CMS Releases Hospital Prices for Outpatient Services

The Centers for Medicare and Medicaid Services yesterday released cost comparison data for 30 outpatient procedures from hospitals across the United States.

Yesterday’s release serves as a companion to the cost data for inpatient services released last month.

CMS also released county-level data on Medicare spending and utilization.

The 30 procedures compared are:

  • 0012 – Level I Debridement & Destruction
  • 0013 – Level II Debridement & Destruction
  • 0015 – Level III Debridement & Destruction
  • 0019 – Level I Excision/ Biopsy
  • 0020 – Level II Excision/ Biopsy
  • 0073 – Level III Endoscopy Upper Airway
  • 0074 – Level IV Endoscopy Upper Airway
  • 0078 – Level III Pulmonary Treatment
  • 0096 – Level II Noninvasive Physiologic Studies
  • 0203 – Level IV Nerve Injections
  • 0204 – Level I Nerve Injections
  • 0206 – Level II Nerve Injections
  • 0207 – Level III Nerve Injections
  • 0209 – Level II Extended EEG, Sleep, and Cardiovascular Studies
  • 0265 – Level I Diagnostic and Screening Ultrasound
  • 0267 – Level III Diagnostic and Screening Ultrasound
  • 0269 – Level II Echocardiogram Without Contrast
  • 0270 – Level III Echocardiogram Without Contrast
  • 0336 – Magnetic Resonance Imaging and Magnetic Resonance Angiography without Contrast
  • 0368 – Level II Pulmonary Tests
  • 0369 – Level III Pulmonary Tests
  • 0377 – Level II Cardiac Imaging
  • 0604 – Level 1 Hospital Clinic Visits
  • 0605 – Level 2 Hospital Clinic Visits
  • 0606 – Level 3 Hospital Clinic Visits
  • 0607 – Level 4 Hospital Clinic Visits
  • 0608 – Level 5 Hospital Clinic Visits
  • 0690 – Level I Electronic Analysis of Devices
  • 0692 – Level II Electronic Analysis of Devices
  • 0698 – Level II Eye Tests & Treatments

The price comparison data can be downloaded here:

Outpatient Charge Data, CY2011, Microsoft Excel version
Outpatient Charge Data, CY2011, Comma Separated Values (CSV) version

National and state level summaries are  available here:

National and State Summaries of Outpatient Charge Data, CY2011, Microsoft Excel version
National and State Summaries of Outpatient Charge Data, CY2011, Comma Separated Values (CSV) version