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    Episode costs for ambulatory stone surgery vary widely

     

    Among the four components and for both URS and SWL, the index procedure was associated with the largest variation in payments between the lowest and highest quartile hospitals, and it accounted for 68% and 44% of the variation in spending for URS and SWL, respectively. Mean payments for index procedure at the lowest and highest quartile hospitals were $4,995 and $7,936, respectively, for URS and $3,207 and $4,832 for SWL.

    For both types of procedures, mean payment for post-acute care showed the second largest range between the lowest and highest quartile hospitals, and it accounted for 15% and 28% of the spending variation, respectively. Mean payments for post-acute care following URS at the lowest and highest quartile hospitals were $1,711 and $2,207, respectively, and were $1,104 and $2,138, respectively, following SWL.

    Read: Pain most common reason for post-URS ED visits

    For URS, payments for professional services accounted for 11% of spending variation between the lowest and highest quartile hospitals while 6.0% of the variation was explained by payments for hospitalization. For SWL, 19.0% of the variation in spending was explained by payments for hospitalization and 9.0% was explained by payments for professional services.

    “The occurrence of unplanned emergency department visits after surgery added substantially to the total expenditure per episode, but they were not significant drivers of spending variation between hospitals,” Dr. Hollingsworth said.

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