Table 3.
Common Billed Items Used to Determine Base Case Costs
| Common ED Billed Items | CPT Codes | N | Mean per Patient* |
Patients Billed for at Least One Item (%) |
Medicare Adjusted Cost† |
|---|---|---|---|---|---|
| Complete blood count | 85025, 85027 | 135 | 1.2 | 98% | $9 |
| Comprehensive metabolic panel | 80053 | 60 | 0.7 | 58% | $12 |
| Basic metabolic panel | 80048 | 75 | 0.9 | 47% | $9 |
| Troponin-I | 84484 | 283 | 2.4 | 100% | $14 |
| D-Dimer | 85379 | 53 | 0.7 | 53% | $14 |
| Chest Radiograph | 71010, 71020 | 109 | 1.0 | 99% | $66 |
| Transthoracic echocardiogram | 93307, 93320, 93325 | 5 | 0.1 | 4% | $421 |
| ED level of service 4 | 99284 | 9 | -- | 9% | $670 |
| ED level of service 5 | 99285 | 93 | -- | 93% | $902 |
| Cardiac Testing‡ | |||||
| Stress nuclear perfusion test | 78464, 78465 | 67 | -- | 67% | $918 |
| Stress echocardiogram | 93350 | 10 | -- | 10% | $476 |
| Invasive cardiac angiography | 93545 | 7 | -- | 7% | $2,773 |
| No stress test | -- | 18 | -- | 18% | $0 |
| Cardiac CT | 0148T | 102 | 1.0 | 100% | $410 |
†2007 and ‡2010 Medicare-adjusted costs including professional fees.
*
The mean number of items per patient, when present.
Comprehensive metabolic panel = basic metabolic panel plus liver function tests, ECG= electrocardiogram.