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Compare Outpatient Hospital and Ambulatory Surgery Costs & Prices - by Name

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Hospital Clinic Visit Charges and Medicare Payments 2011

Find the average price for 30 types of hospital outpatient charges to Medicare patients. Includes Level 2 through Level 5 hospital clinic Visits (average charge from $148 to $362, with discounts in the 45% to 50% range.) All other procedures (APCs) such as Endoscopy, nerve injections, ultrasound, EKG, MRI, Pulmonary Tests, Cardiac Imaging, Sleep Studies, Excision/ Biopsy, or Debridement, have Medicare discounts from 66% to 96% off the charges. Example: Medicare paid $346 (including patient portion) on an average charge of $2588 for an MRI in CY 2011. Each state's average is also shown. In a separate Excel file, find the average charge by hospital (excluding Critical Access Hospitals). Difficult to use, from CMS

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 (ER) visits, x-ray tests, upper GI, lower GI endoscopy, arthroscopy, cataract with lens, angiography, echocardiography, hernia repair, infusion therapy, nerve injection, outpatient cardiac catheterization, ultrasound. Scroll to bottom of the hospital page to Outpatient Utilization Statistics. Also shown: inpatient market share by local zip code; net income. Link is to the Free Hospital Information

Arizona - Compare Hospital Prices, 2012 (xls)

AZ hospital-specific rate increases, charges for regular room rates, nursery, pediatric, ICU and CCU room daily rates; swing, rehab or skilled nursing bed rates, Labor & Delivery room rates, Trauma Team (ED) activation, EEG, EKG, CBC lab test price, lithotripsy, x-ray, CT (head or abdomen), prices for ultrasound, brain MRI, physical therapy, respiratory therapy and more. Site by the Arizona Department of Health Services requires consumers to open and understand difficult Excel spreadsheet files. Updated 2012 rate increases. Scroll to Cost Comparison Chart

California - Average Inpatient and Outpatient Hospital Prices, 2014

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. visit, 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 2014. Consumers can see one hospital at a time

Florida Outpatient Surgery Prices & Visit Volume (2012 data)

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 $7955 to $18,674, but individual hospitals ranged from $1000 to $52,000 (ages 18 to 64, Level 1); Level 2 common range was $11,000 to $24,000. FloridaHealthFinder.gov 2011-2012 data

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 2011-2012 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). 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. Infection rates use 2011 data. Hospital Report Card by IL Dept. of Public Health (IDPH) for all IL cities incl. Chicago area, Peoria, Rockford, Springfield, Champaign. Report is greatly improved; updated 2013

Louisiana Hospital Ratings and Prices - LA Hospital Inform

Search by Parish. Must click on View Reports on the left side of page to see LA hospital-specific selected inpatient charges (e.g. child birth, C-section, hip or knee surgery, gall bladder removal, appendectomy, heart problems, stent, cardiac cath, stomach problems, stroke, kidney failure, COPD, pneumonia, more); outpatient Medicare prices include ER visits, heart tests such as cardiac cath, EKG, stress test, echo; CT scan, MRI, x-ray and ultrasound, GI endoscopy, mammography, more. Quality scores similar to those at HospitalCompare, but may be less current. Louisiana Hospital Inform is sponsored by the Louisiana Hospital Association; Prices from 2009 (outpatient and inpatient)

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

Maine Health Data Organization's HealthCost website shows average charges (prices) and actual average payments for surgery such as knee arthroscopy, tonsillectomy, gall bladder removal, hernia repair, breast biopsy, carpal tunnel, kidney stones, total hip replacement; tests such as colonoscopy, mammogram, x-ray, CT, MRI, ultrasound. Good news is that both physician and hospital charges are shown to give you an idea of total cost (and discounts); CPT codes also shown. Bad news: prices date from 2008-2010, or nearly 3 years old. From maine.gov

Michigan Hospital Prices, Patient Opinion and Quality Ratings

Michigan Hospital Association's Keystone Center web site shows Medicare charges, and how much Medicare pays after they apply federal discounts (for an idea of average cost) and volumes for the top 50 most common inpatient and 50 outpatient services at nonprofit hospitals. Includes services like clinic visit (without the doctor's charge), ER visit, MRI, CT scan, ultrasound. Inpatient conditions like stroke, hip, knee or ankle surgery, GI problems, psych admission, heart problems also show average Medicare charges. Compare quality of Emergency transfers from critical access hospitals in rural areas. Patient Satisfaction (HCAHPS) and Quality ratings like those at CMS hospital compare are listed for heart attack, heart failure, pneumonia and surgical infection prevention, except the dates may be older here and no side-by-side comparisons. Prices from 2010-2011, one hospital at a time

Minnesota - Hospital Price Check (Inpatient & Outpatient)

Hospital-specific prices (charges) for the 50 most common inpatient hospitalizations (DRGs) and top 25 same-day surgery procedures in MN. Find average or median inpatient cost, volume and length of stay 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, hernia repair, arthroscopy, tonsillectomy, upper GI endoscopy, hysteroscopy, carpal tunnel and other same-day surgery. Must know the County in order to select which hospital's prices you want. See one hospital and one procedure at a time; by Minnesota Hospital Association, 2010 prices

Montana Hospital Outpatient Surgery 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 last year's facility prices for common surgical procedures such as tonsillectomy, cataracts, ear tubes, knee cartilage, bunions, child's appendix removal, carpal tunnel, skin lesions, upper GI endoscopy; 2010 costs

New Hampshire Costs - Outpatient Surgery, Tests and Maternity

Shows typical prices for many outpatient procedures, plus inpatient maternity care. NH Health Cost shows expected average cost for over 30 common tests and ambulatory surgeries including colonoscopy, mammogram, ER visit; chest x-ray or x-ray for spine, shoulder, knee, ankle, or foot; bone density scan, CT scan (3 types), MRI for back, brain, knee, or pelvis; myocardial imaging; arthrocentesis, arthroscopy of knee, breast biopsy, destruction of lesion, outpatient gall bladder surgery, hernia repair, kidney stone removal, tonsillectomy, breast ultrasound, and other maternity ultrasound tests, births. Site uses 2010-2011 costs increased for price inflation, common language instead of requiring codes, and includes physician fees. Must supply zip code and insurance information (or no insurance). Report by The NH Department of Insurance updated 2012

New Hampshire Outpatient Hospital Prices - Compare (free)

Compare hospital outpatient tests, visits and some surgery prices, as well as some ER prices (2010-2011) in NH. Choose procedure or test (e.g. lab, MRI, or CT), and hospital (one hospital at a time). Compare to common charges in the county and NH average. To find tonsillectomy, look under Digestive. Consumers should note that physician fees are extra, and NOT shown in the website prices. They may also need to add inflation factor for 2012. New Hampshire PricePoint through NH Hospital Assn.

Ohio 2010 Hospital Prices - Inpatient, Outpatient, OR, ER

Selected 2010 prices are provided by each hospital through the OHA - Ohio Hospital Association. Hospital charges shown for daily room rate, labor and delivery (obstetrics), Emergency Department (ER) prices, Operating Room surgery charges in 30-minute blocks, Mammogram, X-ray, CT, MRI, Lab tests such as CBC, Lipid Profile, Urinalysis, Troponin, PTT, Toxicology screen, blood glucose; Physical Therapy, OT, EKG test, more. Price list varies by hospital. Caution: Physician professional fees may not be included - even in ER - so read the fine print

Ohio Hospital Inpatient and Outpatient Charges, 2009 (ohio.gov)

Ohio.gov Web site shows typical (median) charges (the closest available for average cost) by DRG (diagnosis related groups) and outpatient procedure, with volumes by hospital. Public Warehouse data. Helps if you know DRGs and ICD9 procedure codes in order to find the procedure prices you want. Common hospitalizations: childbirth/ maternity & newborn delivery, heart problems, gall bladder, hysterectomy, pneumonia, stroke, rehab, joint surgery. Top 60 types of hospital stays and top 60 outpatient procedures, including biopsy, endoscopy, ambulatory surgery. Depending on where you go, a bunionectomy might cost you $15k or $20,000, and that was in 2009

Utah Gall Bladder Removal costs - Inpatient & Outpatient (2008)

Average Charges for outpatient laparoscopic gall bladder removal surgery in Utah were $6258 in 2006. Price range for hospital ambulatory surgery centers varied from $2841 to nearly $12,000. Volumes and old inpatient prices for gallbladder surgery shown statewide ($13,000 to $40,000 depending on type) and by hospital name for laparoscopy and Open procedures. All patients over age 18, not just Medicare. Report was the first of its kind (but unfortunately not updated) and shows that over 95% of all gall bladder removals were laparoscopic - 3/4 done as outpatients. Utah Dept. of Health

Utah Outpatient Ambulatory Surgery Charges, 2009 - by facility (pdf)

Average 2009 charges for outpatient procedures & ambulatory surgery at Utah's 21 freestanding ambulatory surgery centers and 45 hospitals. At 632 pages and full of CPT code abbreviations, the format is extremely cumbersome for consumers. Hospitals and surgical facilities listed alphabetically starting on page 38. Average prices for reportable procedures such as colonoscopy, upper or lower GI endoscopy, EGD, polpectomy, knee arthroscopy, cataract and laser eye procedures, myringotomy (ear tubes), tonsillectomy, cardiac cath, pacemaker, spinal injection, cochlear implants ($50,592), carpal tunnel release, complex laparoscopic procedures (e.g. lap choley gall bladder removal), septoplasty and many more start of page 29. Statewide average charges in Table 5 labeled TOTAL, but do not include physician fees. Report by UT Health Data Committee 2011

Vermont - 2012 Outpatient Diagnostic Test Prices  Editor's Pick

Compare 2012 hospital prices for lab work, x-ray & imaging tests. MRI charges averaged $2053 [pelvis] to $3487 [cervical spine] with physician fee. CT scan of head, neck, face, chest, spine, pelvis, abdomen (overall CT average $1343 to $2035); digital screening mammograms average $435 with physician charge. Specific test prices for urinalysis, glucose, Metabolic Panel ($105 average), lipid panel ($88), PSA (average $130, range 78 to 222), CBC (range $36 to $100), strep test (about $65, range from $35 to $139), Pap test (about $100), pregnancy test (range $16 to $77), blood typing, OB ultrasound (average $721), x-rays, Cardiology EKG ($1127 for stress EKG), PT evaluation ($246) and more. CPT codes listed. Probably the best State site for hospital outpatient diagnostic test cost comparison. Prices good through Sept. 30, 2012. Tables 3B through 3I

Vermont - Hospital Outpatient Surgery Prices, 2012 (pdf)  Editor's Pick

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 carpal tunnel ($4086 average), cataract surgery (average $5483), endoscopy ($2561), knee cartilage surgery ($6425 average), shoulder surgery, gall bladder removal (average $11,231, range $8076 to $20,7139 for laparoscopy), breast biopsy (avg. $4058), other biopsies, ear tubes (average $2897), cardiac catheterization (avg. $10,228), tonsillectomy (about $5400), nerve block ($1638), bunion removal (range $6276 to $17,348), nonsurgical skin treatments (avg $2196), repair of skin cuts $1189, and many more procedures; 12-month avg. charges ending Sept. 30, 2012, 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. Nonetheless, Editor's Pick

Wisconsin - Ambulatory Surgery Facility Charges, 2010

Average 2010 charges in WI for 40 common ambulatory surgery procedures, such as Colonoscopy (6 codes), Endoscopy, Biopsy, Spinal Injection, Cataract & Lens, outpatient Knee surgery/arthroscopy ($8988 hospital average), Cardiac Catheterization, Carpal Tunnel, Ear Tubes, Tonsillectomy ($5464 in hospital), Hernia Repair, Cholecystectomy (Laparoscopic Gall Bladder removal), Hysteroscopy, Cochlear Implant ($60,812). Volumes for each hospital and surgical center are shown for top 20 only. Prices do NOT include surgeon and physician fees, which may cost thousands of dollars and could double prices shown. Consumers should add inflation to estimate 2012 facility prices. Scroll to bottom of page for Chapters VI and VII Ambulatory Surgery, published by WHA Information Center November 2011

Wisconsin PricePoint - Outpatient & Ambulatory Surgery Cost

Compare outpatient and ambulatory surgery charges for colonoscopy (under Diagnostic), cataracts, ear surgery, cardiac catheterization, shoulder or knee surgery, carpal tunnel release (see Nerve), tonsil, appendix, breast biopsy, endoscopy, gallbladder, sterilization and more. Prices for tonsillectomy, laparoscopic appendectomy and ear tubes for kids are filed under C for Child. Shows one hospital or surgical center at a time, plus typical price in county and average 2011-2012 surgery prices in Wisconsin, excluding surgeon and other doctors' fees which may double the numbers you see here

Other Helpful Listings

Pennsylvania - Hospital & Ambulatory Surgery Center Financial Reports, 2010 - PHC4

Annual reports on the financial health of PA hospitals and ambulatory surgery centers show facility-specific net patient revenue, total and operating margins. Overall FY10 statewide hospital average operating margin was 4.36%. Shows average length of stay, occupancy rate, and revenue per day ($2208 per day in hospital, $11,528 per discharge), Inpatient charges (prices) are now 377% of actual revenues, or nearly 4 times higher than what hospitals expect to be paid. Volume 1 by PHC4, May 2011

South Dakota Charges for Inpatient Hospital Stays - 2014

Find out and compare SD hospitals on last year's average charges, or median (typical) price. After you select the hospital, you can see the average charge in all of South Dakota (e.g. avg $4368 for normal newborn, or $3265 median. Vaginal delivery for mom was $8891 average, and $8373 median.) All common hospitalizations shown, such as births and maternity delivery, knee replacement, heart failure, pneumonia, bowel procedures, COPD, angioplasty, kidney transplants (median $205,601), inpatient laparoscopic gallbladder removal (avg $40,071, but $44k to $46k avg. in Sioux Falls) and much more. Also shows length of stay. PricePoint site sponsored by SDAHO (hospital association)

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