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Table 2 TRICARE price standardized and case mix adjusted payments by payment bucket for simulated 90-day episodes of care after cervical and non-cervical spinal fusion

From: Strategies for spinal surgery reimbursement: bundling in the working-age population

Simulated Bundle Payment Bucket Quintile Difference*
1 2 3 4 5
Cervical 90-day Episode of Care Index Hospitalization $11,033 $11,673 $12,411 $13,670 $19,960 $8927
Readmissions $0 $0 $8912 $9786 $11,522 $11,522
Hospital Professional Fees $5027 $5752 $6274 $6898 $8056 $3029
Post-acute Care $399 $571 $702 $959 $2070 $1672
Non-Cervical 90-day Episode of Care Index Hospitalization $18,565 $21,372 $22,772 $25,749 $36,844 $18,278
Readmissions $0 $7373 $8618 $10,120 $13,933 $13,933
Physician Fees $6435 $7327 $7797 $8291 $9538 $3103
Post-acute Care $557 $851 $1153 $1540 $2985 $2427
  1. *Difference reflects the variation between highest and lowest quintiles
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