Table 2. Adults Discharged From US Hospitals by Payer Within Age and Sex, Nationwide Inpatient Sample, 2009.
| Discharge Characteristic | No. of Chronic Conditions |
|||
|---|---|---|---|---|
| 0 to 1 | 2 to 3 | ≥4 | All | |
| Men aged 18–44 y | ||||
| Medicare | ||||
| n (%) | 108,888 (34.78) | 145,761 (46.56) | 58,433 (18.66) | 313,082 (100.00) |
| Mortality rate | 0.01 | 0.01 | 0.01 | 0.01 |
| Mean length of stay, d | 6.31 | 6.30 | 5.79 | 6.21 |
| Mean charge, $ | 36,282.56 | 33,043.79 | 34,346.26 | 34,413.36 |
| Mean cost, $ | 10,765.5 | 9,784.298 | 10,156.62 | 10,195.06 |
| Medicaid | ||||
| n (%) | 312,401 (51.81) | 236,287 (39.18) | 54,321 (9.01) | 603,009 (100.00) |
| Mortality rate | 0.01 | 0.01 | 0.01 | 0.01 |
| Mean length of stay, d | 3.78 | 4.49 | 4.52 | 4.01 |
| Mean charge, $ | 34,158.33 | 32,689.01 | 38,973.72 | 33,976.47 |
| Mean cost, $ | 10,066.80 | 9,690.28 | 11,398.59 | 10,024.63 |
| Private | ||||
| n (%) | 758,767 (68.21) | 303,074 (27.25) | 50,517 (4.54) | 1,112,358 (100.00) |
| Mortality rate | 0.01 | 0.01 | 0.01 | 0.01 |
| Mean length of stay, d | 3.78 | 4.49 | 4.52 | 4.01 |
| Mean charge, $ | 34,158.33 | 32,689.01 | 38,973.72 | 33,976.47 |
| Mean cost, $ | 10066.80 | 9690.28 | 11398.59 | 10024.63 |
| Self-pay | ||||
| n (%) | 351,196 (64.58) | 166,152 (30.55) | 26,455 (4.86) | 543,804 (100.00) |
| Mortality rate | 0.01 | 0.01 | 0.01 | 0.01 |
| Mean length of stay, d | 3.65 | 4.37 | 4.39 | 3.91 |
| Mean charge, $ | 25,756.81 | 23,822.86 | 30,858.46 | 25,414.02 |
| Mean cost, $ | 7,793.37 | 7,160.63 | 9,027.34 | 7,660.02 |
| Men aged 45–64 y | ||||
| Medicare | ||||
| n (%) | 203,301 (17.84) | 467,741 (41.04) | 468,674 (41.12) | 1,139,716 (100.00) |
| Mortality rate | 0.03 | 0.02 | 0.02 | 0.02 |
| Mean length of stay, d | 6.55 | 6.09 | 5.56 | 5.95 |
| Mean charge, $ | 44,284.56 | 40,537.61 | 39,541.04 | 40,796.60 |
| Mean cost, $ | 13,245.30 | 11,960.11 | 11,666.46 | 12,068.74 |
| Medicaid | ||||
| n (%) | 182,430 (23.77) | 343,745 (44.80) | 241,169 (31.43) | 767,344 (100.00) |
| Mortality rate | 0.03 | 0.02 | 0.02 | 0.02 |
| Mean length of stay, d | 6.75 | 6.41 | 5.95 | 6.35 |
| Mean charge, $ | 45,922.70 | 40,771.91 | 40,881.27 | 42,030.43 |
| Mean cost, $ | 13,085.48 | 11,751.80 | 11,711.18 | 12,056.01 |
| Private | ||||
| n (%) | 813767 (33.87) | 1051276 (43.76) | 537256 (22.36) | 2402299 (100.00) |
| Mortality rate | 0.02 | 0.02 | 0.01 | 0.02 |
| Mean length of stay, d | 4.24 | 4.35 | 4.64 | 4.38 |
| Mean charge, $ | 40,495.69 | 42,715.50 | 46,321.88 | 42,767.70 |
| Mean cost, $ | 12,150.26 | 12,752.72 | 13,698.33 | 12,759.49 |
| Self-pay | ||||
| n (%) | 166,307 (35.49) | 205,565 (43.87) | 96,733 (20.64) | 468,605 (100.00) |
| Mortality rate | 0.02 | 0.02 | 0.02 | 0.02 |
| Mean length of stay, d | 4.56 | 4.78 | 5.01 | 4.75 |
| Mean charge, $ | 31,775.72 | 33,344.77 | 39,030.38 | 33,961.61 |
| Mean cost, $ | 9,579.73 | 9,992.05 | 11,507.92 | 10,158.64 |
| Men aged ≥65 y | ||||
| Medicare | ||||
| n (%) | 665,135 (12.62) | 2,014,678 (38.24) | 2,588,693 (49.14) | 5,268,507 (100.00) |
| Mortality rate | 0.05 | 0.04 | 0.04 | 0.04 |
| Mean length of stay, d | 5.81 | 5.48 | 5.43 | 5.50 |
| Mean charge, $ | 43,426.57 | 41,082.58 | 39,831.74 | 40,765.79 |
| Mean cost, $ | 13,121.63 | 12,303.19 | 11,882.03 | 12,200.22 |
| Medicaid | ||||
| n (%) | 14,603 (16.51) | 37,212 (42.07) | 36,630 (41.42) | 88,445 (100.00) |
| Mortality rate | 0.06 | 0.05 | 0.04 | 0.05 |
| Mean length of stay, d | 7.20 | 7.07 | 7.21 | 7.15 |
| Mean charge, $ | 52,644.60 | 48,780.02 | 48,914.96 | 49,474.11 |
| Mean cost, $ | 14,215.67 | 13,230.12 | 13,480.00 | 13,496.22 |
| Private | ||||
| Discharges, n (%) | 76,922 (16.40) | 189,141 (40.31) | 203,115 (43.29) | 469,177 (100.00) |
| Mortality rate | 0.08 | 0.06 | 0.05 | 0.06 |
| Mean length of stay, d | 5.30 | 5.13 | 5.21 | 5.19 |
| Mean charge, $ | 45,328.43 | 44,083.07 | 43,782.92 | 44,158.40 |
| Mean cost, $ | 13,026.96 | 12,629.63 | 12,440.45 | 12,613.35 |
| Self-pay | ||||
| n (%) | 7,836 (21.69) | 14,798 (40.95) | 13,501 (37.36) | 36,136 (100.00) |
| Mortality rate | 0.108 | 0.06 | 0.06 | 0.07 |
| Mean length of stay, d | 5.58 | 5.54 | 6.17 | 5.79 |
| Mean charge, $ | 36,910.76 | 39,488.91 | 39,595.57 | 38,970.75 |
| Mean cost, $ | 11,220.25 | 12,522.91 | 12,651.25 | 12,288.72 |
| Women aged 18–44 y | ||||
| Medicare | ||||
| n (%) | 119,666 (38.58) | 140,524 (45.31) | 49,967 (16.11) | 310,157 (100.00) |
| Mortality rate | 0.01 | 0.01 | 0.01 | 0.01 |
| Mean length of stay, d | 5.49 | 5.90 | 5.54 | 5.69 |
| Mean charge, $ | 32,332.45 | 33,295.78 | 33,724.04 | 32,992.90 |
| Mean cost, $ | 9,748.48 | 9,783.22 | 9,955.79 | 9,797.59 |
| Medicaid | ||||
| n (%) | 4,492,580 (58.93) | 278,647 (33.34) | 64,634 (7.73) | 835,860 (100.00) |
| Mortality rate | 0.01 | 0.01 | 0.01 | 0.01 |
| Mean length of stay, d | 4.24 | 5.31 | 5.32 | 4.68 |
| Mean charge, $ | 28,398.89 | 27,609.89 | 30,565.52 | 28,303.17 |
| Mean cost, $ | 8,376.36 | 8,193.98 | 9,117.12 | 8,372.78 |
| Private | ||||
| n (%) | 1,048,248 (75.45) | 303,657 (21.86) | 37,472 (2.70) | 1,389,376 (100.00) |
| Mortality rate | 0.00 | 0.01 | 0.01 | 0.00 |
| Mean length of stay, d | 3.21 | 4.24 | 4.47 | 3.47 |
| Mean charge, $ | 27,901.65 | 29,707.63 | 34,695.92 | 28,478.33 |
| Mean cost, $ | 8,312.62 | 8,834.00 | 10,243.32 | 8,478.28 |
| Self-pay | ||||
| n (%) | 248,365 (69.35) | 96,378 (26.91) | 13,406 (2.70) | 358,149 (100.00) |
| Mortality rate | 0.00 | 0.01 | 0.01 | 0.01 |
| Mean length of stay, d | 3.27 | 4.10 | 4.40 | 3.54 |
| Mean charge, $ | 22,693.59 | 22,365.63 | 29,013.77 | 22,842.02 |
| Mean cost, $ | 6,926.04 | 6,738.00 | 8,623.15 | 6,938.96 |
| Women aged 45–64 y | ||||
| Medicare | ||||
| n (%) | 224,202 (20.00) | 474,563 (42.34) | 422,019 (37.65) | 1,120,783 (100.00) |
| Mortality rate | 0.02 | 0.02 | 0.02 | 0.02 |
| Mean length of stay, d | 6.00 | 5.84 | 5.54 | 5.76 |
| Mean charge, $ | 39,567.05 | 37,455.52 | 37,136.58 | 37,758.12 |
| Mean cost, $ | 11,987.25 | 11,229.84 | 11,025.40 | 11,304.51 |
| Medicaid | ||||
| n (%) | 210,734 (24.40) | 373,959 (43.30) | 278,978 (32.30) | 863,671 (100.00) |
| Mortality rate | 0.02 | 0.02 | 0.01 | 0.02 |
| Mean length of stay, d | 5.75 | 5.85 | 5.70 | 5.78 |
| Mean charge, $ | 39,336.88 | 37,011.21 | 36,886.57 | 37,538.15 |
| Mean cost, $ | 11,395.97 | 10,680.02 | 10,791.38 | 10,890.61 |
| Private | ||||
| n (%) | 1,080,447 (44.02) | 988,812 (40.29) | 385,165 (15.69) | 2,454,423 (100.00) |
| Mortality rate | 0.01 | 0.01 | 0.01 | 0.01 |
| Mean length of stay, d | 3.73 | 4.31 | 4.63 | 4.11 |
| Mean charge, $ | 34,117.03 | 37,245.12 | 39,641.79 | 36,240.15 |
| Mean cost, $ | 10,300.35 | 11,264.37 | 11,941.66 | 10,945.07 |
| Self-pay | ||||
| n (%) | 143,013 (39.43) | 154,460 (42.59) | 65,219 (17.98) | 362,692 (100.00) |
| Mortality rate | 0.02 | 0.01 | 0.02 | 0.02 |
| Mean length of stay, d | 3.97 | 4.49 | 4.73 | 4.33 |
| Mean charge, $ | 27,568.26 | 29,511.21 | 33,909.31 | 29,536.17 |
| Mean cost, $ | 8,578.13 | 9,032.98 | 10,415.54 | 9,102.30 |
| Women aged ≥65 | ||||
| Medicare | ||||
| n (%) | 936,232 (13.35) | 2,873,933 (40.97) | 3,205,064 (45.69) | 7,015,230 (100.00) |
| Mortality rate | 0.04 | 0.03 | 0.03 | 0.03 |
| Mean length of stay, d | 5.45 | 5.30 | 5.46 | 5.39 |
| Mean charge, $ | 37,312.62 | 34,902.96 | 34,767.87 | 35,163.93 |
| Mean cost, $ | 11,430.65 | 10,588.52 | 10,490.42 | 10,656.53 |
| Medicaid | ||||
| n (%) | 21,863 (14.60) | 62,869 (41.97) | 65,057 (43.43) | 149,789 (100.00) |
| Mortality rate | 0.05 | 0.04 | 0.03 | 0.04 |
| Mean length of stay, d | 6.36 | 6.38 | 6.99 | 6.65 |
| Mean charge, $ | 42,907.69 | 40,707.18 | 42,918.38 | 41,988.29 |
| Mean cost, $ | 11,977.38 | 11,338.54 | 11,972.17 | 11,706.85 |
| Private | ||||
| n (%) | 83,905 (18.33) | 197,581 (43.17) | 176,220 (38.50) | 457,706 (100.00) |
| Mortality rate | 0.07 | 0.05 | 0.05 | 0.06 |
| Mean length of stay, d | 4.94 | 5.01 | 5.19 | 5.06 |
| Mean charge, $ | 36,988.99 | 37,399.27 | 37,110.41 | 37,212.95 |
| Mean cost, $ | 10,922.90 | 10,808.53 | 10,692.03 | 10,784.93 |
| Self-pay | ||||
| n (%) | 9,699 (23.06) | 18,097 (43.03) | 14,260 (33.91) | 42,056 (100.00) |
| Mortality rate | 0.07 | 0.06 | 0.05 | 0.06 |
| Mean length of stay, d | 6.40 | 5.48 | 6.20 | 5.94 |
| Mean charge, $ | 31,791.20 | 32,658.91 | 34,218.72 | 32,988.01 |
| Mean cost, $ | 10,023.66 | 10,349.79 | 11,124.45 | 10,537.39 |