Risk Management & Insurance Industry - Knowledge & Resource Center

GCat: Health - Medicine
MCat: Managed Care
Cat: Medical Costs

Average cost by DRG. Benchmark medical fees. Predictors & descriptors of psychiatric duration, costs and service use. Trends in length of stay, charges and functional outcomes in rehab. Medical Expenditure Panel Survey (MEPS) health care expenditures data.

52 Resources
2012 Long-Term Healthcare Costs [pdf] [40669] ?

A market survey of nursing home, assisted living, adult day services and home care service costs in the USA

AR-Arkansas Hospital Consumer Assist [36636] ?

Contains information on the most common services and quality measures

CA-California Hospital Common Surgeries and Charges Comparison [36637] ?

Contains information on scheduled elective inpatient procedures only

CA-California Medi-Cal Rates [31983] ?

California Medicaid rates

FL-Florida Health Statistics [13160] ?

Ambulatory outpatient data and hospital inpatient data

FL-Florida Prescription Drug Prices [32359] ?

Pricing information for the 100 most commonly used prescription drugs in Florida

HCPCS Codes [22255] ?

Download alpha-numeric HCPCS files and more

HCUPnet [20419] ?

A tool for identifying, tracking, analyzing, and comparing statistics on hospitals

New Health Cost Website [40931] ?

Data on health care costs and quality

Healthcare Bluebook [36201] ?

Find fair prices for surgery, hospital stays, doctor visits, medical tests and more

Healthcare Cost and Utilization Project (HCUP) [4225] ?

Provides data on patient-level information for inpatient hospital stays

Healthcare Costs Research [20424] ?

Expenditure estimates are based on payments, not charges

Healthcare for Less Blog [40586] ?

Become your own healthcare advocate while avoiding medical debt and more

HIV Cost and Services Utilization [20421] ?

Examines cost of care, quality of care, utilization of services, etc

Hospital Per Diem Rates - Florida [12357] ?

State mandated per diem rates in the state of Florida

KY-Kentucky Hospital Charge Information [36634] ?

An on-line query system based on data from the KHA Hospital Discharge Database

MA-Massachusetts Patient Care Link [36628] ?

Provides a comparison of patient safety, quality, and cost of care provided by Massachusetts hospitals

Medicare Advantage Ratebooks [9031] ?

View the Medicare Advantage (MA) ratebooks, rate calculation data, and risk adjusters

Medicare Ambulatory Surgical Center Approved HCPCS Codes & Payment Rates [34271] ?

ASC payment group assigned to each of the procedure codes

Medicare Anesthesia Billing/Payment [29374] ?

Anesthesia conversion factors and base units to compute allowable amounts for anesthesia services

Medicare Durable Medical Equipment & Supplies Fee Schedule [22262] ?

Search for items by HCPCS, Description and State

Medicare Hospital Payment Data [29081] ?

The costs Medicare pays hospitals for 30 common elective procedures and other hospital admissions

Medicare Limited Data Sets [342] ?

Contain beneficiary level health information but exclude specified direct identifiers

Medicare Payment Systems [22252] ?

Ambulatory & physician fee schedules, relative value file, hospital prospective payment systems and more

Medicare Payment Systems & Coding Files [15161] ?

Fee schedules, payments systems, etc.

Medicare Physician Fee Schedule [15595] ?

National Physician Fee Schedule Relative Value File (RBRVS)

Medicare Physician Fee Schedule Look-Up [14481] ?

Medicare payment schedule for physicians

Medicare Prospective Payment Systems [11458] ?

Acute Inpatient PPS, Home Health PPS, Hospice PPS, LTC Hospital PPS, and more

Medicare Provider Charge Data [40431] ?

Hospital-specific charges for the more than 3,000 U.S. hospitals that receive Medicare payments

MEPS - Medical Expenditure Panel Survey [4226] ?

Select files available online regarding health care expenditures in the USA

MI-Michigan Hospital Compare [36633] ?

Michigan inpatient and outpatient data from Medicare's Hospital Compare

MN-Minnesota Hospital Price Check [36632] ?

Where consumers can review and compare price information for their local hospitals

MT-Montana Price Point [36631] ?

Where you can find basic facility-specific information about services and charges for inpatient and outpatient services

National Physician Fee Schedule Relative Value File [22253] ?

Download this Medicare fee schedule

New Choice Health [36202] ?

Medical cost comparison for medical facilities in an area

NH-New Hampshire Health Cost [36629] ?

Provides information on the price of medical care in New Hampshire by insurance plan and by procedure

NH-New Hampshire Hospital Scorecard [36630] ?

Where you can find basic, hospital specific information about services and charges

OH-Ohio Hospital Compare [36752] ?

Facility information, performance measure data, costs for hospitals in Ohio

OR-Oregon Compare Hospital Costs [36639] ?

The payments shown on this web site are the average payments to treat patients covered by a health plan

PRICER Prospective Payment System Software [27369] ?

Inpatient, Skilled Nursing, Home Health, Inpatient Rehabilitation Facilities, Long-Term Care Hospitals, Outpatient fees

Pricing Healthcare [31664] ?

What insurers are paying for medical services

Public Citizen: Prescription Drugs [13747] ?

Prescription drug pricing legislation information from the organization founded by Ralph Nader

RBRVS: Resource-Based Relative Value Scale [28848] ?

Conversion Factor and Payment Schedule

Research Findings: Healthcare Costs [16131] ?

Research findings related to healthcare cost studies

SD-South Dakota Hospital Pricing Inform [36640] ?

Provides specific hospital pricing information

Self-Pay Healthcare Market [40582] ?

Links to healthcare providers and companies who cater to self-pay patients

TN-Tennessee Hospitals Inform [36641] ?

Consumer guide to hospital charges

TX-Texas PricePoint [36642] ?

Charge data on the most common inpatient services in Texas hospitals

USA Long Term Care Costs [40900] ?

Compare Long Term Care Costs Across the United States

WA-Washington Hospital Pricing [36643] ?

A database of hospital charges, utilization, and payer mix

WI-Wisconsin Health Data Information Center [12318] ?

Data about charges and services provided by Wisconsin hospitals and ambulatory surgery centers

WV-West Virginia Hospital Charges and Quality Reports [36644] ?

Where consumers can find out how much West Virginia hospitals charge for selected services

Related Categories & Information

- rmLibrary : Related Categories (8)

Claims Management / Claims Administration
Bad faith, structured settlements, large losses, etc.

Claims Management / Health Claims Code Sets
DRG, APG & ICD-9-CM and ICD-10-CM coding - Medicare payment rates

Claims Management / WC Claims
Managing the costs of workers compensation claims

Claims Management / WC Fee Schedules
Workers compensation medical fee schedules

Claims Management / WC Managed Care
Guidance on managed care in workers compensation to control medical costs

Statistics / Health
Government and industry sources of statistical data on health conditions

Statistics / Mortality
Statistical data on mortality by occupation, industry, injury deaths, etc.

Workers Comp / Statistics
State workers comp agency statistical reports & analysis of worker claims

- Cross References to other LAD Libraries (10)

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