HEALTHCARE COST & UTILIZATION PROJECT

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HCUP Facts and Figures

TABLE OF CONTENTS

HIGHLIGHTS

INTRODUCTION

HCUP PARTNERS

1. OVERVIEW

2. DIAGNOSES

3. PROCEDURES

4. COSTS

5. WOMEN'S HEALTH

SOURCES/METHODS

DEFINITIONS

FOR MORE INFO

ACKNOWLEDGMENTS

CITATION

FACTS & FIGURES 2009 PDF
EXHIBIT 4.4 Cost by Payer (PDF)

4.4a

Distribution of aggregate costs by payer, 2009. Column chart. Percent distribution. Medicare: 46%; Medicaid: 15%; private insurance: 30%; uninsured: 5%; other: 3%. Note: Uninsured includes stays classified as self-pay or no charge. Note: Other includes other payers such as Workers' Compensation, TRICARE, CHAMPUS, CHAMPVA, Title V, and other government programs. Note: Excludes a small number of stays (84,000 or 0.2%) with missing payer that have a small sum of missing costs ($768 million or 0.2%). Source: AHRQ, Center for Delivery, Organization, and Markets, Healthcare Cost and Utilization Project, Nationwide Inpatient Sample, 2009.
  • Medicare, the single largest payer for hospitalizations in 2009, accounted for 46 percent of aggregate inpatient costs.
  • Medicaid stays accounted for 15 percent of in-hospital costs.
  • Private insurance was responsible for 30 percent of aggregate costs; the uninsured were responsible for 5 percent.

 

4.4b

Average cost per stay by payer, 2009. Bar chart. Average cost. Medicare: $11,300; Medicaid: $6,900; private insurance: $8,500; uninsured: $7,500; other: $9,700; all payers: $9,200. Note: Uninsured includes stays classified as self-pay or no charge. Note: Other includes other payers such as Workers' Compensation, TRICARE, CHAMPUS, CHAMPVA, Title V, and other government programs. Source: AHRQ, Center for Delivery, Organization, and Markets, Healthcare Cost and Utilization Project, Nationwide Inpatient Sample, 2009.
  • Medicare stays had the highest average cost per hospital stay ($11,300).
  • The average cost per stay billed to private insurance ($8,500), the uninsured ($7,500), and Medicaid ($6,900) was lower than the all payer average cost per stay ($9,200).

 

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Internet Citation: Facts and Figures 2009. Healthcare Cost and Utilization Project (HCUP). November 2011. Agency for Healthcare Research and Quality, Rockville, MD. www.hcup-us.ahrq.gov/reports/factsandfigures/2009/exhibit4_4.jsp.
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Last modified 11/9/11