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. Author manuscript; available in PMC: 2013 Jan 1.
Published in final edited form as: Ann Surg. 2012 Jan;255(1):1–5. doi: 10.1097/SLA.0b013e3182402c17

Table 2.

Average, risk-adjusted Medicare payments for different components of care at hospitals in the highest and lowest quintiles of risk adjusted complication rates. Based on 2005–7 national Medicare data.

Hospital quintile of risk adjusted complication rates

Lowest Highest Difference in payments Proportion of total difference attributable to each cost category
CABG
 Index hospitalization $30,152 $33,635 $3,483 65.1%
 Readmissions $2,032 $2,398 $366 6.8%
 Physician services $4,820 $5,568 $748 14.0%
 Post-discharge ancillary care $3,667 $4,423 $756 14.1%
 Total episode $40,671 $46,024 $5,353 100%

Colectomy
 Index hospitalization $18,124 $19,652 $1,529 56.2%
 Readmissions $1,322 $1,736 $414 15.2%
 Physician services $3,405 $3,837 $432 15.9%
 Post-discharge ancillary care $2,631 $2,975 $344 12.6%
 Total episode $25,481 $28,199 $2,719 100%

AAA repair
 Index hospitalization $21,546 $25,258 $3,712 70.3%
 Readmissions $1,237 $1,593 $356 6.7%
 Physician services $3,405 $3,856 $451 8.5%
 Post-discharge ancillary care $1,535 $2,296 $761 14.4%
 Total episode $27,723 $33,002 $5,279 100%

Hip replacement
 Index hospitalization $10,952 $11,670 $719 29.5%
 Readmissions $763 $1,014 $251 10.3%
 Physician services $2,093 $2,337 $244 10.0%
 Post-discharge ancillary care $5,807 $7,030 $1,223 50.2%
 Total episode $19,615 $22,051 $2,436 100%