Table 1 Price standardized (first line) and fully adjusted (second line) average total TRICARE purchased care payments around episodes of five common inpatient procedures, 2012–2014. Difference reflects the variation between highest and lowest quintiles, shown as a dollar value and as a percentage of the lowest quintile value
1 (lowest) | 2 | 3 | 4 | 5 (highest) | Difference (% of 1st quintile) | ||
|---|---|---|---|---|---|---|---|
PHR | Price standard | $14,228 | $15,796 | $16,989 | $18,706 | $28,613 | $14,385 (101%) |
+ case-mix | $15,039 | $16,042 | $17,049 | $18,486 | $26,216 | $11,177 (74%) | |
PKR | Price standard | $15,562 | $16,851 | $18,151 | $19,718 | $29,512 | $13,950 (90%) |
+ case-mix | $16,046 | $17,111 | $18,157 | $19,559 | $28,037 | $11,990 (75%) | |
CABG | Price standard | $33,205 | $38,170 | $43,085 | $49,830 | $68,076 | $34,870 (105%) |
Surgery | + case-mix | $35,801 | $39,256 | $42,980 | $47,518 | $59,360 | $23,558 (66%) |
Lumbar | Price standard | $26,253 | $29,777 | $32,641 | $35,928 | $49,961 | $23,707 (90%) |
Spinal Fusion | + case-mix | $27,271 | $30,337 | $32,694 | $35,256 | $47,210 | $19,939 (73%) |
Colectomy | Price standard | $18,458 | $23,940 | $27,761 | $33,850 | $46,939 | $28,480 (154%) |
+ case-mix | $23,152 | $25,726 | $28,340 | $31,670 | $37,994 | $14,842 (64%) |