Doctor/ER:
The average E.R. visit costs $650, while the national average doctor's office visit is approximately $60 . (American Medical Association, "Physician Socioeconomic Statistics," 2001.)
A 1996 New England Journal of Medicine Report, "The Costs of Visits to Emergency Departments," said the cost was $383.
About 10% of visits to the ER were for non-emergencies. So, you should call your own doctor first if in doubt.
In N. Central NJ in 2006 my doctor charges from $77 (simple exam. e.g. upper respaaritory) to $165 (Something that requires more tests or time). An EKG is $88 extra.
An ER visit at Somerset Medical Center starts at $1,000
Some Samples from The Minnesota Council of Health Plans, 2005.
Medical Treatment | Description | Cost |
Treatment/Exams |
A common cold, office visit | You feel rotten, go to the doctor and are told to go home, get plenty of rest and drink fluids. | $80 |
A common cold, ER visit | You feel rotten, and instead of going to your clinic during the day, you wait until midnight and go to the ER. | $181 |
Sore throat, office visit | Your throat hurts, you go to the doctor. Price includes visit with physician and Strep test. Test was negative. | $109 |
Sore throat, ER visit | ItŐs the middle of the night and your throat really hurts. You decide to go the emergency room. Includes ER charges and test for Strep. The test was negative. | $406 |
Ear ache, Urgent Care visit | Your 2-year-old daughter is pulling on her ear. You go to Urgent Care. Visit and exam. No infection is diagnosed. | $111 |
Ear ache, ER visit | Your 2-year-old daughter is pulling on her ear. You go to the emergency room. ER visit and exam. No infection is diagnosed. | $151 |
Chest X-ray | You go to the clinic with a bad cough. Your physician thinks it may be pneumonia and orders a set of X-rays to help make the diagnosis. Price includes clinic visit, X-ray and reading of the results. | $183 |
Allergic reaction to a bee sting | Price includes the ER visit and diagnosis, in addition to drugs to treat allergic reaction. Treatment could also include a hospital stay for a severe reaction. | $1,050 |
Broken ankle | You broke your ankle playing soccer. Includes trip to the ER, X-ray of ankle and applying short leg cast. | $1,386 |
Step on a rusty nail | You step on a nail while taking a walk. Price includes laceration on foot, ER fee, repair, tetanus shot or antibiotics if needed. | $1,030 |
Broken arm | Your child jumped off the swing set. Price includes ER visit, X-ray, simple cast. | $2,523 |
|
Procedures |
Colonoscopy | Full, flexible colon scope test conducted by specialist on an outpatient basis. Includes test and reading of the results. | $1,985 |
Skin cancer diagnosis | A black, purple odd shaped mark on your arm requires a consultation with a specialist, biopsy and removal of skin lesion. | $1,533 |
Stress test | Your primary care doctor orders a stress test. This price includes a trip to the specialist, administering test, reading results. | $1,885 |
Eye exam | Exam by ophthalmologist. | $176 |
PAP test | Woman of childbearing age, includes exam by gynecologist, test and reading of results. | $229 |
Routine mammogram | Women 35 and older, includes the test and reading of results. | $125 |
General physical, charges vary by age: |
Exam of a person in good health. Simply a physical, not a problem-focused clinic visit. |
Well-baby check | $134 |
Age 5 to16 | $232 |
Age 18 to 39 | $302 |
Age 40 to 64 | $371 |
Age 65 and older | $323 |
In 2004, total national health expenditures rose 7.9 percent -- over three times the rate of inflation.
Insurance:
Average cost 2004: $6,280
The annual premium that a health insurer charges an employer for a health plan covering a family of four averaged $10,800 in 2005. Workers contributed $2,713, or 10 percent more than they did in 2004.
In 2005, employer health insurance premiums increased by 9.2 percent. (Source: Health Insurance Cost at The National Coalition on Health Care.)
HMO - health maintenance organizations
PPO - preferred provider organizations
A 2005 Consumer Reports survey found that:
- HMOs scored slightly higher in overall satisfaction than PPOs
- People in HMOs had more trouble obtaining care than members of PPOs.
- Nearly one-third of all PPO members reported billing problems, nearly three times the rate for people in HMOs.
In 2004, the United States spent 16 percent of its gross domestic product (GDP) on health care. It is projected that the percentage will reach 20 percent in the next decade
Health care spending accounted for 10.9 percent of the GDP in Switzerland, 10.7 percent in Germany, 9.7 percent in Canada and 9.5 percent in France, according to the Organization for Economic Cooperation and Development.
Glossary:
CHC - Community Health Care Center
ED - Emergency Department
ER - Emergency Room
HMO - health maintenance organizations
OPD - outpatient departments
PPO - preferred provider organizations
Links:
How Much Does It Cost? at Minnesota Council of Health Plans, 2005.
Health Insurance Cost at The National Coalition on Health Care
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last updated 14 Nov 2006
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