Table 3.
Summary of the amounts of actual bills and global bills in the studied quarter (Rials)
| Admission type | Calculation type | No. of surgeries | Global bill | Actual bill | Difference between global bills and actual bills | |||
|---|---|---|---|---|---|---|---|---|
| Total global bill | Franchise paid by patients | Insurer’s share | Ministry of Health subsidy | Total actual cost of hospitals with tariffs announced by the Ministry of Health | ||||
| Outpatient | Total surgeries | 463 | 6,304,842,637 | 849,556,557 | 4,747,649,355 | 707,636,725 | 9,734,580,361 | 3429,737,723 |
| Average (per surgery) | 13,617,371 | 1,834,895 | 10,254,102 | 1,528,373 | 21,025,012 | 7,407,641 | ||
| Inpatient | Total surgeries | 715 | 16,679,165,805 | 2,231,603,871 | 11,365,899,798 | 3,081,662,136 | 29,168,627,376 | 12,489,461,571 |
| Average (per surgery) | 23,327,505 | 3,121,124 | 15,896,363 | 4,310,017 | 40,795,283 | 17,467,778 | ||
| All surgeries (outpatient/inpatient) | Total surgeries | 1178 | 22,137,730,823 | 3,042,900,807 | 16,098,505,226 | 3,802,664,885 | 38,860,940,637 | 15,913,703,073 |
| Average (per surgery) | 19,511,043 | 2,615,586 | 13,678,734 | 3,216,722 | 33,024,794 | 13,513,752 | ||