How Much Does It Cost?
What does your health care cost? Your office copay may be $15 or $20, but that’s just a
sliver of what it actually costs to provide the care. Here’s a sample of common medical
treatments and the average charge from hospitals or clinics. These are the charges
prior to any discounts negotiated by a health plan or insurer and are calculated using
Medical Treatment Description Cost
A common cold, You feel rotten, go to the doctor and are told to go $80
office visit home, get plenty of rest and drink fluids.
A common cold, ER You feel rotten, and instead of going to your clinic $181
visit during the day, you wait until midnight and go to the
Sore throat, office Your throat hurts, you go to the doctor. Price includes $109
visit visit with physician and Strep test. Test was negative.
Sore throat, ER visit It’s the middle of the night and your throat really hurts. $406
You decide to go the emergency room. Includes ER
charges and test for Strep. The test was negative.
Ear ache, office visit Your 2-year-old daughter is pulling on her ear. You go $78
to the clinic. Office visit and exam. No infection is
Ear ache, Urgent Your 2-year-old daughter is pulling on her ear. You go $111
Care visit to Urgent Care. Visit and exam. No infection is
Ear ache, ER visit Your 2-year-old daughter is pulling on her ear. You go $151
to the emergency room. ER visit and exam. No
infection is diagnosed.
Tubes in ears Your child has had chronic ear infections. The decision $2,719
is made to insert tubes his ears. Price includes office
visit 30 days before procedure and 30 days after, day
surgery charges, antibiotics, drops and decongestants.
Diabetes check-up You have been diabetic for six years and your $535
diabetes treatment has been going well. This is your
annual trip to the clinic to see the doctor for a diabetes
checkup, including cholesterol and blood sugars
Chest X-ray You go to the clinic with a bad cough. Your physician $183
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.
Diagnosis and The prevalence of sexually transmitted diseases is a $215
treatment of public health concern. This price includes an office
Gonorrhea visit, test and treatment of Gonorrhea with an antibiotic
injection or oral antibiotic.
Allergy shots You have been diagnosed with allergies and go to the $64
clinic each week for a shot. The visit does not include
seeing a doctor.
Medical Treatment Description Cost
Colonoscopy Full, flexible colon scope test conducted by specialist $1,985
on an outpatient basis. Includes test and reading of
GI Endoscopy Conducted by a specialist. Scope exam of the gastro-$1,398
intestinal track on an outpatient basis. Includes
conducting the test and reading the results.
Skin cancer A black, purple odd shaped mark on your arm requires $1,533
diagnosis a consultation with a specialist, biopsy and removal of
Stress test Your primary care doctor orders a stress test. This $1,885
price includes a trip to the specialist, administering
test, reading results.
Eye exam Exam by ophthalmologist. $176
Allergic reaction to a Price includes the ER visit and diagnosis, in addition to $1,050
bee sting drugs to treat allergic reaction. Treatment could also
include a hospital stay for a severe reaction.
Broken ankle You broke your ankle playing soccer. Includes trip to $1,386
the ER, X-ray of ankle and applying short leg cast.
Step on a rusty nail You step on a nail while taking a walk. Price includes $1,030
laceration on foot, ER fee, repair, tetanus shot or
antibiotics if needed.
Broken arm Your child jumped off the swing set. Price includes ER $2,523
visit, X-ray, simple cast.
Tonsillectomy Your child (under 12) needs her tonsils removed. This $4,875
price includes a pre-surgical office visit, surgery at a
one-day surgery and any related post surgical visits
with in 30 days.
Frostbite treatment Your child loses her mitten on one of the coldest days $321
for a hand of the year. You make an urgent care office or ER
visit. The price includes diagnosis and treatment and
excludes critical cases.
Diagnose mono Your teenager is run down, extremely tired. A trip to $152
the clinic and Heterophile antibodies test shows mono.
Therapy session You see a licensed therapist. Does not include $152
prescriptions drugs or psychiatrist evaluation.
Outpatient chemical You attend 21 to 30 days of alcohol- or drug-related $4,487
dependency chemical dependency counseling through a hospital’s
treatment outpatient program.
Cut on the hand You’re using that new knife and you slice into the $3,066
tendon in your hand. Price includes an ER visit,
complicated stitches, tetanus shot if needed.
PAP test Woman of childbearing age, includes exam by $229
gynecologist, test and reading of results.
Routine Women 35 and older, includes the test and reading of $125
Medical Treatment Description Cost Prostate cancer Includes office visit for man age 50 or older, blood $285 screening test (PSA) draw and PSA test.
Having a baby Price is based on “perfect” pregnancy, including $8,751
routine prenatal costs, no risk factors to mother,
uncomplicated vaginal birth.
Hysterectomy Simple hysterectomy, not caused by trauma, cancer, $21,686
etc. Includes physician charges, hospital surgical and
room and board charges and follow-up visit.
General physical, Well-baby check $134 charges vary by age: Age 5 to16 $232 Exam of a person in Age 18 to 39 $302 good health. Simply a Age 40 to 64 $371 physical, not a problem-Age 65 and older $323 focused clinic visit.
Prescription Drugs 2005 Average Wholesale Price. Prices show difference between a prescription drug co-
pay of $25, for example, and the retail price of the drugs received. Prices are based on
common dosages for co-pay arrangements.
Drug Description Cost Ortho-Novum 84, 1/35 tablet birth control pill, (standard three-month $141
prescription with one co-pay).
Prozac 30, 20 mg capsules, used to treat depression. $129 Generic for Prozac – 30, 20 mg capsules $32 fluoxetine
Zyrtec 30, 10 mg tablets used to treat allergies. $70 Lipitor 30, 20 mg tablets used to treat high cholesterol $114 Adderall 60, 20 mg tablets. Used to treat ADD/ADHD. $179 Generic for Adderall, 60, 20 mg. tablets. $82 D-amphetamine
Ritalin 100, 10 mg tablets used to treat ADD/ADHD. $94 Generic for Ritalin, 100, 10 mg. tablets. $38 Methylphendidate
Concerta 60, 18 mg tablets used to treat ADD/ADHD. $182
Source: Minnesota Council of Health Plans, 2005. This document reflects Minnesota health plan commercial and government programs data, analyzed by
Data Intelligence, LLC.
For information, contact: Eileen Smith firstname.lastname@example.org; 651-645-0099 x 11