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OPERATING ROOMS: What are the 10 most costly procedures?

Here are data from the federal government’s Healthcare Cost and Utilization Project (HCUP) that compare different surgical procedures according the expense incurred by hospitals in providing them.  Here are some notes about the following – these data are for INPATIENT procedures only.  The data are for what it COSTS the hospital for the patient’s entire stay, not what the hospital charges for the stay.  These are ALL-PAYER data, which is good – the data are not limited to the Medicare population, for example.  Finally, the data are based on first-listed operating room procedures.

Top 10 Most Costly Surgical Operations: Mean Cost Per Stay, US, 2014

  1. $52,000  Heart valve
  2. $41,900  Coronary artery bypass graft
  3. $35,000  Pacemaker/cardioverter/defibrillator
  4. $34,600  Incision/excision central nervous system
  5. $34,300  Small bowel resection
  6. $28,900  Spinal fusion
  7. $23,700  Colorectal resection
  8. $21,500  Percutaneous coronary angioplasty
  9. $20,800  Amputation, lower extremity
  10. $17,500  Debridement of wound, infection, burn

Source: McDermott, K.W., Freeman, W.J., and Elixhauser, A. (2017, December). Overview of operating room procedures during inpatient stays in U.S. hospitals, 2014. Statistical Brief. Click here for FREE full text: https://hcup-us.ahrq.gov/reports/statbriefs/sb233-Operating-Room-Procedures-United-States-2014.jsp  Posted by AHA Resource Center (312) 422-2050, rc@aha.org


BENCHMARKING: Housekeeping cost per square foot

The relationship between patient satisfaction with care received in the hospital, as measured by the Medicare star ratings, and housekeeping cost was studied based on data from nearly 3,500 hospitals.  The authors of this very brief report note that the findings are intuitive – spend more money on housekeeping and patients will be more satisfied –  except for the oddly low cost per square foot for the 5-star rated hospitals.  Here are some of the reported findings:

Housekeeping Cost per Patient Day: 5-star is the best rating

  • $174.98 for 5-star rated hospitals
  • $103.82 for 4-star rated hospitals
  • $  85.16 for 3-star rated hospitals
  • $  75.98 for 2-star rated hospitals
  • $  75.93 for 1-star rated hospitals

Housekeeping Cost per Square Foot: 5-star is the best rating

  • $2.80 for 5-star rated hospitals
  • $6.73 for 4-star rated hospitals
  • $4.96 for 3-star rated hospitals
  • $3.83 for 2-star rated hospitals
  • $4.34 for 1-star rated hospitals

Source: The importance of a clean hospital room, according to patients. (2017, April). Healthcare Financial Management, 71(4), 78-79.  Click here for publisher’s website: https://www.hfma.org/Content.aspx?id=53567    Posted by AHA Resource Center (312) 422-2050, rc@aha.org