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Top 10 most expensive conditions treated in hospitals, 2011

Here are the top 10 most expensive conditions that were treated in community hospitals in the United States in 2011 (all payer data):

  1. Septicemia (except in labor)
  2. Osteoarthritis
  3. Complication of device, implant or graft
  4. Liveborn
  5. Acute myocardial infarction
  6. Spondylosis, intervertebral disc disorders, other back problems
  7. Pneumonia (except that caused by tuberculosis and sexually transmitted diseases)
  8. Congestive heart failure, nonhypertensive
  9. Coronary atherosclerosis
  10. Respiratory failure, insufficiency, arrest (adult)

These data are from the Healthcare Cost and Utilization Project (HCUP) 2011 Nationwide Inpatient Sample.  The report has data for the top 20 conditions.  There are also separate breakdowns of the most expensive conditions by payer — for Medicare, Medicaid, and private insurers.  Interestingly, for Medicaid and for private insurers, newborns represent the number 1 most expensive condition.


The report gives this payer mix for 2011:

  • 47% Medicare
  • 29% private insurance
  • 16% Medicaid
  •   4% uninsured
  •   4% other/missing

Source: Torio, C.M., and Andrews, R.M.  National inpatient hospital costs: the most expensive conditions by payer, 2011.  Statistical Brief;160, Aug. 2013.  Click here for full text: http://www.hcup-us.ahrq.gov/reports/statbriefs/sb160.jsp  Posted by AHA Resource Center (312) 422-2050 rc@aha.org

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