TABLE 2.
Health Plan-Paid Cost Per Epilepsy-Related Health Care Encounter and Length of Hospital Stay, by Insurer Type
| Epilepsy-Related Encounters | Commercially Insured Patients (n = 353,530) | Medicaid Patients (n = 378,051) | Medicare Patients with Supplemental Insurancea (n = 69,176) |
|---|---|---|---|
| Emergency transportation | |||
| Events, n | 54,372 | 94,326 | 13,297 |
| Cost, median (Q1-Q3), $ | 687 (415-1,083) | 190 (132-333) | 485 (401-688) |
| Mean (SD), $ | 1,020 (2,918) | 256 (266) | 705 (1,679) |
| Emergency department visitb | |||
| Events, n | 88,366 | 125,346 | 12,121 |
| Cost, median (Q1-Q3), $ | 1,913 (417-4,163) | 646 (186-1,295) | 695 (173-2,105) |
| Mean (SD), $ | 3,140 (4,775) | 940 (1,136) | 2,894 (7,515) |
| Hospitalization | |||
| Events, n | 23,747 | 20,477 | 5,377 |
| Cost, median (Q1-Q3), $ | 22,305 (14,336-36,096) | 9,837 (5,092-14,991) | 19,577 (12,232-36,543) |
| Mean (SD), $ | 38,085 (71,666) | 13,298 (27,093) | 38,464 (73,785) |
| Length of hospital stay (all ages) | |||
| Days, median (Q1-Q3) | 3 (2-5) | 3 (2-5) | 4 (3-6) |
| Mean (SD) | 4 (5) | 5 (7) | 5 (5) |
| Length of hospital stay (19-64 years) | |||
| Days, median (Q1-Q3) | 4 (2-5) | 4 (2-5) | 4 (3-6) |
| Mean (SD) | 5 (5) | 5 (6) | 5 (4) |
| n | 19,516 | 16,933 | 329 |
| Office visit | |||
| Events, n | 911,689 | 1,460,896 | 122,962 |
| Cost, median (Q1-Q3), $ | 95 (23-232) | 73 (39-165) | 100 (60-208) |
| Mean (SD), $ | 488 (4,021) | 236 (1,225) | 508 (2,827) |
| Intensive care unit visitc | |||
| Events, n | 8,546 | 8,273 | 1,957 |
| Cost, median (Q1-Q3), $ | 3,375 (565-9,095) | 1,955 (0-5,572) | 5,168 (994-10,262) |
| Mean (SD), $ | 8,700 (23,663) | 3,999 (14,177) | 10,298 (23,773) |
| Urgent care visit | |||
| Events, n | 518 | 157 | 31 |
| Cost, median (Q1-Q3), $ | 57 (0-171) | 0 (0-37) | 81 (0-112) |
| Mean (SD), $ | 231 (728) | 21 (38) | 2,165 (8,474) |
aCosts for Medicare patients with supplemental insurance are the sum of costs paid by the supplemental insurance and by Medicare.
bOnly includes emergency department visits not leading to hospitalization.
cIntensive care unit costs are a component of, and included in, hospitalization costs.