Mushinski M
Stat Bull Metrop Insur Co. 1997 Jan-Mar;78(1):20-8.
In 1995 the average charge for a coronary artery bypass graft (CABG) among 1,643 patients age 30 and over was $44,820. This charge was more than twice that for 3,569 patients undergoing a percutaneous transluminal coronary angioplasty (PTCA)-$20,370. The Middle Atlantic area reported the highest average charge for a CABG (18 percent above the norm) due mainly to the high charge in Pennsylvania, which was 37 percent higher than the national average. Each of the four regions west of the Mississippi River had higher than average charges for both revascularization procedures. The lowest charge for a CABG was reported in West Virginia-36 percent below the average and less than half the Pennsylvania charge Arizona, California and Illinois had the highest average PTCA charges, each 20 percent or more above that for the U.S. The lowest PTCA charge was reported in Ohio ($14,680), 28 percent lower than the U.S. average and 42 percent lower than in Arizona Hospital charges accounted for 73 percent of the total CABG charge and 77 percent of the PTCA total. Physician charges were the highest in New York and New Jersey for CABGs (each 31 percent above the average) and the lowest in Colorado (37 percent below). For PTCAs, the physicians' fees were the highest in Indiana, Connecticut and New York (between 18 and 21 percent above the norm) and lowest in Washington (25 percent below). CABG patients remained hospitalized for 8.32 days, more than twice the number of days for the PTCA (3.86 days).
1995年,1643名30岁及以上患者接受冠状动脉搭桥术(CABG)的平均费用为44,820美元。这一费用是3569名接受经皮腔内冠状动脉成形术(PTCA)患者费用的两倍多,后者为20,370美元。大西洋中部地区报告的冠状动脉搭桥术平均费用最高(比平均水平高18%),主要原因是宾夕法尼亚州的费用很高,比全国平均水平高37%。密西西比河以西的四个地区进行这两种血运重建手术的费用均高于平均水平。西弗吉尼亚州报告的冠状动脉搭桥术费用最低,比平均水平低36%,不到宾夕法尼亚州费用的一半。亚利桑那州、加利福尼亚州和伊利诺伊州的经皮腔内冠状动脉成形术平均费用最高,均比美国平均水平高出20%或更多。俄亥俄州的经皮腔内冠状动脉成形术费用最低(14,680美元),比美国平均水平低28%,比亚利桑那州低42%。医院收费占冠状动脉搭桥术总费用的73%,占经皮腔内冠状动脉成形术总费用的77%。纽约和新泽西州冠状动脉搭桥术的医生收费最高(均比平均水平高31%),科罗拉多州最低(比平均水平低37%)。对于经皮腔内冠状动脉成形术,印第安纳州、康涅狄格州和纽约州的医生费用最高(比平均水平高18%至21%),华盛顿州最低(比平均水平低25%)。冠状动脉搭桥术患者的住院时间为8.32天,是经皮腔内冠状动脉成形术患者住院天数(3.86天)的两倍多。