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Guide To 31 Health Care Services

Service	Ambulatory Surgical Center	Physician Office	Hospital Outpatient Department	Hospital Inpatient	Ambulatory Surgical Center	Physician Office	Hospital Outpatient Department	Hospital Inpatient	Link	Video
Angioplasty	-	-	-	$29,197	-	-	-	-	More
Ankle X-Ray	-	$41	$198	-	-	-	-	-	More
Arthrocentesis Shoulder/Hip/Knee	$646	$89	$758	-	-	-	-	-	More
Arthroscopic Knee Surgery	$1,709	-	$2,611	-	-	-	-	-	More
Bone Density Scan	-	$138	$340	-	-	-	$64-$75	-	More
Breast Biopsy	$2,903	$733	$1,389	-	$306	-	$765-$900	-	More
Cesarean Delivery	-	-	-	$8,312	-	-	-	-	More
Chest X-Ray	-	$44	$184	-	-	-	$39-$46	-	More
Colonoscopy	$789	$615	$1,303	-	$328 ($300-$352)	-	$498-$586	-	More
CT-Abdomen	-	$420	$1,034	-	-	-	-	-	More
CT-Head/Brain	-	$312	$802	-	-	-	-	-	More
Destruction of Lesion	-	$66	-	-	-	$43	-	-	More
Emergency Room Visit- Medium	-	-	$405	-	-	-	-	-	More
Emergency Room Visit- Very Minor	-	-	$171	-	-	-	-	-	More
Endoscopy	$601	$492	$1,022	-	-	-	-	-	More
Foot X-Ray	-	$39	$199	-	-	-	-	-	More
Gall Bladder Surgery-Laparoscopy	$3,106	-	$3,606	-	$1,876*	-	$2,565-$3,018	-	More
Hernia Repair	$2,233	-	$2,840	-	$1,111*	-	$1,728-$2,033	-	More
Hip Replacement - Total	-	-	-	$23,928	-	-	-	$9,601-$10,822	More
Intermediate (Adult) Office Visit	-	$67	-	-	-	$58	-	-
Kidney Stone Removal-Lithotripsy	$3,780	-	$4,571	-	-	-	-	-	More
Knee Replacement -Total	-	-	-	$25,359	-	-	-	$9,601-$10,822	More
Mammogram	-	$95	$133	-	-	-	-	-	More
MRI-Back	-	$584	$1,435	-	-	-	$304-$357	-	More
MRI-Knee	-	$531	$1,402	-	-	-	-	-	More
Non-Maternity Ultrasound	-	$140	$501	-	-	-	-	-	More
Rotator Cuff Surgery	-	-	$5,680	-	-	-	-	-	More
Tonsillectomy w/ Adenoidectomy	$1,491	-	$1,873	-	$872*	-	$1,685*	-	More
Ultrasound- Pregnancy	-	$169	$412	-	-	-	-	-	More
Vaginal Birth	-	-	-	$5,076	-	-	-	-	More
Well Child Visit-Office	-	$99	-	-	-	-	-	-	More

Definitions

• Average Allowed Amount: VHI obtained the average dollar amount allowed in 2009 for the health care service from eight health insurance carriers. VHI averaged these amounts. A carrier's average allowed amount is usually a discounted amount that is often less than full charges. For some inpatient procedures the carriers paid a percent of the amount that Medicare pays. Included in this amount are commercial (non-government) , fully insured, in-network plans for services provided by Virginia providers and members in contracts written and issued in Virginia.
• Ambulatory Surgical Center: Generally, a freestanding licensed ambulatory diagnostic or surgical center. The amount usually includes the surgeon's fees, but not the anesthesiologist.
• Physician Office: Services performed in a physicians office. The amount usually includes the surgeon's fees, but not the anesthesiologist.
• Hospital Outpatient Department: Services provided to patients at a hospital outpatient department when a patient is not admitted for inpatient hospital care. The amount reported usually includes the surgeon's fees, but not the anesthesiologist
• Hospital Inpatient: Services provided in a licensed hospital where patients are admitted and would normally stay overnight. Surgeon's fees are not generally included.
• Medicare Payment amount: The average (or range) dollar amount in 2008 paid to Virginia hospitals, physicians, ambulatory surgical centers, or hospital outpatient departments by Medicare, a federal program for adults 65 years of age or older or some persons that are disabled. Source: Centers for Medicare and Medicaid Services
  Website www.cms.gov.