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. Author manuscript; available in PMC: 2021 Sep 1.
Published in final edited form as: J Early Hear Detect Interv. 2020;5(1):13–19. doi: 10.26077/q64a-ce52

Table 5.

Summary of Outpatient Net Payment Reimbursement by Census Division*

Newborn Hearing Screening Outpatient (n = 1,300 claims)

All Outpatient Claims Outpatient by Place of Service

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.