Table 5.
Summary of Outpatient Net Payment Reimbursement by Census Division*
| Newborn Hearing Screening Outpatient (n = 1,300 claims) | |||||
|---|---|---|---|---|---|
|
|
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| All Outpatient Claims | Outpatient by Place of Service | ||||
|
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| Census Division | No. of Claims | Outpatient Mean (Range) | Outpatient Median (IQR) | Outpatient Hospital Median (IQR) | Office Median (IQR) |
|
| |||||
| New England | 25 | $99.04 ($21.59–$482.11) | $66.40 ($40.23–$145.09) | $151.18 ($69.27–$164.21) | $40.23 ($40.23–$60.56) |
| Middle Atlantic | 289 | $100.92 ($2.43–$734.25) | $54.92 ($39.50–$121.50) | $195.57 ($105.20–$254.00) | $45.18 ($34.00–$54.92) |
| East North Central | 95 | $96.56 ($17.99–$1,320.78) | $57.60 ($42.88–$93.33) | $102.66 ($81.48–$182.47) | $44.80 ($32.42–$57.60) |
| West North Central | 26 | $65.51 ($12.78–$176.27) | $47.37 ($39.65–$91.50) | $82.35 ($39.65–$105.00) | $45.00 ($21.00–$78.00) |
| South Atlantic | 227 | $113.32 ($4.11–$714.00) | $69.59 ($37.75–$140.18) | $169.06 ($93.25–$293.78) | $47.59 ($32.36–$81.23) |
| East South Central | 92 | $88.45 ($4.69–$640.80) | $51.82 ($33.90–$97.87) | $128.21 ($98.086–$287.66) | $38.57 ($33.90–$55.90) |
| West South Central | 230 | $62.04 ($4.43–$1,122.66) | $32.02 ($24.00–$58.28) | $103.41 ($60.91–$182.59) | $30.48 ($21.34–$43.59) |
| Mountain | 181 | $78.67 ($2.03–$339.08) | $72.56 ($41.92–$106.77) | $94.02 ($72.56–$131.08) | $41.97 ($24.97–$61.10) |
| Pacific | 126 | $78.67 ($22.71–$550.00) | $158.56 ($57.52–$210.00) | $175.00 ($138.53–$281.86) | $49.25 ($31.71–$57.52) |
IBM® MarketScan® Commercial Databases for 2013–2015. Results for unknown region (n = 9) are not shown because of small numbers.
Abbreviations: CPT = Current Procedural Terminology; IQR = Interquartile Range.