspection reports. FloridaHealthFinder.gov 2017-2018 data. Editor’s Pick.

Healthgrades – Hospital Awards for Patient Safety Excellence, 2019

List of top 10% (460) hospitals, distinguished for their Medicare patient safety, using 2015 to 2017 data. List evaluates 14 types of hospital 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 2019 by Healthgrades

HealthInsight: National Rankings for Hospitals (all states)

Overall hospital rankings based on a summary of patient experience (satisfaction), hospital infections, mortality (for heart attack, heart failure and pneumonia) and readmissions. Health Insight, a project of Oregon, Utah, New Mexico and Nevada, developed a helpful composite ranking for nearly every hospital in the nation, using national CMS measures and satisfaction ratings from inpatients. Performance on preventing infections contributes 45% to the hospital’s national ranking. Patient experience results contribute 35% to the score. Results shown by state. Easier to use than the federal HospitalCompare website, but less detail. Dates are from admissions primarily in 2017.

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, anterior approach; hip rehab exercises

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

Federal government gives 1 to 5 stars and compares hospital ratings for heart attack (AMI), heart failure, pneumonia, COPD, stroke, hip & knee, preventing surgery infections, timeliness of Emergency (ER) dept., use of medical imaging in 2017 – 2018. 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 from 2017 – 2018. Some info on colonoscopies and cataracts. Editor’s Pick because the government standardized broad ratings for all hospitals, and most ratings are based on more than just Medicare patients. However, it is still complicated. Small volume hospitals will not show data for some measures. Be sure to click on Show Graphs or View More Details. Today’s stars may reflect older data than shown at the website. Read the fine print

Hospital Ratings at HealthGrades (all states) 2019

Hospital Ratings (5-star, 3-star, 1-star) for over 30 diseases & inpatient procedures: Stroke, back surgery, COPD, diabetes, gall bladder surgery, bowel obstruction, GI Bleed, hip fracture repair, hip replacement, total knee replacement, prostate removal, TURP, hysterectomy (listed under gynecologic surgeries), respiratory failure, pneumonia, cardiac bypass, heart attack, heart failure, angioplasty, defibrillator, pacemaker, valve surgery, sepsis, pancreatitis, pulmonary embolism, abdominal aneurysm, stomach surgery, peripheral vascular bypass & more. Probably Medicare-only data for most conditions, although some states provide maternity, appendectomy, and bariatric surgery (gastric bypass) data. More extensive list than the federal government’s site. Publicly-traded company. Most data in 2019 ratings are from Medicare patients, from 2015 to 2017. Patient satisfaction ratings (2017 data) are featured by HealthGrades. One hospital at time, unfortunately. No longer Editor’s Pick, since HealthGrades removed the 3-year patient volume, and actual mortality or complication rates compared to predicted. Mostly, the site shows which ratings awards were given to the hospital by HealthGrades – a fee likely was required for publicizing the award.

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 National Women’s Health Information Center

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

Compare IL hospitals on heart attack, heart failure, pneumonia, surgical infection prevention, knee arthroscopy, cardiac surgery, safety measures, infection rates, some survival information, patient satisfaction, more. See volume and 2016 median charges (closest you’ll get to average cost) for selected types of inpatients (e.g. birth, c-section, appendectomy, COPD, gall bladder), and outpatients at ambulatory surgery centers (such as bunionectomy, hernia repair, colonoscopy, lens, lumpectomy, tonsillectomy). Prices may be found under the SERVICES tab. May get a full report for one hospital at a time, or one measure at a time for multiple hospitals side-by-side, with state averages. Hospital Report Card by IL Dept. of Public Health (IDPH) for all IL cities incl. Chicago area, Peoria, Rockford, Springfield, Champaign. Updated 2018, using 2016 data

Indiana Ambulatory Surgical Center Consumer Reports

IN State Dept. of Health (ISDH) reports of accreditation status, survey inspection findings, deficiencies and complaints for outpatient surgery centers. Site is not always reliable in producing reports.

Indiana Hospital & Ambulatory Surgery Center Medical Errors 2017

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.

Infection Prevention Basics for Consumers (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 2018

Compare average prices for ambulatory outpatient surgery at IA hospitals, before adding surgeon fee or other professional charges. 2018 prices. Check one procedure at a time. Average charge billed last year for Upper GI endoscopy was between $6000 and $6900; Diagnostic Colonoscopy averaged $4,941 excluding physician fees; simple cataract $7442 to $8201; Tonsillectomy over age 11 $10,896; one ear tube $10,265; shoulder surgery $20k to $23,000; laparoscopic gall bladder removal averaged $17k in hospital charges; inguinal hernia repair (laparoscopic) averaged over $21,000. Individual hospitals shown if they have enough volume. From Iowa Hospital Association

Iowa Hospital Inpatient Charges Compare

Iowa Hospital Charges Compare provides information about volumes and average 2018 charges (amount billed) and median charge at IA hospitals. This site is for consumers who want to find the average cost of surgery or other inpatient services. Select one hospital to begin. Site allows 4 hospitals to be compared at one time for prices, length of stay, number of cases and more. Must select city first, then body system before finding the procedure. Provided by the Iowa Hospital Association, this is a starting point for comparing average cost of care between Iowa hospitals. Compare typical prices for surgery such as gall bladder removal, bowel surgery, knee joint replacement; childbirth and newborns, pneumonia, stroke, heart care, transplants, COPD,rehab, and many medical conditions. Severity of illness can be specified. Limited focus to one service and category at a time. Average cost (and median charges) across the state are also shown for each procedure.

Knee Replacement Surgery (MedlinePlus)

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 a service of our National Library of Medicine (NLM) and the National Institutes of Health (NIH)

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

The Leapfrog Group has Evidence-Based Hospital Referral Safety Standards that include recommended volumes for certain procedures. They include minimum annual hospital volumes as follows: 40 mitral valve repair and replacement (minimum 10 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) and other volume standards for rectal cancer, carotid endarterectomy and open aortic procedures. Read about the specifics, then go to the Hospital Quality Ratings category, and check the Leapfrog data for information on your local hospitals. Updated 2019

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 blue [i] to the right of each green bar chart to find out if your hospital meets survival expectations and/or volume standards of 50 very-low birth weight babies for High-Risk Delivery-Neonatal ICU patients per year. Info on infection rates and early elective cesarean deliveries also reported. Many, but unfortunately not all hospitals participate; easy to compare. Updated for 2018, but period covered is unclear. Leapfrog was a pioneer in getting ratings in the public eye

Louisiana Hospital Ratings and Prices – LA Hospital Inform

Find range of charges (low price and high price) for Medicare patients at Louisiana hospitals, both inpatient and outpatient. Hospital-specific inpatient charges do not include childbirth or C-section, since it’s Medicare only. Find hip or knee surgery prices, 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 ER visits, heart tests such as cardiac cath, EKG, heart imaging, valve repair; CAT scan or CT angiography, GI endoscopy, more. Quality scores and volumes (which cover all patients), are similar to those at HospitalCompare, but may be less current (2017). LA Hospital Inform is sponsored by the Louisiana Hospital Association; Price ranges from 2017 (outpatient and inpatient)

Maine – Average Charge for Hospital and Doctor Visits (2017)

Typical vaginal delivery costs (charges) in Maine in 2017 averaged $11,347 for Childbirth delivery and 60 days of related care. (Does include physician care, but probably not newborn charges). Add $9000 for an uncomplicated C-Section. A few other charges by hospital, for hip or knee joint replacement, arthroscopy and gall bladder surgery. Find many median (middle) prices here physician office visits ($97 average cost for 15-minute appt for an established patient 99213), CT, MRI, x-ray, lab tests and more. Uses CPT codes. From Maine Health Data Organization in State of Maine

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

Maine Health Data Organization’s website shows average charges (median prices) for surgery such as hip or knee replacement, shoulder arthroscopy, carpal tunnel, gall bladder removal; skin growth removal; lab tests such as strep, blood tests, urine. Imaging tests such as mammogram, x-ray, CT, MRI, ultrasound. 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. Surgical prices date from 2016-2017. Office visit and test prices are from 2017 charges. From maine.gov

Maryland Hospital Prices, 2018

Compare volume and average charges (prices) at each Maryland hospital (by name) and statewide for 100 most common inpatient diagnoses (severity adjusted using APR-DRGs) – including newborns (avg. $2142), childbirth vaginal delivery ($8173), c-section (avg. $10,081), heart failure, cardiac arrhythmia, pneumonia, COPD, septicemia, cellulitis ($11,000), knee joint replacement (avg. $22,643), major depression ($10,929), bipolar admissions ($10,411 state average), schizophrenia ($13,917) stroke, urinary tract infections ($9308) and rehabilitation ($26,196). Data from first half of 2018. State average not included for things like cancer, hysterectomy, digestive problems, but may be available for individual hospitals. Each hospital reports its top 100 types of cases. By MD Health Care Commission MHCC 2019

Maryland Hospital Quality Ratings (MHCC)

Overall consumer satisfaction, and Quality Measures on common groups of illnesses or conditions for which people are hospitalized in Maryland. Topics include different types of infections, emergency department waiting time, heart conditions, pneumonia, COPD, hip and knee surgery, imaging, stroke, maternity and newborn care, surgery infections for hysterectomy, colon surgery and more. Click on hospital name to see actual scores and details. MD Hospital Guide generally shows 2015-2016 data, pub. by MD Health Care Commission

Massachusetts – Serious Reportable Events in Hospitals and Ambulatory Surgery Centers, 2018

Massachusetts 2018 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) or wrong surgery occurred during 2018 at Massachusetts General Hospital, Boston Eye Surgery & Laser Center-West, Cataract & Laser Center Associates and North Shore, East Bay Surgery Center, Beth Israel Deaconess (Plymouth, Milton and East), Boston Children’s, Brigham & Women’s Faulkner, Brigham & Women’s Hospital, Cape Cod Hospital, Fairview, Harrington Memorial, Holy Family, Lahey Clinic, Lawrence General, Lowell General Hospital, Mass Eye & Ear Infirmary, Mercy Medical Center Campus, Newton-Wellesley Hospital, Southcoast Hospital Group (Charlton and St. Luke’s) and St. Vincent Hospital. Of the 171 Stage 3 & 4 pressure ulcers on acute care patients in 2018, 130 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 reported 32 serious falls. Excel files only; PDF no longer available. From Mass.gov Health and Human Services

Medicare Ambulatory Surgery Allowed Costs – 25 Commonly Performed Procedures

See this file for 25 procedure payments by Medicare and what they considered the Allowed Amount. This file shows average amounts Medicare paid to Ambulatory Surgery Center (ASC) facilities for selected outpatient surgery such as spinal injection (example: CPT code 62311 Medicare allowed $377, and paid $297), knee arthroscopy (CPT 29881 $1631 allowed), prostate needle biopsy (CPT code 55700 $670 average allowable cost; $530 average cost paid), simple cataract removal & lens insertion ($1679 allowed; Medicare paid $1339), bunion correction ($1825 allowed), crushing kidney stones ($2330 allowed), large bowel endoscopy ($586 allowed, plus $671 for removal of polyps), and more. Includes physician fees and payment to the ASC. Confusing file unless you know CPT codes and can use Excel files. Actual prices or charges are not shown. This is the best of what’s out there nationally, with state average charges. Old 2012 data published Sept. 2013

Michigan – Compare Hospitals, Physician Groups, Nursing Homes in SE Mich.

The Greater Detroit Area Health Council provides a 7-county health care performance report at MyCareCompare.org. Compare MI hospitals (side-by-side) for childbirth, COPD, emergency department (ER), heart attack, heart failure, cardiac surgery, hip or knee replacements, imaging, infections, patient safety, pneumonia, surgical infection prevention and overall patient satisfaction. See mortality ratings (survival rate) for some conditions. Same info as listed at the federal HospitalCompare site, except mycarecompare might not be updated as often, so check the federal site. The advantage of mycarecompare is that consumers can see Above Average and Below Average comparisons very quickly, for the selected hospitals they want to look at, and all health conditions at once. Very easy to use. Physician group and nursing home results are at this site. GDAHC hospitals are in Detroit, Ann Arbor, Pontiac and counties: Wayne, Washtenaw, Livingston, Macomb, Monroe, Oakland, and St. Clair. GDAHC was an early leader in quality transparency. It appears that larger hospitals in Lansing and other towns may be included. Medical group data from 2017

Michigan Hospital Ratings: 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, 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. Data from 2017; click on the checkmark to see the dates, which are otherwise hidden. Redesigned web site launched Jan. 2018

Minnesota – Adverse Health Events in MN Hospitals & Ambulatory Surgery Ctrs 2018

Report of 384 adverse health events required to be reported by Minn. law, that occurred in hospitals, ambulatory surgery centers and behavioral health hospitals. These [Never Events] such as falls or pressure ulcers (bedsores) that resulted in a patient’s death or serious injury, or a foreign object left in during surgery, or operating on the wrong patient or wrong body part, were reported between October 2017 and Oct. 2018. There were 118 serious injuries and 11 deaths. View facility-specific data in the 109-pg pdf (near end of the report). Adverse Events in the 2019 report came from about 77 hospitals or ambulatory surgery centers. Report by MN Department of Health March 2019

Minnesota – Hospital Price Check (Inpatient & Outpatient)

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

Missouri Healthcare-Associated Infections – Central Line, Surgery Editor's Pick

Three types of hospital-acquired infections – Central Line Associated Bloodstream (CLAB) Infections and Surgical Site Infection (SSI) rate to prevent ventilator-associated pneumonia – are presented by hospital or ambulatory surgery center (ASC) name, along with a symbol identifying whether the facility has a lower or higher rate than its comparison group. Click on DATA if you want to see the actual numbers of infections. Surgery infections available for hysterectomy, hip, heart bypass (CABG), outpatient breast surgery and hernia repair. Report by the MO Department of Health and Senior Services (DHSS) shows 2017 data. Click on Infection Reporting Data to search

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

Click on Find a Hospital, then Pricing Data to find the price (median charge) for common inpatient medical conditions and surgeries at Missouri (MO) hospitals. Range of charges, average length of stay, and number of cases per year shown. Childbirth, maternity, mental health, hip and knee surgery, heart care, etc. Must know the general body system (such as musculoskeletal) in order to search inpatient prices. Emergency department (ER Emergency Room) base prices are separately shown by level. In Missouri, more than half of the ER visits were at the highest possible levels 4 and 5 (high severity). Median charges for Level 4 were $3538 and for Level 5 the median price was $6498, Oct. 2017 to Sept. 2018 data. Level 3 (moderate severity & moderately complex case) median charge was $1409. Prices shown for 2017-2018. Hospital Quality data for 2018 also shown at this site. Compare hospitals on infections, readmissions, falls, and other patient safety results. Editor’s Pick for putting all of this information in one place and timely reporting on quality. Published by Missouri Hospital Association

Montana Hospital Inpatient Charges – Compare Prices

Montana PricePoint shows median and average charges at MT hospitals for inpatient stays (2016 prices), including newborns, deliveries, Cesarean section, knee or hip replacement, rehab, psychiatric hospitalization, back problems, heart failure, stent, chest pain, bowel surgery, more. Length of stay also shown. An admission for Psychoses averaged 6.3 days with a median charge of $10,400 and average $13,838 in 2016. Joint replacement was $39,052 average, 5.1 day stay. PricePoint site by MHA-An Association of Montana Health Care Providers

Montana Hospital Outpatient Surgery and Test Costs

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

Nebraska Hospital PricePoint System (Inpatient Charges)

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

Nevada Hospital Ratings and Patient Satisfaction Scores

Nevada Hospital Association shows NV hospital performance ratings on Emergency care, Heart care, pneumonia, stroke, COPD, hip and knee, infections, plus patient opinion ratings. Shows 2016-2017 data (some data older, to 2015). Some measures may be the same as at CMS HospitalCompare website, but dates may vary. Scores also for adverse events, surgical complications, mortality, readmissions. Consumers may view 3 or more hospitals side-by-side. Volume levels for certain procedures are given, but questionably labeled to read that lower volume is better.

Nevada PricePoint (Hospital Inpatient Charges)

Find average price and typical charges for 67 types of inpatient hospitalizations in NV. Examples: childbirth prices, COPD, heart surgery, pacemaker, stents, hip & knee surgery, digestive problems, psychiatric hospitalization, rehab. Average length of stay in the hospital also given. Average price for vaginal delivery without complications in Nevada in 2018 (mom only) was a whopping $22,150, 1.9 days average length of stay. The median charge was about the same, for a cost of nearly $12,000 per day. Average c-section price was $37,000, without complications. A normal newborn charge averaged $4654. Physician fees are extra and not shown.  Choose Comprehensive Query for prices on many other conditions not on the Basic list. Get one hospital/one disease or condition at a time, then select other hospitals to compare; 2018 charges shown. Sponsored by the Nevada Hospital Association. Information is very timely.

New Hampshire Physician Visit, Outpatient Hospital and Dental Prices – Compare (free)

Compare physician office visit prices, dental prices, hospital outpatient tests, PT visits and some surgery prices, as well as some ER prices (estimated at 2017-2018 prices plus 5% inflation) in NH. Choose procedure or test (e.g. lab, Radiology such as x-ray, MRI, CT or ultrasound). Select insurance, or uninsured to compare charges with your deductible. Tonsillectomy, colonoscopy and about 20 different surgeries are in Outpatient, which are bundled to include surgeon and anesthesia costs. Price transparency project developed by the New Hampshire Insurance dept. 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 shown, but are very old (2013 or 2015). Patient Safety Indicators and Infections reports use 2015 data. NJ Dept. of Health

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

Select NY hospitals to compare in care areas like emergency department waiting time, post-op complications, cardiac, patient satisfaction, readmissions, death rates or infection prevention. Data updated each year, although dates are hard to find (hover over the hospital’s score). Most data are from somewhere between 2016 and 2018. Some measures (e.g. surgery complications and mortality) are older. Services include maternity, and volumes for some types of surgery (e.g. endoscopy, colonoscopy, hernia repair) and procedure counts for MRI, CT, cancer chemotherapy and psych evaluations. New York State Department of Health 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 showing 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 2018

Ohio Hospital Price List (Sample) – Inpatient, ER, Lab, X-ray Charges

Here’s an Ohio hospital example of a 14-hospital system called OhioHealth showing their current prices for all services at 12 of their hospitals.  Examples of items in the chargemaster include daily hospital room charge, ICU charges, labor, delivery, c-section and newborn prices, price for an ER visit (depends on Level of the emergency department), operating room charges, PT, OT, cardiology and pulmonary charges, prices for x-rays, CTs, MRI, ultrasound, DEXA scan, and many lab tests. Examples are CBC, BUN, Arterial blood gas, lipid panel, troponin, cultures, glucose, hemoglobin A1C, pap smear, creatinine. Because a hospital’s price list might be hundreds of pages long, with thousands of line items, it can be difficult to find what you’re looking for.  The documents are not fully searchable. (For example, the category for Emergency Services requires scrolling to find it.) In addition, selected average charges are provided by each hospital for certain DRGs, without describing what time frame was covered in the calculation.  Average charges list varies by hospital. Caution: Physician professional fees may not be included (even in the Emergency Department).  Check each hospital’s website separately. Covers Riverside Methodist, Grant Medical Center, Doctors Hospital, Dublin Methodist and Grove City; Grady Memorial Hospital, Hardin, Marion General, Mansfield, Shelby, O’Bleness, and Berger Hospitals.

Oregon – compare hospital costs (2015)

OHA – Oregon Health Authority posts average hospital charges paid in 2015. Select inpatient Payment Report to compare hospitals on costs for appendectomy, chemotherapy, coronary bypass, dialysis, inpatient gallbladder surgery or hernia repair, hip replacement, hysterectomy, angioplasty and more. Select Pregnancy report to find maternity costs (about $7700 for normal delivery, $13,279 for uncomplicated c-section and $2200 for newborns). When estimating, add in medical inflation. Pub. July 2017

Oregon Hospital Guide to Costs

Compare up to 3 hospitals at a time on 2016 costs paid by commercial insurance companies or patient-paid amounts. Median amounts paid (not charges) are shown for 100 most common outpatient procedures and 50 most common inpatient procedures. Medicare and Medicaid are excluded. Includes maternity & newborn payments, heart care, stents, cardiac cath, hip and knee replacement, many surgery payments such as cataracts, hernia, hysterectomy, kidney removal, gall bladder, breast biopsy, carpal tunnel, mastectomy, tonsillectomy, endoscopy, shoulder surgery, appendectomy. Amounts paid for CT, MRI, Nuclear Medicine, x-ray and ultrasound; chemotherapy and radiation treatments. Site by the Oregon Association of Hospitals and Health Systems (OAHHS) to meet state requirements. Hospitals also list their financial performance measures for 2017 at this website.

Pennsylvania Hospital Performance Report 2017 | PHC4 Editor's Pick

Compare PA hospitals on Mortality Rating (relative survival rate), Average Charge (price), and Readmission rates. Sixteen (16) conditions in the pdf reports include heart failure, abnormal heartbeat, heart attack, angioplasty and stent, pneumonia, stroke, laparoscopic gallbladder removal, COPD, colorectal surgical procedures, diabetes, kidney failure, urinary tract infections, sepsis, chest pain, and respiratory failure. Grouped by region. As an example, there were over 68,000 sepsis cases in Pennsylvania in 2016-2017, with an average mortality rate of 9.3%, and average charge close to $56,000; about 18% were readmitted.  Symbols for Mortality ratings can be confusing – a higher mortality rating means worse survival. No orthopedic (hip or knee) surgery included. Data from Oct. 2016 to Sept. 2017, published by the Pennsylvania Health Care Cost Containment Council (PHC4), November 2018.

South Carolina – Compare Hospital Associated Infection Rates (HAIs)

Compare surgical site infection rates at SC hospitals for colon surgery, hysterectomy (abdominal), hip and knee replacements, and heart bypass (CABG), 2017 data. Central line infections in hospital ICUs, c. difficile and MRSA also shown; compare hospitals for each type of infection. Provided by South Carolina state Department of Health (DHEC)

South Dakota Charges for Inpatient Hospital Stays – 2017

Find out and compare SD hospitals on 2017 average charges, or median (typical) price. After you select one hospital, you can see the average charge in all of South Dakota (e.g. avg $5077 for normal newborn, or $3905 median. Vaginal delivery for mom was $10,736 average price, and $9868 median. C-section average cost $23,518.) All common hospitalizations shown, such as births and maternity delivery, knee replacement (average price about $47,000), heart failure, pneumonia, bowel procedures, COPD, angioplasty, kidney transplants (median $247,637), inpatient laparoscopic gallbladder removal (average price $48,000, but $50k to $55k avg. in Sioux Falls) and much more. Also shows volume and length of stay. PricePoint site sponsored by SDAHO (hospital association)

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

Compare 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; data have not been updated

Surgical Safety Checklist proves effective – NEJM 2009

Article by Haynes, Weiser et al (including our favorite Atul Gawande MD) published in the New England Journal of Medicine, 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

Texas – Guide to Texas HMO Quality 2017 (OPIC)

Lengthy (270 pages) but valuable report showing detailed clinical quality comparisons between HMO health insurance plans for indicators such as asthma, childhood immunizations, cancer screening, heart care, high blood pressure, diabetes care, prenatal care, mental health care, flu shots, antibiotic utilization rates, rates of physician board certification, and more. Compare HMOs Aetna, Allegian, Cigna, Community First, Community Health Choice, FIRSTCARE, HMO Blue Texas, Humana, Molina, Scott and White, Superior and United Healthcare of Texas. Pub. by TX Office of Public Insurance Council

Texas – Inpatient Care Ratings in Texas Hospitals, 2014

Nineteen (19) 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, laparoscopic cholecystectomy (gall bladder), cardiac cath, appendectomy in elderly). Survival rates for heart attack (AMI), heart failure CHF, stroke, GI hemorrhage, hip fracture, and pneumonia. Volume and/or death rates provided for heart bypass surgery (CABG), angioplasty (PCI), AAA Repair, hip replacement, craniotomy, esophageal resection, pancreatic resection, and carotid endarterectomy. TX Dept. of State Health Services THCIC. If your hospital has a * by it, its mortality rate is significantly lower (good), but if it has two ** by it, its risk-adjusted mortality was found to be significantly higher; must look VERY closely to find the asterisks. Updated 2018, but becoming very old

Texas PricePoint – Compare Hospital Inpatient Charges (Prices)

Average charge for a joint replacement in Texas was reported to be about $79.000 in 2017. A cesarean section without major complications averaged nearly $26,000, not counting the baby’s care. If you are looking for average cost of hospital care or surgery, the prices at this PricePoint site by the Texas Hospital Association will give you an idea of what to expect on your hospital bill. Information for one hospital at a time (no side-by-side comparisons) for maternity, childbirth, newborn, c-section; hip or knee replacement (look up Joint), fracture repair; hysterectomy, pneumonia, COPD, bronchitis, asthma; heart failure, chest pain, cardiac cath, bypass, stent, heart transplant; mental health, psychiatric hospitalization, depression; alcohol rehab; bowel surgery; back problems including spinal fusion and more. Volumes at each hospital are shown. Uses abbreviated medical terms instead of lay language; for example: “Uterine & adnexa proc” instead of hysterectomy. Does not include surgeon or other physician fees.

usnews.com Best Hospitals 2018: Ear, nose, and throat

Uses 3 years of Medicare data (minimum 45 Medicare cases over 3 years), to select the top 50 best hospitals for ENT – ear, nose and throat. Top of the list: University of Michigan Hospitals – Michigan Medicine (Ann Arbor) and Stanford Health Care (California). Strong weight to Reputation scores and volume. Rankings also consider survival rates

usnews.com Best Hospitals 2018: Gastroenterology

Fifty hospitals ranked, using Medicare data 2014-2016, survival rates (30-day mortality scores), volume, reputation and other factors. Mayo Clinic and Cleveland Clinic again lead the 2018 list. GI problems, inpatient Gall bladder cases, & bowel surgery are included in this best hospitals category. Minimum 3-yr volume of 430 inpatient cases, of which 112 needed to be surgical

usnews.com Best Hospitals 2018: Gynecology Rankings

Mayo Clinic (Rochester, MN) and University of Michigan – Michigan Medicine (Ann Arbor) lead the list of 2018-2019 best hospitals for Gynecology from US News & World Report. Gynecology rankings use data Medicare data from 2014 to 2016. Relative survival rates are included. Minimum 50 Medicare gynecology cases (3-yrs)

usnews.com Best Hospitals 2018: Neurology and neurosurgery

US News & World Report’s list of top 50 hospitals for Neurology care and Neurosurgery. Mayo Clinic and Johns Hopkins again lead the 2018 list. Stroke, carotid artery stent, craniotomy and multiple sclerosis included in this category. Minimum number of Medicare cases = 237 over 3 years

usnews.com Best Hospitals 2018: Ophthalmology (Eye)

Twelve hospitals listed for eye surgery, ranked using reputation scores only, no clinical outcomes data were examined (except what individual physicians responding to the survey had investigated on their own). Bascom Palmer in Miami and Wills Eye/Thomas Jefferson in Philadelphia top US News & World Report’s 2018-19 list of best hospital Ophthalmology programs

usnews.com Best Hospitals 2018: Urology Rankings

Cleveland Clinic leads the Urology list of 50 best hospitals from US News & World Report, with Mayo Clinic and Johns Hopkins tied for second place. List uses Medicare data, reputation and other factors; includes cases of prostatectomy, TURP, kidney stones and other urologic surgery. Minimum 42 cases over 3 years, of which 17 required to be surgical

usnews.com Best Hospitals 2019-20: Pediatric & Children’s Hospitals

US News & World Report’s top pediatric 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, and Cincinnati Children’s tied for third with Texas Children’s in Houston. List called Best Children’s Hospitals updated June 2019. Detailed hospital scores for individual measures such as survival, are in the Methodology report

Utah Inpatient Hospital Charges, 2016 – Utah PricePoint

Utah provides average charges (price) statewide, and on a hospital-specific basis for many common inpatient stays, such as pneumonia, stroke, appendectomy, hip and knee procedures, gall bladder surgery, hysterectomy, heart failure, heart attack, chest pain, coronary bypass, heart valve procedures, vaginal and cesarean deliveries, newborn births, chemotherapy, psychoses, alcohol or drug abuse, rehabilitation, back and neck procedures, digestive disorders, abdominal surgery, nutritional/metabolic problems, transplants and much more. To find psych (mental health, bipolar, schizophrenia) admission costs, for example, you will need to click on LOOKUP. Volumes (2016 data) and length of stay are included; does not include average cost for physicians. Consumers may adjust for 2019 costs by adding 3-year price inflation (at least 6% more). As with other PricePoint Systems, view one UT hospital at a time. Utah Hospital Association

Vermont – 2019 Hospital Report Cards (Act 53)

Vermont calls these ratings Act 53 report cards, in honor of 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 hospital is average, above average, or below average. Health conditions include heart care, pneumonia, surgical infection prevention, central line associated bloodstream infections, hysterectomy infections, knee replacement and hip replacement infection rates, volume and death rates for resection of esophagus or of pancreas (usually for cancer), abdominal aneurysm repair (AAA – listed as fix the artery), readmissions & 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. 2017-2018 data for quality; 2017 information on prices for some procedures, 2019 prices (through Sept. 30) for other services such as physician office visits. Published May 2019.

Vermont – Hospital Outpatient Surgery Prices, 2017 (pdf)

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.

Vermont – Inpatient Hospital Average Prices, 2017 (pdf)

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

Vermont – Outpatient Surgery Market Share 2017 – counts (pdf)

Find out how many outpatient surgeries (selected types) are done at each Vermont hospital, and the average price statewide (average gross charge) for period of Oct 2016 to Sept. 2017. Prices do not include physician charges. Volumes include cataract surgery, endoscopy, cholecystectomy (gall bladder surgery), colonoscopy, ear tubes (myringotomy), tonsillectomy, bunionectomy, circumcision, breast biopsy, outpatient cardiac catheterization, hernia repair and more. Part of the State Act 53 Hospital Community Report series, Table 2B published May 2019

Virginia Healthcare Prices (2015)

Find average price ALLOWED in 2015 for 30 common healthcare services, including hospitalizations (maternity), outpatient xray/imaging, CT and MRI tests; colonoscopy, mammogram; inpatient or ambulatory surgery (e.g. hernia, gall bladder, knee replacement, tonsillectomy, kidney stones); and ER or office visits. Shows costs but doesn’t identify if it’s facility cost only or INCLUDES the surgeon or other physician fees. Each service shows the average allowed amount that you or your insurance plan paid in 2015. More relevant than most pricing information, but confusing because of the doctor fee questions. From Virginia Health Information (VHI), updated Dec. 2016

Virginia Hospital OP Charges, Case Numbers & Patient Satisfaction

Consumers can view median charge in 2016 for selected outpatient surgery by hospital, ambulatory surgery center and for the state. Surgeries show case volume and average (median) price for breast, hernia repair, colonoscopy, knee arthroscopy, fibroid removal, laparoscopy, gallbladder, hysterectomy. Hospital report shows inpatient cases by service line, financial performance & efficiency; patient satisfaction. Must click on additional tabs to see more information. See detail and read carefully. Prepared by Virginia Health Information (VHI) using 2016 price data, financial results for 2017, and patient satisfaction for 2017-2018.

Washington (state) Hospital Inpatient Prices

Find out the typical charges (2016 prices) to estimate the average cost of hospital surgery or medical problems. About 60 types, including maternity care, psychiatric hospitalization and digestive problems, are covered. Shows one hospital at a time similar to other state pricepoint systems. Presented by the WA State Hospital Association (WSHA)

Washington Hospital Quality Ratings and Satisfaction Levels, 2018 Editor's Pick

Compare WA hospital scores for Emergency Care (average 24 minutes before patients see a doctor or nurse), Surgical Infections (cardiac surgery, orthopedics, hysterectomy, colon); other infections (CLABSI, CAUTI); Heart Attack, Heart Failure, Pneumonia, Stroke, Surgery (including hip and knee), readmissions and patient opinions. Mortality (survival) data for heart care and pneumonia. Consumers can find some of this information at the federal HospitalCompare 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 2017 to 2018. View DATA GRID is an excellent way to see scores for all hospitals in the state quickly. Be sure to Expand Grid when you see that option. This website has been redesigned and is very easy to use and to read.  Because of the expert redesign, we are giving the site the Editor’s Pick designation for 2019. Washington State Hospital Association

Weight Loss Surgery (MedlinePlus)

Bariatric surgeries estimated at 228,000 (2017) including revisions which comprise about 14 percent of the total. Information about risks, bariatric surgery, gastric bypass, laparoscopic Roux-en-Y procedure, 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

Wisconsin – Ambulatory Surgery Facility Charges, 2017

How much does outpatient surgery cost in WI?  Find average 2017 charges in Wisconsin for 20 common ambulatory surgery procedures, such as Colonoscopy (6 codes), Endoscopy, Biopsy, Spinal Injection, Cataract & Lens ($7353 hospital average), outpatient Knee surgery/arthroscopy ($11,285), Carpal Tunnel ($6463), Ear Tubes, and more. Volumes for each hospital and surgical center are shown for top 20 only. Go to Table 28 in Chapter VI for a longer list of 40 procedures including colonoscopy & biopsy, code 45380 ($5155 average) and gall bladder removal (laparoscopic cholecystectomy at $17,429). Chapter VII compares average prices (along with median charge and volume) at each hospital for twenty 2017 ambulatory surgeries. 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 2019 facility prices. Scroll to bottom of page for Chapters VI and VII Ambulatory Surgery, published by WHA Information Center July 2018.

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

Compare hospital quality performance and patient satisfaction ratings for 125 hospitals in WI. Topics: heart attack, heart failure, pneumonia, surgical post-op infections and complications, survival for hip, knee surgery, heart, vascular, other cardiac, colon surgery and hysterectomy; patient safety problems such as falls and pressure ulcers; readmissions; deaths data. See how many patients would definitely recommend the hospital. (Ratings are listed under Patient Experience.)  Also compare hospitals on how many patients “understood their care when they left hospital”. Statewide, only 57% said they understood their care in 2017-2018. Seven hospitals had fewer than half their patients understanding their care.

Some rankings are shown by stars (one, two, or 3 stars) instead of numbers. Wisconsin Hospital Association makes quarterly updates. Even though the clinical topic list may be sketchy (such as Digestive), WHA receives Editor’s Pick for going beyond CMS measures, for showing all hospitals side-by-side, consumer ease in getting a free overall quality report for one hospital, staying current, and showing comparisons to the benchmark best in the state

Wisconsin Hospital Survival Ratings for Surgical Procedures

Compare 86 WI hospitals (side-by-side) on their survival rates for AAA Repair, Craniotomy, CABG heart (cardiac) bypass, PTCA angioplasty, CEA endarterectomy, and hip replacement surgery. Wisconsin Hospital Association report Deaths During a Procedure shows most hospitals performed As Expected, with a few significantly Worse, or Better than the others. Source data (not updated) from 2014 reported as of March 4, 2019.

Wisconsin Hospitals PricePoint (Average Inpatient Prices)

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.

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 for reference. Prices exclude surgeon and other doctors’ fees which may double the numbers you see here

Wyoming Hospital PricePoint – compare hospital costs

Compare inpatient charges in Wyoming for 60 common types of hospital admissions, like childbirth (average price for uncomplicated vaginal delivery in state was $9323), newborn, hip or knee joint replacement, surgery (average charge $54,605 without complications), heart valves or stents, pneumonia, psychiatric admission ($19,055 average price for severe psychological disorders including schizophrenia, with average 9 day stay in hospital), rehab, and many more. Average cost in WY is also shown. Site shows one hospital at a time. WyoPricePoint by the Wyoming Hospital Association, shows 2016-2017 prices

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