Table 2. Markup Ratios by Hospital for Common Procedure Codes Billed by Emergency Medicine Physiciansa .
| Service | National Total Medicare-Allowable Amount in 2013, $b | Markup Ratio | ||||
|---|---|---|---|---|---|---|
| Minimum | 25th Percentile | Median | 75th Percentile | Maximum | ||
| Evaluation and Management Services | ||||||
| Level 5 visit (n = 2526) | 528M | 1.0 | 3.4 | 4.3 | 6.0 | 10.5 |
| Level 4 visit (n = 2577) | 174M | 1.0 | 3.3 | 4.2 | 5.8 | 11.6 |
| Level 3 visit (n = 2538) | 48.6M | 1.1 | 3.8 | 5.0 | 6.9 | 16.4 |
| Level 2 visit (n = 920) | 2.79M | 1.0 | 3.1 | 4.0 | 5.4 | 14.2 |
| Level 1 visit (n = 125) | 98.7K | 1.0 | 3.1 | 4.6 | 6.3 | 13.9 |
| Other ED services | ||||||
| Critical care (n = 2004) | 110M | 1.1 | 3.2 | 3.9 | 5.5 | 23.8 |
| Interpretation of ECG (n = 1891) | 12.8M | 1.1 | 4.4 | 6.0 | 7.8 | 20.0 |
| Management and supervision of oxygen chamber therapy (n = 161) | 6.35M | 1.0 | 2.2 | 2.9 | 4.0 | 9.5 |
| Debridement (n = 171) | 4.03M | 1.1 | 2.3 | 3.0 | 4.2 | 9.5 |
| Intubation (n = 543) | 2.31M | 1.0 | 3.4 | 4.6 | 6.0 | 10.4 |
| Insertion of IV (n = 286) | 1.17M | 1.4 | 4.1 | 5.4 | 6.7 | 18.1 |
| Wound care (n = 143) | 752K | 1.1 | 3.3 | 4.3 | 6.0 | 17.5 |
| Interpretation of chest radiograph (n = 285) | 659K | 1.0 | 3.8 | 4.6 | 5.5 | 16.3 |
| CPR (n = 104) | 493K | 1.6 | 3.4 | 5.2 | 6.2 | 9.6 |
| Laceration repair (n = 176) | 186K | 2.0 | 5.2 | 7.0 | 9.2 | 15.0 |
| Head CT interpretation (n = 12) | 130K | 1.6 | 3.1 | 4.2 | 5.8 | 27.7 |
Abbreviations: CPR, cardiopulmonary resuscitation; CT, computed tomography; ECG, electrocardiogram; ED, emergency department; K, thousand; M, million.
a
Ranked by national total Medicare-allowable amounts paid to emergency medicine physicians in 2013 (n = 2707).
b
Hospital numbers and national Medicare-allowable amounts are limited to hospitals with 1 or more physician billing the procedure code at least 10 times in 2013.