Table 2.
Descriptive statistics for commercial payer-negotiated rates for cancer operations by cancer type (top) and most common CPT code per cancer operation (bottom)
| No. hospitals | No. CPT codesa | No. ratesb | GAF-normalized payer-negotiated rate, $c | Within-hospital ratio (IQR)d | Across-hospital ratio (IQR)e | |||
|---|---|---|---|---|---|---|---|---|
| Median | p10 | p90 | ||||||
| Cancer type | ||||||||
| Bladder | 721 | 13 | 27,045 | 3,431.0 | 1,262.5 | 12,883.9 | 1.2 (1.0 – 4.0) | 7.2 (6.8 – 7.4) |
| Breast | 1,618 | 14 | 41,738 | 5,045.0 | 1,239.3 | 17,659.5 | 2.3 (1.0 – 5.2) | 10.0 (8.5 – 10.0) |
| Colorectal | 1,291 | 37 | 98,147 | 3,666.0 | 1,451.7 | 12,257.2 | 1.5 (1.0 – 3.9) | 7.0 (6.1 – 7.2) |
| Esophageal | 457 | 16 | 27,971 | 4,992.1 | 1,517.6 | 14,309.8 | 1.0 (1.0 – 4.0) | 6.4 (6.3 – 6.6) |
| Gynecologic | 1,640 | 28 | 114,920 | 6,035.8 | 1,477.7 | 22,174.1 | 2.0 (1.0 – 5.1) | 9.6 (8.4 – 10.9) |
| Lung | 601 | 14 | 29,407 | 3,792.0 | 1,464.0 | 14,235.1 | 1.2 (1.0 – 3.6) | 8.2 (7.5 – 8.5) |
| Pancreatic | 499 | 9 | 17,246 | 4,141.3 | 1,585.9 | 13,094.2 | 1.2 (1.0 – 3.8) | 7.2 (6.3 – 7.2) |
| Prostate | 1,001 | 10 | 24,487 | 3,938.9 | 1,325.3 | 19.073.0 | 1.4 (1.0 – 4.5) | 8.8 (7.7 – 10.5) |
| Renal | 965 | 11 | 30,486 | 4,225.8 | 1,359.9 | 18,187.8 | 1.5 (1.0 – 4.6) | 9.0 (7.3 – 10.8) |
| Thyroid | 1,364 | 9 | 47,753 | 5,947.3 | 1,436.6 | 19,693.6 | 2.1 (1.0 – 5.5) | 9.3 (9.1 – 9.9) |
| Most common CPT | ||||||||
| 51030 | 640 | - | 3,520 | 4,080.6 | 756.7 | 12,927.7 | 1.7 (1.0 – 4.7) | 6.8 |
| 19301 | 1,507 | - | 11,883 | 4,023.8 | 1,064.7 | 14,004.1 | 2.9 (1.3 – 5.9) | 8.5 |
| 45171 | 1,037 | - | 6,943 | 3,181.8 | 942.3 | 9,607.3 | 2.3 (1.0 – 5.1) | 6.1 |
| 43122 | 437 | - | 1,979 | 4,350.9 | 1,655.0 | 13,628.6 | 1.2 (1.0 – 3.9) | 6.5 |
| 58571 | 1,330 | - | 8,899 | 8,619.2 | 1,628.9 | 27,393.2 | 2.7 (1.1 – 6.5) | 10.1 |
| 32666 | 525 | - | 2,719 | 2,790.9 | 935.2 | 11,346.4 | 1.7 (1.0 – 4.1) | 9.3 |
| 48140 | 456 | - | 2,188 | 3,309.3 | 1,491.9 | 12,506.8 | 1.5 (1.0 – 4.5) | 7.2 |
| 55866 | 982 | - | 6,166 | 9,426.5 | 2,056.4 | 33,651.3 | 2.4 (1.0 – 6.8) | 10.5 |
| 50543 | 848 | - | 5,143 | 9,241.3 | 2,106.4 | 29,730.9 | 2.0 (1.0 – 5.4) | 10.8 |
| 60220 | 1,253 | - | 9,058 | 6,247.6 | 1,233.1 | 20,898.7 | 3.0 (1.0 – 7.1) | 10.1 |
CPT, Current Procedural Terminology. IQR, interquartile range. GAF, Geographic Adjustment Factor. p90, 90th percentile median rate. p10, 10th percentile median rate.
Number of CPT codes totals 161 out of 162 since one code for bladder cancer did not have any commercial rates in database.
These values serve as the sample size for the corresponding percentile and ratio calculations.
Calculated based on the median payer-negotiated prices at each hospital across all codes for cancer type.
Calculated as the median of the median of the maximum payer-negotiated rate divided by the minimum payer-negotiated rate per code for each hospital.
Calculated as the median of the 90th percentile median GAF-normalized rate divided by the 10h percentile median GAF-normalized rate per code across all hospitals.