Real data, real prices, real transparency on the cost of
health care

The Health Care “Price Toolkit” explains how health care services that are commonly associated with one another are priced. These groups of services, or bundles of services, range in complexity – from an office visit involving one or more regularly performed procedures, to a knee replacement that includes several “steps” leading up to and following the procedure.

Guroo^TM was a consumer price transparency website from the Health Care Cost Institute. This new Health Care Price Toolkit realigns the Guroo effort to help better inform efforts guided by federal price transparency regulations. This new tool uses the same datasets as the previous Guroo effort, in a more accessible format.

This website has price estimates for nearly 400 frequently searched conditions and services. We will periodically add to this toolkit, please reach out to us at guroo@healthcostinstitute.org to provide feedback and check back soon.

Actual health costs may vary based on your health status, insurance plan, health care provider and other factors.

The estimated prices here are estimated based on billions of historical payments to providers and hospitals. That historical information is a good indicator of what the price of a service might be, but actual health costs may vary based on your health status, insurance plan, health care provider and other factors.

The prices reported on this site are estimated from billions of records based on actual amounts paid by health insurers to health care providers. This includes the portion paid by the insurer as well as any patient deductible, coinsurance, or copayments owed by the patient. These prices do not account for any health insurance premium costs.

Copayment (copay)– A set fee that you pay at each doctor’s visit, or each time you fill a prescription. This amount usually ranges from $15 for your primary care to $50 or more for a specialist or emergency care. Prescription copays often vary and may depend on the cost (or Tier) of the medication. Not all insurance plans will have copays.

Deductible– This is the amount you must pay out-of-pocket to your provider before your coinsurance kicks in for coverage. Deductibles do not include copays.

Co-insurance– This is the amount you are responsible for paying after you’ve met your deductible. For example, if you have 80/20 coinsurance, this means that after your deductible is paid, you will be responsible for 20% of the costs, while your insurance is responsible for 80%.

Maximum out of pocket– The maximum out of pocket cost is a cap on the amount you will pay for covered services in a given year.

This information includes an overview of pricing and includes the amount your health insurance may cover. You will need to refer to your health insurance Summary of Benefits and Coverage to determine what may or may not be covered and what copayments, deductibles, or co-insurance you may be responsible for. You can compare the information in this site with your Explanation of Benefits (EOB) to better understand the cost of the care you have received.

All amounts seen would be paid out-of-pocket by you. Our prices reflect negotiated rates between providers and health insurance companies. The “cash” price without insurance may be higher or lower.

There are multiple ways to measure quality and determinations vary by procedure, location, and other factors. Quality is best addressed with provider information, and we do not include this broad range of information on this site. Our data is best used to give comparative pricing as a reference, and we encourage all consumers to do their research on how health care quality in a specific region compares across providers.

Consumer Reports: How to Choose A Hospital
U.S. News Best Hospitals
Centers for Medicare & Medicaid Services (CMS): Quality Initiatives