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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

From: Variation in expenditure for common, high cost surgical procedures in a working age population: implications for reimbursement reform

  1 (lowest)2345 (highest)Difference (% of 1st quintile)
PHRPrice 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%)
PKRPrice 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%)
CABGPrice 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%)
LumbarPrice 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%)
ColectomyPrice 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%)