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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HCUP Facts and Figures