Table 2 Adjusted average TRICARE purchased care payments for different components of care around surgical episodes, by procedure after price standardization and case-mix adjustment, 2012–2014. Difference reflects the variation between the highest and lowest quintiles
DRG | Cost | Quintile (Total payments, by HRR quintile ($)) | Difference | ||||
|---|---|---|---|---|---|---|---|
1 (Lowest) | 2 | 3 | 4 | 5 (Highest) | |||
Colectomy | Index hosp. | 13,466 | $15,591 | $17,509 | $20,067 | $27,141 | $13,674 |
Readmissions | $1626 | $9949 | $10,892 | $12,722 | $18,883 | $17,257 | |
Phys. fees | $5019 | $5457 | $5814 | $6371 | $7320 | $2301 | |
Post-acute | $1179 | $1370 | $1539 | $1750 | $2194 | $1014 | |
PKR | Index hosp. | $10,568 | $11,434 | $12,172 | $13,393 | $21,893 | $11,324 |
Readmissions | $0 | $8449 | $9645 | $10,818 | $14,278 | $14,278 | |
Phys. fees | $3830 | $4259 | $4521 | $4762 | $5306 | $1475 | |
Post-acute | $840 | $952 | $986 | $1031 | $1138 | $298 | |
PHR | Index hosp. | $10,588 | $11,403 | $12,165 | $13,324 | $21,611 | $11,022 |
Readmissions | $0 | $10,793 | $11,528 | $12,262 | $13,885 | $13,885 | |
Phys. fees | $3303 | $3494 | $3597 | $3767 | $4026 | $722 | |
Post-acute | $534 | $593 | $625 | $656 | $732 | $197 | |
Lumbar | Index hosp. | $18,872 | $21,506 | $22,994 | $25,793 | $37,705 | $18,833 |
Spinal | Readmissions | $0 | $6970 | $8507 | $10,082 | $14,607 | $14,607 |
Fusion | Phys. fees | $6463 | $7343 | $7882 | $8418 | $9746. | $3282 |
Post-acute | $421 | $550 | $629 | $743 | $974 | $553 | |
CABG | Index hosp. | $26,339 | $28,848 | $32,877 | $36,945 | $48,867 | $22,527 |
Surgery | Readmissions | $0 | $7175 | $8827 | $9946 | $13,289 | $13,289 |
Phys. fees | $5877 | $6596 | $7088 | $7714 | $8571 | $2693 | |
Post-acute | $1110 | $1298 | $1433 | $1615 | $2129 | $1019 | |