What measurement means for the average cost of procedures, tests and services

If you are facing an illness, a scheduled procedure or simply trying to determine your health care budget, costs can be a major - and confusing - concern.

MNHealthScores reports statewide and medical group average costs for the 119 most common medical procedures and services in Minnesota. They were selected based on the number of procedures done and consumer interest. The list of procedures, tests and services includes eye care, office visits, gastrointestinal procedures, imaging, laboratory services, medical and mental health services, physical therapy, OB/GYN and surgical procedures for commercially-insured patients.

The 2019 results include procedure costs at over 230 medical groups and hospitals in Minnesota, as well as neighboring communities in Wisconsin, Iowa, North Dakota and South Dakota.

Costs are defined as the total amount paid from the health insurer and the patient. This includes deductibles and copays. The measure does not use billed charges nor charge masters in the calculation.

To be included for any given procedure, organizations had to have at least 50 claims for the procedure, test or service across at least three health plans to ensure accuracy.

higher cost doesn't always mean higher quality

Comparing information about costs and care quality, along with patient experience will help you focus on options that offer the highest value for you and your family.

Use the reports on MNHealthScores to compare clinics, medical groups and hospitals on their performance, see how patients rated their care experience, and look up the costs of specific procedures and services, based on what’s most important to you and your family.

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Want more information about how to get the most value for your health care dollars? Visit Managing Costs for links to recommended resources and websites.

Looking for information about overall health care costs? Learn more about how MNHealthScores reports on the total cost of health care.

How we calculate the measure

The information is based on data from dates of service between January 1 and December 31, 2018 from the four health plans in Minnesota with the largest commercially-insured populations: Blue Cross and Blue Shield of Minnesota, HealthPartners, Medica and PreferredOne.