HCUP Facts and Figures

TABLE OF CONTENTS

HIGHLIGHTS

INTRODUCTION

HCUP PARTNERS

1. OVERVIEW

2. DIAGNOSES

3. PROCEDURES

4. COSTS

5. MHSA

SOURCES/METHODS

DEFINITIONS

FOR MORE INFO

ACKNOWLEDGMENTS

CITATION

FACTS & FIGURES 2008 PDF

EXHIBIT 4.4 Cost by Payer (PDF)

Distribution of aggregate costs by payer, 2008. Column chart. Percent distribution. Medicare: 46%; Medicaid: 14%; private insurance: 32%; uninsured: 4%; other: 3%. Note: Uninsured includes discharges classified as self-pay or no charge. Note: Other includes other payers such as Workers’ Compensation, TRICARE, CHAMPUS, CHAMPVA, Title V, and other government programs. Note: Excludes a small number of discharges (68,000 or 0.2%) with missing payer that have a small sum of missing costs ($642 million or 0.2%).

Medicare, the single largest expected payer for hospitalizations in 2008, accounted for 46 percent of aggregate inpatient costs.
Medicaid stays accounted for 14 percent of in-hospital costs.
Private insurance was responsible for 32 percent of aggregate costs; the uninsured were responsible for 4 percent.

Average cost per discharge by payer, 2008. Bar chart. Average cost. Medicare: $11,300; Medicaid: $6,900; private insurance: $8,300; uninsured: $7,300; other: $9,600; all payers: $9,100. Note: Uninsured includes discharges classified as self-pay or no charge. Note: Other includes other payers such as Workers’ Compensation, TRICARE, CHAMPUS, CHAMPVA, Title V, and other government programs.

Medicare discharges had the highest average cost per hospital stay ($11,300).
The average cost per discharge billed to private insurance ($8,300), the uninsured ($7,300), and Medicaid ($6,900) was lower than the all payer average cost per discharge ($9,100).

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HCUP Facts and Figures