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. 1992 Winter;14(2):135–149.

Table 6. Distribution of hospital outpatient department claims and charges, by type of service.

Type of service Number of claims Percentage of claims Percentage of charges Average charge1
Routine visits 48,610 10.3 5.3 $80.81
Emergency department visits 51,461 10.9 3.8 55.40
Consultations or specialty services 26,116 5.6 3.1 89.66
Other visits 1,755 0.4 0.3 121.99
Cataract-lens procedures 8,241 1.2 12.6 1,157.88
Other eye procedures 4,269 0.9 0.2 267.67
Other ambulatory procedures 6,048 1.3 2.8 356.70
Minor procedures 12,195 2.3 2.3 145.19
Major procedures 2,197 0.5 1.2 539.46
Endoscopy procedures 15,051 3.2 5.7 287.27
Imaging procedures 1,842 0.4 1.2 725.88
Advanced imaging 24,418 5.2 13.6 424.28
Standard imaging 116,035 24.7 16.4 107.66
Sonography 16,358 3.5 3.7 171.70
Oncology services 9,593 2.0 6.2 490.83
Dialysis services 1,151 0.2 2.3 21,508.20
Laboratory tests 99,180 21.1 12.4 95.28
Other tests 20,660 4.4 3.6 132.51
Other 4,806 1.0 1.2 190.84
1

All averages are claims-weighted.

2

Analysis of claims data indicates that facilities report an average of 12 treatments per claim. If submitted separately, about 11,000 additional dialysis claims (about 2 percent of all claims) would be reported with an average charge of approximately $126.

SOURCES: Health Care Financing Administration: Hospital Outpatient Bill file and Part B Medicare Annual Data file, both 1987; data development by the Urban Institute.