Independent Hospital Pricing Authority
National Hospital Cost Data
Collection
Australian Public
Hospitals Cost Report
2013-2014 Round 18
Table of Contents
Executive Summary ................................................................................................. 6
Participation ....................................................................................................................................................... 6
Total expenditure ............................................................................................................................................... 7
Average costs ..................................................................................................................................................... 8
1
Introduction ........................................................................................................ 9
1.1 Objectives of the NHCDC .............................................................................................................................. 9
1.2 Background .................................................................................................................................................. 9
1.3 The NHCDC and the National Efficient Price (NEP) ....................................................................................... 9
1.4 Scope of the Collection ................................................................................................................................. 9
1.5 Scope - Product Streams ............................................................................................................................. 10
1.6 Direct and overhead costs .......................................................................................................................... 11
1.7 Australian Hospital Patient Costing Standards .......................................................................................... 11
1.8 Data Collection and Costing ....................................................................................................................... 11
1.9 The Independent Financial Review ............................................................................................................. 12
1.10 Work in progress patients ........................................................................................................................ 13
1.11 Understanding this Report ....................................................................................................................... 13
1.12
2
Release notes and confidentiality ....................................................................................................... 13
Admitted Acute Care ....................................................................................... 14
2.1 Summary .................................................................................................................................................... 14
2.2 Jurisdiction.................................................................................................................................................. 14
2.3 Peer group summary .................................................................................................................................. 17
2.4 Cost Bucket Overview ................................................................................................................................. 18
2.5 Line Item Overview ..................................................................................................................................... 19
2.6 Cost weight tables ...................................................................................................................................... 20
2.7 Overnight and same day separations ......................................................................................................... 20
2.8 Urgency of Admission ................................................................................................................................. 21
2.9 Indigenous patients .................................................................................................................................... 21
2.10 Paediatrics ................................................................................................................................................ 22
2.11 Geographical location .............................................................................................................................. 23
2.12 Productivity Commission - Review of Government Services ..................................................................... 24
3
Emergency Department Presentations .......................................................... 25
3.1 Summary .................................................................................................................................................... 25
3.2 Admitted Emergency Department (ED) Presentation................................................................................. 26
3.3 Non-admitted Emergency Department (ED) Presentation ......................................................................... 27
3.4 Cost Bucket ................................................................................................................................................. 28
3.5 Line Item Overview ..................................................................................................................................... 29
4
Non-admitted Service Events ......................................................................... 31
4.1 Summary .................................................................................................................................................... 31
4.2 Jurisdiction.................................................................................................................................................. 31
4.3 Tier 2 classes ............................................................................................................................................... 32
4.4 Cost Bucket Overview ................................................................................................................................. 33
4.5 Line Item ..................................................................................................................................................... 34
5
Subacute Services ........................................................................................... 36
5.1 Summary .................................................................................................................................................... 36
5.2 Rehabilitation ............................................................................................................................................. 37
5.3 Geriatric Evaluation and Maintenance....................................................................................................... 37
5.4 Palliative Care ............................................................................................................................................. 38
5.5 Maintenance .............................................................................................................................................. 38
5.6 Psychogeriatric ........................................................................................................................................... 38
5.7 Cost Bucket Overview ................................................................................................................................. 38
5.8 Line Item ..................................................................................................................................................... 39
5.9 AN-SNAP Class Overview ............................................................................................................................ 40
6
Other Costed Products ................................................................................... 42
6.1 Summary .................................................................................................................................................... 42
6.2 Organ Procurement .................................................................................................................................... 43
6.3 Boarders ..................................................................................................................................................... 43
6.4 Other Admitted acute Patient Care ............................................................................................................ 44
7
Data Quality Statement ................................................................................... 45
7.1 NSW Health ................................................................................................................................................ 45
7.2 Victoria ....................................................................................................................................................... 47
7.3 Queensland................................................................................................................................................. 48
7.4 South Australia ........................................................................................................................................... 50
7.5 Western Australia ....................................................................................................................................... 51
7.6 Tasmania .................................................................................................................................................... 52
7.7 Northern Territory ...................................................................................................................................... 53
7.8 Australian Capital Territory ........................................................................................................................ 55
8
Appendices ...................................................................................................... 57
Appendix 1. .............................NHCDC Rounds 18 and 17 summary, actual, by jurisdiction and stream
Appendix 2.
NHCDC Rounds 18 and 17 Direct and Overhead Cost, actual, by stream
Appendix 3.
Cost weights for AR-DRG version 7.0, Round 18 (2013-14)
Appendix 4.
Estimated cost weights for AR-DRG version 7.0, Round 18 (2013-14)
Appendix 5.
NHCDC Rounds 18 and 17 comparison of admitted acute summary, actual, by
jurisdiction
Appendix 6.
NHCDC Rounds 18 and 17 admitted acute comparison between peer hospitals,
actual
Appendix 7.
NHCDC Round 18 admitted acute cost, average cost per separation, actual, bucket
analysis by jurisdiction
Appendix 8.
NHCDC Round 16, Round 17 and Round 18 admitted acute line item average cost per
separation, actual by jurisdiction
Appendix 9.
NHCDC Round 17 and Round 18, comparison of admitted acute overnight and
sameday, by jurisdiction
Appendix 10.
NHCDC Round 17 and Round 18, comparison of admitted acute emergency, elective
and not assigned in admitted acute, by jurisdiction
Appendix 11
NHCDC Round 17 and Round 18, comparison of admitted acute same day and
overnight within indigenous and non-indigenous categories, by jurisdiction
Appendix 12.
NHCDC Round 17 and Round 18, comparison of admitted acute paediatric and nonpaediatric categories, by jurisdiction
Appendix 13.
NHCDC Round 17 and Round 18, comparison of admitted acute geographic location
of patients, by jurisdiction
Appendix 14.
NHCDC Rounds 18 and 17 admitted acute comparison of Maternity DRGs
Appendix 15.
NHCDC Round 18 ED summary, actual, by jurisdiction
Appendix 16.
NHCDC Round 18 ED URG Version 1.3
Appendix 17.
NHCDC Round 18 emergency department cost, average cost per separation, actual,
bucket analysis by jurisdiction
Appendix 18.
NHCDC Round 16, Round 17 and Round 18 emergency department line item average
cost per separation, actual by jurisdiction
Appendix 19.
NHCDC Round 18 Non-admitted Tier 2 class version 2.1
Appendix 20.
NHCDC Round 17 and Round 18 comparison of non-admitted by tier 2 class, service
events and average cost
Appendix 21.
NHCDC Round 18 and 17 Non-admitted summary, actual, by jurisdiction
Appendix 22.
NHCDC Round 18 Non-admitted cost (average cost per service event, $/service
event), actual, bucket analysis by jurisdiction
Appendix 23.
NHCDC Round 16, Round 17 and Round 18 non-admitted line item average cost per
separation, actual by jurisdiction
Appendix 24.
NHCDC Rounds 18 and 17 comparison of subacute summary, by care type, by
jurisdiction
Appendix 25.
NHCDC Rounds 18 and 17 comparison of subacute ANSNAP
Appendix 26.
NHCDC Rounds 18 and 17 comparison of subacute cost bucket, by jurisdiction
Appendix 27.
NHCDC Round 16 , Round 17 and Round 18 comparison of subacute line items, by
jurisdiction
Appendix 28.
NHCDC Round 18 and 17 comparison of Other stream summary, by care type, by
jurisdiction
Appendix 29.
NHCDC Round 18 Organ Procurement average cost per separation, bucket analysis
by jurisdiction
List of Figures
Figure 1 Round 18 number of participating hospitals by jurisdiction
Figure 2 Total expenditure and percentage movement by stream, Round 16 to 18
Figure 3 Round 18 key figures and logarithmic scale of average cost and percentage movement, actual,
Round 16 to 18
Figure 4 Proportion of direct costs to total costs actual, Round 17 to 18
Figure 5: Hospital Costing Process
Figure 6 National cost - Product stream, by percentage
6
7
8
11
12
16
List of tables
Table 1 Admitted acute – National Round 16 to 18
Table 2 Admitted acute - Jurisdiction
Table 3 Admitted acute – Jurisdiction Round 17 and Round 18
Table 4 Admitted acute - Peer group
Table 5 Admitted acute - Cost bucket
Table 6 Admitted acute- Line item
Table 7 Admitted acute - Overnight and same day separations
Table 8 Admitted acute - Urgency of admission
Table 9 Admitted acute -Indigenous status
Table 10 Admitted acute - Paediatric and non-paediatric separations
Table 11 Admitted acute – Geographical location
Table 12 Emergency Department - NHCDC Round 16, 17 and 18
Table 13 Emergency Department - Jurisdiction
Table 14 Emergency Department – Admitted ED presentations by jurisdiction
Table 15 Emergency Department – Non-admitted ED presentation by jurisdiction
Table 16 Emergency Department - Cost Bucket NHCDC Round 17 and Round 18
Table 17 Emergency Department - Line Item Round 17 and Round 18
Table 18 Non-admitted - NHCDC Round 17 and Round 18
Table 19 Non-admitted – Jurisdiction NHCDC Round 18
Table 20 Non-admitted – Cost bucket NHCDC Round 17 and Round 18
Table 21 Non-admitted- Line item NHCDC Round 17 and Round 18
Table 22 Subacute - NHCDC Round 17 and Round 18
Table 23 Subacute – Cost bucket NHCDC Round 17 and Round 18
Table 24 Subacute - Line item NHCDC Round 17 and Round 18
Table 25 Subacute - AN-SNAP class grouping to error classes
Table 26 Other stream NHCDC Round 17 and Round 18
Table 27 Organ procurement cost bucket
14
15
17
18
19
20
20
21
22
23
23
25
26
26
28
29
29
31
32
34
35
36
39
40
41
42
43
Executive Summary
The National Health Reform Act 2011 established the Independent Hospital Pricing Authority
(IHPA) as part of the National Health Reform agenda. The key purpose of IHPA is to
promote improved efficiency in, and access to, public hospital services through the setting of
the National Efficient Price (NEP) and National Efficient Cost (NEC) for public hospital
services. The National Hospital Cost Data Collection (NHCDC) is the annual collection of
public hospital cost data, and is the primary data collection used to inform the NEP and the
NEC.
Participation
The Round 18, financial year 2013-14, NHCDC includes costs from 447 hospitals, 46 more
than in Round 17. Queensland and NSW were the major contributors to this increase with 49
and 14 more hospitals respectively. Tasmania submitted 18 fewer hospitals than in
Round 17, these were all small rural hospitals. The increase in hospital participation led to
an increase in the proportion of admitted acute activity for which expenditure were submitted
by 1.0 percent to 92.3 percent.
Figure 1 Round 18 number of participating hospitals by jurisdiction
Total expenditure
In the Round 18 NHCDC, total expenditure submitted was $33.8 billion, a 6.8 percent
increase over Round 17.
Expenditure is split between five streams:
•
•
•
•
•
Admitted acute accounted for 74 percent of total expenditure, reporting $24.8 billion
from 352 hospitals. This represents a 6.3 percent increase in expenditure over
Round 17, with five fewer hospitals reporting data;
Emergency Department (ED) expenditure accounted for $4.0 billion from 256
hospitals. This represents a 6.1 percent increase in expenditure over Round 17, with
13 fewer hospitals reporting data;
Non-Admitted expenditure accounted for $4.5 billion from 349 hospitals. This
represents a 13.0 percent increase in expenditure over Round 17, and an increase of
68 hospitals reporting data;
Subacute expenditure accounted for $2.2 billion from 335 hospitals. This represents
a 7.0 percent increase in expenditure over Round 17, with the number of hospitals
reporting data unchanged; and
Other product expenditure accounted for $36.4 million from 195 hospitals. This
represents a 33.9 percent decrease in expenditure over Round 17, with 27 more
hospitals reporting data.
Figure 2 Total expenditure and percentage movement by stream, Round 16 to 18
Average costs
For the NHCDC, costs are reported at the patient level. This allows for the calculation of
average costs per episode by product stream:
Figure 3 Round 18 key figures and logarithmic scale of average cost and percentage movement, actual, Round
16 to 18
Readers of the report are reminded that the results published should not be compared to the
NEP. The NEP includes a series of adjustments to the NHCDC results to account for
variations in the cost of delivering services, based on factors such as location, indigenous
status and paediatrics. Further information about the NEP adjustments can be found on the
IHPA website. This report presents an analysis of the annual data submitted to the National
Hospital Cost Data Collection (NHCDC) for Round 18 (2013-14).
1 Introduction
1.1 Objectives of the NHCDC
The National Hospital Cost Data Collection (NHCDC) is the annual collection of public
hospital cost data from a range of public hospital facilities nationally. The objective of the
NHCDC is to provide all governments and the health care industry with a robust dataset
developed using nationally consistent methods of costing hospital activity. The dataset is
used for benchmarking, funding and planning hospital services and is the primary data set
used to develop the National Efficient Price (NEP) and the National Efficient Cost (NEC)
1.2 Background
The NHCDC was established in the mid-1990s through the joint collaboration of the
Commonwealth with state and territory governments. State and territory health ministers
agreed to collect and provide cost data to the Commonwealth for the purposes of national
reporting to support a range of funding and health care initiatives. The NHCDC was
designed as a voluntary cost data collection that commenced collection of Round 1 in 1997.
The early rounds of collection were predominantly focused on collating costs at a ‘product’
level for acute hospital services.
Under the National Health Reform Act 2011, the Independent Hospital Pricing Authority
(IHPA) was established and assumed responsibility for the governance of the NHCDC.
Through the national health reform process, a range of developments to the NHCDC have
been implemented, including data quality controls, the introduction of a submission portal
and developments in costing standards. These improvements have all provided increased
confidence in the collection for the purpose of national reporting. An increase in hospital
participation has also seen the size of the collection grow significantly, along with greater
reporting outside of admitted acute products.
For Round 18 (2013-14), jurisdictions have submitted cost data across admitted acute,
emergency department, non-admitted and subacute streams.
1.3 The NHCDC and the National Efficient Price (NEP)
The NHCDC is the primary dataset used by IHPA to determine the NEP and the NEC. The
NEP underpins Activity Based Funding (ABF) across Australia for Commonwealth funded
public hospital services. The key purpose of IHPA is to promote improved efficiency in, and
access to, public hospital services through the determination of NEP and NEC. Delivering an
annual NEP and NEC is IHPA’s primary function and has two key purposes:
•
•
to determine the amount of Commonwealth Government funding provided to public
hospital services; and
to provide a price signal or benchmark about the efficient cost of providing public
hospital services.
Each Determination includes the scope of public hospital services eligible for
Commonwealth Government funding on an activity basis (the General List) and adjustments
to the price to reflect legitimate and unavoidable variations in the cost of delivering health
care services.
1.4 Scope of the Collection
The data in scope includes all episodes of hospital care for all public hospital facilities across
Australia, and the costs incurred by the health service in relation to these episodes in
financial year 2013-14 (Round 18). The classifications used in this report are:
•
Admitted acute - Australian Refined Diagnosis Related Groups (AR-DRG) Version 7;
•
•
•
Emergency - Urgency Related Groups (URGs) Version 1.3;
Non-admitted - Non-admitted Tier 2 Classification Version 2; and
Subacute - Australian National - Sub and Non-acute (AN-SNAP) Patient Version 3.
1.5 Scope - Product Streams
1.5.1 Admitted acute services
The admitted acute episodes of care in scope for Round 18 include all admitted acute
separations with a discharge date in financial year 2013-14 which were performed at public
hospitals 1. Admitted acute care is provided to patients who go through a formal admission
process where the clinical intent or treatment goal is to do one or more of the following:
•
•
•
•
•
•
•
manage labour (obstetric),
cure illness or provide definitive treatment of injury,
perform surgery,
relieve symptoms of illness or injury (excluding palliative care),
reduce severity of illness or injury,
protect against exacerbation and/or complication of an illness and/or injury which
could threaten life or normal functions, or
perform diagnostic or therapeutic procedures.
These patients are classified under the AR-DRG version 7 classification and have a care
type 2 of ‘1’ (acute) or ‘7’ (neonates).
1.5.2 Emergency care services
The emergency care presentations in scope for Round 18 include all patients registered for
care in an emergency care service within a public hospital in 2013-14. This includes patients
who present to the emergency department who are treated and then leave (non-admitted
emergency), and presentations that are subsequently admitted to hospital (admitted
emergency). Patients declared dead on arrival are considered in scope if the death is
certified by an emergency department clinician.
In this report emergency care services are reported using URG version 1.3.2.
1.5.3 Non-admitted services
The non-admitted service events in scope for Round 18 include all non-admitted patient
service events that occurred in 2013-14. A non-admitted patient service event is an
interaction between one or more healthcare provider(s) with one or more patient. It must
contain therapeutic/clinical content and result in a dated entry in the patient's medical record.
This includes service events occurring in non-admitted clinics in hospitals and in the
community.
The Tier 2 Non-admitted Care Services version 2 used to report non-admitted service
events.
1.5.4 Subacute and non-acute services
The subacute and non-acute admitted episodes of care in scope for Round 18 include all
separations performed at public hospitals with a care type of rehabilitation care (2), palliative
care (3), geriatric evaluation and management (4), psychogeriatric care (5) or maintenance
care (6) and with a discharge date in 2013-14.
1
All data and tables describes and presented in this Round 18 NHCDC Cost Report only reference activity
admitted and discharged within 2013-14. Activity and costs that include prior year activity has been excluded
from this report,
2
The Care Types are defined in the Australian Institute of Health and Welfare (AIHW) Metadata Online Registry
(METeOR). URL: http://meteor.aihw.gov.au/content/index.phtml/itemId/584408 , accessed 11/03/2015.
Subacute admitted care is provided to patients who go through a formal admission process,
where the clinical intent or treatment goal is specialised multidisciplinary care in which the
primary need for care is optimisation of the patient’s functioning and quality of life 3. These
patients are classified under the Australian National Sub and Non-acute Patient
Classification (AN-SNAP) version 3.
1.5.5 Other services
Other services are classified by a care type where the principal clinical intent does not meet
the criteria to be grouped as admitted acute, non-admitted, emergency or subacute. The
‘other’ services in scope for Round 18 include all episodes defined under ‘other care’ (‘8’),
posthumous organ procurement (‘9’) and hospital boarders (‘10’) with a separation date in
2013-14 which were performed at public hospitals. Teaching and training and research are
also considered other services.
Teaching and training describes the activities provided by or on behalf of a public health
service to facilitate the acquisition of knowledge, or development of skills. Research relates
to the public health service's contribution to maintain research capability, excluding the costs
of research activities that are funded from a source other than the state or territory or
provided in kind. 4
1.6 Direct and overhead costs
As in Round 17, shown in Figure 2, direct costs account for 76.8 percent of total expenditure,
however there was some variation in the direct to overhead cost ratio across streams.
Figure 4 Proportion of direct costs to total costs actual,
Round 17 to 18
1.7 Australian Hospital Patient Costing Standards
To ensure consistency in the approach to costing nationally, the Australian Hospital Patient
Costing Standards (AHPCS) were developed through jurisdictional and IHPA input. AHPCS
version 3.1 were applied for the Round 18 NHCDC.
1.8 Data Collection and Costing
Hospital costing is the process of identifying the resources and inputs used during an
episode and applying the costs of those inputs to the different types of clinical procedures
3
Australian Institute of Health and Welfare (AIHW) Metadata Online Registry (METeOR) – ‘Care type,
derived subacute’. URL: http://meteor.aihw.gov.au/content/index.phtml/itemId/512105 accessed
11/03/2015.
4
Independent Hospital Pricing Authority (IHPA), Classifications, Teaching, Training and Research.
URL. http://www.ihpa.gov.au/internet/ihpa/publishing.nsf/Content/teaching-training-and-research
and treatments provided to each patient in a hospital. Figure 5 below illustrates the overall
costing process.
Figure 5: Hospital Costing Process
GL Data
•
•
•
•
Patient Care Cost centres and
accounts from the general ledger
Overhead cost centres and
accounts from the general ledger
Mapping of accounts to line items
Allocation of overhead cost centres
to patient care areas
Direct Patient Care Costs
Costs in Patient Care Areas
Includes
• Direct Patient Care Costs and
• Allocated proportion of overhead
costs.
Overhead cost centres
Overhead Cost Centres
•
•
•
•
Overhead
allocation
process
Catering
Hotel Services
IT, Corporate Services
Other
Wards
Transfer files
(Fractional Bed days)
Cost allocation
based on activity
trosthetics/Theatre
Feeder system data
hther
Service weights
Patient Data
ID
DRG
Cost
1.8.1 Patient level costing
Hospitals provide a calculated cost of care at the patient level for each episode of care. This
is done using actual patient level consumption data if practical. For example, Direct
Pathology costs may be based on the actual number of pathology tests performed for each
patient. If actual patient consumption is impractical to measure, allocation methods are
required. The patient level method of costing is often referred to as a ‘bottom up’ method of
costing because cost aggregates are devised from individual items of patient consumption 5.
Patient level costing yields results that are closer to the true cost of an encounter within a
hospital, however due to the dependency on feeder systems, perfect patient level costing
can be difficult to achieve.
The AHPCS prescribes the set of line items and cost centres that hospital costs are mapped
to cost buckets for the costing process, to ensure that there is a consistent treatment of
costs between hospitals. These costs are allocated to, and reported under, the NHCDC
defined ‘cost buckets’. Please refer to AHPCS for the reference tables of line items, cost
centre groups and cost buckets.
In the public sector collection, hospital costing is either performed by hospital or jurisdiction
costing staff. Costed results are produced at the episode level, per cost centre and per line
item. These results are provided to the IHPA and are collated and analysed to produce this
report.
1.9 The Independent Financial Review
The Independent Financial Review (IFR) is a whole of data review from a sample selection
of hospitals within each jurisdiction. The IFR provides transparency in the way data is
5
DoHA, Hospital Reference Manual for Round 11 (2006-07)
reported from source to its use for development of the NEP and NEC. The IFR is published
on IHPA’s website each year.
1.10 Work in progress patients
The AHPCS require that all patient activity during the year be costed according to the
guidelines set in the standards. For the purposes of the NHCDC, all patients are considered
in scope where discharged within the submission year. A work in progress (WIP) patient is
defined as a patient that is not admitted and discharged within the 2013-14 financial year.
For the purposes of this report, data in all tables excludes WIP patients unless specifically
noted.
1.11 Understanding this Report
The purpose of this report is to provide an overview of costs as reported to Round 18 of the
NHCDC. It is intended to provide cost data information for a range of users including hospital
representatives, jurisdictional representatives, policy makers, clinicians, commercial entities,
researchers and students.
This report also contains the admitted acute NHCDC Round 18 national actual and
estimated public sector cost weights and jurisdictional data quality statements as supplied by
each participating jurisdiction. These are available at Appendix 3 and Appendix 4.
1.12 Release notes and confidentiality
To ensure hospital and patient confidentiality is maintained information has been removed
from some tables. The figures have been replaced by asterisks (**).
.
2 Admitted Acute Care
This chapter presents cost data results for the admitted acute stream submitted to the
Round 18 NHCDC. The data is presented at both a national and jurisdictional level, and
summarised to report an overview of changes.
Changes in casemix, operational and clinical behaviour will influence the findings within
these comparative tables. However, it should be noted that as a cost collection, the number
and composition of hospitals reporting costs to the NHCDC for each round may change and
this will likely influence comparisons between rounds. The admitted acute activity and
expenditure presented includes admitted emergency department data. Separations where
the patient was not admitted and discharged in Round 18 (work-in-progress patients) have
been excluded. When comparing between rounds it is important to note that in the Round 16
data some hospitals submitted cost modelled data where activity and cost data was not
submitted at the individual separation level rather it was grouped to the DRG level. The
NHCDC Round 17 and Round 18 data only includes data from hospitals that applied the
AHPCS and costed each separation at the patient level.
2.1 Summary
Nationally, 352 hospitals contributed admitted acute costs for Round 18 of the NHCDC, five
fewer hospitals than in NHCDC Round 17. The net reduction in participating hospitals for
admitted acute patients in the Round 18 collection is a result of Tasmania and Queensland
reducing their number of participant hospitals which more than offset the increased number
of hospitals submitted by NSW and WA. Table 1 provides a summary of the number of
hospitals that submitted to the Round 18 NHCDC their costs, separations and change
between Round 16, Round 17 and Round 18.
Table 1 Admitted acute – National Round 16 to 18
Change
Round 16 to 17 Round 17 to 18
Number of hospitals
Separations (millions)
Expenditure ($ billion)
Average length of stay (days)
Average cost per day ($)
Average cost per separation ($)
Round 16
Round 17
Round 18
397
4.7
22.7
2.90
1,659
4,868
357
4.8
23.4
2.79
1,764
4,914
352
5.0
24.8
2.70
1,839
4,966
(%)
(%)
-10.1
1.9
2.9
-4.0
6.3
0.9
-1.4
5.2
6.3
-3.1
4.2
1.1
The Round 18 NHCDC admitted acute data included $24.8 billion in costs and accounted for
5.0 million separations. This is an increase in costs from the Round 17 NHCDC by
6.3 percent and an increase in separations by 5.2 percent. The average length of stay
reduced by 3.1 percent from 2.79 days in Round 17 to 2.70 days in Round 18. This is largely
due to a slight increase in the proportion of same day separations from 52.0 percent in
Round 17 to 52.9 percent in Round 18.The average cost per separation in Round 18 is
$4,966 an increase of 1.1 percent from $4,914 in Round 17. The Round 18 average cost per
day is reported at $1,839, an increase of $75 or 4.2 percent on Round 17.
2.2 Jurisdiction
The table below, Table 2, provides a summary of Round 18 results by jurisdiction.
Appendix 5 is a comparison of NHCDC Round 17 and Round 18 at the jurisdiction level and
should be referred to when considering the changes reported in jurisdiction acute costs. The
nationally reported admitted acute costs are influenced by jurisdictional casemix and the
number of hospitals that submit data. Changes in the volume and type of services reported
in the NHCDC impacts the results published in this report.
Table 2 Admitted acute - Jurisdiction
Total
Jurisdiction
NSW
Vic
Qld
SA
WA
Tas
NT
ACT
National
Hospitals
Separations
no.
no.
89
63
138
16
35
4
5
2
352
1,482,917
1,321,664
1,040,374
339,867
491,817
106,101
122,377
93,291
4,998,408
Average
Length of
stay
Cost
per day
Cost per
separation
Cost per
weighted
separation
$M
days
$
$
$
7,779
5,531
4,929
2,077
2,770
551
548
636
24,822
3.10
2.47
2.40
3.13
2.55
2.65
2.26
2.88
2.70
1,694
1,694
1,974
1,955
2,209
1,959
1,983
2,363
1,839
5,246
4,185
4,738
6,111
5,633
5,197
4,481
6,814
4,966
4,964
4,268
4,858
5,596
5,879
5,106
7,054
6,872
4,966
Cost
Of the 352 hospitals that submitted acute data to the collection, Queensland submitted 39
percent of hospitals, NSW 25 percent and Victoria 18 percent. The remaining five
jurisdictions provided 62 hospitals equating to 18 percent of hospitals that submitted. NSW
reported an additional 14 hospitals to the NHCDC in Round 18. Tasmania reduced the
number of hospitals that were submitted by 18.
The total admitted acute expenditure submitted was $24.8 billion. NSW, Victoria and
Queensland accounted for $18.24 billion, or 73 percent of all expenditure submitted. They
submitted 31, 22 and 20 percent of expenditure respectively. The remaining five jurisdictions
submitted 27 percent of the expenditure, which is consistent with their contribution in the
Round 17 collection. The expenditure submitted by Northern Territory increased by 23
percent from $445 million in Round 17 to $548 million in Round 18. The increase in
expenditure of all other jurisdictions is between 0.8 percent for Tasmania and 9.3 percent for
ACT.
While there was a 1.4 percent decrease in the number of hospitals submitting acute data,
each jurisdiction reported an increase in the number of separations and costs submitted to
the acute stream. Figure 6 shows the percentage contribution each stream has to the total
expenditure submitted. The slight decrease in the acute contribution indicates that the
additional acute expenditure in Round 18 is not solely costs reallocated from other streams.
Figure 6 National cost - Product stream, by percentage
Total separations increased by 5.2 percent, the primary contributor to this was NSW
supported by their increase in hospital participation. Victoria and Queensland also had more
than 5 percent increases in separations. Tasmania decreased the number of hospitals
contributing acute data however they contributed to the increase in separations submitted for
the acute stream.
The national average length of stay reduced by 3.1 percent, the equivalent of a decrease in
0.08 bed days per separation. All jurisdictions had a reduction in the average length of stay.
Three jurisdictions reported a reduction in average length of stay greater than the national
reduction. Tasmania reported the highest reduction in average length of stay of 0.8 percent,
followed by New South Wales and Victoria. The remaining jurisdictions reported a reduction
less than the national reduction with Western Australia reporting the smallest reduction of
0.5 percent.
The decrease in average length of stay was largely driven by an increase in the proportion of
same day to total separations. Western Australia was the only jurisdiction to have a
decrease in their proportion of same day separations, with a 1.1 percent reduction in their
same day proportion to 54.7 percent. The Northern Territory had the highest proportion of
same day separations with 68.3 percent, reflecting a high proportion of renal dialysis
patients.
The national average cost per separation increased marginally by 1.1 percent to $4,966 from
$4,914 in Round 17. The highest cost per separation was reported by the ACT at $6,814
which also reported the highest cost per separation in Round 17. Tasmania, Western
Australia, South Australia and New South Wales all reported an average cost above the
national average consistent with Round 17. Victoria, Queensland and Northern Territory
reported consistent lower average cost per separation compared to the national average.
Northern Territory’s average cost increased by 17.6 percent from Round 17 due partially to
the inclusion of inter-hospital patient transport costs for the first time. This large movement
has resulted in Victoria having the lowest average cost per separation in Round 18. The
biggest movements to the average cost per separation, apart from Northern Territory, are
South Australia, Western Australia and ACT with all three jurisdictions reporting over $300 in
increased average cost.
Table 3 presents the average cost per weighted separation by jurisdiction for Round 17 and
Round 18. The average cost per weighted separation is a casemix weighted average, where
the relative complexity of the activity is taken into account. If the weighted average is lower
than the simple average the activity had a higher proportion of complex DRGs. The cost
weights used to determine the weighted averages are in Appendix 3.
Table 3 Admitted acute – Jurisdiction Round 17 and Round 18
Average cost
Per separation
Jurisdiction
NSW
Vic
Qld
SA
WA
Tas
NT
ACT
National
Per weighted
separation
Round 17
Round 18
Per
Per weighted
separation
separation
Change from Round 17 to 18
Round 17
Round 18
($)
($)
($)
($)
(%)
(%)
5,286
4,168
4,818
5,778
5,285
5,295
3,809
6,494
4,914
5,246
4,185
4,738
6,111
5,633
5,197
4,481
6,814
4,966
4,983
4,251
4,871
5,335
5,695
5,226
5,972
6,442
4,914
4,964
4,268
4,858
5,596
5,879
5,106
7,054
6,872
4,966
-0.8
0.4
-1.7
5.8
6.6
-1.9
17.6
4.9
1.1
-0.4
0.4
-0.3
4.9
3.2
-2.3
18.1
6.7
1.1
Northern Territory reports the highest cost per weighted separation of $7,054, with ACT a
close second at $6,872. Northern Territory has a significant difference between their simple
and weighted average costs due to the large presence of low complexity activity like renal
dialysis. ACT also has the highest average cost per separation, indicating that their high cost
is not casemix related. These two jurisdictions also had the highest average cost per
weighted separations in Round 17. Victoria continues to have the lowest average cost per
weighted separation with $4,268 in Round 18. NSW, Queensland and Tasmania all have
weighted averages within a few percent of the national average.
2.3 Peer group summary
Each hospital is assigned to a peer group reflecting the complexity and volume of patients
that they admit each year. Peer group definitions have been defined by Australian Institute of
Health and Welfare (www.aihw.gov.au).
Principal referral hospitals or A1 peer groups account for 22 percent of hospitals (77), 69
percent of separations, and 73 percent of costs in the Round 18 collection.
Appendix 6 includes all hospitals which contribute to the collection by jurisdiction and peer
groups including expenditure, length of stay and average cost per separation. Table 4
provides a summary of national peer group including total and average costs, length of stay
and number of separations.
Table 4 Admitted acute - Peer group
Total
Peer Group
A1- Principal referral
A2 - Specialist
Women's and
Children's
B1 - Large major
city
B2- Large Regional
C1 - Medium
C2 - Medium Other
D1 - Small regional
D3 - Small remote
O - Other
A2 - Specialist
Women's and
Children's
Total
Hospitals
Separations
Average
Cost
Length of
stay
Cost per
day
Cost per
separation
Cost per
weighted
separatio
n
no.
77
no.
3,462,126
$
18,093
days
2.83
$
1,844
$
5,226
$
4,946
11
249,766
1,654
2.78
2,380
6,621
5,442
23
14
28
35
32
31
28
416,916
181,648
261,302
163,032
40,140
25,615
66,716
1,812
758
903
444
113
79
327
2.50
2.27
2.01
2.13
2.20
3.06
1.91
1,737
1,834
1,717
1,281
1,277
1,012
2,568
4,346
4,172
3,454
2,726
2,814
3,093
4,897
4,879
5,108
4,747
4,098
3,873
4,063
7,397
73
352
131,147
4,998,408
640
24,822
2.83
2.70
1,725
1,839
4,878
4,966
5,102
4,966
The hospitals reporting costs to Round 18 of the NHCDC has not changed significantly when
compared to Round 17. The only significant change was in the peer groups with fewer
casemix weighted separations, where there was a reduction in the number of hospitals
reporting in Round 18. This is explained by Tasmania’s rural hospitals not being reported to
the Round 18 collection.
2.4 Cost Bucket Overview
Costs reported at patient level comprise of both cost centre and line item level and this
combination of costs aggregated determine the total patient cost. Cost centre and line item
data at patient level can be substantial for some patient cohorts given the volume of
resources consumed over the hospital stay.
To assist with reducing data burden and organising data for comparative reporting purposes,
cost buckets which describe the main functions of hospital departments have been created
through a mapped combination of cost centre and line item. These cost buckets provide a
high level disaggregated view of the total patient cost or the average cost per separation.
Table 5 presents the contribution of each cost bucket to the average cost.
Ward medical, ward nursing and allied health cost buckets which consist of salaries and
wages account for 35 percent of average costs. The operating theatre and special procedure
suite cost buckets account for 15 percent of average costs. Ward supplies and prostheses
contribute 10 percent, and pathology and imaging account for 5 percent of the average cost
of each separation. Emergency department cost bucket is 7 percent of the total expenditure.
The contribution of each cost bucket in Round 18 is similar to those in Round 17.
The ED cost bucket had the highest change between years with a 0.9 percent increase three
times ward medical. Whilst percentages highlight the proportion of bucket costs to total,
presenting the average bucket cost per separation provides another view of bucket costs.
Table 5 Admitted acute - Cost bucket
Change in % of
total
Cost Bucket
Ward Medical
Ward Nursing
Allied Health
Non Clinical
On-costs
Pathology
Imaging
Prosthesis
Ward Supplies
Pharmacy
Critical Care
Operating Room
Special Procedure Suite
Emergency Department
Hotel
Depreciation
Total
Round 16
Avg
% of
($)
Total
595
12.2
941
19.3
140
2.9
274
5.6
306
6.3
154
3.2
125
2.6
139
2.9
348
7.1
201
4.1
355
7.3
667
13.7
42
0.9
320
6.6
151
3.1
110
2.3
4,868
Round 17
Avg
% of
($)
Total
590
12.0
970
19.7
156
3.2
289
5.9
314
6.4
131
2.7
119
2.4
146
3.0
341
6.9
181
3.7
365
7.4
672
13.7
45
0.9
327
6.7
139
2.8
130
2.6
4914
Round 18
Avg
% of
($)
Total
604
12.2
966
19.5
150
3.0
303
6.1
321
6.5
132
2.7
111
2.2
145
2.9
334
6.7
168
3.4
355
7.1
674
13.6
48
1.0
377
7.6
147
3.0
130
2.6
4,966
16 to
17
17 to
18
percentage point
-0.2
0.4
0.3
0.3
0.1
-0.5
-0.1
0.1
-0.2
-0.4
0.1
0.0
0.1
0.1
-0.3
0.4
0.2
-0.3
-0.2
0.2
0.1
0.0
-0.2
-0.1
-0.2
-0.3
-0.3
-0.1
0.1
0.9
0.1
0.0
The cost bucket variance for each jurisdiction compared nationally has been provided at
Appendix 7. Whilst the national average Ward Nursing costs per separation is $966 and
20 percent of the expenditure, the range of costs within the bucket varies from $743 in
Victoria to $1200 in South Australia. The cost range across jurisdictions in both the Ward
Medical and Ward Nursing buckets may reflect the various jurisdictional based award rates
and also be a factor of a number of process improvements within hospitals which influence
how clinical care is conducted, the amount and type of resources consumed and the setting
by which care is also undertaken.
2.5 Line Item Overview
To enable the consistency and comparability of cost data the general ledger expenditure
(account) codes are grouped to a set of line items that describe the input type which define
the resources being used by a cost centre. There has been no significant change in the
contribution of line items to the average cost between Round 17 and Round 18. The largest
contributors to the cost is salaries and wages line items contributing 60 percent. Appendix 8
includes detail at the jurisdiction level of average cost per separation by line item.
Table 6 Admitted acute- Line item
Line Item
Salary & Wages - Nursing
Salary & Wages - Medical (nonVMO)
Salary & Wages - Medical (VMO)
Salary & Wages - Allied Health
Salary & Wages - Other
On-costs
Pathology
Imaging
Prostheses
Medical supplies
Goods and services
Pharmaceuticals - PBS
Pharmaceuticals - non-PBS
Blood
Depreciation - building
Depreciation - equipment
Hotel
Corporate
Lease
Round 17
Avg
% of Total
($)
1,381
30.0
Change in % contribution
Round 17 to 18
Round 18
Avg
% of Total
($)
1,367
29.5
percentage point
-0.4
693
15.0
713
15.4
0.4
202
214
422
314
93
28
146
248
399
28
146
5
65
47
139
23
17
4.4
4.6
9.2
6.8
2.0
0.6
3.2
5.4
8.7
0.6
3.2
0.1
1.4
1.0
3.0
0.5
0.4
205
218
426
321
96
26
145
249
393
24
140
5
74
41
148
25
16
4.4
4.7
9.2
6.9
2.1
0.6
3.1
5.4
8.5
0.5
3.0
0.1
1.6
0.9
3.2
0.5
0.4
0.0
0.1
0.0
0.1
0.1
-0.1
0.0
0.0
-0.2
-0.1
-0.1
0.0
0.2
-0.1
0.2
0.0
0.0
2.6 Cost weight tables
The Round 18 Cost weight tables, Appendix 3 can be reviewed to identify the DRG’s with
the highest cost, volume of separations, bed days and average length of stay. The top ten
DRG’s by volume account for 1,655,023 separations. This accounts for 33 percent of all
separations and 10 percent of costs.
2.7 Overnight and same day separations
The national and jurisdictional overview for the ratio of overnight and same day separations
for Round 18 NHCDC is presented in Table 7. Appendix 9 has the same day and overnight
separations by jurisdiction and change between Round 17 and Round 18.
Table 7 Admitted acute - Overnight and same day separations
Overnight
Jurisdiction
Same day
Separations
ALOS
Avg Cost
Separations
Avg Cost
no.
days
($)
no.
($)
NSW
790,244
4.93
8,885
692,673
1,095
Vic
535,592
4.63
8,557
786,072
1,206
Qld
501,788
3.90
8,561
538,586
1,177
SA
178,147
5.06
10,346
161,720
1,446
WA
222,733
4.42
10,643
269,084
1,485
Tas
47,154
4.72
9,852
58,947
1,473
NT
38,748
4.98
12,076
83,629
962
ACT
41,755
5.21
13,302
51,536
1,557
2,356,161
4.61
9,168
2,642,247
1,219
National
Approximately 53 percent of records are designated as same day an increase from 52
percent from Round 17. Review of the NHCDC Round 17 and Round 18 NHCDC results
demonstrated that there was an additional 171,708 costed same day separations reported in
Round 18, a 1 percent increase in the percentage of same day to total separations. The
national average same day cost was reported as $1,219 this had been $1,196 in Round 17.
There was an additional $1.2 billion in overnight costs and $266 million of same day total
expenditure in round 18 of the NHCDC. The percentage share of overnight and same day
total expenditure remained constant between rounds at 87 percent and 13 percent
nationally.
The average length of stay for overnight separations in Round 17 was 4.7 days which
reduced to now 4.6 in Round 18. The change in average length of stay in Round 18 by 0.08
of a day is primarily related to the increase in percentage of same day separations and
influenced to a lesser extent by the reduction in length of stay of overnight separations. The
average cost of an overnight separation was $8,938 in Round 17 and is $9,168 in Round 18.
There was a 2 percent decrease in average length of stay of overnight separations between
Rounds at the same time there was a 2 percent increase in average cost per separation.
2.8 Urgency of Admission
Within the urgency of admission measure, the primary defining characteristic of an
emergency separation is one that required admission within 24 hours. The urgency of
admission variable can be used to split separations between urgent and non-urgent ones.
Table 8 Admitted acute - Urgency of admission
Emergency
Jurisdiction
Elective
Not Assigned
Separations
ALOS
Avg
Cost
Separations
ALOS
Avg
Cost
Separations
ALOS
Avg
Cost
no.
days
($)
no.
days
($)
no.
days
($)
NSW
632,155
4.59
7,413
710,839
1.56
2,907
139,923
4.14
7,336
Vic
458,242
3.62
5,886
785,490
1.68
2,908
77,932
3.64
7,059
Qld
543,051
2.93
5,514
222,082
2.08
5,998
275,241
1.62
2,190
SA
149,072
4.56
8,542
104,612
2.12
5,793
86,183
1.87
2,293
WA
193,961
3.88
8,637
153,229
1.84
4,975
144,627
1.51
2,300
Tas
39,023
4.22
7,970
55,508
1.48
3,243
11,570
2.99
5,217
NT
38,846
3.85
8,914
35,013
1.18
1,956
48,518
1.77
2,753
ACT
40,484
4.36
10,280
23,334
1.95
6,756
29,473
1.59
2,098
2,094,834
3.85
6,874
2,090,107
1.71
3,568
813,467
2.28
3,645
National
Between Round 17 and Round 18 of the NHCDC the percentage of emergency separations
increased slightly by 0.8 percent to 41.9 percent. For emergency separations the average
length of stay and average cost are 2.3 and 1.9 times those for a non-emergency (elective)
separation, respectively. This indicates that more severe nature of these emergency
separations results in a higher cost and a longer stay in hospital.
2.9 Indigenous patients
Separations of patients who identify as Aboriginal or Torres Strait Islander by jurisdiction are
presented in Table 9.
Table 9 Admitted acute -Indigenous status
Indigenous
Jurisdiction
Non-Indigenous
Not Assigned
Seps
ALOS
Avg
Cost
Seps
ALOS
Avg
Cost
Seps
ALOS
Avg
Cost
no.
days
($)
no.
days
($)
no.
days
($)
NSW
65,095
2.71
4,629
1,412,718
3.11
5,264
5,104
4.21
8,189
Vic
16,842
2.36
4,004
1,292,676
2.46
4,162
12,146
3.29
6,821
Qld
91,932
2.11
4,005
926,467
2.43
4,856
21,975
2.46
2,825
SA
19,744
2.53
4,834
305,784
3.14
6,117
14,339
3.70
7,746
WA
54,795
2.15
4,559
437,022
2.60
5,767
0
Tas
3,435
2.70
5,845
101,351
2.65
5,174
1,315
2.49
5,259
NT
85,900
2.01
3,641
36,463
2.84
6,458
14
1.86
4,428
ACT
National
2,016
3.35
8,554
89,569
2.87
6,787
1,706
2.75
6,133
339,759
2.26
4,216
4,602,050
2.73
5,014
56,599
3.12
5,570
Indigenous separations accounted for 7 percent of all separations reported in Round 18
NHCDC. The national average cost for Indigenous separations in Round 18 of the NHCDC
was $4,216 per separation. This was $798 or 16 percent lower than for non-Indigenous
separations. This is a similar result to that reported in the Round 17 NHCDC cost report
when the average cost for Indigenous separations was $4,036. Western Australia
contributed 27 percent of Indigenous separations in Round 18 and the Northern Territory
contributed 25 percent. Separations with an Indigenous flag accounted for 70 percent of all
separations submitted by the Northern Territory and reflects the a high number of same day
separations where Indigenous paints received renal dialysis.
2.10 Paediatrics
Paediatric separations are defined by patient age and hospital of admission. Table 10
includes summary figures of cost data for paediatric separations, the specialist children's
hospitals included in this analysis are:
•
•
•
•
•
•
•
•
•
John Hunter Hospital (NSW)
Sydney Children's Hospital (NSW)
The Children's Hospital At Westmead (NSW)
Monash Medical Centre, Clayton Campus (Vic)
The Royal Children's Hospital (Vic)
Lady Cilento Children's Hospital (Qld)
The Townsville Hospital (Qld)
Women's and Children's Hospital (SA)
Princess Margaret Hospital (WA)
Table 10 Admitted acute - Paediatric and non-paediatric separations
Paediatric
Jurisdiction
Non-paediatric
Separations
ALOS
average cost
Separations
ALOS
average cost
no.
days
($)
no.
days
($)
NSW
53,848
2.67
6,067
1,429,069
3.11
5,215
Vic
54,164
2.29
5,504
1,267,500
2.48
4,129
Qld
42,228
2.15
5,931
998,146
2.41
4,687
SA
20,794
2.17
5,513
319,073
3.19
6,150
WA
26,882
2.28
6,479
464,935
2.57
5,584
4,478,723
2.73
4,895
4,800,492
2.71
4,928
Total
National
197,916
2.35
5,882
The national average cost per separation for specialist paediatrics patients is $5,882 or
16 percent higher than non-paediatric patients. For hospitals whom are designated specialist
paediatrics, the number these separations increased by 9,677 or 5 percent in round 18 of the
NHCDC. The greatest growth in these separations occurred in Victoria and Queensland
where the number of separations increased by 6,110 and 5,241 respectively.
The national average specialist paediatric cost per separation declined by $803 or
12 percent nationally in Round 18.
2.11 Geographical location
The national average cost per separation for patients classified in an outer regional, remote
or very remote area was $5,124. The costs reported for these separations are 4 percent
higher than those living in metropolitan and inner regional areas whom report an average
cost per separation of $4,939.
Table 11 Admitted acute – Geographical location
Metro and inner regional
Jurisdiction
Outer regional, remote and very remote
Separations
ALOS
average cost
Separations
ALOS
average cost
no.
days
($)
no.
days
($)
NSW
1,386,477
3.12
5,224
96,440
2.81
5,561
Vic
1,250,274
2.47
4,161
71,390
2.52
4,606
Qld
815,964
2.39
4,769
224,410
2.45
4,624
SA
273,132
3.16
6,058
66,735
3.00
6,330
WA
388,632
2.58
5,577
103,185
2.43
5,844
Tas
68,485
2.68
5,098
37,616
2.61
5,376
NT
1,818
2.53
5,941
120,559
2.26
4,459
90,697
2.83
6,607
2,594
4.84
14,030
ACT
National
4,275,479
2.73
4,939
722,929
2.54
5,124
The number of metro and inner regional separations increased by 190,367 or 5 percent in
Round 18 of the NHCDC. The number of outer regional, remote or very remote area
separations increased by 54,703 or 8 percent over the previous round. In the Northern
Territory 99 percent of separations are classified as outer regional, remote or very remote.
Queensland, Western Australia, South Australia and Tasmania reported greater than 20
percent of separations as remote. Victoria, NSW and ACT reported less than 5 percent of
separations as being outer regional, remote or very remote.
The average cost per metro and inner regional separation increased by $59 per separation
or 1 percent in Round 18.The national average cost per outer regional, remote or very
remote area separations changed by $1 between Round 18 and Round17. There is no
consistent change reported by jurisdictions between Rounds.
2.12 Productivity Commission - Review of Government Services
On an annual basis the Productivity Commission produces the Review of Government
Services (RoGS) report, which includes a volume for the health sector. The public hospitals’
chapter in the RoGS reports on the performance of governments in providing public
hospitals’ services, with a focus on acute care services. It also reports on maternity services
provided in public hospitals. IHPA provides this information using the NHCDC data set.
Appendix 14 contains the data that will be provided to the Productivity Commission for the
ROGS report for financial year 2013-14.
3 Emergency Department Presentations
Emergency Departments (ED) are hospital based facilities specifically designed and staffed
with medical and nursing staff to provide 24 hour emergency care. Upon arrival to the ED,
patients are attended to by a clinician or nurse who assess the patient in order to ascertain
the degree of illness or injury through a scoring system. This is known as triage. A triage
score is a ranking from one (greatest urgency) to five (lowest urgency).
The triage score is one of the elements used to classify a patient into an Urgency Related
Group (URG), which is the classification system for ED presentations. Round 18 presents
ED presentations in URG version 1.3.2.1.
3.1 Summary
Nationally, 256 hospitals contributed ED costs for Round 18 of the NHCDC, 31 fewer
hospitals than in Round 17 of the NHCDC. Table 12 provides an overview of the Round 16,
17 and 18 NHCDC Emergency Department data submissions.
Table 12 Emergency Department - NHCDC Round 16, 17 and 18
Product Type
Admitted (AE)
Round
16
Total ED
Round
18
Number of hospitals
154
249
231
61.7
-7.2
Presentations (millions)
1.3
1.7
1.9
29.1
10.7
Total Expenditure ($
billion)
1.4
1.6
1.8
17.9
10.9
1,045
954
956
-8.7
0.2
Number of hospitals
248
256
243
3.2
-5.1
Presentations (millions)
4.7
4.8
4.9
1.9
3.1
Total Expenditure ($
billion)
2.1
2.1
2.2
2.5
2.5
Average cost per
presentation ($)
443
446
443
0.6
-0.6
Number of hospitals
248
269
256
8.5
-4.8
Presentations (millions)
6.0
6.5
6.8
7.8
5.1
Total Expenditure ($
billion)
3.4
3.7
4.0
8.6
6.1
Average cost per
presentation ($)
575
579
584
0.6
1.0
Average cost per
presentation ($)
Non-admitted
(NE)
Round
17
Change
Round 16 to Round 17 to
17
18
(%)
(%)
There were 6.8 million ED presentations submitted to the NHCDC in Round 18. These
presentations accounted for $3.976 billion in expenditure, which included an increase of
presentations by 0.3 million (4.8 percent) and $229 million (5.8 percent). This resulted in the
change of the average cost per presentation being $5 which is the second year in a row that
the change in average cost has been less than or equal to 1 percent.
Table 13 Emergency Department - Jurisdiction
Total
Jurisdiction
Hospitals
no.
NSW
Vic
Qld
SA
WA
Tas
NT
ACT
National ED
59
37
107
13
29
4
5
2
256
Average
Presentations
Cost
Cost per Presentation
no.
2,043,503
1,501,050
1,728,261
445,699
665,092
148,205
145,083
125,838
6,802,731
($M)
1,205
805
1,035
274
397
86
65
108
3,976
($)
590
536
599
614
598
582
449
857
584
3.2 Admitted Emergency Department (ED) Presentation
Admitted ED presentations are those occasions where patients present to the ED and after
review are admitted to the hospital. Nationally, 231 hospitals contributed admitted ED
expenditure for Round 18 of the NHCDC, 18 fewer than the Round 17 collection.
Jurisdictions submitted 1.9 million admitted ED presentations to the NHCDC. Admitted ED
presentations comprise 28 percent of all ED presentations in Round 18 of the NHCDC.
These presentations accounted for 45 percent of all ED expenditure. Admitted ED patients
cost on average 2.2 times more than non-admitted ED patients. This is due to the typically
more complex and severe nature of presentations that are subsequently admitted to the
hospital.
Overall admitted ED presentations reported approximately $1.8 billion in expenditure, with
presentations increasing by 0.2 million or 10.7 percent and total expenditure increasing by
$175.9 million or 10.9 percent on Round 17.
This consistent increase in presentations and expenditure results in a minor increase in the
average cost per admitted ED presentation of $2 (or 0.2 percent).
The jurisdictional reported admitted ED presentations and associated costs are presented in
Table 14.
Table 14 Emergency Department – Admitted ED presentations by jurisdiction
Total
Jurisdiction
Hospitals
Presentations
Expenditure
59
37
82
13
29
4
5
2
no.
565,851
458,830
412,989
134,491
193,389
36,052
39,101
34,191
($M)
636
407
379
116
139
42
24
50
231
1,874,894
1,793
no.
NSW
Vic
Qld
SA
WA
Tas
NT
ACT
Admitted ED
Average
Cost per presentation
($)
1,123
887
917
863
719
1,163
624
1,456
956
For the second year in a row ACT report the highest average cost of admitted ED
presentations of $1,456, followed by Tasmania at $1,163 and NSW at $1,123.
Lower cost jurisdictions include NT at $624, WA at $719 and SA at $863 per admitted ED
presentation. However, whilst reporting lower average costs per admitted ED presentations,
it should be noted that these costs increased by approximately 10 percent for both WA and
SA in Round 18.
NSW comprise 30 percent of admitted ED presentations and 35 percent of expenditure to
the Round 18 NHCDC. Victoria supplied 24 percent of admitted ED presentations and 23
percent of associated costs; whilst Queensland contributed 22 percent of admitted ED
presentations and 21 percent of expenditure to the Round 18 NHCDC.
Combined these three jurisdictions comprise 77 percent of admitted ED presentations and
79 percent of expenditure to the Round 18 NHCDC. Victoria and Queensland both have an
average cost $55 less than the national average. They represent 52 percent of the hospitals
submitting data, 46 percent of presentations and 44 percent of expenditure.
3.3 Non-admitted Emergency Department (ED) Presentation
Non-admitted ED presentations are presentations where after review the patient leaves the
hospital. Nationally, 243 hospitals contributed 6.8 million ED presentations for Round 18 and
$4.0 billion. Five million non-admitted ED presentations were submitted to the Round 18
NHCDC. Non-admitted ED presentations comprise 72 percent of all ED presentations in
Round 18 of the NHCDC and account for 55 percent of ED expenditure.
Overall non-admitted ED presentations reported approximately $2.2 billion in costs, with
presentations increasing by 0.1 million or 3.1 percent and total expenditure increasing by
$53.4m or 2.5 percent on Round 17.
The rate of increase in presentations comparative to expenditure results in a decrease in the
average cost per non-admitted presentation of $2 (or 0.6 percent).
NSW, Queensland and Victoria submitted approximately 80 percent of the ED presentations
and ED costs in Round 18. The table below includes information on the jurisdiction ED
submitted for Round 18. Appendix 15 includes a breakdown by jurisdiction including
admitted and non-admitted ED service events and changes between Rounds.
The ACT, with 2 percent of total ED presentations and total expenditure, reports the highest
average cost per non-admitted ED presentations nationally of $857 for Round 18 of the
NHCDC.
The Northern Territory reported the biggest change in average cost of non-admitted ED
presentations with a 26 percent reduction between Rounds. This represents a decrease of
$155 between rounds and appears to be driven by a change in costing methodology
following the implementation of new costing software.
SA had a 13 percent increase in average cost per ED presentation between Rounds, taking
it from $33 below the national average in Round 17 to $30 above the national average in
Round 18.
NSW and Queensland report average costs within 3 percent of the national average. In
contrast, the average cost in Victoria is over 8 percent less than the national average.
Movement in average cost between rounds was within 5 percent for these three jurisdictions,
however Victoria and Queensland saw increases whereas NSW saw a decrease.
The Jurisdictional reported non-admitted ED presentations and expenditure are presented in
Table 15.
Table 15 Emergency Department – Non-admitted ED presentation by jurisdiction
Total
Jurisdiction
Hospitals
no.
Average
Presentations
Expenditure
NSW
Vic
Qld
SA
WA
Tas
NT
ACT
59
37
107
13
16
4
5
2
no.
1,477,652
1,042,220
1,315,272
311,208
471,703
112,153
105,982
91,647
($M)
570
398
656
158
258
44
41
58
Non-Admitted ED
243
4,927,837
2,183
Cost per presentation
($)
385
382
499
507
548
396
385
634
443
Given the size of these jurisdictions, again NSW, Victoria and Queensland provide the bulk
of activity. Combined these three jurisdictions comprise 78 percent of costed non-admitted
ED presentations and 74 percent of expenditure. ACT reported the highest cost nationally.
Its average non-admitted ED presentation cost is reported as $634, followed by WA at $548,
SA $507 and Queensland at $499. Lower cost Jurisdictions include Victoria, NT and NSW
whom report costs at approximately $385 per average non-admitted cost per presentation.
3.4 Cost Bucket
An ED is typically budgeted and staffed with their own specialist medical and nursing staff,
and have their own medical supplies and goods and services. These costs are allocated to
ED cost centres and are thus mapped to the ED cost bucket. Resources from outside the ED
may also be used to assist with patient care, particularly diagnostic services such as imaging
and pathology.
Over two thirds (68 percent) of ED presentation costs are allocated to the ED cost bucket. A
further 15 percent of costs come from diagnostic services (imaging and pathology) which are
provided by departments outside the ED. Appendix 17 provides cost and contribution to
average cost by jurisdiction and cost bucket.
Table 16 Emergency Department - Cost Bucket NHCDC Round 17 and Round 18
Cost Bucket
Ward Medical
Ward Nursing
Allied Health
Non Clinical
On-costs
Pathology
Imaging
Prosthesis
Ward Supplies
Pharmacy
Critical Care
Operating Room
Special Procedure Suite
Emergency Department
Hotel
Depreciation
Total
Round 17
($)
Change in % of total
17 to 18
Round 18
% of Total
($)
% of Total
1.1
1.3
0.4
0.9
6.5
5.8
8.8
0.0
1.9
0.6
0.0
0.1
0.0
68.1
1.7
2.8
9
6
2
6
40
32
54
0
7
3
0
0
0
399
10
16
584
1.6
1.0
0.3
1.1
6.8
5.4
9.3
0.0
1.2
0.5
0.0
0.1
0.0
68.2
1.7
2.8
6
8
2
5
38
34
51
0
11
3
0
0
0
394
10
16
579
percentage point
0.6
-0.3
-0.1
0.2
0.3
-0.4
0.5
0.0
-0.7
-0.1
0.0
0.0
0.0
0.1
0.0
0.0
3.5 Line Item Overview
ED’s are typically defined by a series of its own cost centres, any change in expenditure can
generally be best described through line items. There has been no significant movement in
the average cost by line item between Rounds 17 and 18.
Table 17 Emergency Department - Line Item Round 17 and Round 18
Line Item
Salary & Wages - Nursing
Salary & Wages - Medical (non-VMO)
Salary & Wages - Medical (VMO)
Salary & Wages - Allied Health
Salary & Wages - Other
On-costs
Pathology
Imaging
Prostheses
Medical supplies
Goods and services
Pharmaceuticals - PBS
Pharmaceuticals - non-PBS
Blood
Depreciation - building
Depreciation - equipment
Hotel
Corporate
Lease
Round 17
($)
127
149
13
22
52
37
28
16
16
49
8
7
6
10
8
3
Round 18
% of Total
($)
% of Total
23.0
27.0
2.4
4.0
9.4
6.7
5.1
2.9
0.0
2.9
8.9
0.0
1.5
0.0
1.3
1.1
1.8
1.5
0.5
132
160
15
23
52
40
27
17
0
16
47
0
8
0
8
5
10
5
3
23.2
28.2
2.6
4.0
9.2
7.0
4.7
2.9
0.0
2.9
8.2
0.1
1.5
0.0
1.4
1.0
1.8
0.9
0.5
Change in % of total
Round 17 to 18
percentage point
0.2
1.1
0.2
0.0
-0.3
0.3
-0.4
0.0
0.0
0.0
-0.7
0.1
0.0
0.0
0.2
-0.1
-0.1
-0.5
-0.1
Salaries and wages are greater than 68 percent of the average cost. Pathology and imaging,
diagnostic services, are 7.5 percent and medical supplies and pharmaceuticals are 4.5
percent.
The national result demonstrated a $5 increase in the average cost per ED presentation in
Round 18, a change of less than 1 percent. From a line item perspective, this change was
influenced by an increase in salaries and wages medical where the average cost increased
by $11 per presentation and salaries and wages nursing increased by $5 per presentation.
These line item increases were offset with reductions in costs in goods and services and
corporate costs. However the results reported at this level demonstrate that ED budgeting
remained relatively consistent between rounds.
4 Non-admitted Service Events
This chapter presents cost data results for the non-admitted stream submitted to the Round
18 NHCDC. Comparative analysis for this stream has been performed against Round 17
collection to identify changes in both volume and costs. Non-admitted care encompasses
services provided to patients who do not undergo a formal admission process and do not
occupy a hospital bed. For example, services provided by hospitals in hospital outpatient
clinics, in community based clinics or in patients’ homes.
The classification system for non-admitted care is known as Tier 2 Non-Admitted Care
Services, with service events classified within four main groups; procedure, medical
consultation, general diagnostic service, or allied health or specialist nurse intervention. The
activity unit of measurement for non-admitted services is known as a service event.
The results described in this chapter are for the non-admitted product types Outpatient (OP),
Outpatient community (OC) and Outpatient other (OT).
4.1 Summary
Nationally, 349 hospitals contributed non-admitted expenditure for NHCDC Round 18,
68 more hospitals than in Round 17. Table 18 includes detail of both the NHCDC Round 17
and Round 18 non-admitted NHCDC.
Table 18 Non-admitted - NHCDC Round 17 and Round 18
Change
Round 16 to 17 Round 17 to 18
Round 16
Round 17
Round 18
Number of hospitals
207
281
349
35.7
24.2
Service events (millions)
(%)
(%)
10.7
12.6
16.0
18.1
26.6
Expenditure ($ billion)
3.3
4.0
4.5
19.4
13.0
Average cost per service event ($)
313
316
282
1.1
-10.8
Approximately 16 million service events with non-admitted costs were submitted to the
NHCDC for Round 18. These service events reported $4.5 billion in expenditure, with
service events and total expenditure increasing in the Round by 3.4 million and $519 million
respectively. The average cost per service event in Round 18 is $282 a decrease of 10
percent from Round 17. South Australia did not submit any non-admitted costs to the Round
18 NHCDC.
4.2 Jurisdiction
NSW submitted 37 percent of non-admitted service events and Queensland submitted 30
percent, Victoria submitted 14 percent and Western Australia submitted 10 percent. NSW
submitted 28 percent of national non-admitted costs which is less than Queensland who
submitted 38 percent of non-admitted costs and 30 percent of non-admitted service events.
This disproportionate representation of activity and expenditure, result in NSW reporting the
lowest average cost per service event, 26 percent less than the national average.
Table 19 Non-admitted – Jurisdiction NHCDC Round 18
Total
Jurisdiction
Hospitals
no.
NSW
Vic
Qld
SA
WA
Tas
NT
ACT
National
91
38
182
34
4
5
2
349
Average
Service event
Expenditure
no.
5,962,346
2,183,997
4,773,114
1,618,883
261,516
215,080
954,236
15,969,172
($M)
1,246
603
1,702
534
83
104
237
4,510
Cost per
service event
Cost per weighted
service event
($)
($)
209
276
357
330
316
485
248
282
218
281
330
344
336
453
258
282
The average cost per service event is $282 a reduction of $55 (21 percent). The movement
in NSW’s activity and costs accounts for over 70 percent of the national movement, making
NSW the primary driver of change in non-admitted data between the two rounds. Round 18
is only the second year that NSW has submitted non-admitted data, and they have had a
significant improvement in reporting and costing of non-admitted data over these two rounds.
NSW added 27 hospitals to the Round 18 collection which increased in the number of
service events by 2.63 million (80 percent) and associated costs by $364 million up 40
percent.
Queensland service events comprise 30 percent of the collection and represent 38 percent
of total non-admitted expenditure. Queensland report the second highest average cost per
service event nationally $357 this was a 5 percent reduction from Round 17 however it was
still 26 percent higher than the national average cost.
Queensland had minimal movement in non-admitted data between rounds with a 3 percent
increase in activity and a 2 percent decrease in expenditure. This is in contrast to the
number of reporting Queensland hospitals increasing by 38. This discrepancy is due to
significant improvements in Queensland’s non-admitted data collection. Specifically,
Queensland has linked more pharmacy and imaging costs to relevant admitted patients,
resulting in a decrease in submitted non-admitted costs. Queensland has also improved
linking of patients’ activity across multiple healthcare providers, leading to a reduction in
submitted activity.
Victoria is the third largest jurisdiction in terms of non-admitted activity and expenditure,
however the volume submitted is significantly smaller than both NSW and Queensland.
Victoria has relatively consistent non-admitted data, with two additional hospitals submitting
in Round 18, a 2 percent increase in activity, and a 4 percent increase in costs. WA has
significantly increased the reporting and costing of non-admitted data, with a 32 percent
increase in activity and a 33 percent increase in costs.
4.3 Tier 2 classes
Of the 15.97 billion service events submitted in the three non-admitted product types (OP,
OC and OT) as part of the Round 18 NHCDC 67,915 non-admitted service events and $12
million were excluded from the Tier 2 table at Appendix 19. The excluded records were
submitted without a Tier 2 version 2 class or were not linked to the non-admitted patient
activity data set.
The Tier 2 class table (Appendix 20) accounts for 15.94 billion non-admitted service events
and $4.503 billion in expenditure.
Tier 2 classes are structured into procedures, medical consultation services, diagnostic
services and allied health and/or clinical nurse specialist intervention services. The majority
of service events, 46 percent were classified as medical consultations (7.4 million) and 43
percent were nurse/allied health led service events (6.8 million). Between Rounds 17 and 18
there was considerable movement in the number of service events and the average cost
across the Tier 2 classes. The major factors influencing this change were a large increase in
the number of service events submitted by NSW, the change in Tier 2 version from 1.2 to 2.0
(between these versions there are 29 new Tier 2 classes and three discontinued classes),
and a large reclassification of service events within Queensland. Additionally, WA, NT and
ACT all undertook upgrades to their Tier 2 reporting and costing.
The quality and volume of service events included in the NCHDC is improving across all
jurisdictions. This improvement can be seen by the gradual stabilisation of the average cost
of the Tier 2 class data across the last four rounds. This is quantified by the proportion of
service events that were in Tier 2 classes that had a less than ten percent movement in
average cost between Rounds. Between NHCDC Round 17 and Round 18 the movement in
average cost for 45 Tier 2 classes was less than 10 percent. These 45 Tier 2 classes
accounted for 58 percent of all Round 18 service events. This was an increase from
30 percent of service events having less than a 10 percent change in average cost between
Round 16 and Round 17.
Of the remaining 42 percent of service events which have a greater than 10 percent variance
between Round 17 and Round 18:
-
20 percent were in Tier 2 classes where the change in average cost was driven by an
increase in the number of NSW service events;
-
9 percent were not reported by all jurisdictions in Round 17 as the service events
were not reported in previous activity submissions (i.e. Tier 2 v1.2 did not have
classes 10.15 – 10.18 and 40.35 - 40.59);
-
3 percent were in Tier 2 classes where the change in average cost was driven by a
change in the number of Queensland service events; and
-
10 percent reported higher variance between rounds due to inconsistent activity or
cost reporting by jurisdictions.
Appendix 20 presents the number of service events and the average cost of Tier 2 classes in
Round 17 and Round 18. Although this is a considerable improvement over previous rounds,
the equivalent measures of stability in the admitted acute and ED data are well over 90
percent.
4.4 Cost Bucket Overview
As discussed in the admitted acute chapter, cost buckets provide a high level disaggregated
view of the total patient cost. For non-admitted care, costs are expected to reflect the
classification group of the service event.
Table 20 Non-admitted – Cost bucket NHCDC Round 17 and Round 18
Change in % of total
Cost Bucket
Round 17
Round 18
17 to 18
($)
% of Total
($)
% of Total
62
19.6
53
18.7
-0.9
Ward Nursing
42
13.2
38
13.6
0.4
Allied Health
32
10.3
33
11.7
1.4
Non Clinical
29
9.2
29
10.3
1.1
On-costs
20
6.2
19
6.7
0.5
Pathology
13
4.0
10
3.4
-0.6
Imaging
19
6.1
15
5.3
-0.8
1
0.2
1
0.3
0.0
Ward Supplies
41
13.0
34
12.2
-0.8
Pharmacy
Ward Medical
Prosthesis
percentage point
35
11.1
30
10.6
-0.5
Critical Care
0
0.1
0
0.0
0.0
Operating Room
4
1.3
4
1.4
0.1
Special Procedure Suite
5
1.6
4
1.2
-0.3
Emergency Department
0
0.1
0
0.1
0.0
Hotel
3
1.1
3
1.2
0.1
Depreciation
9
2.9
9
3.4
0.4
Total
316
282
For non-admitted NHCDC Round 18, 61 percent of expenditure come from salary and
wages related cost buckets. National discrepancies in salaries (as noted in the admitted
acute chapter) and composition of staff (e.g. ratio of nurses to doctors) will impact these
costs. NSW has by far the lowest average cost across these cost buckets, with the medical
cost bucket being the primary driver of the low cost.
Ward supplies (12 percent), Pharmacy (11 percent ) and diagnostics (Imaging 5 percent,
Pathology 3 percent) make up the bulk of the remaining costs. Pharmacy costs in NSW are
underreported as Section 100 drug costs (highly specialised drugs program) are not
captured for their non-admitted data.
There is little reported in Emergency Department, Critical Care, Prosthesis, and surgery
buckets (operating room and special procedure suite) as patients requiring these services
would normally be admitted or in ED. Where costs are reported, it is likely that staff or goods
and services which are used in the non-admitted setting may have been sourced from these
areas.
4.5 Line Item
The cost by line item has been calculated for all non-admitted service events and is provided
below in Table 22, the jurisdiction cost by line item has been included in Appendix 22.
Salaries and wages medical account for 17.5 percent of all non-admitted service events
expenditure which is the highest single line item. The combination of all salaries and wages
line items account for approximately 60 percent of all non-admitted costs. All jurisdictions
have a similar breakdown of costs across the line items with all jurisdictions having around
60 percent of all costs in salaries and wages line items. Goods and services and on costs
contained the next highest percentage of costs across all jurisdictions. WA and Queensland
reported greater than 10 percent of costs to the line item pharmacy non-PBS.
Table 21 Non-admitted- Line item NHCDC Round 17 and Round 18
Line Item
Salary & Wages – Nursing
Salary & Wages - Medical (non-VMO)
Salary & Wages - Medical (VMO)
Salary & Wages - Allied Health
Salary & Wages – Other
On-costs
Pathology
Imaging
Prostheses
Medical supplies
Goods and services
Pharmaceuticals – PBS
Pharmaceuticals - non-PBS
Blood
Depreciation – building
Depreciation – equipment
Hotel
Corporate
Lease
Round 17
($) % of Total
14.8
47
18.6
59
3.5
11
11.9
38
10.1
32
6.3
20
2.5
8
1.3
4
0.3
1
3.5
11
10.4
33
1.9
6
7.9
25
0.3
1
1.3
4
1.6
5
0.9
3
2.8
9
0.3
1
Round 18
($) % of Total
15.2
43
17.5
50
3.5
10
13.4
38
10.9
31
6.7
19
2.3
7
0.9
3
0.3
1
3.4
10
10.6
30
1.4
4
7.8
22
0.2
0
1.6
5
1.4
4
1.2
3
1.3
4
0.4
1
Change in % contribution
Round 17 to 18
percentage point
0.4
-1.0
0.0
1.4
0.8
0.4
-0.2
-0.3
-0.1
0.0
0.3
-0.5
0.0
-0.2
0.4
-0.2
0.3
-1.5
0.0
5 Subacute Services
This chapter presents cost data results for the subacute stream submitted to the Round 18
NHCDC. Subacute care is defined as specialised multidisciplinary care where the primary
need for care is optimisation of the patient’s functioning and quality of life. Subacute care
comprises rehabilitation (RH), palliative care (PC), Geriatric Evaluation and Management
(GEM), psychogeriatric (PG) and maintenance (MA).
5.1 Summary
Nationally, 335 hospitals contributed subacute cost data for Round 18 of the NHCDC, the
same number of hospitals as reported in Round 17. However the composition of hospitals
reporting subacute costs did change in Round 18. NSW increased its number of participating
hospitals by 15 and there was a decrease in the number of hospitals contributing this data in
Tasmania, with 15 fewer hospitals than Round 17. There were 167,098 separations
submitted to Round 18 of the NHCDC. This is a 525 decrease or 0.31 percent reduction on
Round 17. There were 2,504,877 subacute bed days reported in Round 18 of the NHCDC
an increase of 9,113 days or 0.37 percent. Total expenditure increased by $144.8 million or
7.04 percent.
There was less than one percent change in the number of separations submitted however
there was a 7 percent increase in the cost submitted to the NHCDC which results in a 7
percent increase in the average cost per separation.
Table 22 below provides an overview of the Round 18 data. A more comprehensive table,
comparing Round 17 to Round 18 is available in Appendix 23.
Table 22 Subacute - NHCDC Round 17 and Round 18
Care type
Round 17
Round 18
Change
Round 17 to 18
(%)
Number of hospitals
Separations
GEM
Expenditure ($M)
ALOS
Average cost per separation ($)
Number of hospitals
Separations
Maintenance
Expenditure ($M)
ALOS
Average cost per separation ($)
Number of hospitals
Separations
Palliative Care
Expenditure ($M)
ALOS
Average cost per separation ($)
159
161
1.3
29,051
30,063
3.5
390.5
440.0
12.7
16
18
8.1
13,443
14,635
8.9
287
284
-1.0
18,309
19,037
4.0
249.8
283.1
13.3
13
14
7.6
13,644
14,872
9.0
261
279
6.9
28,794
28,860
0.2
298.9
317.2
6.1
20
19
-4.8
10,380
10,992
5.9
Care type
Round 17
Round 18
Change
Round 17 to 18
(%)
Number of hospitals
61
53
-13.1
1,966
1,564
-20.4
56.4
40.4
-28.4
26
22
-14.7
28,699
25,834
-10.0
253
272
7.5
Separations
89,503
87,574
-2.2
Expenditure ($M)
1,061.1
1,120.8
5.6
13
13
-0.8
11,855
12,798
8.0
335
335
0.0
Separations
167,623
167,098
-0.3
Expenditure ($M)
2,056.7
2,201.5
7.0
15
15
0.7
12,270
13,175
7.4
Separations
Psychogeriatric
Expenditure ($M)
ALOS
Average cost per separation ($)
Number of hospitals
Rehabilitation
ALOS
Average cost per separation ($)
Number of hospitals
Total
ALOS
Average cost per separation ($)
The rehabilitation product within the subacute stream reported the most separations and
expenditure for Round 18 of the NHCDC with 52 percent and 51 percent of total separations
and total expenditure respectively. Combined GEM and palliative care comprise 36 percent
of total separations and total expenditure submitted to Round 18 of the NHCDC.
5.2 Rehabilitation
There were 1,929 fewer or a 2 percent decrease in separations reported in Round 18 of the
NHCDC however expenditure increased, with an additional $60 million. This resulted in the
average cost per separation increasing by $943 or 8 percent in Round 18.
NSW, Victoria and Queensland combined contribute 82 percent of separations and 80
percent of costs reported in the Round 18 collection. The three largest jurisdictions all
submitted increases in volume and expenditure. The change in average cost per separation
was between 1 and 8 percent.
The number of separations submitted from the Northern Territory reduced by 8 percent and
the expenditure increased by $3.3 million average cost increased by 57 percent. While the
average length of stay for Northern Territory reduced by four days this did not explain the
change in the total or average costs which may be the result of more costs being allocated to
this care type during the costing process.
5.3 Geriatric Evaluation and Maintenance
There was an additional 2 hospitals, an increase of 3 percent in separations and an
additional $49.4 million in expenditure submitted for GEM in Round 18 NHCDC. The
average cost per separation increasing by $1,191 or 9 percent.
All jurisdictions reported high variance in the change of costs, separations and average cost
when compared to Round 17. This ranged from a 26 percent increase in average cost for
Queensland and Western Australia and a 27 percent decrease in Tasmania and a 55
percent decrease in Northern Territory.
5.4 Palliative Care
The number of hospitals reporting palliative care expenditure in Round 18 of the NHCDC
increased by 18 hospitals which were all from NSW. There was no material change in the
number of palliative care separations submitted in the Round however there average length
of stay decreased by 4.8 percent. The change in average length of stay was driven by NSW
who reported one third of all separations and the average length of stay reduced by 6.6
days. NSW also reported an increase in the average cost per separation of 5.4 percent.
Queensland also reported a reduction in separations by 4.3 percent and a 6.5 percent
increase in expenditure resulting in an increase of average cost by 11.3 percent. Nationally
there was a 6 percent increase in expenditure submitted and a 6 percent increase in
average cost per separation.
5.5 Maintenance
The number of hospitals reporting maintenance care cost data to the NHCDC decreased by
3 hospitals in Round 18. There was an increase of 728 separations, an additional $249.8
million in costs than in Round 17. The average cost per separation increasing by $1,229 or 9
percent for Round 18. There is a large variance in the average cost per separation across
jurisdictions ranging from $9,539 in NSW to $52,823 in the Northern Territory. The average
cost per bed day also varies greatly across jurisdictions from $306 to $2,107, the national
average cost per bed day is $574. This variances is due to the non-acute nature of the
patients and the range of clinical utilisation of these separations.
5.6 Psychogeriatric
The expenditure and separations submitted to the NHCDC for psychogeriatric care are small
in volume contributing less than 1 percent of all separations reported. There is little
consistency between rounds and activity and expenditure vary greatly between jurisdictions.
WA have provided the greatest number of psychogeriatric care separations and expenditure
to both the NHCDC Round 17 and Round 18 NHCDC. WA also report the highest average
cost per psychogeriatric care separation of $40,925. This cost is influenced by an average
length of stay greater than 30 days and average bed day cost of $1372, the highest
nationally.
Combined NSW, Queensland, and WA provide 87 percent of total Round 18 separations
and 82 percent of total expenditure. Victoria does not report costs for psychogeriatric care
patients whilst for Round 18, the NT did not report these costs.
5.7 Cost Bucket Overview
Table 23 presents by jurisdiction an overview of the percentage average cost per bucket for
the subacute stream.
Table 23 Subacute – Cost bucket NHCDC Round 17 and Round 18
Change in % of total
Ward Medical
Round 17
Avg
% of Total
($)
1665
13.6
Ward Nursing
4191
34.2
4,502.8
34.2
0.0
Allied Health
1422
11.6
1,527.4
11.6
0.0
Non Clinical
1303
Cost Bucket
Round 18
Avg
% of Total
($)
1833
13.9
17 to 18
percentage point
0.3
10.6
1,411.3
10.7
0.1
On-costs
947
7.7
1,052.2
8.0
0.3
Pathology
169
1.4
153.4
1.2
-0.2
Imaging
104
0.8
103.5
0.8
-0.1
12
0.1
12.3
0.1
0.0
1188
9.7
1,211.7
9.2
-0.5
372
3.0
361.7
2.7
-0.3
Critical Care
11
0.1
20.3
0.2
0.1
Operating Room
26
Prosthesis
Ward Supplies
Pharmacy
0.2
28.3
0.2
0.0
Special Procedure Suite
4
0.0
5.3
0.0
0.0
Emergency Department
21
0.2
21.6
0.2
0.0
541
4.4
611.3
4.6
0.2
293
2.4
319.1
2.4
0.0
Hotel
Depreciation
National
12,270
13,175
As with other streams, subacute patients generally consume labour resources in the form of
nursing, medical and allied health care. However the ward nursing cost bucket is higher than
in any other product stream.
Whilst 34 percent of expenditure are related to ward nursing, the national average ward
nursing costs for subacute separations is reported as $4,503 and across jurisdictions this
ranges from $3,064 to $10,010. Ward medical costs nationally are reported as $1,833 per
separation, and range from $1,394 (NSW) to $2,929 (NT). Allied Health costs are report cost
range of $830 (SA) to $2,368 (NT). The average allied health bucket costs is reported as
$1,527.
5.8 Line Item
Nursing costs represented by the line item SW Nursing (salaries and wages nursing) again
contribute 34 percent of the average cost for subacute separations. This data indicates that
the ward nursing bucket is generally dominated by nursing salary costs. The line item data
however, provides more insight into medical costs. Whilst the ward medical cost bucket data
reported an average cost of $1,833 nationally (above), Table 24, provides a disaggregated
view by salary and wages medical and VMO. Here it is demonstrated that medical officer
costs of $1,622 per subacute separation generally drive the ward medical line item as VMO
costs reported at $264 per subacute separation.
Table 24 Subacute - Line item NHCDC Round 17 and Round 18
Change in % contribution
Round 17
Line Item
Salary & Wages - Nursing
Salary & Wages - Medical (non-VMO)
Avg
($)
4,271
34.9
Avg
($)
4,561
1,486
12.1
219
1.8
1,282
Salary & Wages - Other
% of Total
percentage point
-0.2
1,612
12.3
0.1
264
2.0
0.2
10.5
1,399
10.6
0.2
1,428
11.7
1,547
11.8
0.1
947
7.7
1,052
8.0
0.3
119
1.0
118
0.9
-0.1
31
0.3
32
0.2
0.0
12
0.1
12
0.1
0.0
On-costs
Pathology
Imaging
Prostheses
229
1.9
243
1.8
0.0
1,083
8.8
1,090
8.3
-0.6
18
0.1
16
0.1
0.0
232
1.9
218
1.7
-0.2
Medical supplies
Goods and services
% of Total
34.7
Salary & Wages - Medical (VMO)
Salary & Wages - Allied Health
Round 17 to 18
Round 18
Pharmaceuticals - PBS
Pharmaceuticals - non-PBS
Blood
Depreciation - building
Depreciation - equipment
Hotel
Corporate
Lease
3
0.0
3
0.0
0.0
174
1.4
213
1.6
0.2
74
0.6
53
0.4
-0.2
541
4.4
611
4.6
0.2
60
0.5
60
0.5
0.0
45
0.4
52
0.4
0.0
5.9 AN-SNAP Class Overview
AN-SNAP is the classification system which classifies episodes of subacute and non-acute
patient care that are provided in inpatient, outpatient and community settings. Patients are
assigned a classification on the basis of setting, care type, phase of care, and assessment of
functional impairments, age and other measures. Subacute patient level cost data for Round
18 NHCDC was grouped into AN-SNAP Version 3. Cost data by AN-SNAP Class version 3
is presented in Appendix 24.
NSW has provided cost information at the palliative care phase level AN-SNAP classes
3-101 to 3-112. The palliative care phase identifies a clinically meaningful period in a
patient’s condition. A patient can move between phases of care following clinical
assessment during their episode of care. There may be several phases of care reported for
each episode of care.
Table 25 Subacute - AN-SNAP class grouping to error classes
Error SNAP class
Jurisdiction
NSW
Vic
Qld
SA
WA
Tas
NT
ACT
National
Percentage of total
Phases
Expenditure
Phases
Expenditure
no.
($M)
(%)
(%)
22,483
7,228
15,350
7,655
3,668
1,702
333
1,185
59,604
94.2
86.5
162.8
85.8
70.4
28.9
13.8
19.4
561.8
32
20
37
61
32
100
42
41
33
13
16
33
71
31
100
50
32
26
The AN-SNAP classification system is capable of assigning all episodes and phases with
legitimate error AN-SNAP classes where there is insufficient information to correctly classify
the episode. These episodes are grouped to generic classes which reflect the product type
of the patient, rehabilitation, palliative care etc. Table 25, provides detail on the number and
percentage number of error class records. Thirty three percent of separations/phases were
‘errors’, an improvement from Round 17 when 40 percent of separations were errors.
6 Other Costed Products
This chapter presents an overview of separations reported against the other products stream
in Round 18 of the NHCDC. This stream comprises costs assigned to ‘other care’ (care type
‘8’), posthumous organ procurement (care type ‘9’) and hospital boarders (care type ‘10’).
Costing results for Round 18 of the NHCDC are shown for each and where possible
comparisons are made against Round 17 of the NHCDC. SA and the ACT did not submit
costs for any of the care types which are included in this chapter.
6.1 Summary
Round 18 of the NHCDC saw a decrease in the number of records submitted. There were
3,872 fewer costed records and a reduction of $18.7 million in expenditure. The changes are
demonstrated at the jurisdictional level in Appendix 27.
Table 26 Other stream NHCDC Round 17 and Round 18
Round
17
Product Type
14.5
27,299
22,665
-17.0
Expenditure ($ M)
18.6
9.1
-51.3
Average cost per separation
($)
681
399
-41.3
34
37
8.8
Separations
152
173
13.8
Expenditure ($ M)
1.5
1.8
14.2
10,178
10,213
0.3
32
32
0.0
1,673
2,420
44.1
34.9
25.5
-26.8
20,775
10,552
-49.2
168
195
16.1
29,130
25,258
-13.3
55.0
36.4
-33.9
1,889
1,439
-23.8
Number of hospitals
Average cost per separation
($)
Number of hospitals
Separations
Other
Expenditure ($ M)
Average cost per separation
($)
Number of hospitals
Separations
Total
(%)
150
Separations
Organ
Procurement
Change from Round 17 to
18
131
Number of hospitals
Boarders
Round
18
Expenditure ($ M)
Average cost per separation
($)
The costs and activity reported which are classified as Other vary significantly between
rounds and jurisdictions.
6.2 Organ Procurement
Organ procurement is defined as an activity undertaken by hospitals in which human tissue
is procured for the purpose of transplantation from a donor who has been declared brain
dead 6. .
There was an increase in the number of costed records submitted to Round 18 of the
NHCDC. There was an additional 21 or a 14 percent increase in costed records, a $219,839
increase or 14 percent increase in total expenditure. There is a marginal increase in the
average cost of organ procurement per separation of less than 1 percent or $35 per
separation.
Cost assignment for organ procurement is challenging given the model and setting where
the activity occurs as costing relies upon feeder data to assign costs. Depending upon the
organ procurement model, the relevant information required for costing can be difficult to
identify. Clinically these procedures are generally undertaken in the operating theatre, with
medical and nursing staff from specific medical units. This data is represented by cost
bucket in Table 27 for NHCDC Round 18.
Table 27 Organ procurement cost bucket
Round 17
Cost Bucket
Ward Medical
Ward Nursing
Allied Health
Non Clinical
On-costs
Pathology
Imaging
Prosthesis
Ward Supplies
Pharmacy
Critical Care
Operating Room
Special Procedure Suite
Emergency Department
Hotel
Depreciation
Total
($)
146
131
115
60
625
596
139
257
61
46
2546
4713
17
76
307
344
10,178
Change in % of total
17 to 18
Round 18
% of Total
1.4
1.3
1.1
0.6
6.1
5.9
1.4
2.5
0.6
0.4
25.0
46.3
0.2
0.7
3.0
3.4
($)
135
27
62
39
691
507
78
297
45
22
2,449
5,168
45
2
343
304
10,213
% of Total
1.3
0.3
0.6
0.4
6.8
5.0
0.8
2.9
0.4
0.2
24.0
50.6
0.4
0.0
3.4
3.0
percentage point
-0.1
-1.0
-0.5
-0.2
0.6
-0.9
-0.6
0.4
-0.2
-0.2
-1.0
4.3
0.3
-0.7
0.3
-0.4
Operating room and critical care cost are the highest cost buckets as organ procurement
requires long intensive care and mechanical ventilation costs and high theatre resource
utilisation.
6.3 Boarders
Boarders are defined as a person who is receiving food and/or accommodation but for whom
the hospital does not accept responsibility for treatment and/or care.
Round 18 of the NHCDC saw a decrease in the number of costed records submitted. There
were 4,634 fewer costed records, a decrease of 17 percent on the previous collection and a
6
http://meteor.aihw.gov.au/content/index.phtml/itemId/327258
51 percent decrease in total expenditure. That is a reduction of $18.7 million when compared
to Round 17. The average cost for boarder classified separations declined by $281 or
41 percent.
6.4 Other Admitted acute Patient Care
Other admitted acute patient care refers to admitted patient care that does not meet the
definitions of other admitted care types 7.
Caution should be taken when reviewing between NHCDC rounds as changes to costs
reported within this product type can vary according to activity assignment and changes in
costing methodology; where improved feeder information can reduce the rate of activity
mismatching between episodes and ultimately product types.
There was an increase of 741 costed records submitted to Round 18 of the NHCDC. That
was a 44 percent increase on the previous round. Total expenditure however declined by
27 percent or $9.3 million.
7
http://meteor.aihw.gov.au/content/index.phtml/itemId/391539
7 Data Quality Statement
7.1 NSW Health
Overview
The NSW Round 18 2013/14 NHCDC is based on the NSW District and Network Return
(DNR). Guidelines for preparing, quality checking and submitting the DNR are published in
the NSW Cost Accounting Guidelines (CAG), which incorporate Version V 3.1 of the
Australian Hospital Patient Costing Standards.
The DNR is prepared and submitted by each of the 15 Local Health Districts and 3 Specialist
Health Networks (LHD/SHNs). In NSW, financial results are reported at the LHD/SHN level
and not at the hospital level.
The DNR includes all products for all LHD/SHNs and reconcile to the published financial
results.
On submission to ABF Taskforce, the LHD/SHN DNRs are consolidated and formatted to
comply with the NHCDC data set specifications. ABF Taskforce includes the escalated
Work in Progress (WIP) expense from previous rounds prior to submission to IHPA and no
adjustments are made to the DNRs submitted by the LHD/SHNs.
The DNR is a single submission used to satisfy reporting requirements for the NHCDC, but
also the Public Hospital Establishment Collection, the Mental Health Establishment National
Minimum Dataset and the Health Expenditure submissions. This facilitates reconciliation
across all reporting requirements.
Coverage
NSW submitted patient level data for all hospitals considered in scope for ABF for 2014/15, a
total of 97 hospitals. This is an increase of 14 hospitals on the Round 17 submission with
inclusion of Casino Hospital, Macksville Hospital, Maclean Hospital, Inverell Health Service,
Moree Health Service, Mudgee District Hospital, Cowra District Hospital, Forbes District
Hospital, Lithgow Health Service, Parkes District Hospital, Deniliquin Health Service, Cooma
Health Service, Cessnock Health Service and Singleton Health Service.
Only patient level data is submitted by NSW Health. No aggregate Non Admitted Patient or
TTR products are submitted for the NHCDC.
Only General Fund expense is allocated at the patient level in the DNR. Special Purpose
Fund expenditure is included but not allocated at the patient level in the DNR. Trust Fund
expenditure is not included in the DNR.
Data Quality
Data quality processes for Round 18 were further developed on the Round 17 initiatives. An
additional six validations were included in the PPM2 DNR Module to flag low cost
encounters and short stay high cost encounters.
The DNR draft submission period enables LHD/SHNs to assess the reasonability of
aggregate cost results when compared with peer hospitals.
Patient level data quality checks are also performed in the draft submission period. The
patient level data quality checks were also further enhanced, with a number of checks
attracting a score. The data checks were again informed by the IHPA National Efficient
Price Determination Technical Specifications as well as the Round 17 NHCDC Quality
Assurance checks.
A web based tool, the RQ App (Reasonableness and Quality), was utilised during the DNR
draft submission period to enable LHD/SHNs to access the aggregate results and the patient
level data quality checks. The RQ App was refreshed nightly, with results accessible the
next working day after a submission. Issues were corrected and the DNR rerun and
resubmitted.
Technical Issues
Costing frequency – the DNR is submitted twice yearly by LHD/SHNs to ABF Taskforce.
July to December is submitted in mid-March and July to June is submitted in mid-October.
AN-SNAP Palliative Care Phases – NSW costs and reports Palliative Care episodes at the
Phase level and not the episode level. As a result, NSW and IHPA had to again develop a
work around as the NHCDC submission validation rules are applied at the episode level and
not the phase level.
Blood costs – The NHCDC reports on the State share of blood costs as this is the expense
that is distributed to and reported in the LHD/SHN financial statements.
Professional Indemnity costs – this expense is not distributed to the LHD/SHNs and reported
in the financial statements. However to ensure compliance with AHPCS SCP 2.003
Expenditure in Scope, the expense is distributed to LHD/SHNs and added to the general
ledger loaded into PPM2. This adjustment is noted in the LHD/SHN reconciliation scheduled
that is submitted as part of the DNR.
S100 drug costs – the expense associated with S100 drugs are not linked and included to
the relevant non-admitted patient level service event. The NSW DNR CAG standard
requires all S100 drug costs to be reported separately. This deviation from the AHPCS has
been necessary due to the relatively recent move from aggregate to patient level nonadmitted patient data collection and the staged rollout of the statewide pharmacy system.
WIP – work in progress encounters were included in Round 18 where the admission year
was either Round 16 or Round 17. The escalation of the Round 16 and/or the Round 17
components of the encounter was undertaken by ABF Taskforce.
Critical Care – many critical care services in NSW have the critical care and the step down
beds in the one ward. Examples of this include ICU/HDU, CICU/CCU. Typically these
services have one cost centre and one ward set up in PAS with two or more bed types to
distinguish the ICU hours separately to the HDU hours for example. The bed type is used to
calculate ICU hours.
The final cost allocation reflects appropriate nursing ratios such as 1:2 for ICU/HDU patients.
In some instances where a patient only has HDU hours, the cost centre will map to Critical
Care, but there will be no ICU hours. Additionally, only facilities with Level 3 ICUs will map
their cost centre to Critical Care, even though locally they may use the ICU bed type.
Medical Cost Allocation – Visiting Medical Officer expense is not allocated to private patients
in the DNR. Staff Specialist costs are allocated to both public and private patients with no
adjustments.
Hosted Services – a number of LHDs have hosted service arrangements in place. These
are for services such as IT. Where appropriate, the expense associated with these services
is adjusted for both the Host LHD and the Hosted LHD. This adjustment is noted in the
LHD/SHN reconciliation schedule that is submitted as part of the DNR.
Cost Methodology changes – In Round 18, NSW implemented a standardised weighted
duration metric for duration in the theatre feeder data to reflect both the number of staff and
the time and day of the week. This was done to ensure consistency across all facilities.
7.2 Victoria
Business Rules
The Victorian submission to the Round 18 (2013-014) NHCDC submission is based on the
2013-14 Victorian Cost Data Collection (VCDC).
The Business Rules for the VCDC collection are published annually by the Department of
Health and Human Services, Victoria and provides guidance to health services in the costing
and reporting of patient level cost data to the VCDC
(Http://www.health.vic.gov.au/hdss/vcdc/index.htm)
The VCDC business rules ensure that the submission from Health Services complies with:
-
The VCDC File Specifications
The Australian Hospital Patient Costing Standards (AHPCS) V2 – excluding
standards relating to Depreciation (DEP 1.001, 1A.001, 1C.001 !D.001 and 1E.001),
Teaching (SCP 2A.002) and Research (SCP 2B.001)
The patient demographics that are linked to the cost data collection are collected based on
the specifications outlined in the following manuals:
-
Victorian Admitted Episodes Dataset (VAED) manual 23rd Edition (Admitted)
Victorian Emergency Minimum Dataset (VEMD) manual 18th Edition (Emergency)
Victorian Integrated Non-Admitted Health Minimum Dataset (VINAH) manual
Version 9 (non-admitted)
These patient demographics are then converted to the relevant national minimum dataset or
IHPA data set specification based on the Department of Health and Human Services,
Victoria’s interpretation of the specifications.
Scope
The number of hospitals that report to the NHCDC can vary from year to year to due to the
timing of the submission date required by the IHPA. This has resulted in the following
exclusions/inclusions between 2012-13 and 2013-14.
A campus that was reported in 2013-14 and not 2012-13 was 210A01232 Women’s
Sandringham.
A campus that was reported in 2012-13 and not 2013-14 was 210502060 Central Gippsland
Health.
Victoria reports the following contact account classes to the NHCDC:
-
MP – Public Eligible
MA – Reciprocal Health Care Agreement
MV – Public Eligible: VACS-funded Outpatient
MG – Public Eligible: Specified-grant-funded Outpatient
VX – Department of Veterans’ Affair (DVA)
Limitations of Round 18 NHCDC data:
The following limitations of the Round 18 (2013-14) NHCDC data for Victoria should be
noted:
Direct Teaching, Training and Research (TTR) – Victorian hospitals have only excluded TTR
costs that were associated with Research Special Purpose Funds. Where teaching and
training cannot be separated from routine work undertaken, it has been included as a salary
and wages expense. Where teaching and training can be discerned from other activities, it
was allocated as an overhead.
Work in Progress – Only patients who were discharged during the reporting year (1 July
2013 – 30 June 2014) were included in the Round 18 submission. Cost incurred by these
patients in the prior year was also included in the reported Round 18 expenditure.
Blood products in the Round 18 NHCDC submission – Blood products are not included in
the hospital general ledger as they are paid by the department. However, there may be a
small insignificant amount of costs for recombinant blood products included at some
hospitals.
Changes to costing or admission policies between NHCDC Round 17 and Round 18
NHCDC collections – There was no significant change in their NHCDC submission with the
exception of:
-
Northern Health (Private patient pathology and radiology costs are excluded from the
VCDC)
Barwon Head (Private patient pathology are excluded from the VCDC)
Ballarat Health (Private patient pathology and radiology costs are excluded from the
VCDC)
Peninsula Health (Private patient pathology costs are excluded from the VCDC)
Western Health (Private patient pathology are excluded from the VCDC)
Alfred Health Caulfield Campus (Private patient radiology costs are excluded from
the VCDC)
Limitations with the activity data linked to the cost data:
The following limitations have been identified in respect to the activity data that is linked to
the cost data:
ICU Hours – Where ICU and CCU coexist, Victoria is unable to distinguish the time spent in
a CCU or ICU.
PICU Hours and NICU Hours – PICUs are located at Monash Medical Centre, and the Royal
Children’s Hospital only. NICUs located within four Victorian hospitals – Mercy Hospital for
Women, Monash Medical Centre, Royal Women’s Hospital and the Royal Children’s
Hospital. However, where a patient spends time in PICU and NICU, Victoria is unable to
distinguish PICU from NICU hours.
PysICU Hours – Victoria does not collect the amount of time measured in hours that a
patient spends in a state of psychosis while in an ICU.
Mechanical ventilation hours – Victoria only collects the total duration of Mechanical
Ventilation (MV) in hours provided in an approved ICU and NICU only. MV hours provided
min a non-approved ICU are not collected.
Mental Health Legal Status – Only patients in Approved Mental Health Service or
Psychogeriatric Program in public hospitals who care is funded by Mental Health Services
can report the status. Patients in all other care types, report for ‘non applicable’ code.
7.3 Queensland
Context
For Round 18 of the National Hospital Cost Data Collection (NHCDC) establishments where
activity data was available was submitted (regardless of funding source), with the exception
of Community mental health, some Multipurpose Health Centres, transition care services
and Hospital and Health Service (HHS) run residential care facilities.
Reconciliation of patient level costs was provided at HHS level with the facility being a sub
unit of the HHS. All data was validated prior to submission to the Independent Hospital
Pricing Authority (IHPA).
The following is the range of data quality issues that have been identified for Round 18 of the
NHCDC.
Unlinked Diagnostic data
Where pathology or imaging data has not been able to be linked to an episode record,
according to the data matching rules, these records have been mapped to the relevant
diagnostic Tier 2 clinic. Pathology has been mapped to 30.05 and diagnostic imaging has
been mapped to 30.01 (General Imaging) and 30.03 (Computerised Tomography), as
applicable. As there is no clinic for unlinked pharmacy these have been mapped to 40.04
(Clinical Pharmacy).
Patient level data
Some establishments do not have 100% coverage and collection in an appropriate feeder
system, especially in the case of outpatient data. Facilities that have gaps in feeder systems
use an aggregate patient (modelled cost) to carry the cost of the services where patient level
clinical information is not available. Where possible, these costs, which comprise
approximately 0.55% of the total submitted costs, have been mapped to the aggregate clinic
counts and at “patient level” are reported. As this is a form of cost modelling, records have
been identified with a medical record number of “VPM” so that IHPA can exclude from the
calculation of the National Efficient Price.
Work in Progress data
Work in progress comprises two subsets of episodes. Firstly, work in progress from prior
periods (i.e. those episodes started in a period prior to the reference period and completed
during the reference period). The prior period costs of these episodes are included in the
submission (i.e. the full cost of the episode from admission to discharge is included). The
second group comprise current work in progress episodes, those episodes which have been
admitted but not yet discharged and treatment is continuing. These episodes and associated
costs are excluded from the submission.
Costing of Rural and Remote Hospital and Health Services
There were three Hospital and Health Services comprising 51 rural and remote hospitals that
were previously cost modelled, that moved to patient level costing in Round 18. The three
HHS’s are Torres and Cape, South West and Central West. This first year of patient level
costing has highlighted some issues in the treatment of costs in the HHS general ledger
which has resulted in some movement in average product costs when compared to previous
NHCDC Rounds.
Blood Products
Blood product costs are included in the patient level costing for Round 18.
Teaching, Training and Research
Costs for teaching, training and research included in the general ledger are allocated to
patient products.
Corporate costs
Corporate costs included in Round 18 comprise only corporately supported information
systems;
Other Issues identified
The following issues in Round 18 do not have a significant impact on overall cost outcome(s)
but are noted here for completeness.
Inconsistent costing methodology applied
These include:
[1] The use of an aggregate patient product instead of costing an available patient level cost
product.
[2] Patient level products with no relative value unit (RVU) where the product should be
costed as recommended in the costing standards. Cost records with zero RVU comprise
less than 0.0008% of records.
[3] Some products with identifiable differences in human and material resource consumption
have an RVU that indicates that the department has not reviewed these allocations. This
affects the costing validity at a lower level and may lead to specific services or patient types
carrying more cost (or less cost) than would normally be expected.
Incomplete Coverage in Feeder Systems
Patient level feeder systems that have not yet been implemented at HHS’s in the Round 18
data include Ambulatory Endoscopy, Private Practice and community mental health
information system.
7.4 South Australia
Participation and Coverage
South Australia's 2013-14 cost data is produced by the Department for Health and Ageing
(DHA) using one instance of the patient costing system. The maintenance of the patient
costing system and the processing of data are undertaken centrally by staff within the DHA
based on advice from Local Hospital Network (LHN) representatives and in accordance with
the Australian Hospital Patient Costing Standards v3.1.
As per Round 17, cost data for all eight metropolitan hospitals and six large country hospitals
were submitted in Round 18. Stand-alone designated mental health hospitals and
rehabilitation hospitals are not included in the South Australian cost data.
The data were extensively reviewed by the DHA staff, in conjunction with the LHNs and
signed off by the LHNs, before submission to the National Hospital Cost Data Collection
(NHCDC). The costing data was subjected to considerable scrutiny, with appropriate
corrections and resubmissions as required to ensure that it was fit for this purpose.
South Australia produces patient level costing data for Inpatient, Outpatient and Emergency
Department (ED) services, however only Inpatient and ED cost data are submitted to the
NHCDC. The Outpatient cost data was reviewed and it was determined not to be of
sufficient accuracy to be submitted and further work is being undertaken to improve the
quality of the Outpatient data.
Teaching, Training and Research (TTR)
Teaching, Training and Research (TTR) direct costs are not reported at the patient level,
however they are reported in the reconciliation. TTR costs have been treated in compliance
with the Australian Hospital Patient Costing Standards v3.1.
Blood products
Blood product costs were not included in the cost data submitted.
Work in Progress
In the patient costing process, all work in progress is costed, however only work in progress
for patients that were admitted prior to 1 July 2013 and discharged during 2013-14 were
submitted. The escalation factor (as provided by IHPA) is applied to all work in progress
records.
Changes to costing or admission policies between NHCDC Round 17 and Round 18
NHCDC collections
To improve the costing of ED services, the costing methodology was changed. In Round 17,
cost attribution was based on ED time, not recognising acuity and manually applying a
patient fraction to reallocate the Inpatient costs. In Round 18, ED costing recognises that
different triage categories, resuscitation and Inpatients require different staffing ratios. The
impact was a reallocation of costs between ED patients, and from the ED Inpatient wards to
ED.
During 2013-14, the nursing dependency system ceased to be available. Therefore the
allocation of nursing cost to patients was based on patient time.
There was no change to the admission policy between the two rounds.
Other
South Australia has a common chart of accounts and one general ledger from which each
hospital's financial data is extracted for processing. Other data is also sourced from central
data collections were possible and with LHNs providing the balance of necessary data to
permit accurate cost attribution.
In addition, costs for centralised services such as ICT and procurement are included in the
patient costing process.
Ancillary costs for private patients are included except for pathology because the hospitals
are not charged for these services.
Pathology services are provided to the hospitals by SA Pathology and hospitals are charged
for the services provided to public patients but this does not cover the full cost of the service.
An additional loading is applied to the hospital's pathology cost to reflect full cost of the
service.
The costing data submitted has been reconciled to the Public Hospital Expenditure (PHE)
with work continuing to minimise the variation between the two data sources.
7.5 Western Australia
Participation
Western Australia (WA) contributed patient level data for thirty-five public hospital sites for
Round 18 of the National Hospital Cost Data Collection (NHCDC). All hospitals that are
considered in scope for Activity Based Funding are currently part of the NHCDC submission
for WA.
For the second year Power Performance Management 2 (PPM2) was used in the
preparation of the costing submissions for all sites. Work was ongoing in terms of data
quality and standardisation and all NHCDC submissions were in compliance with version 3.1
of the Australian Hospital Patient Costing Standards (AHPCS).
Products costed
WA has provided its most extensive NHCDC submission with patient level coverage of
Inpatient, Emergency and Non Admitted patients in accordance with the IHPA data
specifications. For the majority of participating sites Admitted Emergency Department costs
still formed part of the Acute Inpatient costings. WA’s Outpatient activity was predominantly
costed at a patient level however work is continuing on disaggregating and costing the
activity that remains non patient costed.
All WA hospital submissions were reconciled to total accrued operating expenditure as per
the audited financial statements with a reconciliation statement supplied for each site.
For Round 18, Teaching and Research costs were identified by site and allocated at a
patient level for the purpose of local management use. In accordance with the relevant
AHPCS these costs were removed from the costing submission but identified in the
reconciliation process.
Costs of corporate services including payroll, human resources and information technology
are allocated at an Area Health Service and hospital level and included in the submission.
Blood product costs are managed by the department but not included in the Round 18
submission.
Only costs for those patients that were discharged in the reference year (2013/14) were
included in the Round 18 submission. These included costs incurred in the previous year
(2012/13). End of year work in progress, that is, patients admitted during the reference year
but not discharged during that year are fully costed and will form part of future submissions.
No escalation has been applied to the prior year work in progress.
The successful implementation of a new costing system and the relative stability of the
costing requirements and submission protocols over recent rounds of the NHCDC will
enhance the quality and timeliness of the Round 19 costing data.
7.6 Tasmania
The Tasmanian Department of Health and Human Services (DHHS) submission to the
Round 18 (2013-14), National Hospital Cost Data Collection (NHCDC), was produced
centrally by the Casemix Strategy and Advice Unit, Purchasing and Performance, DHHS, in
close consultation with the Tasmanian Health Service (THS). Costing for Round 18 was
undertaken in accordance with the Australian Hospital Costing Standards (AHPCS) V3.1.
In Round 18, Tasmania replaced the existing costing software with the latest software from
the vendor Visasys. Tasmania utilises a single general ledger with a common chart of
accounts. Cost data for centralised services, such as ICT, finance and human resources
were allocated to each THS site using an agreed formula.
Tasmania also uses a single Patient Management System and each site’s data are extracted
to a central data warehouse. Data from the central data warehouse were used for
processing. In addition, sites were provided cost allocations for centralised services, such
as ICT, Human Resources and procurement, for inclusion in the patient costing process.
Tasmania did not report small rural hospitals to the NHCDC for Round 18, as it was
considered that the quality of data collection and crossover of costs between the acute
services and the aged care facilities associated with these hospitals made costing unreliable
and not of sufficient standard for the NHCDC .
Work in Progress
Only those patients who were discharged during the reporting year (1 July 2013 - 30 June
2014), were included in the Round 18 submission. Costs incurred by these patients in the
prior year were included in the reported Round 18 total expenditure, however some ICU
costs were not carried forward. Episodes admitted in the collection year but yet to be
discharged are not included. The end-of-period work in progress activity was fully costed and
will be included in the Round 19 submission.
Teaching, Training and Research (TT&R)
TT&R costs were not reported at the patient level but excluded and reported as part of the
reconciliation process. TT&R costs were based on both direct and indirect TT&R.
Blood Products
It should be noted that Tasmania reports only the state share of blood costs in the NHCDC
as this expense is distributed to the THS sites. Blood costs were assigned to patients where
appropriate. The cost of blood products supplied to private organisations is recorded in the
THS general ledger but is considered out of scope for the NHCDC and not submitted.
Diagnostic and Pharmacy data
Where pathology or imaging data has not been able to be linked according to the data
matching rules, these records have been costed but considered out of scope and excluded
from the NHCDC submission.
Pharmacy products are costed at gross value. Pharmacy data are linked according to the
data matching rules. Where records are not matched they have been costed but considered
out of scope and excluded from the NHCDC submission.
AN-SNAP episode costing
Tasmania does not cost episodes at the Phase level but at the episode level due to the
unavailability of Phase level data.
Changes to costing or admission policies between NHCDC Round 17 and Round 18
NHCDC collections
There were no significant changes to costing or admission policies between the two rounds,
however, sites generally improved their capture of activity and continued to improve coding
practices during 2013-14.
Should your require any further information, please contact Ian Jordan, Team Leader,
Clinical Costing, on 03 6166 1028 or email [email protected].
7.7 Northern Territory
In the Northern Territory (NT) all public hospitals participated in the round 18 costing study,
including both principal referral hospitals located in Darwin and Alice Springs and three
remote rural hospitals located in Katherine, Nhulunbuy (Gove) and Tennant Creek. The
round 18 cost study is the twelfth collection for which the NT Department of Health (DoH)
has submitted episode level patient costing for all five NT public hospitals.
The NT’s unique and volatile acute case mix is affected by a small, dispersed and transient
population, of which a large proportion are Indigenous people who live in very remote
locations. Provision of health services to an isolated and dispersed population with a high
burden of disease impacts on patient acuity and limits the potential for economies of scale.
The NT round 18 costing submission is fully compliant with the Australian Hospital Patient
Costing Standards. Important improvements achieved in the alignment and linking of general
ledger costs and episode of care level patient data for admitted patients who required an
inter-hospital transfer. This has resulted in significant changes to the costing profile of this
cohort of admitted patients. The effect is greatly diminishing comparability to previous years
data for admitted patients due to the very high cost of inter-hospital transfers in the NT,
approximately $14.5 million in 2013-14.
Inter-hospital patient transport is of integral importance in providing equity of access to
hospital services for Northern Territory patients. The cost of IHTs in the NT is far greater
than in other jurisdictions. The smallest distance IHT in the Territory is the 330 kilometres
from Katherine to Darwin. Tennant Creek to Alice Springs is approximately 600 kilometres,
whereas Gove Hospital to Darwin is over 700 kilometres. Interstate inter-hospital transfers
are all between 3000 and 3600 kilometres for Royal Darwin Hospital and 1500 kilometres for
Alice Springs Hospital resulting in the average distance per inter-hospital transfer being
significantly further, and the costs significantly greater, than the cost of inter-hospital
transfers for other jurisdictions as highlighted in the table below.
NORTHERN TERRITORY ROUND 18 INTER-HOSPITAL PATIENT TRANSFER COST SUMMARY
Cost
$500 - $10,000
Royal Darwin Hospital
Gove District Hospital
Tennant Creek Hospital
Alice Springs Hospital
Katherine Hospital
No. of Transfers Average Cost No. of Transfers Average Cost No. of Transfers Average Cost No. of Transfers Average Cost No. of Transfers Average Cost
151
1,923
$10,001 - $20,000
728
3,263
428
5,889
231
5,794
8
12,009
1
12,451
2
12,383
1
45,608
1
51,778
$20,001 - $30,000
9
26,162
3
28,638
$30,001 - $40,000
1
32,788
7
35,134
$40,001 - $50,000
77
44,989
2
40,635
$50,001 - $60,000
34
55,252
$60,001 - $70,000
3
61,926
Greater than $70,001
2
78,113
179
2,170
Changes in NT costing methodology in round 18 were:
•
•
•
The engagement of new costing consultants and the use of new costing software.
Consequentially work in progress costs were not able to be carried forward from
prior rounds, as such,:
o Patients admitted prior to 1 July 2013 and discharged prior to 30 June 2014
were excluded from the submission;
o Patients admitted after 1 July 2013 and not discharged by 30 June 2014
were also not submitted;
o All costs associated with work in progress patients admitted but not
discharged in 2013-14 will be carried forward into the round 19 costing study.
Ongoing training and consultation with hospital staff enabled the continued
decentralisation of the costing study and increased emphasis on evidence based
product fractions. As this process further matures, it is anticipated that variations to
historic results may continue to occur.
All costs generated by NT hospitals in producing patient and non-patient products
are submitted in the costing studying, specific inclusions in compliance with the
costing standards include:
o Ambulance and patient transport (generated by the hospital) – specifically
the costs of inter hospital patient transfers where a validated link to episode
level data is verified:
o Blood products – all costs are submitted;
o Organ and tissue donation for transplantation –all costs are submitted
o Insurance – building, equipment, workers compensation and medical
indemnity insurance – only costs incurred by the hospitals and expensed in
the hospital accounts are submitted;
Depreciation – all costs are submitted;
Corporate services cost including human resources, payroll, finance,
procurement, information technology; and corporate costs incurred at LHN or
equivalent level.
The NT continues to allocate the costs of Indigenous only services entirely to
Indigenous patients, where the cost centre is hospital controlled and all costs relate
to additional, complementary or different services provided exclusively to Indigenous
clients. For example the cost of patient liaison services are not allocated or split
between Indigenous and non-Indigenous clients as the service is available for all
patients, however, services provided by Aboriginal liaison officers are supplementary
services provided only to Indigenous clients.
o Indigenous only cost centres in Round 18 include;
 Aboriginal Health Workers,
 Aboriginal Liaison Officers,
 Indigenous Cultural Competency and Cultural Security Training,
 Indigenous Services and Support Units; and
 Indigenous Interpreter services
o
o
•
7.8 Australian Capital Territory
Adherence to Australian Hospital Costing Standards (AHPCS) Overview.
Data submitted to the NHCDC complied with the Australian Hospital Patient Costing
Standards (AHPCS), Version 3.1, and went through numerous internal data quality checks
before being submitted.
ACT Health submitted 100% coverage, by submitting costs for all ACT hospitals, in-scope
for the National Health Cost Data Collection (NHCDC).
Of these hospitals, 93.4% of all products were submitted to the NHCDC, including costs for
all acute, subacute, emergency care, non-admitted care and all teaching and training
undertaken in these hospitals.
Significant Changes that affected Round 18 NHCDC data.
2013-2014 (Round 18) was the first year that our two costed ACT public hospitals had a
single combined Patient Activity Systems (PAS) to cost activity against.
For Canberra Hospital and Health Services (NHCDC Hospital Code 82 – “1TCH”), there was
continued improvements to data matching rates when compared with previous year. Areas
of improvement were matching of prosthesis data to surgical cases, better matching of
National Blood Authority (NBA) Blood costs, Pathology costs, Pharmacy (both PBS and
Non-PBS) costs being allocated to the patient, as well as further work completed in Round
18 against prostheses used in procedure rooms; especially prosthesis used in a non
admitted setting.
Calvary Hospital (NHCDC Hospital Code 83 – “1CAL”) had a change of staff, in Round 18,
and it was a year of rebuilding in-house costing skills. For this reason, some of the product
fractioning of costs to non-admitted, subacute, and teaching and training was rebuilt, and it
affected the overall costs; with further costs going to acute care than the previous years .
However, the overall cost of the hospital was stable, and with the rise in activity, it would
have seen a fall in their acute costs over this period. An example of a noted gain in efficiency
is their control to the number of pathology tests ordered, as well as the control of other
intermediate product cost and usage, from the previous year.
ACT wide, non-admitted counting continues to be a challenge, and further work was
completed at both sites to better count these services. A significant area of improvement
was made in the non-admitted activity counting at Calvary Public Hospital, where a large
amount of palliative care data has now been collected and costed by ACT Health, as part of
the annual NHCDC 2013-14 (Round 18) submissions.
There continues to be issues with both public hospital intermediate Allied health services
linking to inpatient care. As such, ACT Health performed further reviews to the linking rules
process in 2013-14, to further improve this process for future NHCDC costing studies.
Teaching, Training and Research.
Work was completed in Round 18 to better capture Teaching, Training and Research (TTR)
costs, especially within Canberra Hospital and Health Services. However it must be noted
that reported Teaching Training and Research costs are considered low and further work will
be completed in Round 19 to better capture costs against these product lines.
Work-In-Progress
Round 18 was the second consecutive year that Work In Progress (W.I.P) inpatient costs
were both included and excluded from our costing dataset. However not all costs were able
to be summarised, and we are refining our processes to ensure all costs can be captured
and reported against WIP patients.
Changes to business rules or methodologies.
No major changes in methodology was noted between Round 17 and Round 18, with both
years having ‘High level’ (Jurisdiction) costs excluded from their cost data, as well as shared
services costs being allocated to each hospital at the jurisdiction level – after acceptance of
these costs was sought from both sites.
8 Appendices
Appendix 1.
NHCDC Rounds 18 and 17 summary, actual, by jurisdiction and stream
Appendix 2.
NHCDC Rounds 18 and 17 Direct and Overhead Cost, actual, by stream
Appendix 3.
Cost weights for AR-DRG version 7.0, Round 18 (2013-14)
Appendix 4.
Estimated cost weights for AR-DRG version 7.0, Round 18 (2013-14)
Appendix 5.
NHCDC Rounds 18 and 17 comparison of admitted acute summary, actual,
by jurisdiction
Appendix 6.
NHCDC Rounds 18 and 17 admitted acute comparison between peer
hospitals, actual
Appendix 7.
NHCDC Round 18 and 17 admitted acute cost bucket per separation, actual,
by jurisdiction
Appendix 8.
NHCDC Round 16, Round 17 and Round 18 admitted acute line item average
cost per separation, actual, by jurisdiction
Appendix 9.
NHCDC Round 17 and Round 18, admitted acute overnight and sameday,
actual, by jurisdiction
Appendix 10. NHCDC Round 17 and Round 18, admitted acute urgency of admission,
actual, by jurisdiction
Appendix 11 NHCDC Round 17 and Round 18, admitted acute same day and overnight
Indigenous and non-Indigenous, actual, by jurisdiction
Appendix 12. NHCDC Round 17 and Round 18, admitted acute paediatric and nonpaediatric, actual, by jurisdiction
Appendix 13. NHCDC Round 17 and Round 18, admitted acute geographic location, actual,
by jurisdiction
Appendix 14. NHCDC Rounds 18 and 17 admitted acute maternity DRGs
Appendix 15. NHCDC Round 18 Emergency Department summary by jurisdiction
Appendix 16. NHCDC Round 18 Emergency Department by Urgency Related Group
Version 1.3
Appendix 17. NHCDC Round 18 Emergency Department cost bucket per presentation by
jurisdiction
Appendix 18. NHCDC Round 16, Round 17 and Round 18 Emergency Department line item
cost per presentation by jurisdiction
Appendix 19. NHCDC Round 18 Non-admitted Tier 2 class version 2.1
Appendix 20. NHCDC Round 17 and Round 18 Non-admitted by Tier 2 class
Appendix 21. NHCDC Round 18 and 17 Non-admitted summary by jurisdiction
Appendix 22. NHCDC Round 18 Non-admitted cost bucket per service event, actual, by
jurisdiction
Appendix 23. NHCDC Round 16, Round 17 and Round 18 Non-admitted line item cost per
service event by jurisdiction
Appendix 24. NHCDC Rounds 18 and 17 subacute summary, care type, by jurisdiction
Appendix 25. NHCDC Rounds 18 and 17 subacute ANSNAP version 3
Appendix 26. NHCDC Rounds 18 and 17 subacute cost bucket per separation by
jurisdiction
Appendix 27. NHCDC Round 16, Round 17 and Round 18 subacute line items cost per
separation by jurisdiction
Appendix 28. NHCDC Round 18 and 17 Other stream, by care type, by jurisdiction
Appendix 29. NHCDC Round 18 Organ Procurement cost bucket per separation, by
jurisdiction
Appendix 1. NHCDC Round 17 and 18 summary, actual, by jurisdiction and stream
Stream
Acute
Jurisdiction
Hospitals
Non-admitted
Round 18
Round 17
Sub-acute
Round 18
Round 17
Other
Round 18
Round 17
Total
Round 18
Round 17
Round 18
Round 17
NSW
75
89
53
59
57
84
81
96
22
19
83
97
Vic
63
63
38
37
36
38
54
51
9
13
68
68
Qld
140
138
126
107
144
182
126
128
98
125
171
220
-
-
SA
16
16
13
13
15
15
16
16
WA
34
35
28
29
33
34
34
34
28
30
34
35
-
-
Tas
22
4
4
4
4
4
19
4
4
4
22
4
NT
5
5
5
5
5
5
4
5
5
4
5
5
ACT
2
2
2
2
2
2
2
2
2
National
Activity
ED
Round 18
Round 17
-
357
352
269
256
281
349
335
335
168
195
NSW
1,365,084
1,482,917
1,954,107
2,043,503
3,318,642
5,962,346
52,273
59,163
127
87
Vic
1,258,612
1,321,664
1,469,893
1,501,050
2,140,149
2,183,997
35,959
36,899
44
73
Qld
989,758
1,040,374
1,575,660
1,728,261
4,628,166
4,773,114
46,367
41,474
11,955
13,620
SA
338,929
339,867
436,262
445,699
11,916
12,627
WA
491,104
491,817
626,557
665,092
1,229,279
1,618,883
14,099
11,552
9,254
11,370
Tas
103,345
106,101
146,915
148,205
363,020
261,516
1,888
1,709
8
39
NT
116,915
122,377
145,446
145,083
256,656
215,080
806
798
7,735
69
89,591
93,291
118,883
125,838
676,153
954,236
4,315
2,876
7
ACT
National
2
2
401
447
10,297,702,529
4,753,338
4,998,408
6,473,723
6,802,731
12,612,065
15,969,172
167,623
167,098
29,130
25,258
NSW
7,215,498,677
7,779,291,636
1,212,580,356
1,205,167,684
875,564,823
1,246,219,781
620,961,011
702,209,336
645,887
452,316
9,307,070,576
Vic
5,245,519,817
5,531,043,097
759,024,140
804,763,958
578,895,458
603,457,373
494,596,854
541,816,201
399,983
631,811
6,721,605,512
7,074,575,032
Qld
4,768,916,088
4,929,272,146
898,436,346
1,035,295,191
1,735,398,488
1,702,040,391
486,657,967
494,162,384
40,579,087
30,118,805
7,633,863,998
7,811,985,821
1,958,188,723
2,076,962,546
238,075,055
273,827,524
117,675,174
121,170,658
2,210,383,056
2,355,951,502
Expenditure ($) WA
SA
2,595,245,232
2,770,248,966
372,944,044
397,400,854
402,257,225
534,373,831
216,781,631
225,530,651
2,688,704
4,609,951
3,453,345,051
3,793,204,103
Tas
547,223,450
551,376,600
78,627,445
86,313,268
101,765,740
82,544,440
31,230,645
28,864,319
108,493
134,694
726,781,700
707,292,496
NT
445,279,534
548,339,851
87,899,742
65,162,444
106,626,208
104,338,947
24,675,884
27,764,574
10,532,131
409,033
646,243,828
721,630,299
ACT
581,808,268
635,644,501
98,849,062
107,875,787
190,607,279
236,973,503
64,150,642
59,987,044
61,644
23,357,679,789
24,822,179,342
3,746,436,189
3,975,806,710
3,991,115,222
4,509,948,265
2,056,729,808
2,201,505,168
55,015,928
National
NSW
5,286
5,246
621
590
264
209
11,879
11,869
Vic
4,168
4,185
516
536
270
276
13,754
14,684
Qld
4,818
4,738
570
599
375
357
10,496
11,915
5,778
6,111
546
614
-
-
9,875
9,596
5,285
5,633
595
598
327
330
15,376
19,523
Average Cost SA
($)
WA
(Unweighted) Tas
5,295
5,197
535
582
280
316
16,542
16,890
NT
3,809
4,481
604
449
415
485
30,615
34,793
ACT
6,494
6,814
831
857
282
248
14,867
20,858
National
4,914
4,966
579
584
316
282
12,270
13,175
36,356,610
890,871,802
990,684,427
31,590,165,522
33,753,026,209
Appendix 1. NHCDC Round 17 and 18 summary, actual, by jurisdiction and stream
Change
Jurisdiction
Acute
ED
(%)
(%)
(%)
Total
(%)
(%)
11.3
47.4
18.5
-13.6
Vic
0.0
-2.6
5.6
-5.6
44.4
0.0
Qld
-1.4
-15.1
26.4
1.6
27.6
28.7
SA
0.0
0.0
WA
2.9
3.6
3.0
0.0
7.1
2.9
Tas
-81.8
0.0
0.0
-78.9
0.0
-81.8
0.0
0.0
16.9
0.0
NT
0.0
0.0
0.0
25.0
-20.0
ACT
0.0
0.0
0.0
0.0
-100.0
0.0
0.0
16.1
11.5
National
Activity
(%)
Other
18.7
NSW
Hospitals
Non-admitted
Subacute
Round 17 to Round 18
-1.4
-4.8
24.2
NSW
8.6
4.6
79.7
13.2
-31.5
Vic
5.0
2.1
2.0
2.6
65.9
Qld
5.1
9.7
3.1
-10.6
13.9
SA
0.3
2.2
WA
0.1
6.2
31.7
-18.1
22.9
Tas
2.7
0.9
-28.0
-9.5
387.5
NT
4.7
-0.2
-16.2
-1.0
-99.1
ACT
4.1
5.9
41.1
-33.3
-100.0
National
5.2
5.1
26.6
-0.3
-13.3
NSW
7.8
-0.6
42.3
13.1
-30.0
10.6
Vic
5.4
6.0
4.2
9.5
58.0
5.3
Qld
3.4
15.2
-1.9
1.5
-25.8
2.3
SA
6.0
6.1
15.0
Expenditure ($) WA
6.7
6.6
32.8
3.0
4.0
71.5
9.8
Tas
0.8
9.8
-18.9
-7.6
24.2
-2.7
6.6
NT
23.1
-25.9
-2.1
12.5
-96.1
11.7
ACT
9.3
9.1
24.3
-6.5
-100.0
11.2
National
6.3
6.1
13.0
7.0
-33.9
6.8
NSW
-0.8
-0.4
-8.8
-20.8
Vic
0.4
3.7
-0.1
2.2
Qld
-1.7
-2.0
4.3
-4.9
5.8
10.2
14.6
Average Cost SA
($)
WA
(Unweighted) Tas
NT
3.2
0.9
-1.9
11.0
-1.0
12.6
17.6
6.6
-18.3
-4.7
-29.9
16.8
ACT
4.9
1.8
2.5
-11.9
National
1.1
0.2
-0.6
-10.8
Appendix 2. NHCDC Round 17 and 18 Direct and Overhead Expenditure, actual, by stream
Expenditure
Change
Round 17
Stream
Admitted acute
Round 18
Round 17 to Round 18
Direct
Overhead
Total
Direct
Overhead
Total
Direct
Overhead
Total
($M)
($M)
($M)
($M)
($M)
($M)
(%)
(%)
(%)
17,958
5,400
23,358
19,034
5,788
24,822
6.0
7.2
Emergency Department
2,903
843
3,746
3,130
846
3,976
7.8
0.4
6.1
Non-admitted
3,109
882
3,991
3,557
953
4,510
14.4
8.0
13.0
Subacute
6.3
1,506
550
2,057
1,598
603
2,202
6.1
9.6
7.0
Other
45
10
55
31
5
36
-32.1
-42.7
-33.9
Total
24,247
7,343
31,590
25,919
7,834
33,753
6.9
6.7
6.8
( National
NATIONAL HOSPITAL COST DATA COLLECTION
COST WEIGHTS FOR AR-DRG VERSION 7.0, Round 18 (2013-14)
Public Sector - Sample
DRG Description
DRG
A01Z
A03Z
A05Z
A06A
A06B
A06C
A07A
A07B
A08A
A08B
A09A
A09B
A10Z
A11A
A11B
A12Z
A40A
A40B
B01A
B01B
B02A
B02B
B02C
B03A
B03B
B04A
B04B
B05Z
B06A
B06B
B06C
B07A
B07B
B40Z
B41Z
B42A
B42B
B60A
B60B
B61A
B61B
B62Z
Liver Transplant
Lung or Heart-Lung Transplant
Heart Transplant
Tracheostomy W Ventilation >=96hrs W Catastrophic CC
Ventilation >=96hrs and OR Proc (W/O Tracheostomy or W/O Cat
Tracheostomy W/O Ventilation >=96hrs, or Ventilation >=96hrs W/
Allogeneic Bone Marrow Transplant, Age <17
Allogeneic Bone Marrow Transplant, Age >=17
Autologous Bone Marrow Transplant W Catastrophic CC
Autologous Bone Marrow Transplant W/O Catastrophic CC
Kidney Transplant, Age <17 or W Catastrophic CC
Kidney Transplant, Age >=17 W/O Catastrophic CC
Insertion of Ventricular Assist Device
Insertion of Implantable Spinal Infusion Device W Catastrophic CC
Insertion of Implantable Spinal Infusion Device W/O Catastrophic C
Insertion of Neurostimulator Device
ECMO W Tracheostomy
ECMO W/O Tracheostomy
Ventricular Shunt Revision W Catastrophic or Severe CC
Ventricular Shunt Revision W/O Catastrophic or Severe CC
Cranial Procs W Cerebral Haemorrhage W Cat CC
Cranial Procs W/O Cerebral Haem W Cat CC or (W Cerebral Hae
Cranial Procs W/O Cerebral Haem W Sev CC or W/O Cat/Sev CC
Spinal Procedures W Catastrophic or Severe CC
Spinal Procedures W/O Catastrophic or Severe CC
Extracranial Vascular Procedures W Catastrophic CC
Extracranial Vascular Procedures W/O Catastrophic CC
Carpal Tunnel Release
Procs for Cerebral Palsy, Muscular Dystrophy, Neuropathy W Cat
Procs for Cerebral Palsy, Muscular Dystrophy, Neuropathy W/O C
Procs for Cerebral Palsy, Muscular Dystrophy, Neuropathy, Samed
Cranial or Peripheral Nerve and Other Nervous System Procedure
Cranial or Peripheral Nerve and Other Nervous System Procedure
Plasmapheresis W Neurological Disease, Sameday
Telemetric EEG Monitoring
Nervous System Disorders W Ventilator Support W Catastrophic C
Nervous System Disorders W Ventilator Support W/O Catastrophic
Acute Paraplegia/Quadriplegia W or W/O OR Procs W Catastroph
Acute Paraplegia/Quadriplegia W or W/O OR Procs W/O Catastro
Spinal Cord Conditions W or W/O OR Procedures W Catastrophic
Spinal Cord Conditions W or W/O OR Procedures W/O Catastroph
Apheresis
)
V7.0 Public Sector
Cost
Number
Number
ALOS
Average Cost per DRG ($)
Weight
of Seps
of Days
(Days)
Total
25.97
24.63
32.78
41.21
22.19
14.39
43.54
14.63
8.20
2.71
10.14
7.57
65.09
13.17
4.74
5.32
54.94
23.40
3.96
2.49
12.79
7.64
4.61
5.84
3.16
5.33
2.76
0.46
5.40
1.75
0.66
3.35
1.21
0.17
1.43
7.97
4.11
8.46
3.03
5.84
2.15
0.29
212
150
64
1,312
2,615
3,773
77
446
715
304
461
381
49
12
33
327
44
202
236
165
587
2,718
5,286
409
1,041
477
1,332
9,740
335
747
1,342
797
3,374
1,170
1,101
504
494
88
108
764
664
396
5,364
4,154
2,119
56,522
70,778
71,571
4,242
12,248
15,349
2,326
5,420
2,847
2,234
202
158
933
1,955
4,099
1,829
702
10,647
37,598
36,617
4,747
4,048
4,987
4,767
10,311
4,693
1,861
1,342
6,430
5,524
1,170
4,602
6,802
2,475
1,778
843
9,826
2,806
405
25.30
27.69
33.11
43.08
27.07
18.97
55.09
27.46
21.47
7.65
11.76
7.47
45.59
16.83
4.79
2.85
44.43
20.29
7.75
4.25
18.14
13.83
6.93
11.61
3.89
10.45
3.58
1.06
14.01
2.49
1.00
8.07
1.64
1.00
4.18
13.50
5.01
20.20
7.81
12.86
4.23
1.02
128,970
122,333
162,782
204,665
110,193
71,473
216,203
72,656
40,719
13,472
50,379
37,568
323,228
65,423
23,561
26,396
272,835
116,221
19,657
12,389
63,507
37,924
22,912
29,009
15,716
26,450
13,683
2,269
26,794
8,704
3,288
16,659
6,031
847
7,084
39,575
20,416
42,027
15,046
29,016
10,670
1,439
Direct
104,744
105,530
138,630
163,564
88,608
56,878
180,930
59,851
31,856
10,271
42,264
30,996
289,636
54,065
19,738
23,739
223,035
95,249
15,696
9,946
51,650
30,361
18,446
23,061
12,844
20,830
10,973
1,727
20,652
6,800
2,572
12,831
4,690
633
5,517
31,178
16,285
32,307
11,098
22,381
8,335
1,018
Ohead
24,227
16,803
24,153
41,101
21,585
14,595
35,273
12,806
8,862
3,201
8,115
6,572
33,593
11,358
3,824
2,657
49,799
20,972
3,961
2,443
11,857
7,563
4,466
5,948
2,872
5,619
2,711
542
6,142
1,904
716
3,828
1,342
214
1,568
8,397
4,131
9,720
3,948
6,635
2,334
422
Average Component Cost per DRG ($)
Ward Medical
Ward Nursing
Direct
Direct
21,408
10,651
16,578
8,694
6,228
4,091
18,008
3,986
3,532
1,085
4,649
4,699
14,314
5,067
1,063
635
7,642
5,829
1,453
983
4,500
2,632
1,584
2,108
923
2,095
991
191
2,868
793
199
1,654
448
52
1,225
2,545
1,016
3,874
1,317
2,351
808
84
Ohead
4,171
1,478
1,326
914
618
480
1,240
2,776
780
361
1,208
1,266
2,426
1,272
76
81
579
174
199
127
432
316
181
442
121
194
106
24
304
83
30
200
65
33
102
271
142
2,396
780
610
125
19
15,200
9,778
10,758
8,265
5,551
4,222
48,351
14,073
9,978
3,662
5,814
4,820
18,421
8,566
2,007
1,177
3,364
3,398
3,351
1,779
6,470
5,594
2,870
4,697
1,691
3,664
1,265
111
5,034
1,114
151
2,819
521
209
1,929
4,986
1,158
8,608
3,583
5,771
1,955
220
Ohead
782
389
370
851
499
431
1,589
519
632
358
323
288
549
566
222
104
259
215
276
149
475
417
243
275
127
295
106
18
479
92
23
262
55
13
92
419
150
655
417
440
191
24
Non
Clinical
Salaries
Pathology
Direct
Ohead
DRG
4,987 5,514
653 A01Z
3,746 4,591
482 A03Z
4,922 5,716 1,048 A05Z
3,347 6,177
667 A06A
2,341 4,850
537 A06B
1,700 2,802
279 A06C
10,571 9,515 1,493 A07A
3,002 4,188
555 A07B
2,787 2,449
396 A08A
865
725
96 A08B
1,684 2,369
358 A09A
1,127 1,456
161 A09B
5,347 7,951 1,086 A10Z
3,620 1,530
98 A11A
848
51
10 A11B
457
61
10 A12Z
2,285 10,408
965 A40A
2,343 5,920 1,132 A40B
1,019
375
47 B01A
528
179
16 B01B
2,061 1,798
221 B02A
1,611 1,034
137 B02B
848
509
59 B02C
1,418
671
83 B03A
542
189
23 B03B
1,223
607
67 B04A
473
228
23 B04B
91
6
1 B05Z
1,714
810
109 B06A
377
111
14 B06B
101
79
7 B06C
955
345
41 B07A
230
35
4 B07B
82
36
9 B40Z
835
80
10 B41Z
1,377 1,420
152 B42A
430
735
69 B42B
2,677 1,025
62 B60A
1,131
196
19 B60B
1,885
569
68 B61A
574
154
21 B61B
153
254
52 B62Z
( National
NATIONAL HOSPITAL COST DATA COLLECTION
COST WEIGHTS FOR AR-DRG VERSION 7.0, Round 18 (2013-14)
Public Sector - Sample
)
V7.0 Public Sector
Average Component Cost per DRG ($)
Imaging
DRG
A01Z
A03Z
A05Z
A06A
A06B
A06C
A07A
A07B
A08A
A08B
A09A
A09B
A10Z
A11A
A11B
A12Z
A40A
A40B
B01A
B01B
B02A
B02B
B02C
B03A
B03B
B04A
B04B
B05Z
B06A
B06B
B06C
B07A
B07B
B40Z
B41Z
B42A
B42B
B60A
B60B
B61A
B61B
B62Z
Direct
2,066
1,520
1,542
3,624
2,677
1,262
1,494
1,108
802
211
1,173
793
2,338
1,057
88
192
4,457
1,969
477
317
4,705
1,467
1,056
704
284
989
342
2
792
75
7
372
33
11
251
975
519
1,018
429
781
380
2
Allied
Ohead
315
374
321
642
459
226
207
196
174
37
201
133
493
143
17
34
901
444
94
60
684
241
160
119
47
161
52
0
136
14
2
78
8
3
39
176
101
179
63
138
74
1
Direct
2,802
3,523
5,108
6,046
3,028
2,280
7,277
2,826
1,292
344
925
654
8,661
3,071
633
245
4,634
3,958
464
165
1,697
1,259
495
871
291
804
165
12
1,422
245
26
543
61
9
513
1,577
522
2,781
794
1,775
405
19
Pharmacy
Ohead
497
850
1,195
1,464
786
561
1,321
526
316
113
273
151
3,089
577
554
257
997
654
163
77
496
361
174
301
140
247
78
6
399
91
13
171
28
12
73
385
111
690
194
476
153
18
Direct
7,745
17,004
15,600
4,015
2,651
1,590
56,981
18,457
6,506
2,499
12,060
7,991
9,087
1,785
420
119
5,882
2,492
246
135
957
846
238
560
128
298
91
12
566
101
21
297
42
62
128
778
208
1,191
286
709
146
100
Ohead
Critical Care
Direct
238 16,625
284 26,920
271 40,674
271 95,274
167 40,667
113 28,559
2,540 18,997
833
6,590
339
2,013
108
9
337
2,394
315
129
216 75,107
69
8,891
41
387
10
110
324 147,074
175 44,874
23
828
14
79
56 13,594
49
3,759
18
1,566
909
48
14
347
21
2,841
6
1,201
1
1
48
1,609
12
148
3
0
27
724
4
29
9
3
15
38
56 13,223
21
8,664
78
2,607
21
633
52
1,768
11
279
3
33
Oper Rooms
Ohead
Direct
3,162
4,155
6,423
21,155
8,734
6,331
3,419
1,096
441
2
467
34
10,974
1,321
87
21
28,443
8,335
183
18
2,963
829
355
214
80
643
276
0
379
28
0
177
7
0
10
2,878
1,908
477
132
438
69
2
16,983
13,654
18,440
7,681
8,408
3,541
1,705
346
208
157
7,095
6,592
19,506
5,381
2,697
4,086
12,089
12,652
4,011
3,417
5,460
6,535
5,418
6,020
4,963
4,807
4,392
1,119
2,462
2,913
1,646
2,707
2,457
12
42
448
403
2,971
987
2,240
1,486
39
Ohead
2,101
1,804
2,754
1,440
1,559
669
264
68
33
33
1,104
1,224
2,811
945
616
920
1,844
2,096
808
661
1,200
1,341
1,084
1,211
989
914
800
272
558
586
371
543
525
2
7
102
75
542
178
455
296
7
Emerg Depts
Direct
349
347
388
817
843
751
97
60
29
13
143
77
233
127
5
20
550
547
672
439
879
583
298
277
101
505
173
5
592
52
2
832
335
0
64
1,059
1,064
428
452
698
560
3
Ohead
61
80
108
188
188
177
17
11
9
4
30
15
48
35
1
3
105
115
172
111
195
138
77
69
26
119
44
1
137
16
1
212
92
0
14
231
249
96
122
173
145
1
Supplies
Direct
4,831
5,704
7,725
2,726
1,579
914
6,155
2,920
1,445
488
1,257
766
13,059
1,527
349
235
1,661
2,477
602
305
1,591
1,006
503
739
248
573
247
33
723
145
55
386
97
150
254
562
187
1,150
428
860
239
134
Ohead
3,258
1,344
2,234
2,190
1,519
1,026
6,078
1,639
1,578
617
1,060
857
2,637
1,425
459
280
1,424
1,518
557
321
1,329
1,043
561
931
323
738
281
43
1,072
245
48
612
127
43
377
931
236
1,232
574
1,033
346
106
Spec Proc Suites
Direct
11
170
1,069
473
448
131
0
26
16
13
19
1
468
0
85
41
818
472
2
0
604
108
109
48
20
154
77
7
151
18
13
59
9
0
0
34
19
27
25
46
11
0
Prostheses
OnCosts
Hotel
Deprec
No. of
Hosps
Ohead
2
1,038
29
1,176
178
1,669
77
2,414
75
2,350
23
417
0
69
6
69
2
36
4
13
4
377
0
329
95 101,781
0 11,575
24 10,871
28 15,823
157
2,110
64
1,746
2
1,408
0
1,084
76
3,706
22
1,945
16
1,781
15
2,885
6
2,411
20
1,061
10
663
1
19
24
972
3
327
3
86
14
488
2
91
0
0
0
3
7
23
3
22
2
1,889
7
246
15
1,883
4
950
0
1
7,578
7,032
9,780
14,963
7,846
5,260
10,932
3,432
2,531
762
3,121
1,961
14,344
3,506
1,008
759
19,902
7,770
1,303
761
4,022
2,580
1,413
1,758
885
1,883
879
149
1,900
550
210
1,139
377
53
559
2,961
1,410
2,753
958
1,861
635
86
4,068
3,500
3,916
4,551
2,478
1,623
3,112
1,994
1,411
536
993
824
4,732
2,140
476
344
6,564
1,884
483
336
1,394
1,048
601
859
355
846
335
59
824
258
80
576
174
19
214
974
417
1,668
618
1,040
345
37
2,526
1,748
2,671
5,737
3,106
2,016
4,770
1,353
983
355
941
905
3,457
1,129
465
343
7,394
2,968
440
329
1,942
1,022
694
776
445
682
379
83
712
292
110
426
177
23
210
1,028
579
952
452
880
307
42
9
4
5
86
91
109
6
18
39
36
21
15
9
10
19
35
16
32
32
30
33
42
54
46
60
56
69
206
81
117
158
111
146
24
25
86
90
31
35
111
130
23
DRG
A01Z
A03Z
A05Z
A06A
A06B
A06C
A07A
A07B
A08A
A08B
A09A
A09B
A10Z
A11A
A11B
A12Z
A40A
A40B
B01A
B01B
B02A
B02B
B02C
B03A
B03B
B04A
B04B
B05Z
B06A
B06B
B06C
B07A
B07B
B40Z
B41Z
B42A
B42B
B60A
B60B
B61A
B61B
B62Z
( National
NATIONAL HOSPITAL COST DATA COLLECTION
COST WEIGHTS FOR AR-DRG VERSION 7.0, Round 18 (2013-14)
Public Sector - Sample
DRG Description
DRG
B63Z
B64A
B64B
B65A
B65B
B66A
B66B
B66C
B67A
B67B
B67C
B68A
B68B
B69A
B69B
B70A
B70B
B70C
B70D
B71A
B71B
B71C
B72A
B72B
B73Z
B74A
B74B
B75Z
B76A
B76B
B76C
B77Z
B78A
B78B
B78C
B79A
B79B
B80A
B80B
B81A
B81B
B82A
Dementia and Other Chronic Disturbances of Cerebral Function
Delirium W Catastrophic CC
Delirium W/O Catastrophic CC
Cerebral Palsy
Cerebral Palsy, Sameday
Nervous System Neoplasms W Radiotherapy
Nervous System Neoplasms W/O Radiotherapy W Catastrophic or
Nervous System Neoplasms W/O Radiotherapy W/O Catastrophic
Degenerative Nervous System Disorders W Catastrophic or Sever
Degenerative Nervous System Disorders W/O Catastrophic or Sev
Degenerative Nervous System Disorders, Sameday
Multiple Sclerosis and Cerebellar Ataxia W CC
Multiple Sclerosis and Cerebellar Ataxia W/O CC
TIA and Precerebral Occlusion W Catastrophic or Severe CC
TIA and Precerebral Occlusion W/O Catastrophic or Severe CC
Stroke & Other Cerebrovascular Disorders W Catastrophic CC
Stroke & Other Cerebrovascular Disorders W Severe CC
Stroke & Other Cerebrovascular Disorders W/O Catastrophic or Se
Stroke & Other Cerebrovascular Disorders, Died/Trans Acute Faci
Cranial and Peripheral Nerve Disorders W CC
Cranial and Peripheral Nerve Disorders W/O CC
Cranial and Peripheral Nerve Disorders, Sameday
Nervous System Infection Except Viral Meningitis W Cat or Sev CC
Nervous System Infection Except Viral Meningitis W/O Cat or Sev
Viral Meningitis
Nontraumatic Stupor and Coma W Catastrophic or Severe CC
Nontraumatic Stupor and Coma W/O Catastrophic or Severe CC
Febrile Convulsions
Seizures W Catastrophic or Severe CC
Seizures W/O Catastrophic or Severe CC
Seizures, Sameday
Headache
Intracranial Injuries W Catastrophic or Severe CC
Intracranial Injuries W/O Catastrophic or Severe CC
Intracranial Injuries, Died or Transferred to Acute Facility <5 Days
Skull Fractures W Catastrophic or Severe CC
Skull Fractures W/O Catastrophic or Severe CC
Other Head Injuries W Catastrophic or Severe CC
Other Head Injuries W/O Catastrophic or Severe CC
Other Disorders of the Nervous System W Catastrophic or Severe
Other Disorders of the Nervous System W/O Catastrophic or Seve
Chronic and Unspec Para/Quadriplegia W or W/O OR Proc W Ski
)
V7.0 Public Sector
Cost
Number
Number
ALOS
Average Cost per DRG ($)
Weight
of Seps
of Days
(Days)
Total
2.58
2.72
1.30
2.27
0.31
4.25
2.07
0.97
3.04
1.44
0.16
2.02
0.43
1.38
0.72
3.61
1.97
1.37
0.77
2.15
1.12
0.16
4.37
1.32
1.01
1.73
0.61
0.49
1.96
0.86
0.26
0.45
2.87
1.28
0.70
1.79
0.76
1.07
0.36
2.08
0.84
19.63
7,918
3,038
6,686
138
1,860
349
2,243
2,810
2,345
3,207
8,054
835
15,361
2,754
9,546
7,160
7,033
7,950
4,289
2,364
2,996
15,980
882
2,000
1,873
603
1,203
1,995
4,709
14,612
8,997
27,010
1,986
3,434
1,099
219
1,465
976
17,616
4,679
11,994
81
85,237
31,622
30,980
808
1,860
4,664
15,065
7,805
24,659
16,155
8,054
5,408
18,670
12,007
19,930
86,317
42,863
32,021
7,937
16,061
10,377
15,980
11,552
8,402
5,444
3,191
2,082
2,604
25,299
31,701
8,997
40,641
17,867
12,051
1,743
1,031
2,702
3,326
20,653
34,148
29,926
5,098
10.76
10.41
4.63
5.86
1.00
13.36
6.72
2.78
10.52
5.04
1.00
6.48
1.22
4.36
2.09
12.06
6.09
4.03
1.85
6.79
3.46
1.00
13.10
4.20
2.91
5.29
1.73
1.31
5.37
2.17
1.00
1.50
9.00
3.51
1.59
4.71
1.84
3.41
1.17
7.30
2.50
62.94
12,825
13,523
6,463
11,289
1,521
21,113
10,267
4,810
15,090
7,146
807
10,034
2,159
6,838
3,598
17,927
9,777
6,793
3,807
10,653
5,550
788
21,698
6,566
5,009
8,569
3,019
2,454
9,713
4,248
1,303
2,254
14,228
6,337
3,489
8,868
3,754
5,306
1,811
10,310
4,164
97,489
Direct
9,327
10,061
4,816
8,250
1,131
15,510
7,655
3,636
11,346
5,288
652
7,722
1,879
5,147
2,717
13,525
7,391
5,148
2,960
8,020
4,191
614
16,876
5,015
3,819
6,458
2,307
1,864
7,422
3,211
1,021
1,720
10,805
4,798
2,716
6,737
2,851
3,951
1,375
7,693
3,151
69,030
Ohead
3,498
3,463
1,648
3,039
390
5,602
2,612
1,174
3,744
1,858
154
2,311
280
1,691
881
4,402
2,386
1,646
847
2,633
1,359
174
4,822
1,550
1,190
2,111
712
590
2,291
1,037
281
533
3,423
1,539
773
2,132
904
1,355
436
2,617
1,013
28,459
Average Component Cost per DRG ($)
Ward Medical
Ward Nursing
Direct
Direct
1,614
1,714
802
1,867
170
3,119
1,214
521
1,851
956
100
1,195
121
784
360
2,010
1,125
789
325
1,405
767
104
2,683
879
681
1,272
290
342
1,169
556
87
223
1,540
727
269
880
385
585
149
1,343
515
11,453
Ohead
244
204
115
344
13
544
186
77
284
139
23
174
18
103
46
247
148
103
42
214
112
17
347
123
86
119
39
51
151
79
14
36
205
93
36
103
56
73
27
161
70
7,808
3,843
3,575
1,599
2,695
184
5,111
2,570
989
3,884
1,732
119
2,489
170
1,488
595
4,569
2,197
1,339
510
2,516
1,195
130
5,040
1,577
1,095
1,859
474
472
2,062
823
101
349
3,502
1,357
468
1,703
609
894
212
2,537
753
26,938
Ohead
409
390
186
335
15
439
273
113
442
220
19
234
21
188
86
436
252
175
65
285
144
18
522
159
111
212
62
40
220
97
16
47
331
141
60
161
64
136
37
283
93
2,167
Non
Clinical
Salaries
1,121
1,123
499
1,015
119
1,793
819
371
1,238
607
67
810
93
466
220
1,326
666
445
316
901
444
83
1,650
531
358
589
190
156
678
299
58
140
1,001
402
209
800
244
399
93
834
294
9,058
Pathology
Direct
178
349
138
135
7
284
187
99
302
122
107
274
20
143
62
373
178
125
68
302
119
54
663
233
182
189
52
51
239
81
31
41
318
97
74
185
35
123
13
244
81
1,270
Ohead
21
34
13
14
1
32
21
12
34
13
4
28
3
14
6
41
18
12
6
34
14
4
76
22
16
20
4
6
26
8
3
4
35
10
7
18
4
12
1
27
10
183
DRG
B63Z
B64A
B64B
B65A
B65B
B66A
B66B
B66C
B67A
B67B
B67C
B68A
B68B
B69A
B69B
B70A
B70B
B70C
B70D
B71A
B71B
B71C
B72A
B72B
B73Z
B74A
B74B
B75Z
B76A
B76B
B76C
B77Z
B78A
B78B
B78C
B79A
B79B
B80A
B80B
B81A
B81B
B82A
( National
NATIONAL HOSPITAL COST DATA COLLECTION
COST WEIGHTS FOR AR-DRG VERSION 7.0, Round 18 (2013-14)
Public Sector - Sample
)
V7.0 Public Sector
Average Component Cost per DRG ($)
Imaging
DRG
B63Z
B64A
B64B
B65A
B65B
B66A
B66B
B66C
B67A
B67B
B67C
B68A
B68B
B69A
B69B
B70A
B70B
B70C
B70D
B71A
B71B
B71C
B72A
B72B
B73Z
B74A
B74B
B75Z
B76A
B76B
B76C
B77Z
B78A
B78B
B78C
B79A
B79B
B80A
B80B
B81A
B81B
B82A
Direct
151
280
148
229
39
450
395
316
306
182
23
347
34
324
241
566
464
437
169
360
230
14
679
209
101
143
81
28
241
112
86
111
417
233
157
318
152
174
71
295
291
390
Allied
Ohead
26
46
26
50
9
80
67
63
55
32
4
63
6
56
43
94
80
76
29
63
39
3
118
37
17
26
15
5
43
21
16
19
78
49
31
67
32
37
16
51
53
58
Direct
772
760
285
855
153
1,634
572
178
994
375
20
646
28
395
146
1,641
754
375
184
554
211
16
762
181
49
302
83
23
435
120
18
41
833
263
123
381
120
200
35
608
162
4,394
Pharmacy
Ohead
205
212
76
215
23
299
151
51
250
97
6
148
8
102
38
403
182
91
45
142
54
6
224
49
26
86
24
12
103
30
6
13
225
74
33
100
35
56
11
168
40
1,024
Direct
203
317
119
214
55
878
458
193
413
211
54
520
1,289
131
49
385
184
125
42
298
95
31
1,827
235
104
163
51
17
254
77
18
34
264
81
46
107
31
66
11
245
61
2,017
Ohead
24
30
14
27
4
57
34
15
35
15
4
28
60
16
6
32
19
13
3
24
10
2
107
20
11
18
5
2
25
9
2
3
23
8
6
11
4
9
1
23
7
145
Critical Care
Direct
53
201
67
164
0
20
97
41
511
53
1
165
2
84
19
412
206
125
219
256
49
0
1,132
179
82
556
166
69
752
141
6
9
816
254
235
646
103
255
31
127
38
931
Ohead
12
46
16
29
0
4
22
10
109
13
0
38
0
23
7
105
55
33
52
63
13
0
250
41
19
136
42
15
160
32
1
2
190
59
54
160
24
64
7
29
11
222
Oper Rooms
Direct
14
34
13
413
303
34
58
208
94
49
38
92
14
14
10
38
21
26
28
79
112
55
234
88
16
28
9
19
32
36
65
30
65
38
28
106
99
14
8
37
103
5,105
Ohead
4
9
3
72
71
6
16
45
21
10
10
18
3
3
2
11
5
7
6
14
19
11
48
21
3
6
2
4
8
8
13
7
24
11
5
25
21
3
2
10
22
1,127
Emerg Depts
Direct
706
995
842
171
3
466
689
414
769
599
48
544
46
981
841
1,113
1,035
940
880
709
648
57
912
548
946
916
764
585
999
760
479
634
1,175
1,015
916
1,217
901
1,012
676
847
560
151
Ohead
197
238
214
42
1
114
174
108
197
160
11
135
12
254
220
261
250
233
206
185
173
14
224
141
235
241
190
158
247
203
122
165
297
259
225
294
236
263
179
210
144
40
Supplies
Direct
375
407
172
348
49
792
347
159
453
208
43
291
36
166
77
501
249
177
104
330
162
42
652
214
122
203
61
56
242
105
24
48
408
159
89
207
93
108
34
309
132
3,865
Ohead
722
679
296
556
73
1,232
526
206
721
365
21
424
42
272
125
812
404
265
106
490
239
30
874
285
207
371
93
91
398
167
24
69
603
247
89
328
123
202
41
501
169
4,582
Spec Proc Suites
Direct
3
5
1
12
3
295
4
5
51
23
3
17
1
7
8
25
15
21
5
10
4
4
22
2
1
16
7
0
7
2
4
1
7
4
0
2
0
2
0
8
16
18
Prostheses
OnCosts
Hotel
Deprec
No. of
Hosps
Ohead
1
1
1
3
1
101
1
1
10
6
0
2
0
2
1
6
3
4
1
3
0
1
4
0
0
3
1
0
1
0
1
0
1
1
0
0
0
1
0
2
3
5
3
4
2
23
14
8
8
14
9
6
5
12
1
7
5
19
15
26
5
8
7
7
14
4
2
4
1
3
5
3
5
3
11
8
8
2
3
5
2
11
31
285
993
997
424
759
105
1,515
714
307
1,140
518
45
729
78
418
197
1,316
651
424
212
757
375
53
1,502
417
298
587
171
139
671
256
56
120
972
369
166
528
194
312
77
740
260
6,827
607
571
242
314
30
875
397
147
562
256
14
380
25
234
103
753
359
228
93
381
179
16
648
196
139
304
79
54
315
119
18
56
555
216
80
291
93
162
37
407
124
4,554
325
300
150
389
75
932
267
148
356
178
19
230
28
163
86
433
242
181
86
270
136
17
484
173
102
198
59
55
231
107
29
46
329
160
74
227
94
138
41
253
119
2,872
260
182
269
43
51
49
178
197
198
232
177
116
179
192
253
198
205
226
258
204
226
225
149
208
173
137
177
174
212
266
253
289
147
177
179
92
176
180
286
206
264
27
DRG
B63Z
B64A
B64B
B65A
B65B
B66A
B66B
B66C
B67A
B67B
B67C
B68A
B68B
B69A
B69B
B70A
B70B
B70C
B70D
B71A
B71B
B71C
B72A
B72B
B73Z
B74A
B74B
B75Z
B76A
B76B
B76C
B77Z
B78A
B78B
B78C
B79A
B79B
B80A
B80B
B81A
B81B
B82A
( National
NATIONAL HOSPITAL COST DATA COLLECTION
COST WEIGHTS FOR AR-DRG VERSION 7.0, Round 18 (2013-14)
Public Sector - Sample
DRG Description
DRG
B82B
B82C
C01Z
C02Z
C03Z
C04Z
C05Z
C10Z
C11Z
C12Z
C13Z
C14Z
C15Z
C16Z
C60A
C60B
C61A
C61B
C62A
C62B
C63A
C63B
D01Z
D02A
D02B
D02C
D03Z
D04Z
D05Z
D06Z
D10Z
D11Z
D12A
D12B
D13Z
D14A
D14B
D15Z
D40Z
D60A
D60B
D60C
Chronic and Unspec Para/Quadriplegia W or W/O OR Proc W Cat
Chronic and Unspec Para/Quadriplegia W or W/O OR Proc W/O C
Procedures for Penetrating Eye Injury
Enucleations and Orbital Procedures
Retinal Procedures
Major Corneal, Scleral and Conjunctival Procedures
Dacryocystorhinostomy
Strabismus Procedures
Eyelid Procedures
Other Corneal, Scleral and Conjunctival Procedures
Lacrimal Procedures
Other Eye Procedures
Glaucoma and Complex Cataract Procedures
Lens Procedures
Acute and Major Eye Infections W CC
Acute and Major Eye Infections W/O CC
Neurological and Vascular Disorders of the Eye W CC
Neurological and Vascular Disorders of the Eye W/O CC
Hyphaema and Medically Managed Trauma to the Eye W CC
Hyphaema and Medically Managed Trauma to the Eye W/O CC
Other Disorders of the Eye W CC
Other Disorders of the Eye W/O CC
Cochlear Implant
Head and Neck Procedures W Microvascular Tissue Transfer or W
Head and Neck Procedures W Malignancy or W Mod CC
Head and Neck Procedures W/O Malignancy W/O CC
Surgical Repair for Cleft Lip and Palate Disorders
Maxillo Surgery
Parotid Gland Procedures
Sinus and Complex Middle Ear Procedures
Nasal Procedures
Tonsillectomy and/or Adenoidectomy
Other Ear, Nose, Mouth and Throat Procedures W CC
Other Ear, Nose, Mouth and Throat Procedures W/O CC
Myringotomy W Tube Insertion
Mouth and Salivary Gland Procedures W CC
Mouth and Salivary Gland Procedures W/O CC
Mastoid Procedures
Dental Extractions and Restorations
Ear, Nose, Mouth and Throat Malignancy W Catastrophic or Sever
Ear, Nose, Mouth and Throat Malignancy W/O Catastrophic or Sev
Ear, Nose, Mouth and Throat Malignancy, Sameday
)
V7.0 Public Sector
Cost
Number
Number
ALOS
Average Cost per DRG ($)
Weight
of Seps
of Days
(Days)
Total
5.43
1.74
1.99
2.03
0.74
1.64
0.98
0.79
0.70
0.77
0.49
0.58
0.83
0.55
2.13
1.30
1.31
0.61
0.86
0.39
0.86
0.51
6.11
6.24
3.13
1.80
1.89
2.01
2.26
1.29
0.98
0.74
2.26
0.86
0.42
1.84
0.84
2.07
0.61
2.75
1.14
0.35
1,375
3,296
697
664
10,129
834
806
1,876
3,666
3,021
534
1,831
3,124
59,794
399
827
557
1,526
904
3,040
1,004
3,727
600
536
303
495
659
3,857
834
6,502
6,707
17,262
836
5,405
5,951
559
3,950
1,020
19,178
934
1,139
1,103
20,624
16,789
2,049
2,239
12,932
2,010
898
1,886
4,152
4,429
691
2,779
4,279
60,324
2,753
3,291
2,225
2,968
2,435
3,889
2,802
6,088
706
5,463
1,302
1,011
1,490
8,526
2,024
7,545
7,203
19,181
3,848
7,091
6,520
1,793
5,453
1,714
20,805
7,281
3,009
1,103
15.00
5.09
2.94
3.37
1.28
2.41
1.11
1.01
1.13
1.47
1.29
1.52
1.37
1.01
6.90
3.98
3.99
1.94
2.69
1.28
2.79
1.63
1.18
10.19
4.30
2.04
2.26
2.21
2.43
1.16
1.07
1.11
4.60
1.31
1.10
3.21
1.38
1.68
1.08
7.80
2.64
1.00
26,975
8,616
9,875
10,094
3,668
8,130
4,860
3,927
3,498
3,808
2,421
2,897
4,129
2,749
10,582
6,461
6,487
3,025
4,251
1,943
4,293
2,516
30,334
31,007
15,542
8,948
9,372
9,997
11,245
6,383
4,871
3,656
11,245
4,277
2,090
9,133
4,183
10,279
3,041
13,641
5,672
1,732
Direct
20,630
6,524
7,646
7,795
2,770
6,106
3,678
3,022
2,674
2,860
1,825
2,177
3,084
2,141
7,828
4,769
4,934
2,292
3,168
1,465
3,198
1,887
26,940
24,756
12,471
7,080
7,382
8,038
8,989
4,940
3,780
2,796
8,728
3,355
1,606
7,108
3,274
8,042
2,288
10,148
4,360
1,386
Ohead
6,345
2,092
2,229
2,299
897
2,024
1,183
905
825
948
596
720
1,045
608
2,754
1,693
1,554
733
1,084
478
1,096
628
3,394
6,251
3,071
1,868
1,989
1,959
2,256
1,442
1,091
860
2,517
922
484
2,025
909
2,237
753
3,493
1,311
346
Average Component Cost per DRG ($)
Ward Medical
Ward Nursing
Direct
Direct
2,816
962
1,536
1,182
367
827
445
363
460
556
329
443
431
481
1,976
1,411
838
387
551
206
742
418
600
2,648
1,326
820
1,212
763
751
722
610
463
1,294
393
248
918
347
801
178
1,714
631
117
Ohead
533
206
168
154
65
95
58
27
35
52
20
52
51
27
230
188
113
46
69
30
90
50
46
323
180
69
44
92
102
55
41
42
123
34
22
106
41
91
40
412
177
36
6,613
1,898
1,124
1,272
324
918
299
134
187
326
187
304
301
103
2,568
1,526
1,305
490
868
269
845
382
555
3,747
1,711
920
1,256
861
976
414
390
504
1,589
352
162
1,008
328
661
174
3,166
997
105
Ohead
642
226
162
167
67
175
70
32
33
64
45
55
60
20
314
250
159
71
108
40
119
55
96
296
156
83
66
87
109
68
56
61
136
39
19
95
41
115
24
344
127
14
Non
Clinical
Salaries
1,956
658
468
492
173
404
158
100
120
171
110
150
158
87
878
533
497
203
316
116
350
182
284
1,307
592
379
509
355
405
230
189
187
587
171
84
445
171
285
124
1,109
399
78
Pathology
Direct
664
153
50
304
14
57
18
5
17
37
32
62
15
2
216
74
194
99
73
12
103
39
22
762
396
119
22
44
292
53
18
28
219
59
11
240
109
94
11
324
130
82
Ohead
69
14
5
36
2
5
2
1
2
4
3
7
2
0
19
7
21
12
7
1
11
4
3
88
44
12
4
6
27
6
2
3
23
6
2
25
10
11
1
29
12
7
DRG
B82B
B82C
C01Z
C02Z
C03Z
C04Z
C05Z
C10Z
C11Z
C12Z
C13Z
C14Z
C15Z
C16Z
C60A
C60B
C61A
C61B
C62A
C62B
C63A
C63B
D01Z
D02A
D02B
D02C
D03Z
D04Z
D05Z
D06Z
D10Z
D11Z
D12A
D12B
D13Z
D14A
D14B
D15Z
D40Z
D60A
D60B
D60C
( National
NATIONAL HOSPITAL COST DATA COLLECTION
COST WEIGHTS FOR AR-DRG VERSION 7.0, Round 18 (2013-14)
Public Sector - Sample
)
V7.0 Public Sector
Average Component Cost per DRG ($)
Imaging
DRG
B82B
B82C
C01Z
C02Z
C03Z
C04Z
C05Z
C10Z
C11Z
C12Z
C13Z
C14Z
C15Z
C16Z
C60A
C60B
C61A
C61B
C62A
C62B
C63A
C63B
D01Z
D02A
D02B
D02C
D03Z
D04Z
D05Z
D06Z
D10Z
D11Z
D12A
D12B
D13Z
D14A
D14B
D15Z
D40Z
D60A
D60B
D60C
Direct
551
146
52
97
5
9
5
1
9
6
13
12
7
1
124
55
411
251
94
53
117
72
57
301
112
45
5
136
24
14
3
5
248
29
6
145
28
36
8
329
133
70
Allied
Ohead
94
26
10
20
1
2
1
0
2
1
2
2
2
0
22
12
71
45
20
12
18
15
15
61
23
11
2
32
4
3
1
1
53
5
1
27
6
8
2
63
26
13
Direct
1,223
298
108
91
18
38
14
18
16
20
19
21
25
11
251
69
242
73
129
40
83
39
259
877
298
105
127
139
56
20
11
15
237
30
11
167
32
39
41
920
244
51
Pharmacy
Ohead
315
83
44
55
12
44
17
8
10
11
10
13
18
13
91
40
66
21
38
14
31
17
340
251
83
42
47
59
32
18
14
13
78
14
7
47
14
22
8
206
46
10
Direct
950
226
189
256
104
228
60
40
27
81
29
80
107
29
549
272
193
50
53
22
222
120
111
369
136
63
62
90
65
99
44
43
218
39
21
115
39
149
22
617
359
46
Critical Care
Ohead
74
21
25
30
11
28
8
5
4
12
5
8
14
4
63
30
17
6
6
3
17
10
22
23
13
8
14
9
7
10
6
5
17
4
2
8
4
22
3
34
21
2
Direct
1,922
210
36
87
3
4
1
1
5
3
0
3
6
0
81
5
16
6
50
3
31
4
19
2,247
716
243
345
214
89
24
27
29
860
94
3
1,027
160
45
26
228
35
2
Ohead
460
54
9
19
1
2
0
0
1
1
0
1
2
0
28
2
6
2
16
1
7
1
5
506
172
52
63
50
21
6
7
6
200
20
1
258
39
8
6
52
9
0
Oper Rooms
Direct
958
654
2,836
2,975
1,367
2,370
2,268
2,051
1,476
1,337
868
848
1,503
974
57
57
101
102
29
81
110
218
4,300
9,358
5,831
3,501
3,358
3,451
5,367
2,920
2,152
1,234
2,169
1,743
874
2,078
1,607
5,102
1,419
459
748
641
Ohead
199
137
650
697
357
626
567
496
376
356
215
221
459
272
15
16
21
25
6
18
25
53
1,023
1,748
1,075
703
595
713
1,054
661
488
285
434
361
204
416
350
1,171
364
91
164
132
Emerg Depts
Direct
759
512
405
141
36
31
21
5
69
13
38
35
25
3
558
369
730
447
817
574
362
262
14
89
48
40
8
280
7
14
8
39
406
119
14
299
120
36
36
313
93
26
Ohead
195
135
104
38
12
10
6
2
19
4
11
11
9
1
155
116
185
116
221
154
99
74
1
20
14
13
3
77
2
4
3
12
101
31
4
75
31
10
10
84
27
7
Supplies
Direct
900
311
281
319
143
192
88
81
96
114
86
100
214
68
428
309
182
81
104
46
142
92
138
739
284
145
172
158
186
81
62
67
279
62
32
193
73
128
64
498
186
33
Ohead
1,102
353
280
278
80
209
94
69
77
102
74
90
101
60
564
329
267
116
174
59
216
106
199
765
339
205
327
214
216
143
106
116
377
97
54
268
89
170
64
651
192
27
Spec Proc Suites
Direct
35
37
5
1
1
0
0
0
6
2
0
1
8
26
7
0
20
8
0
1
1
3
0
30
20
10
0
18
19
6
25
30
17
8
0
8
12
8
1
52
154
14
Prostheses
OnCosts
Hotel
Deprec
No. of
Hosps
Ohead
10
8
1
0
0
0
0
0
1
1
0
0
2
3
1
0
3
2
0
0
0
1
0
7
3
2
0
3
2
1
3
3
3
1
0
1
2
1
0
17
24
3
322
186
141
235
80
904
74
15
29
66
20
11
147
275
11
7
13
5
2
1
11
7
21,014
604
202
285
37
1,024
116
59
32
23
145
44
45
33
35
85
14
17
21
20
1,849
556
651
626
236
489
316
260
211
227
161
192
260
136
703
407
437
191
252
97
277
149
527
2,304
994
567
584
625
763
417
314
239
796
288
136
644
276
702
196
972
363
111
1,067
318
238
215
84
225
118
83
87
105
61
79
91
59
389
208
202
84
140
42
124
63
304
825
367
246
223
246
269
147
117
94
343
107
50
228
105
226
85
514
164
32
699
228
297
308
105
237
153
127
122
135
83
95
113
95
285
172
175
87
110
49
142
78
381
711
406
260
283
252
282
188
141
108
293
123
76
258
115
252
121
428
189
51
153
225
80
74
79
47
68
71
167
134
77
150
105
141
117
159
116
149
172
232
152
235
24
70
64
103
23
83
100
148
143
174
112
174
149
98
193
94
178
129
119
120
DRG
B82B
B82C
C01Z
C02Z
C03Z
C04Z
C05Z
C10Z
C11Z
C12Z
C13Z
C14Z
C15Z
C16Z
C60A
C60B
C61A
C61B
C62A
C62B
C63A
C63B
D01Z
D02A
D02B
D02C
D03Z
D04Z
D05Z
D06Z
D10Z
D11Z
D12A
D12B
D13Z
D14A
D14B
D15Z
D40Z
D60A
D60B
D60C
( National
NATIONAL HOSPITAL COST DATA COLLECTION
COST WEIGHTS FOR AR-DRG VERSION 7.0, Round 18 (2013-14)
Public Sector - Sample
DRG Description
DRG
D61A
D61B
D61C
D62A
D62B
D63A
D63B
D63C
D64Z
D65Z
D66A
D66B
D66C
D67A
D67B
E01A
E01B
E02A
E02B
E02C
E40A
E40B
E41A
E41B
E42A
E42B
E42C
E60A
E60B
E61A
E61B
E62A
E62B
E62C
E63Z
E64A
E64B
E65A
E65B
E66A
E66B
E66C
Dysequilibrium W CC
Dysequilibrium W/O CC
Dysequilibrium, Sameday
Epistaxis
Epistaxis, Sameday
Otitis Media and Upper Respiratory Infections W CC
Otitis Media and Upper Respiratory Infections W/O CC
Otitis Media and Upper Respiratory Infections, Sameday
Laryngotracheitis and Epiglottitis
Nasal Trauma and Deformity
Other Ear, Nose, Mouth and Throat Disorders W CC
Other Ear, Nose, Mouth and Throat Disorders W/O CC
Other Ear, Nose, Mouth and Throat Disorders, Sameday
Oral and Dental Disorders
Oral and Dental Disorders, Sameday
Major Chest Procedures W Catastrophic CC
Major Chest Procedures W/O Catastrophic CC
Other Respiratory System OR Procedures W Catastrophic CC
Other Respiratory System OR Procedures W Severe or Moderate
Other Respiratory System OR Procedures W/O CC
Respiratory System Disorders W Ventilator Support
Respiratory System Disorders W Vent Supp, Died/Trans Acute Fa
Respiratory System Disorders W Non-Invasive Ventilation W Cata
Respiratory System Disorders W Non-Invasive Ventilation W/O Ca
Bronchoscopy W Catastrophic CC
Bronchoscopy W/O Catastrophic CC
Bronchoscopy, Sameday
Cystic Fibrosis W Catastrophic or Severe CC
Cystic Fibrosis W/O Catastrophic or Severe CC
Pulmonary Embolism W Catastrophic CC
Pulmonary Embolism W/O Catastrophic CC
Respiratory Infections/Inflammations W Catastrophic CC
Respiratory Infections/Inflammations W Severe or Moderate CC
Respiratory Infections/Inflammations W/O CC
Sleep Apnoea
Pulmonary Oedema and Respiratory Failure
Pulmonary Oedema and Respiratory Failure, Died/Trans Acute Fa
Chronic Obstructive Airways Disease W Catastrophic CC
Chronic Obstructive Airways Disease W/O Catastrophic CC
Major Chest Trauma W Catastrophic CC
Major Chest Trauma W Severe or Moderate CC
Major Chest Trauma W/O CC
)
V7.0 Public Sector
Cost
Number
Number
ALOS
Average Cost per DRG ($)
Weight
of Seps
of Days
(Days)
Total
1.06
0.66
0.21
0.72
0.20
1.16
0.62
0.21
0.42
0.45
1.57
0.64
0.26
0.90
0.25
5.75
3.43
4.89
1.83
0.88
7.43
3.32
5.36
3.19
5.06
2.16
0.40
4.38
2.89
2.61
1.26
2.29
1.32
0.82
0.37
1.95
0.83
2.03
1.13
2.82
1.41
0.77
3,272
8,971
7,930
3,167
1,938
5,435
17,754
10,134
6,751
3,860
1,457
4,880
8,405
6,020
7,589
2,214
2,295
1,077
859
6,446
1,057
194
3,840
4,016
1,051
2,489
6,632
1,887
1,522
1,384
7,238
19,265
20,511
21,979
5,822
1,676
567
10,981
33,653
731
1,878
2,336
11,576
17,702
7,930
7,063
1,938
17,431
30,259
10,134
8,151
5,201
6,728
9,146
8,405
14,848
7,589
27,805
14,810
13,244
2,957
8,315
12,216
516
44,994
26,226
14,811
14,621
6,632
22,408
13,432
11,623
32,247
147,685
87,491
55,690
8,504
9,349
917
77,008
131,306
6,840
7,702
5,170
3.54
1.97
1.00
2.23
1.00
3.21
1.70
1.00
1.21
1.35
4.62
1.87
1.00
2.47
1.00
12.56
6.45
12.30
3.44
1.29
11.56
2.66
11.72
6.53
14.09
5.87
1.00
11.87
8.83
8.40
4.46
7.67
4.27
2.53
1.46
5.58
1.62
7.01
3.90
9.36
4.10
2.21
5,240
3,256
1,051
3,585
996
5,772
3,096
1,044
2,083
2,242
7,798
3,199
1,272
4,488
1,220
28,575
17,039
24,298
9,075
4,375
36,919
16,464
26,603
15,866
25,140
10,748
1,996
21,773
14,366
12,955
6,251
11,390
6,569
4,093
1,827
9,687
4,131
10,061
5,590
13,990
7,001
3,805
Direct
3,908
2,426
827
2,678
770
4,343
2,295
815
1,592
1,709
5,917
2,415
999
3,364
939
22,624
13,425
18,973
7,086
3,376
29,205
13,348
20,689
12,295
19,656
8,375
1,610
17,332
11,307
9,891
4,734
8,572
4,878
3,038
1,351
7,324
3,207
7,564
4,137
10,518
5,277
2,857
Ohead
1,332
830
224
907
226
1,428
800
228
491
533
1,881
784
274
1,124
281
5,951
3,614
5,325
1,990
999
7,714
3,116
5,914
3,571
5,483
2,373
386
4,441
3,058
3,063
1,517
2,818
1,691
1,055
476
2,363
924
2,497
1,453
3,472
1,724
948
Average Component Cost per DRG ($)
Ward Medical
Ward Nursing
Direct
Direct
663
360
51
541
69
781
458
87
261
213
1,092
457
109
601
74
2,748
1,881
2,515
932
467
2,322
568
2,454
1,570
3,092
1,387
144
3,033
1,936
1,549
796
1,381
845
552
181
1,159
303
1,297
755
1,618
822
422
Ohead
85
47
9
54
8
99
65
16
39
27
133
53
12
86
14
416
291
323
113
40
206
51
309
232
563
218
13
738
436
211
114
187
111
79
17
158
36
187
104
178
106
53
1,095
588
73
711
104
1,238
663
113
316
254
1,585
534
124
884
83
4,515
2,487
4,271
1,361
613
2,516
267
4,109
2,614
5,209
1,959
71
4,765
3,286
2,807
1,166
2,716
1,509
917
242
1,751
448
2,350
1,233
3,034
1,277
598
Ohead
146
89
13
88
13
131
80
15
33
35
180
71
13
113
12
335
198
381
123
56
247
37
374
220
503
207
12
257
231
285
141
308
206
128
33
199
54
292
191
297
155
84
Non
Clinical
Salaries
403
225
42
274
43
422
225
52
120
118
548
284
55
334
55
1,499
800
1,486
486
222
1,057
196
1,195
742
1,664
717
79
1,532
919
916
424
810
491
301
241
590
226
755
425
964
446
235
Pathology
Direct
115
46
13
91
18
181
58
24
17
20
172
44
26
77
12
1,047
556
957
324
59
1,465
870
872
411
1,575
660
267
450
303
459
193
372
200
101
17
291
122
306
137
335
116
44
Ohead
11
4
1
8
2
19
6
2
2
2
20
4
2
8
1
112
55
102
38
6
154
88
81
46
145
51
16
47
45
48
19
40
20
9
3
29
11
30
13
37
11
4
DRG
D61A
D61B
D61C
D62A
D62B
D63A
D63B
D63C
D64Z
D65Z
D66A
D66B
D66C
D67A
D67B
E01A
E01B
E02A
E02B
E02C
E40A
E40B
E41A
E41B
E42A
E42B
E42C
E60A
E60B
E61A
E61B
E62A
E62B
E62C
E63Z
E64A
E64B
E65A
E65B
E66A
E66B
E66C
( National
NATIONAL HOSPITAL COST DATA COLLECTION
COST WEIGHTS FOR AR-DRG VERSION 7.0, Round 18 (2013-14)
Public Sector - Sample
)
V7.0 Public Sector
Average Component Cost per DRG ($)
Imaging
DRG
D61A
D61B
D61C
D62A
D62B
D63A
D63B
D63C
D64Z
D65Z
D66A
D66B
D66C
D67A
D67B
E01A
E01B
E02A
E02B
E02C
E40A
E40B
E41A
E41B
E42A
E42B
E42C
E60A
E60B
E61A
E61B
E62A
E62B
E62C
E63Z
E64A
E64B
E65A
E65B
E66A
E66B
E66C
Direct
180
137
40
31
5
83
28
13
11
46
189
55
35
79
20
852
425
944
258
29
667
395
437
159
800
321
43
278
196
569
304
234
128
70
12
169
69
179
88
419
251
147
Allied
Ohead
32
26
7
6
1
16
6
3
2
10
36
11
7
17
5
158
81
167
52
5
120
73
76
30
137
55
8
63
60
101
56
41
24
14
3
31
14
30
16
78
54
30
Direct
220
103
21
55
9
127
29
10
15
41
205
49
14
106
12
790
357
849
182
37
979
380
872
446
987
304
12
1,967
1,087
454
114
519
193
70
112
306
109
420
172
692
263
114
Pharmacy
Ohead
59
30
7
25
4
40
16
4
8
14
67
17
5
33
4
228
120
232
59
21
257
83
246
133
251
83
6
433
244
134
38
151
63
27
12
87
29
125
51
204
79
36
Direct
98
41
7
90
16
212
47
16
14
16
265
57
20
120
6
689
253
753
171
52
684
218
680
304
1,973
530
45
3,136
2,175
444
223
379
197
80
29
231
73
313
167
290
119
50
Ohead
10
5
1
7
2
15
6
2
2
2
19
6
2
10
1
41
21
47
14
6
53
20
55
35
98
29
4
149
121
36
20
33
21
10
2
20
9
32
19
27
13
6
Critical Care
Direct
50
25
2
44
0
223
24
1
176
23
459
57
2
86
1
2,892
968
2,343
490
110
15,593
8,061
7,012
4,037
679
194
2
41
20
802
213
533
141
51
20
1,291
668
373
86
1,055
331
48
Ohead
16
8
0
12
0
49
6
0
34
6
96
12
0
20
0
618
230
496
102
24
3,403
1,731
1,561
884
154
45
0
8
5
194
56
126
35
12
5
308
152
90
22
211
79
12
Oper Rooms
Direct
7
5
4
52
97
28
29
46
17
436
323
310
413
198
271
4,368
3,744
1,986
1,841
1,457
229
204
117
94
871
930
656
235
239
35
12
29
15
6
8
29
17
23
13
80
30
12
Ohead
1
1
1
11
22
6
6
11
4
100
62
65
92
42
63
771
670
365
352
305
38
36
40
20
170
175
143
40
46
8
3
7
3
1
2
7
5
6
3
17
7
3
Emerg Depts
Direct
827
745
519
613
369
771
601
409
550
416
580
341
99
641
227
376
210
724
181
13
915
978
1,001
820
684
443
5
188
129
1,035
947
943
826
705
32
831
884
941
767
1,288
1,271
1,038
Ohead
222
209
133
180
102
214
175
108
147
106
157
96
26
177
58
93
57
168
48
4
228
236
235
204
161
110
1
41
34
255
239
241
218
192
9
226
239
240
208
312
319
264
Spec Proc Suites
Supplies
Direct
126
79
13
112
16
162
87
19
44
41
235
88
18
132
18
834
493
713
248
85
418
99
571
347
1,062
383
39
980
569
372
173
328
197
117
70
244
129
314
172
364
183
85
Ohead
226
119
12
163
18
266
139
19
64
62
345
133
27
195
22
871
512
858
296
139
641
103
763
460
940
406
31
752
573
543
250
506
307
181
69
384
100
447
258
612
267
133
Direct
6
3
7
3
0
3
1
1
0
2
18
62
18
9
99
42
17
64
45
12
35
3
64
33
197
139
109
95
29
27
22
13
5
2
341
96
19
20
8
2
1
1
Prostheses
OnCosts
Hotel
Deprec
No. of
Hosps
Ohead
1
1
1
1
0
1
0
0
0
0
4
12
5
2
23
10
4
17
13
3
7
0
13
8
46
37
33
25
8
6
5
3
1
0
112
18
4
4
2
0
0
0
6
4
12
4
1
3
3
1
0
6
9
5
8
12
6
655
528
380
192
52
28
11
8
4
43
49
24
20
15
12
6
6
3
1
1
4
2
3
2
5
7
3
341
185
35
222
44
374
179
41
119
131
545
204
78
264
70
2,073
1,088
1,788
628
303
2,870
1,086
1,986
1,145
1,677
719
133
1,395
905
906
388
793
418
237
151
664
229
698
351
977
410
192
174
96
13
111
16
166
83
15
43
54
252
84
23
125
29
859
493
790
258
121
830
244
792
455
860
321
39
671
426
436
182
427
230
125
57
307
87
368
191
556
220
102
119
75
13
75
16
140
75
16
46
58
199
89
39
119
33
684
498
577
269
131
959
426
681
412
599
276
62
434
331
312
149
263
164
104
46
257
93
218
135
337
163
88
220
273
210
216
179
237
286
260
237
213
190
229
225
262
255
86
91
114
101
137
96
79
145
146
99
110
106
55
82
152
241
253
287
293
130
180
163
248
298
130
201
226
DRG
D61A
D61B
D61C
D62A
D62B
D63A
D63B
D63C
D64Z
D65Z
D66A
D66B
D66C
D67A
D67B
E01A
E01B
E02A
E02B
E02C
E40A
E40B
E41A
E41B
E42A
E42B
E42C
E60A
E60B
E61A
E61B
E62A
E62B
E62C
E63Z
E64A
E64B
E65A
E65B
E66A
E66B
E66C
( National
NATIONAL HOSPITAL COST DATA COLLECTION
COST WEIGHTS FOR AR-DRG VERSION 7.0, Round 18 (2013-14)
Public Sector - Sample
DRG Description
DRG
E67A
E67B
E68A
E68B
E69A
E69B
E70A
E70B
E71A
E71B
E71C
E72Z
E73A
E73B
E73C
E74A
E74B
E74C
E75A
E75B
E76A
E76B
F01A
F01B
F02Z
F03A
F03B
F04A
F04B
F05A
F05B
F06A
F06B
F07A
F07B
F08A
F08B
F09A
F09B
F09C
F10A
F10B
)
V7.0 Public Sector
Cost
Number
Number
ALOS
Average Cost per DRG ($)
Weight
of Seps
of Days
(Days)
Total
Respiratory Signs and Symptoms
Respiratory Signs and Symptoms, <2 Days
Pneumothorax W Catastrophic or Severe CC
Pneumothorax W/O Catastrophic or Severe CC
Bronchitis and Asthma W CC
Bronchitis and Asthma W/O CC
Whooping Cough and Acute Bronchiolitis W CC
Whooping Cough and Acute Bronchiolitis W/O CC
Respiratory Neoplasms W Catastrophic CC
Respiratory Neoplasms W/O Catastrophic CC
Respiratory Neoplasms, Sameday
Respiratory Problems Arising from Neonatal Period
Pleural Effusion W Catastrophic CC
Pleural Effusion W Severe or Moderate CC
Pleural Effusion W/O CC
Interstitial Lung Disease W Catastrophic CC
Interstitial Lung Disease W Severe or Moderate CC
Interstitial Lung Disease W/O CC
Other Respiratory System Disorders W CC
Other Respiratory System Disorders W/O CC
Respiratory Tuberculosis W CC
Respiratory Tuberculosis W/O CC
Implantation or Replacement of AICD, Total System W Catastroph
Implantation or Replacement of AICD, Total System W/O Catastro
Other AICD Procedures
Cardiac Valve Procs W CPB Pump W Invasive Cardiac Inves W C
Cardiac Valve Procs W CPB Pump W Invasive Cardiac Inves W/O
Cardiac Valve Procs W CPB Pump W/O Invasive Cardiac Inves W
Cardiac Valve Procs W CPB Pump W/O Invasive Cardiac Inves W
Coronary Bypass W Invasive Cardiac Investigation W Catastrophic
Coronary Bypass W Invasive Cardiac Investigation W/O Catastrop
Coronary Bypass W/O Invasive Cardiac Investigation W Catastrop
Coronary Bypass W/O Invasive Cardiac Investigation W/O Catastr
Other Cardiothoracic/Vascular Procedures W CPB Pump W Catas
Other Cardiothoracic/Vascular Procedures W CPB Pump W/O Cat
Major Reconstructive Vascular Procedures W/O CPB Pump W Ca
Major Reconstructive Vascular Procedures W/O CPB Pump W/O C
Other Cardiothoracic Procs W/O CPB Pump W Catastrophic CC
Other Cardiothoracic Procs W/O CPB Pump W/O Catastrophic CC
Other Cardiothoracic Procs W/O CPB Pump, Died/Trans Acute Fa
Interventional Coronary Procedures Admitted for AMI W Catastrop
Interventional Coronary Procedures Admitted for AMI W/O Catastr
1.30
0.38
2.00
1.01
1.08
0.52
1.40
0.76
2.65
1.41
0.32
0.88
2.54
1.35
0.71
2.32
1.45
0.85
1.36
0.58
4.63
1.87
9.41
4.47
2.80
13.30
7.70
10.16
7.05
10.77
8.02
7.89
5.92
10.46
6.74
7.54
4.60
7.39
2.69
2.46
3.75
2.22
3,411
11,764
1,217
2,802
5,978
27,345
2,361
12,603
2,831
3,943
1,721
321
1,195
1,680
1,285
668
846
996
10,178
14,083
169
310
668
2,158
266
458
111
2,554
831
1,105
508
2,240
1,883
650
381
1,944
2,042
436
500
172
2,231
9,694
13,982
11,764
7,153
7,898
18,594
40,463
7,878
23,168
24,605
17,932
1,721
864
10,483
7,452
3,148
5,460
4,284
2,880
43,776
24,711
2,992
2,257
7,282
4,747
971
8,794
808
31,033
6,014
18,539
6,252
23,764
14,033
7,375
2,528
24,039
11,043
5,206
1,813
275
15,104
30,808
4.10
1.00
5.88
2.82
3.11
1.48
3.34
1.84
8.69
4.55
1.00
2.69
8.77
4.44
2.45
8.17
5.06
2.89
4.30
1.75
17.70
7.28
10.90
2.20
3.65
19.20
7.28
12.15
7.24
16.78
12.31
10.61
7.45
11.35
6.64
12.37
5.41
11.94
3.63
1.60
6.77
3.18
6,457
1,892
9,940
4,995
5,348
2,568
6,951
3,752
13,136
6,993
1,580
4,388
12,594
6,728
3,539
11,524
7,220
4,207
6,758
2,886
23,014
9,289
46,730
22,191
13,890
66,055
38,223
50,470
34,996
53,462
39,809
39,199
29,405
51,942
33,479
37,434
22,840
36,711
13,358
12,200
18,631
11,028
Direct
4,793
1,443
7,563
3,775
4,030
1,915
5,273
2,805
9,753
5,225
1,269
3,200
9,567
5,068
2,668
8,658
5,361
3,124
5,017
2,157
17,287
7,070
39,780
19,923
11,360
54,062
32,965
41,826
29,252
43,078
31,519
32,007
24,008
41,903
26,936
30,661
18,848
29,253
10,851
10,372
14,859
8,947
Ohead
1,664
450
2,377
1,220
1,318
653
1,678
946
3,383
1,768
311
1,188
3,027
1,660
871
2,866
1,859
1,083
1,740
729
5,726
2,220
6,950
2,268
2,530
11,994
5,257
8,643
5,745
10,383
8,290
7,192
5,397
10,039
6,543
6,773
3,992
7,458
2,506
1,828
3,772
2,081
Average Component Cost per DRG ($)
Ward Medical
Ward Nursing
Direct
Direct
904
170
1,216
616
666
345
1,061
601
1,762
935
99
525
1,653
889
473
1,470
986
518
833
350
3,758
1,272
2,417
577
872
4,788
2,214
3,360
2,625
4,275
3,400
2,852
2,280
4,102
3,497
2,617
1,457
2,948
1,133
352
1,429
742
Ohead
111
22
187
82
84
42
111
89
280
147
17
94
206
135
69
195
124
79
110
64
298
142
316
114
167
745
335
451
372
568
600
348
344
287
235
387
190
368
114
27
189
98
1,361
193
2,018
979
1,038
496
1,884
1,057
3,168
1,577
131
1,091
3,054
1,487
639
2,700
1,619
845
1,502
586
5,951
2,736
2,629
546
1,184
4,925
1,799
3,520
2,265
4,560
3,634
2,912
2,191
4,227
2,570
4,293
2,093
3,139
1,185
184
1,562
694
Ohead
160
23
264
149
123
55
124
85
354
225
21
86
343
193
105
278
199
137
179
80
521
435
188
40
64
337
116
219
158
300
244
185
152
242
151
300
171
202
77
23
126
52
Non
Clinical
Salaries
487
89
673
342
366
174
576
277
1,060
534
69
305
973
502
251
885
533
309
497
191
2,370
1,039
1,267
362
487
1,944
894
1,501
990
1,779
1,346
1,252
920
1,939
1,375
1,338
664
1,430
509
231
731
351
Pathology
Direct
183
34
208
60
131
30
90
39
394
200
150
37
535
283
156
328
210
142
200
58
769
279
766
94
233
2,418
818
1,662
1,038
2,043
1,438
1,490
1,034
1,620
1,055
1,034
353
1,389
270
357
511
205
Ohead
20
3
18
5
12
3
13
4
40
18
11
8
79
26
14
33
21
10
20
5
109
34
90
12
30
294
100
227
133
207
264
201
124
280
205
101
37
176
34
39
53
20
DRG
E67A
E67B
E68A
E68B
E69A
E69B
E70A
E70B
E71A
E71B
E71C
E72Z
E73A
E73B
E73C
E74A
E74B
E74C
E75A
E75B
E76A
E76B
F01A
F01B
F02Z
F03A
F03B
F04A
F04B
F05A
F05B
F06A
F06B
F07A
F07B
F08A
F08B
F09A
F09B
F09C
F10A
F10B
( National
NATIONAL HOSPITAL COST DATA COLLECTION
COST WEIGHTS FOR AR-DRG VERSION 7.0, Round 18 (2013-14)
Public Sector - Sample
)
V7.0 Public Sector
Average Component Cost per DRG ($)
Imaging
DRG
E67A
E67B
E68A
E68B
E69A
E69B
E70A
E70B
E71A
E71B
E71C
E72Z
E73A
E73B
E73C
E74A
E74B
E74C
E75A
E75B
E76A
E76B
F01A
F01B
F02Z
F03A
F03B
F04A
F04B
F05A
F05B
F06A
F06B
F07A
F07B
F08A
F08B
F09A
F09B
F09C
F10A
F10B
Direct
220
62
431
240
66
17
35
12
566
368
351
28
571
345
255
279
201
154
157
70
286
81
599
171
209
943
467
590
386
780
535
516
349
617
436
1,181
822
638
217
339
343
153
Allied
Ohead
41
12
84
51
13
3
8
3
101
64
70
10
87
62
46
51
41
33
33
15
59
19
97
28
38
177
102
115
84
146
107
95
66
144
96
196
134
121
41
52
58
27
Direct
167
21
309
106
116
28
101
26
601
219
22
134
433
172
64
515
272
116
230
47
622
181
778
212
215
1,178
417
988
517
1,104
723
727
519
1,530
881
648
200
1,003
280
185
398
159
Pharmacy
Ohead
53
8
99
35
41
15
48
19
168
63
8
62
134
56
23
140
76
34
67
17
226
60
753
428
401
492
221
325
235
284
191
164
120
278
173
288
256
243
68
53
110
61
Direct
143
17
220
73
147
58
87
24
459
322
73
330
384
208
70
339
261
264
246
51
1,023
507
405
77
101
977
287
574
281
626
382
404
234
569
329
545
163
775
154
211
372
255
Critical Care
Ohead
14
2
20
7
15
6
8
3
31
28
5
13
30
17
6
27
20
18
19
5
58
28
36
9
13
71
29
40
22
41
29
27
18
55
41
34
11
51
13
9
26
16
Direct
148
9
675
164
375
53
396
55
177
35
2
318
317
117
30
504
136
44
168
22
387
2
5,791
471
779
11,175
3,505
8,814
4,339
10,470
6,403
7,890
4,768
9,339
5,235
4,032
954
9,019
1,390
2,992
3,495
1,477
Ohead
40
2
165
43
85
12
76
11
46
10
0
60
77
33
9
125
32
13
39
6
85
1
1,350
139
219
2,805
987
1,945
1,071
2,499
1,767
1,688
1,078
1,914
1,115
848
226
2,106
360
553
981
466
Oper Rooms
Direct
27
17
102
51
22
3
104
17
45
46
96
17
50
41
49
12
9
25
19
14
80
21
1,495
946
1,205
8,023
5,419
9,977
7,386
9,103
7,543
8,919
7,860
11,814
7,590
7,904
5,704
3,046
1,942
1,096
268
191
Ohead
5
4
24
13
5
1
25
4
10
10
23
4
12
11
15
3
2
4
4
3
9
9
258
161
198
1,362
830
1,642
1,157
1,546
1,276
1,466
1,296
2,076
1,124
1,419
1,058
500
275
171
45
34
Emerg Depts
Direct
780
662
1,062
847
814
621
672
552
701
519
137
115
774
619
473
876
721
455
802
630
573
287
556
95
237
292
74
101
43
429
346
81
51
188
58
361
172
483
183
690
656
512
Ohead
213
171
258
219
214
173
180
159
179
138
33
32
189
164
121
220
194
129
221
171
155
79
121
22
76
70
18
24
11
98
86
20
14
43
17
88
42
110
47
139
139
123
Supplies
Direct
191
41
316
158
145
61
212
104
434
224
29
143
429
217
99
369
234
129
209
79
791
431
618
246
375
1,982
852
1,476
1,419
1,329
1,254
925
913
1,494
1,604
914
421
1,016
422
89
405
192
Ohead
308
48
372
187
219
107
349
186
685
329
25
305
552
295
137
526
340
187
320
110
1,405
444
707
187
263
1,170
499
832
560
1,026
836
682
507
1,136
745
753
411
809
302
72
386
181
Spec Proc Suites
Direct
29
65
3
2
5
1
2
0
30
66
16
55
35
18
18
37
20
27
9
3
10
1
2,502
1,647
760
4,008
5,394
484
366
1,648
1,512
505
240
256
42
128
92
1,006
1,319
1,460
1,978
1,763
Prostheses
OnCosts
Hotel
Deprec
No. of
Hosps
Ohead
8
14
1
1
1
0
0
0
10
10
7
11
7
4
5
7
5
6
2
1
3
0
482
314
120
463
473
95
68
233
185
78
35
46
7
24
12
165
229
219
363
316
9
8
10
3
3
0
2
0
9
7
13
0
10
7
4
9
2
3
5
2
3
8
18,518
14,145
4,295
7,919
9,184
6,173
6,029
1,632
807
1,214
916
2,065
948
3,834
4,894
1,424
1,359
1,514
1,792
1,730
448
98
618
290
358
143
455
229
973
448
84
345
881
432
207
846
472
264
438
152
1,992
593
1,998
488
606
4,163
1,651
3,152
1,806
3,975
2,588
2,733
1,952
3,150
1,683
2,380
1,179
2,485
716
682
1,193
597
209
42
331
148
161
65
183
104
498
246
30
113
458
234
104
472
300
145
249
81
983
398
849
174
233
1,623
652
1,023
674
1,446
1,053
862
639
977
728
945
514
993
305
169
499
254
178
56
255
122
120
57
148
91
354
205
58
147
322
161
95
277
188
114
181
73
487
202
1,143
484
509
1,712
884
1,162
961
1,313
1,259
962
786
1,553
1,539
840
608
1,065
412
295
522
357
225
269
167
218
235
277
157
233
184
239
152
66
153
184
179
119
151
161
266
289
61
73
50
53
51
28
23
31
28
26
26
26
25
30
28
66
76
53
56
45
61
66
DRG
E67A
E67B
E68A
E68B
E69A
E69B
E70A
E70B
E71A
E71B
E71C
E72Z
E73A
E73B
E73C
E74A
E74B
E74C
E75A
E75B
E76A
E76B
F01A
F01B
F02Z
F03A
F03B
F04A
F04B
F05A
F05B
F06A
F06B
F07A
F07B
F08A
F08B
F09A
F09B
F09C
F10A
F10B
( National
NATIONAL HOSPITAL COST DATA COLLECTION
COST WEIGHTS FOR AR-DRG VERSION 7.0, Round 18 (2013-14)
Public Sector - Sample
DRG Description
DRG
F11A
F11B
F12A
F12B
F13A
F13B
F14A
F14B
F14C
F15A
F15B
F16A
F16B
F17Z
F18A
F18B
F19A
F19B
F20Z
F21A
F21B
F40A
F40B
F41A
F41B
F42A
F42B
F42C
F43Z
F60A
F60B
F61A
F61B
F62A
F62B
F62C
F63A
F63B
F64A
F64B
F65A
F65B
Amputation, Except Upper Limb and Toe, for Circulatory Disorders
Amputation, Except Upper Limb and Toe, for Circulatory Disorders
Implantation or Replacement of Pacemaker, Total System W Cata
Implantation or Replacement of Pacemaker, Total System W/O Ca
Amputation, Upper Limb and Toe, for Circulatory Disorders W Cat
Amputation, Upper Limb and Toe, for Circulatory Disorders W/O C
Vascular Procs, Except Major Reconstruction, W/O CPB Pump W
Vascular Procs, Except Major Reconstruction, W/O CPB Pump W
Vascular Procs, Except Major Reconstruction, W/O CPB Pump W/
Interventional Coronary Procs, Not Adm for AMI W Stent Implant W
Interventional Coronary Procs, Not Adm for AMI W Stent Implant W
Interventional Coronary Procs, Not Adm for AMI W/O Stent Implan
Interventional Coronary Procs, Not Adm for AMI W/O Stent Implan
Insertion or Replacement of Pacemaker Generator
Other Pacemaker Procedures W CC
Other Pacemaker Procedures W/O CC
Trans-Vascular Percutaneous Cardiac Intervention, Age >=80 or W
Trans-Vascular Percutaneous Cardiac Intervention, Age <80 W/O
Vein Ligation and Stripping
Other Circulatory System OR Procedures W Catastrophic CC
Other Circulatory System OR Procedures W/O Catastrophic CC
Circulatory Disorders W Ventilator Support
Circulatory Disorders W Ventilator Support, Died/Trans Acute Faci
Circulatory Dsrds, Adm for AMI W Invasive Cardiac Inves
Circulatory Dsrds, Adm for AMI W Invasv Card Inves, Died/Trans A
Circulatory Dsrds, Not Adm for AMI W Invasive Cardiac Inves W C
Circulatory Dsrds, Not Adm for AMI W Invasive Cardiac Inves W/O
Circulatory Dsrds, Not Adm for AMI W Invasive Cardiac Inves, Sam
Circulatory Disorders W Non-Invasive Ventilation
Circulatory Dsrd, Adm for AMI W/O Invasive Cardiac Inves
Circulatory Dsrd, Adm for AMI W/O Invas Card Inves, Died/Trans A
Infective Endocarditis W Catastrophic CC
Infective Endocarditis W/O Catastrophic CC
Heart Failure and Shock W Catastrophic CC
Heart Failure and Shock W/O Catastrophic CC
Heart Failure and Shock, Died or Transferred to Acute Facility <5 D
Venous Thrombosis W Catastrophic or Severe CC
Venous Thrombosis W/O Catastrophic or Severe CC
Skin Ulcers in Circulatory Disorders W Catastrophic or Severe CC
Skin Ulcers in Circulatory Disorders W/O Catastrophic or Severe C
Peripheral Vascular Disorders W Catastrophic or Severe CC
Peripheral Vascular Disorders W/O Catastrophic or Severe CC
)
V7.0 Public Sector
Cost
Number
Number
ALOS
Average Cost per DRG ($)
Weight
of Seps
of Days
(Days)
Total
10.10
5.91
4.58
2.38
4.90
2.58
3.84
1.83
1.46
2.43
1.69
2.13
1.39
1.51
3.02
1.47
3.65
2.62
1.02
4.39
1.76
8.26
3.26
2.85
1.62
2.66
1.51
0.63
4.80
1.67
0.70
6.12
2.51
2.51
1.24
0.61
1.67
0.77
2.61
0.90
1.96
0.70
422
175
1,346
5,248
501
229
2,663
3,456
4,616
2,390
5,111
228
349
1,604
130
161
407
472
4,441
807
1,079
378
314
2,224
5,217
4,065
11,861
14,245
1,148
9,613
8,483
442
599
11,116
18,463
3,376
1,269
5,082
769
1,387
1,741
5,855
10,823
2,610
11,561
15,233
6,937
1,709
21,129
9,515
8,017
8,562
8,507
885
531
2,359
788
363
2,253
596
5,288
10,035
4,094
4,979
764
14,918
17,081
26,926
32,941
14,245
12,648
49,689
13,152
8,722
6,770
97,311
78,008
5,559
8,000
20,613
7,580
5,294
11,318
11,932
25.65
14.91
8.59
2.90
13.85
7.46
7.93
2.75
1.74
3.58
1.66
3.88
1.52
1.47
6.06
2.25
5.54
1.26
1.19
12.43
3.79
13.17
2.43
6.71
3.27
6.62
2.78
1.00
11.02
5.17
1.55
19.73
11.30
8.75
4.23
1.65
6.30
4.06
9.86
3.82
6.50
2.04
50,170
29,343
22,728
11,818
24,356
12,829
19,051
9,078
7,233
12,046
8,417
10,601
6,879
7,510
15,004
7,301
18,121
13,025
5,067
21,800
8,727
41,042
16,203
14,166
8,066
13,214
7,483
3,145
23,853
8,270
3,473
30,378
12,483
12,449
6,157
3,049
8,314
3,844
12,941
4,474
9,721
3,452
Direct
39,047
22,583
18,495
9,949
18,813
9,861
15,216
7,321
5,894
9,892
7,031
8,560
5,698
6,562
11,833
5,916
14,734
11,378
3,898
16,992
6,874
32,501
13,253
10,988
6,295
10,259
5,915
2,561
18,526
6,247
2,708
23,296
9,477
9,353
4,568
2,342
6,302
2,908
9,603
3,314
7,363
2,667
Ohead
11,123
6,760
4,233
1,869
5,543
2,968
3,835
1,757
1,338
2,154
1,386
2,040
1,181
947
3,171
1,385
3,387
1,648
1,169
4,807
1,853
8,541
2,950
3,178
1,772
2,955
1,568
583
5,327
2,023
765
7,081
3,006
3,096
1,589
707
2,012
936
3,338
1,160
2,358
786
Average Component Cost per DRG ($)
Ward Medical
Ward Nursing
Direct
Direct
5,616
3,930
1,879
688
2,898
1,791
1,717
689
518
816
438
849
385
275
1,470
638
1,466
556
411
2,483
969
2,608
529
1,455
745
1,444
710
146
2,294
998
270
3,899
2,023
1,615
811
277
1,155
623
1,939
685
1,285
386
Ohead
602
468
271
111
364
241
244
74
45
124
64
149
68
46
243
82
430
71
47
301
149
350
50
193
110
243
100
23
232
149
41
661
285
205
107
34
174
68
253
78
161
54
10,150
5,646
2,366
833
5,345
2,719
2,950
987
557
832
480
839
452
333
2,082
649
2,004
669
350
4,344
1,241
2,724
92
1,705
828
1,709
733
149
3,289
1,534
331
6,487
2,756
2,907
1,355
437
1,919
783
3,372
1,009
2,200
521
Ohead
679
554
179
64
443
205
227
79
54
64
35
77
32
26
168
55
120
35
46
341
122
219
21
140
67
143
61
9
319
218
69
720
349
340
191
65
242
98
440
169
252
63
Non
Clinical
Salaries
2,720
1,558
983
376
1,577
768
904
340
229
399
237
404
215
182
830
297
642
288
195
1,528
439
1,322
166
827
469
773
355
100
1,135
544
231
2,486
1,070
948
461
221
644
307
1,062
406
717
239
Pathology
Direct
1,654
746
485
127
654
274
547
147
71
247
97
267
86
44
446
113
381
111
18
679
149
1,489
654
463
178
402
141
12
907
250
88
1,125
380
406
173
88
288
95
362
94
340
77
Ohead
164
62
51
13
68
27
52
14
8
22
11
19
8
6
51
16
31
20
2
80
14
178
71
43
17
38
14
2
88
22
6
112
38
42
16
7
29
9
35
9
33
7
DRG
F11A
F11B
F12A
F12B
F13A
F13B
F14A
F14B
F14C
F15A
F15B
F16A
F16B
F17Z
F18A
F18B
F19A
F19B
F20Z
F21A
F21B
F40A
F40B
F41A
F41B
F42A
F42B
F42C
F43Z
F60A
F60B
F61A
F61B
F62A
F62B
F62C
F63A
F63B
F64A
F64B
F65A
F65B
( National
NATIONAL HOSPITAL COST DATA COLLECTION
COST WEIGHTS FOR AR-DRG VERSION 7.0, Round 18 (2013-14)
Public Sector - Sample
)
V7.0 Public Sector
Average Component Cost per DRG ($)
Imaging
DRG
F11A
F11B
F12A
F12B
F13A
F13B
F14A
F14B
F14C
F15A
F15B
F16A
F16B
F17Z
F18A
F18B
F19A
F19B
F20Z
F21A
F21B
F40A
F40B
F41A
F41B
F42A
F42B
F42C
F43Z
F60A
F60B
F61A
F61B
F62A
F62B
F62C
F63A
F63B
F64A
F64B
F65A
F65B
Direct
1,183
541
413
198
984
535
1,545
1,217
1,228
250
117
197
75
70
393
138
326
730
76
481
130
796
378
518
263
478
211
95
445
164
48
959
317
227
104
56
351
140
354
158
478
387
Allied
Ohead
204
94
69
32
163
85
261
199
191
38
18
33
11
12
72
22
71
77
14
82
25
144
69
91
46
78
35
11
74
31
9
166
57
40
20
12
57
23
58
26
81
64
Direct
1,990
1,035
587
192
647
215
357
82
44
165
71
136
64
85
420
149
324
126
22
658
114
1,380
330
316
144
301
116
30
653
236
39
1,000
237
472
174
72
260
66
513
114
306
53
Pharmacy
Ohead
673
312
275
147
241
89
135
66
63
73
61
53
29
76
158
75
128
44
17
204
47
270
66
71
29
82
28
8
173
68
12
284
69
141
52
22
79
23
166
37
94
20
Direct
1,480
526
287
71
750
269
515
137
76
173
76
168
46
33
202
71
204
31
27
941
203
583
107
276
133
277
87
15
469
190
45
2,049
668
333
146
64
373
132
371
106
313
107
Ohead
80
39
21
7
47
23
30
10
7
15
7
16
4
3
14
7
16
5
3
58
15
38
10
22
12
20
7
1
40
21
6
128
45
31
17
8
32
11
35
10
23
7
Critical Care
Direct
2,710
1,303
2,701
674
367
3
1,126
156
91
1,605
564
1,613
572
147
1,302
294
1,664
206
22
1,227
144
16,797
8,260
2,573
1,221
1,858
738
7
6,347
900
602
1,984
535
771
233
229
84
7
87
1
293
39
Ohead
639
382
745
210
98
0
252
42
24
442
168
465
163
43
373
93
490
60
5
272
41
3,690
1,672
704
351
500
212
2
1,449
262
174
486
147
199
69
58
21
1
25
1
74
10
Oper Rooms
Direct
6,224
4,441
680
496
2,705
1,774
2,641
1,700
1,385
226
202
141
201
446
993
672
837
2,148
2,369
2,218
1,776
210
142
94
78
166
277
158
127
37
30
315
128
29
7
7
26
15
150
53
166
233
Ohead
1,200
926
127
101
540
384
495
333
276
40
39
29
43
85
184
149
146
446
520
403
341
45
26
18
14
39
68
41
34
6
4
66
26
6
2
1
6
3
33
12
33
53
Emerg Depts
Direct
547
368
633
311
353
275
402
133
67
337
187
365
142
35
288
79
119
9
9
492
135
896
1,036
718
525
649
497
18
954
810
682
792
411
895
768
710
710
542
571
232
596
282
Ohead
150
96
151
79
93
71
98
37
17
80
49
84
35
9
78
26
32
2
2
118
39
203
216
178
134
161
128
4
222
207
175
199
107
227
207
177
180
137
142
64
154
74
Supplies
Direct
2,272
1,181
449
209
1,136
533
618
199
123
212
196
227
238
111
532
359
410
173
80
951
236
571
140
316
237
381
220
159
539
241
199
1,041
506
376
180
89
262
134
481
172
340
113
Ohead
1,829
1,028
540
206
953
528
539
210
139
198
118
187
95
89
473
200
330
171
113
870
270
682
77
420
209
398
185
40
700
304
79
1,201
595
557
277
91
388
182
655
217
440
122
Spec Proc Suites
Direct
164
53
1,342
1,194
74
60
148
205
221
2,228
2,083
2,163
2,143
1,103
733
815
3,144
1,602
32
88
653
295
145
958
982
1,043
1,205
1,333
153
36
12
164
140
17
8
11
19
5
29
195
24
76
Prostheses
OnCosts
Hotel
Deprec
No. of
Hosps
Ohead
24
7
226
216
10
2
22
25
27
364
356
313
325
218
120
123
566
226
6
16
92
61
23
186
186
190
204
267
28
6
2
33
22
3
2
2
4
1
6
44
5
12
721
252
4,830
4,219
595
324
890
940
955
1,803
1,926
593
735
3,491
1,576
1,377
2,355
4,325
51
170
362
139
24
147
129
199
300
145
33
13
6
115
44
7
7
2
10
8
28
10
27
40
3,289
1,867
1,275
497
1,615
777
1,226
509
382
673
377
642
335
255
926
386
923
441
327
1,555
528
3,290
1,256
928
485
861
429
177
1,822
559
174
2,065
786
890
393
163
554
249
879
285
672
213
1,905
1,145
568
210
1,043
476
583
222
158
256
144
242
128
89
427
149
481
132
132
727
251
948
239
410
203
405
177
53
737
270
63
1,136
425
476
219
82
264
99
574
162
357
94
1,303
783
597
337
594
382
527
326
278
363
297
329
250
196
452
269
479
320
169
514
241
1,112
401
395
271
379
244
139
589
196
75
706
318
289
156
65
182
81
318
125
255
108
60
49
60
64
79
67
78
84
114
61
64
48
53
61
46
45
31
31
164
95
123
81
82
70
73
78
80
60
132
242
271
115
159
242
278
247
169
241
152
179
187
225
DRG
F11A
F11B
F12A
F12B
F13A
F13B
F14A
F14B
F14C
F15A
F15B
F16A
F16B
F17Z
F18A
F18B
F19A
F19B
F20Z
F21A
F21B
F40A
F40B
F41A
F41B
F42A
F42B
F42C
F43Z
F60A
F60B
F61A
F61B
F62A
F62B
F62C
F63A
F63B
F64A
F64B
F65A
F65B
( National
NATIONAL HOSPITAL COST DATA COLLECTION
COST WEIGHTS FOR AR-DRG VERSION 7.0, Round 18 (2013-14)
Public Sector - Sample
DRG Description
DRG
F66A
F66B
F67A
F67B
F68Z
F69A
F69B
F72A
F72B
F73A
F73B
F73C
F74A
F74B
F75A
F75B
F75C
F76A
F76B
F76C
G01A
G01B
G02A
G02B
G03A
G03B
G03C
G04A
G04B
G04C
G05A
G05B
G05C
G06Z
G07A
G07B
G10A
G10B
G11Z
G12A
G12B
G12C
Coronary Atherosclerosis W Catastrophic or Severe CC
Coronary Atherosclerosis W/O Catastrophic or Severe CC
Hypertension W Catastrophic or Severe CC
Hypertension W/O Catastrophic or Severe CC
Congenital Heart Disease
Valvular Disorders W Catastrophic or Severe CC
Valvular Disorders W/O Catastrophic or Severe CC
Unstable Angina W Catastrophic or Severe CC
Unstable Angina W/O Catastrophic or Severe CC
Syncope and Collapse W Catastrophic or Severe CC
Syncope and Collapse W/O Catastrophic or Severe CC
Syncope and Collapse, Sameday
Chest Pain
Chest Pain, <2 Days
Other Circulatory Disorders W Catastrophic CC
Other Circulatory Disorders W Severe or Moderate CC
Other Circulatory Disorders W/O CC
Arrhythmia, Cardiac Arrest and Conduction Disorders W Cat or Se
Arrhythmia, Cardiac Arrest and Conduction Disorders W/O Cat or
Arrhythmia, Cardiac Arrest and Conduction Disorders, Sameday
Rectal Resection W Catastrophic CC
Rectal Resection W/O Catastrophic CC
Major Small and Large Bowel Procedures W Catastrophic CC
Major Small and Large Bowel Procedures W/O Catastrophic CC
Stomach, Oesophageal and Duodenal Procedures W Malignancy o
Stomach, Oesophageal and Duodenal Procedures W/O Malignanc
Stomach, Oesophageal and Duodenal Procedures W/O Malignanc
Peritoneal Adhesiolysis W Catastrophic CC
Peritoneal Adhesiolysis W Severe or Moderate CC
Peritoneal Adhesiolysis W/O CC
Minor Small and Large Bowel Procedures W Catastrophic CC
Minor Small and Large Bowel Procedures W Severe or Moderate C
Minor Small and Large Bowel Procedures W/O CC
Pyloromyotomy
Appendicectomy W Malignancy or Peritonitis or W Catastrophic or
Appendicectomy W/O Malignancy or Peritonitis W/O Cat or Sev C
Hernia Procedures W CC
Hernia Procedures W/O CC
Anal and Stomal Procedures
Other Digestive System OR Procedures W Catastrophic CC
Other Digestive System OR Procedures W Severe or Moderate CC
Other Digestive System OR Procedures W/O CC
)
V7.0 Public Sector
Cost
Number
Number
ALOS
Average Cost per DRG ($)
Weight
of Seps
of Days
(Days)
Total
1.17
0.50
1.40
0.53
0.85
1.71
0.45
1.22
0.59
1.46
0.72
0.25
1.07
0.32
2.93
1.24
0.67
1.65
0.79
0.26
7.63
4.41
6.89
3.17
7.49
3.23
2.25
5.60
2.98
1.88
4.63
2.44
1.70
2.06
1.91
1.33
2.07
1.03
0.87
4.95
2.23
1.42
1,682
9,207
982
4,601
742
1,219
7,234
2,061
11,172
7,128
15,249
9,460
10,753
88,448
2,860
6,612
7,409
8,462
21,674
13,611
2,382
1,952
6,466
5,677
1,539
622
1,225
1,578
1,687
4,315
258
281
850
226
8,028
18,545
4,151
25,586
15,405
1,208
975
1,803
6,040
13,734
4,360
8,384
1,420
6,697
10,444
7,516
19,154
34,407
31,473
9,460
34,964
88,448
23,480
23,591
13,548
43,179
50,109
13,611
37,992
15,247
96,429
34,452
21,236
3,421
3,970
19,471
10,520
14,135
2,909
1,549
2,995
886
28,776
37,841
15,977
33,764
27,993
15,459
5,223
5,652
3.59
1.49
4.44
1.82
1.91
5.49
1.44
3.65
1.71
4.83
2.06
1.00
3.25
1.00
8.21
3.57
1.83
5.10
2.31
1.00
15.95
7.81
14.91
6.07
13.80
5.50
3.24
12.34
6.24
3.28
11.28
5.51
3.52
3.92
3.58
2.04
3.85
1.32
1.82
12.80
5.36
3.13
5,817
2,486
6,955
2,640
4,238
8,474
2,229
6,081
2,947
7,256
3,592
1,228
5,326
1,565
14,556
6,168
3,317
8,195
3,942
1,303
37,875
21,887
34,236
15,748
37,195
16,043
11,161
27,831
14,802
9,340
23,015
12,137
8,459
10,232
9,478
6,619
10,291
5,138
4,313
24,588
11,070
7,047
Direct
4,403
1,890
5,278
2,003
3,241
6,448
1,702
4,616
2,233
5,427
2,701
979
3,982
1,207
11,193
4,725
2,551
6,202
2,955
1,035
29,778
17,234
26,870
12,310
29,509
12,627
8,803
21,820
11,424
7,236
17,772
9,431
6,544
8,086
7,360
5,133
8,044
4,000
3,299
19,193
8,530
5,438
Ohead
1,414
596
1,677
637
997
2,027
527
1,465
714
1,829
891
248
1,344
358
3,363
1,443
765
1,993
987
268
8,096
4,653
7,366
3,438
7,686
3,416
2,358
6,012
3,379
2,104
5,243
2,706
1,916
2,146
2,119
1,487
2,247
1,139
1,014
5,395
2,541
1,609
Average Component Cost per DRG ($)
Ward Medical
Ward Nursing
Direct
Direct
696
262
831
296
682
1,069
236
677
298
911
420
59
650
109
1,644
731
357
971
469
84
3,327
1,887
3,101
1,463
2,895
1,384
881
2,637
1,496
875
2,459
1,231
909
1,425
904
567
968
438
417
2,511
1,220
670
Ohead
121
45
117
47
50
189
42
117
51
137
63
11
98
22
285
116
56
122
70
16
324
206
325
169
324
165
122
280
151
103
187
127
97
107
104
80
101
50
49
291
134
89
1,097
341
1,490
484
664
1,655
296
1,119
415
1,635
609
77
882
148
2,914
1,201
500
1,483
550
87
5,521
2,845
5,229
2,246
4,826
2,206
1,387
4,344
2,340
1,219
4,033
1,959
1,296
2,138
1,405
805
1,406
410
512
4,539
1,811
927
Ohead
147
62
205
83
45
185
44
153
70
209
92
13
131
28
302
135
63
184
89
13
577
336
564
271
443
216
161
492
261
144
423
234
141
112
153
95
158
63
66
468
186
117
Non
Clinical
Salaries
409
156
491
177
370
648
137
435
185
512
231
41
348
72
997
425
220
554
257
57
1,604
826
1,557
695
1,438
701
443
1,323
708
411
1,213
689
432
599
461
285
472
199
220
1,359
602
344
Pathology
Direct
191
56
234
69
53
278
49
178
68
184
71
20
128
30
554
188
93
247
92
23
1,356
697
1,190
467
1,222
332
146
767
304
141
749
293
199
149
186
107
187
24
81
933
363
188
Ohead
19
5
21
5
13
27
4
16
5
20
6
2
12
2
53
18
10
23
8
2
129
61
115
43
110
33
14
80
29
14
71
28
23
21
18
10
18
2
7
93
38
17
DRG
F66A
F66B
F67A
F67B
F68Z
F69A
F69B
F72A
F72B
F73A
F73B
F73C
F74A
F74B
F75A
F75B
F75C
F76A
F76B
F76C
G01A
G01B
G02A
G02B
G03A
G03B
G03C
G04A
G04B
G04C
G05A
G05B
G05C
G06Z
G07A
G07B
G10A
G10B
G11Z
G12A
G12B
G12C
( National
NATIONAL HOSPITAL COST DATA COLLECTION
COST WEIGHTS FOR AR-DRG VERSION 7.0, Round 18 (2013-14)
Public Sector - Sample
)
V7.0 Public Sector
Average Component Cost per DRG ($)
Imaging
DRG
F66A
F66B
F67A
F67B
F68Z
F69A
F69B
F72A
F72B
F73A
F73B
F73C
F74A
F74B
F75A
F75B
F75C
F76A
F76B
F76C
G01A
G01B
G02A
G02B
G03A
G03B
G03C
G04A
G04B
G04C
G05A
G05B
G05C
G06Z
G07A
G07B
G10A
G10B
G11Z
G12A
G12B
G12C
Direct
170
85
221
86
165
202
58
160
79
176
106
35
311
66
425
198
120
158
67
29
639
132
697
162
733
190
70
563
205
81
371
102
27
69
121
53
100
8
22
1,160
531
282
Allied
Ohead
31
18
40
17
39
36
11
31
16
33
20
7
60
13
77
36
22
27
13
5
113
23
119
31
137
35
13
101
38
15
65
19
5
15
22
10
18
2
4
186
83
47
Direct
162
41
199
46
144
261
38
153
39
294
89
16
98
18
442
126
58
228
64
18
866
284
836
214
960
262
126
619
187
67
600
150
78
152
67
27
130
23
28
612
166
56
Pharmacy
Ohead
46
12
63
15
37
76
11
43
12
81
28
7
32
6
127
40
17
67
20
5
324
161
300
107
342
106
63
232
97
45
243
72
45
63
42
22
71
29
19
214
72
36
Direct
159
36
217
44
84
218
31
154
45
152
45
9
86
15
780
297
124
190
69
16
805
267
1,039
238
961
281
109
815
247
89
652
213
86
64
119
47
139
31
84
897
217
89
Critical Care
Ohead
16
4
22
6
5
19
3
16
6
17
5
1
10
2
50
22
9
20
8
2
51
22
67
21
59
25
11
59
22
9
50
13
8
9
12
5
11
4
8
59
19
7
Direct
346
106
409
59
239
709
84
478
218
203
104
4
263
29
1,442
398
177
924
378
53
3,454
571
3,575
418
5,070
1,016
316
2,944
405
83
1,694
221
47
296
176
8
463
22
26
2,035
343
95
Ohead
100
34
99
15
47
195
25
139
68
54
32
1
83
9
350
104
53
255
118
14
798
138
815
103
1,102
217
68
687
96
18
423
54
12
62
40
2
107
5
7
457
84
23
Oper Rooms
Direct
45
10
19
12
291
63
41
17
10
13
6
12
8
3
144
102
72
35
22
65
8,235
7,166
5,963
4,509
7,401
4,497
4,092
4,788
3,742
2,995
3,872
3,419
2,692
1,995
2,544
2,124
2,879
2,161
1,417
2,272
1,868
1,844
Ohead
8
2
4
2
65
13
10
3
1
3
1
4
2
1
28
20
14
6
4
15
1,679
1,457
1,195
928
1,396
847
788
957
770
629
822
682
547
301
514
444
606
486
318
441
390
403
Emerg Depts
Direct
750
605
740
557
115
714
519
812
681
954
822
539
898
645
742
607
528
879
735
374
342
171
614
358
384
353
147
678
555
487
223
90
32
630
726
662
243
64
198
798
527
387
Ohead
197
160
190
151
32
179
144
215
188
249
222
135
250
170
186
161
144
223
201
94
83
45
147
92
94
91
42
160
143
132
54
26
9
170
182
175
62
17
54
183
139
96
Supplies
Direct
157
79
210
84
157
267
58
179
88
188
85
25
128
26
529
212
92
219
98
36
909
457
873
355
803
332
220
711
344
176
590
318
197
271
201
111
219
77
89
771
288
153
Ohead
217
72
277
88
204
331
65
213
85
312
124
14
199
28
545
236
107
309
132
20
1,057
561
1,001
438
892
428
264
803
475
254
843
413
271
359
281
165
291
109
122
851
383
209
Spec Proc Suites
Direct
30
29
7
9
118
56
60
23
10
8
10
45
15
3
46
34
84
24
24
122
41
23
56
33
80
54
36
39
14
6
23
7
10
0
12
7
26
10
9
88
70
31
Prostheses
OnCosts
Hotel
Deprec
No. of
Hosps
Ohead
5
6
2
2
22
11
12
6
2
2
2
7
3
1
8
6
15
5
4
20
10
5
13
8
15
13
8
7
2
1
5
2
2
0
1
1
4
2
2
22
17
7
15
7
5
7
24
22
32
16
5
7
16
71
7
2
28
26
34
24
11
27
958
993
632
528
877
325
309
345
321
257
341
268
238
3
88
71
374
308
35
220
129
91
368
132
450
144
296
593
118
396
161
485
206
39
330
62
1,011
388
182
555
237
57
2,571
1,317
2,304
953
2,559
1,047
730
1,943
949
563
1,650
819
532
731
600
392
685
309
281
1,674
706
449
175
59
226
72
85
263
49
192
72
253
98
16
152
26
493
185
78
265
101
20
1,224
667
1,083
478
1,164
471
315
817
483
261
780
374
283
240
263
167
296
132
120
823
356
190
141
62
164
62
190
197
53
139
69
163
79
18
143
28
353
156
90
198
99
31
877
567
825
417
905
416
279
643
417
266
579
316
240
252
238
176
256
154
120
631
329
198
190
266
186
268
89
160
252
198
257
228
274
234
261
300
183
241
267
231
275
270
124
130
148
168
116
118
123
140
150
177
86
101
130
19
161
178
193
213
217
132
142
167
DRG
F66A
F66B
F67A
F67B
F68Z
F69A
F69B
F72A
F72B
F73A
F73B
F73C
F74A
F74B
F75A
F75B
F75C
F76A
F76B
F76C
G01A
G01B
G02A
G02B
G03A
G03B
G03C
G04A
G04B
G04C
G05A
G05B
G05C
G06Z
G07A
G07B
G10A
G10B
G11Z
G12A
G12B
G12C
( National
NATIONAL HOSPITAL COST DATA COLLECTION
COST WEIGHTS FOR AR-DRG VERSION 7.0, Round 18 (2013-14)
Public Sector - Sample
DRG Description
DRG
G46A
G46B
G46C
G47A
G47B
G47C
G48A
G48B
G48C
G60A
G60B
G61A
G61B
G64A
G64B
G65A
G65B
G66A
G66B
G67A
G67B
G70A
G70B
G70C
H01A
H01B
H02A
H02B
H05A
H05B
H06A
H06B
H07A
H07B
H08A
H08B
H40A
H40B
H43A
H43B
H43C
H60A
Complex Endoscopy W Catastrophic CC
Complex Endoscopy W/O Catastrophic CC
Complex Endoscopy, Sameday
Gastroscopy W Catastrophic CC
Gastroscopy W/O Catastrophic CC
Gastroscopy, Sameday
Colonoscopy W Catastrophic or Severe CC
Colonoscopy W/O Catastrophic or Severe CC
Colonoscopy, Sameday
Digestive Malignancy W Catastrophic CC
Digestive Malignancy W/O Catastrophic CC
Gastrointestinal Haemorrhage W Catastrophic or Severe CC
Gastrointestinal Haemorrhage W/O Catastrophic or Severe CC
Inflammatory Bowel Disease W CC
Inflammatory Bowel Disease W/O CC
Gastrointestinal Obstruction W Catastrophic or Severe CC
Gastrointestinal Obstruction W/O Catastrophic or Severe CC
Abdominal Pain and Mesenteric Adenitis
Abdominal Pain and Mesenteric Adenitis, Sameday
Oesophagitis and Gastroenteritis W Catastrophic or Severe CC
Oesophagitis and Gastroenteritis W/O Catastrophic or Severe CC
Other Digestive System Disorders W Catastrophic or Severe CC
Other Digestive System Disorders W/O Catastrophic or Severe CC
Other Digestive System Disorders, Sameday
Pancreas, Liver and Shunt Procedures W Catastrophic CC
Pancreas, Liver and Shunt Procedures W/O Catastrophic CC
Major Biliary Tract Procedures W Catastrophic CC
Major Biliary Tract Procedures W/O Catastrophic CC
Hepatobiliary Diagnostic Procedures W Catastrophic CC
Hepatobiliary Diagnostic Procedures W/O Catastrophic CC
Other Hepatobiliary and Pancreas OR Procedures W Catastrophic
Other Hepatobiliary and Pancreas OR Procedures W/O Catastroph
Open Cholecystectomy W Closed CDE or W Catastrophic CC
Open Cholecystectomy W/O Closed CDE W/O Catastrophic CC
Laparoscopic Cholecystectomy W Closed CDE or W Cat or Sev C
Laparoscopic Cholecystectomy W/O Closed CDE W/O Cat or Sev
Endoscopic Procedures for Bleeding Oesophageal Varices W Cat
Endoscopic Procedures for Bleeding Oesophageal Varices W/O C
ERCP Procedures W Catastrophic or Severe CC
ERCP Procedures W/O Catastrophic or Severe CC
ERCP Procedures, Sameday
Cirrhosis and Alcoholic Hepatitis W Catastrophic CC
)
V7.0 Public Sector
Cost
Number
Number
ALOS
Average Cost per DRG ($)
Weight
of Seps
of Days
(Days)
Total
3.92
1.53
0.38
3.09
1.17
0.29
2.53
1.14
0.33
2.21
0.83
1.33
0.58
1.42
0.56
1.71
0.84
0.66
0.24
1.42
0.47
1.59
0.76
0.23
7.45
3.83
6.55
2.77
5.00
1.38
5.02
1.56
5.48
2.66
2.57
1.48
3.78
1.61
3.16
1.42
0.45
3.03
1,975
6,682
29,465
2,603
11,766
34,535
2,751
7,020
56,902
1,972
4,259
3,525
8,492
1,359
13,299
4,150
8,993
31,919
24,180
12,446
43,326
13,856
36,516
29,239
1,249
972
627
708
254
686
627
1,274
433
763
6,126
20,724
475
313
2,335
3,453
3,060
2,435
21,854
26,454
29,465
24,029
36,584
34,535
21,465
21,824
56,902
14,737
13,009
15,673
16,530
6,142
16,860
23,488
23,560
61,920
24,180
55,485
67,132
72,758
86,620
29,239
17,044
5,564
9,757
4,202
2,872
2,041
8,399
3,932
5,194
3,744
29,644
38,778
3,885
1,035
21,179
13,781
3,060
22,824
11.07
3.96
1.00
9.23
3.11
1.00
7.80
3.11
1.00
7.47
3.05
4.45
1.95
4.52
1.27
5.66
2.62
1.94
1.00
4.46
1.55
5.25
2.37
1.00
13.65
5.72
15.56
5.94
11.31
2.98
13.40
3.09
12.00
4.91
4.84
1.87
8.18
3.31
9.07
3.99
1.00
9.37
19,479
7,577
1,864
15,367
5,823
1,453
12,568
5,640
1,632
10,992
4,122
6,624
2,857
7,027
2,795
8,486
4,152
3,291
1,172
7,054
2,328
7,912
3,761
1,123
37,008
19,037
32,511
13,753
24,818
6,840
24,923
7,733
27,218
13,230
12,762
7,335
18,789
7,999
15,704
7,057
2,228
15,066
Direct
14,929
5,778
1,425
11,761
4,394
1,116
9,646
4,289
1,246
8,142
3,082
4,971
2,137
5,391
2,443
6,398
3,113
2,458
925
5,283
1,737
5,948
2,793
872
29,300
15,076
25,422
10,690
19,662
5,246
19,306
6,128
21,265
10,103
10,022
5,726
14,938
6,235
12,056
5,347
1,761
11,557
Ohead
4,550
1,799
439
3,606
1,429
338
2,922
1,351
386
2,851
1,039
1,653
720
1,636
351
2,088
1,039
833
247
1,771
591
1,964
969
252
7,708
3,961
7,089
3,062
5,156
1,595
5,618
1,605
5,954
3,127
2,739
1,610
3,851
1,764
3,648
1,710
466
3,509
Average Component Cost per DRG ($)
Ward Medical
Ward Nursing
Direct
Direct
2,197
924
206
1,794
685
139
1,562
740
187
1,420
521
835
370
895
146
1,100
552
419
61
920
293
1,034
522
71
2,580
1,098
3,162
1,319
2,141
595
2,774
632
2,452
1,249
1,114
604
1,746
794
1,845
806
102
1,906
Ohead
291
101
13
226
77
10
212
95
13
218
71
118
43
112
22
129
63
50
13
116
45
139
70
14
233
132
304
115
298
53
253
63
191
137
122
70
214
74
211
80
13
268
3,961
1,440
56
3,237
937
64
2,821
1,073
66
2,706
850
1,482
504
1,503
221
2,012
827
574
86
1,606
410
1,827
727
88
4,445
2,014
5,442
2,077
4,086
914
4,429
959
3,906
1,763
1,682
696
2,983
1,176
3,182
1,333
93
3,256
Ohead
381
154
10
346
116
11
324
142
11
314
110
174
73
168
29
256
120
76
15
196
61
220
114
17
366
186
479
222
370
82
421
94
403
249
187
96
316
123
296
126
13
404
Non
Clinical
Salaries
1,247
483
74
1,037
367
62
861
369
64
922
344
480
202
523
104
632
305
228
46
544
157
596
276
56
1,384
656
1,723
686
1,285
320
1,446
420
1,237
551
573
280
929
370
1,019
466
76
1,032
Pathology
Direct
856
317
103
646
202
77
577
208
51
331
103
261
96
268
48
233
85
72
19
245
61
244
76
19
1,509
720
1,141
345
1,185
269
1,030
186
809
266
328
128
1,065
339
607
213
23
834
Ohead
80
28
9
61
19
7
52
18
4
31
9
26
9
29
7
20
7
7
2
27
6
24
7
2
153
74
139
37
106
26
101
17
84
26
30
11
87
35
58
22
2
75
DRG
G46A
G46B
G46C
G47A
G47B
G47C
G48A
G48B
G48C
G60A
G60B
G61A
G61B
G64A
G64B
G65A
G65B
G66A
G66B
G67A
G67B
G70A
G70B
G70C
H01A
H01B
H02A
H02B
H05A
H05B
H06A
H06B
H07A
H07B
H08A
H08B
H40A
H40B
H43A
H43B
H43C
H60A
( National
NATIONAL HOSPITAL COST DATA COLLECTION
COST WEIGHTS FOR AR-DRG VERSION 7.0, Round 18 (2013-14)
Public Sector - Sample
)
V7.0 Public Sector
Average Component Cost per DRG ($)
Imaging
DRG
G46A
G46B
G46C
G47A
G47B
G47C
G48A
G48B
G48C
G60A
G60B
G61A
G61B
G64A
G64B
G65A
G65B
G66A
G66B
G67A
G67B
G70A
G70B
G70C
H01A
H01B
H02A
H02B
H05A
H05B
H06A
H06B
H07A
H07B
H08A
H08B
H40A
H40B
H43A
H43B
H43C
H60A
Direct
495
143
7
409
131
8
334
107
8
375
168
141
57
174
19
281
155
152
70
128
41
219
113
38
985
436
1,940
769
847
193
1,944
1,884
662
193
300
130
325
109
629
298
119
412
Allied
Ohead
89
26
1
70
24
2
57
20
1
68
29
24
10
32
3
53
31
29
14
23
8
39
22
7
177
74
316
121
144
27
318
262
120
33
52
21
62
18
112
55
25
76
Direct
663
112
5
579
88
5
285
57
4
489
109
166
34
136
12
223
52
37
8
197
28
266
58
14
712
227
720
139
558
58
566
68
476
139
110
29
433
88
333
54
8
546
Pharmacy
Ohead
212
51
6
178
38
5
103
31
5
133
36
60
19
59
9
81
27
19
3
63
12
83
25
5
307
125
256
76
207
41
211
44
206
67
67
27
142
41
136
43
10
166
Direct
759
173
14
534
113
13
625
169
16
496
258
176
44
772
1,675
265
71
49
8
212
32
283
65
19
1,060
259
935
228
622
92
990
391
727
147
155
49
640
309
422
111
32
507
Critical Care
Ohead
51
15
2
40
10
1
40
13
2
31
18
18
5
44
58
24
7
5
1
19
3
24
6
2
58
16
48
17
56
8
51
21
42
16
12
5
37
25
26
9
4
40
Direct
1,198
153
0
787
70
0
301
19
0
106
15
198
24
63
1
207
5
11
0
197
9
167
12
2
4,756
1,747
2,779
228
2,233
100
2,199
153
3,106
290
475
28
2,801
837
856
49
0
985
Ohead
273
36
0
181
18
0
68
5
0
22
4
52
6
13
0
49
1
3
0
46
2
39
3
0
1,046
409
579
48
452
24
472
34
645
72
107
6
563
188
191
12
0
217
Oper Rooms
Direct
1,125
857
724
684
648
465
607
646
610
63
140
39
26
80
13
47
16
17
8
14
5
56
47
105
7,649
5,707
3,848
3,196
3,822
1,862
1,146
398
5,120
4,160
3,642
2,908
1,460
861
971
788
716
142
Ohead
234
188
172
137
140
113
129
151
150
15
30
8
7
17
3
11
4
4
2
4
1
12
11
27
1,491
1,102
722
644
759
379
204
74
1,024
942
740
627
297
172
200
165
152
29
Emerg Depts
Direct
728
461
3
846
663
22
663
352
2
592
259
823
649
597
103
925
864
754
571
866
603
813
715
378
195
76
565
356
483
117
493
131
626
353
504
233
868
648
653
459
5
874
Ohead
180
124
1
206
180
6
166
95
1
151
70
212
173
150
26
229
221
201
142
230
167
210
192
96
47
20
139
100
110
37
120
34
156
94
125
62
206
167
166
127
1
210
Supplies
Direct
616
217
31
472
164
30
400
174
32
358
147
203
82
216
49
278
121
86
17
203
59
251
114
22
858
406
951
382
691
150
748
198
603
273
270
118
498
223
515
223
51
483
Ohead
780
293
36
618
228
30
521
219
32
598
212
294
116
312
57
378
174
137
15
331
89
358
161
18
935
424
1,124
447
730
235
993
261
799
388
336
158
523
258
638
297
28
615
Spec Proc Suites
Direct
210
188
104
188
138
140
194
179
110
26
52
13
7
25
11
7
2
5
2
3
2
10
5
21
82
47
209
128
204
174
174
118
44
5
48
21
98
132
216
203
231
28
Prostheses
OnCosts
Hotel
Deprec
No. of
Hosps
Ohead
59
51
39
47
34
40
52
48
38
5
8
3
1
6
3
1
0
1
1
1
1
2
1
5
20
12
39
26
55
58
34
19
14
1
10
3
30
41
54
48
68
7
211
79
22
27
17
15
21
20
16
11
23
6
3
6
2
6
3
3
2
3
1
7
4
5
1,138
699
589
291
368
108
328
209
246
140
233
176
177
24
280
152
159
11
1,368
491
107
1,075
366
86
832
351
94
787
275
428
154
429
102
539
220
185
38
465
124
528
215
50
2,646
1,241
2,298
895
1,721
477
1,812
500
1,976
836
878
444
1,320
516
1,080
459
152
1,016
712
260
46
550
184
38
458
183
44
430
140
234
82
229
35
303
126
89
14
233
58
277
111
19
1,212
550
1,186
444
661
209
895
213
895
458
352
193
549
224
565
241
61
555
503
210
73
390
166
62
305
158
70
293
121
149
62
169
36
195
92
79
17
162
51
186
90
23
967
582
877
418
624
232
771
349
651
380
308
211
420
206
440
218
85
372
134
182
203
136
185
206
156
203
211
174
247
225
276
154
196
228
260
289
282
267
298
271
292
293
87
71
88
110
75
101
79
87
104
148
173
191
75
78
81
88
56
173
DRG
G46A
G46B
G46C
G47A
G47B
G47C
G48A
G48B
G48C
G60A
G60B
G61A
G61B
G64A
G64B
G65A
G65B
G66A
G66B
G67A
G67B
G70A
G70B
G70C
H01A
H01B
H02A
H02B
H05A
H05B
H06A
H06B
H07A
H07B
H08A
H08B
H40A
H40B
H43A
H43B
H43C
H60A
( National
NATIONAL HOSPITAL COST DATA COLLECTION
COST WEIGHTS FOR AR-DRG VERSION 7.0, Round 18 (2013-14)
Public Sector - Sample
DRG Description
DRG
H60B
H60C
H61A
H61B
H61C
H62A
H62B
H63A
H63B
H63C
H64A
H64B
H64C
I01A
I01B
I02A
I02B
I03A
I03B
I04A
I04B
I05A
I05B
I06Z
I07Z
I08A
I08B
I09A
I09B
I10A
I10B
I11Z
I12A
I12B
I12C
I13A
I13B
I13C
I15Z
I16Z
I17A
I17B
Cirrhosis and Alcoholic Hepatitis W/O Catastrophic CC
Cirrhosis and Alcoholic Hepatitis, Sameday
Malignancy of Hepatobiliary System and Pancreas W Catastrophic
Malignancy of Hepatobiliary System and Pancreas W/O Catastrop
Malignancy of Hepatobiliary System and Pancreas, Sameday
Disorders of Pancreas, Except Malignancy W Catastrophic or Seve
Disorders of Pancreas, Except Malignancy W/O Catastrophic or Se
Other Disorders of Liver W Catastrophic CC
Other Disorders of Liver W/O Catastrophic CC
Other Disorders of Liver, Sameday
Disorders of the Biliary Tract W CC
Disorders of the Biliary Tract W/O CC
Disorders of the Biliary Tract, Sameday
Bilateral and Multiple Major Joint Proc of Lower Limb W Revision o
Bilateral and Multiple Major Joint Proc of Lower Limb W/O Revisio
Microvascular Tissue Transfers or (Skin Grafts W Cat or Sev CC),
Skin Grafts W/O Cat or Sev CC, Excluding Hand
Hip Replacement W Catastrophic CC
Hip Replacement W/O Catastrophic CC
Knee Replacement W Catastrophic or Severe CC
Knee Replacement W/O Catastrophic or Severe CC
Other Joint Replacement W Catastrophic or Severe CC
Other Joint Replacement W/O Catastrophic or Severe CC
Spinal Fusion for Deformity
Amputation
Other Hip and Femur Procedures W Catastrophic CC
Other Hip and Femur Procedures W/O Catastrophic CC
Spinal Fusion W Catastrophic CC
Spinal Fusion W/O Catastrophic CC
Other Back and Neck Procedures W Catastrophic or Severe CC
Other Back and Neck Procedures W/O Catastrophic or Severe CC
Limb Lengthening Procedures
Misc Musculoskeletal Procs for Infect/Inflam of Bone/Joint W Cat C
Misc Musculoskeletal Procs for Infect/Inflam of Bone/Joint W Sev o
Misc Musculoskeletal Procs for Infect/Inflam of Bone/Joint W/O CC
Humerus, Tibia, Fibula and Ankle Procedures W CC
Humerus, Tibia, Fibula and Ankle Procedures W/O CC, Age >=17
Humerus, Tibia, Fibula and Ankle Procedures W/O CC, Age <17
Cranio-Facial Surgery
Other Shoulder Procedures
Maxillo-Facial Surgery W CC
Maxillo-Facial Surgery W/O CC
)
V7.0 Public Sector
Cost
Number
Number
ALOS
Average Cost per DRG ($)
Weight
of Seps
of Days
(Days)
Total
1.33
0.26
2.51
1.28
0.32
2.14
0.88
2.98
1.36
0.28
1.67
0.80
0.23
11.86
6.08
10.58
3.31
5.18
4.04
4.58
3.80
5.85
3.76
10.54
7.71
4.96
3.15
9.71
5.55
3.74
2.19
5.00
6.34
3.57
1.95
4.11
2.21
1.42
4.09
1.51
2.90
1.69
1,497
1,217
1,505
2,449
1,202
3,559
10,930
1,793
4,183
4,231
4,447
7,822
4,955
234
526
824
575
3,765
10,296
3,455
9,838
425
1,210
492
333
5,453
8,357
698
2,110
1,006
3,250
144
1,855
1,610
2,980
3,608
10,925
3,876
506
6,489
355
537
6,524
1,217
12,559
9,873
1,202
22,852
30,727
15,291
17,340
4,231
23,439
19,536
4,955
5,493
3,389
19,788
4,075
40,773
58,098
25,623
48,576
3,947
4,320
4,132
6,821
68,872
56,220
10,014
11,420
7,286
10,434
660
38,845
19,161
16,013
31,968
39,097
6,768
2,665
8,609
1,301
918
4.36
1.00
8.34
4.03
1.00
6.42
2.81
8.53
4.15
1.00
5.27
2.50
1.00
23.47
6.44
24.01
7.09
10.83
5.64
7.42
4.94
9.29
3.57
8.40
20.48
12.63
6.73
14.35
5.41
7.24
3.21
4.58
20.94
11.90
5.37
8.86
3.58
1.75
5.27
1.33
3.66
1.71
6,581
1,277
12,461
6,375
1,586
10,621
4,348
14,787
6,730
1,405
8,301
3,975
1,143
58,875
30,178
52,548
16,414
25,738
20,072
22,739
18,868
29,074
18,658
52,350
38,281
24,621
15,656
48,226
27,560
18,577
10,853
24,818
31,475
17,747
9,693
20,396
10,959
7,058
20,334
7,494
14,395
8,370
Direct
4,905
1,013
9,225
4,805
1,271
8,090
3,239
11,337
5,121
1,116
6,266
2,951
895
47,404
25,003
41,232
12,772
20,674
16,597
18,761
15,690
24,055
15,641
45,245
29,383
19,219
12,235
40,075
23,224
14,605
8,582
21,508
24,136
13,503
7,471
15,969
8,624
5,592
16,240
5,938
11,487
6,674
Ohead
1,675
264
3,236
1,570
316
2,531
1,109
3,450
1,610
290
2,035
1,024
248
11,471
5,175
11,316
3,642
5,064
3,475
3,979
3,179
5,019
3,018
7,105
8,898
5,402
3,421
8,151
4,336
3,972
2,271
3,310
7,339
4,244
2,221
4,427
2,335
1,466
4,094
1,555
2,907
1,697
Average Component Cost per DRG ($)
Ward Medical
Ward Nursing
Direct
Direct
859
90
1,657
834
104
1,290
578
1,844
912
111
1,090
544
69
4,912
1,818
5,131
1,577
2,092
1,393
1,701
1,346
1,902
1,077
2,740
4,222
2,378
1,439
2,457
1,122
1,405
733
1,102
3,965
2,330
1,081
1,726
819
464
1,626
643
1,279
621
Ohead
112
9
185
109
12
146
65
186
119
11
136
70
13
1,031
282
769
232
415
250
292
242
319
178
146
563
455
254
431
155
211
111
166
589
401
211
319
150
90
118
90
118
63
1,459
85
3,047
1,352
115
2,141
877
2,944
1,385
83
1,799
759
93
8,939
2,663
8,438
2,562
3,885
2,095
2,704
1,868
3,379
1,397
4,069
7,384
4,670
2,525
5,563
2,216
2,867
1,323
2,099
6,599
3,688
1,698
3,210
1,253
758
2,171
569
1,423
713
Ohead
225
11
339
157
14
257
127
318
187
11
238
128
19
667
208
605
207
309
183
234
166
286
133
218
553
353
201
308
154
230
110
119
578
335
156
262
122
59
157
73
125
63
Non
Clinical
Salaries
497
62
990
483
76
710
324
1,098
501
60
640
302
63
2,420
831
2,713
794
1,172
673
885
607
1,052
480
1,415
2,152
1,348
761
1,668
719
914
438
809
2,225
1,207
568
1,047
455
272
801
250
534
305
Pathology
Direct
333
79
411
209
122
400
122
699
343
77
286
105
21
1,389
303
1,078
201
549
207
315
137
429
124
503
1,133
609
253
946
246
324
104
94
898
377
169
263
58
15
329
21
135
34
Ohead
31
6
48
22
11
40
11
64
33
7
29
9
2
138
32
124
23
55
21
30
14
41
11
93
108
60
26
118
30
39
13
14
93
37
16
28
7
3
62
2
16
4
DRG
H60B
H60C
H61A
H61B
H61C
H62A
H62B
H63A
H63B
H63C
H64A
H64B
H64C
I01A
I01B
I02A
I02B
I03A
I03B
I04A
I04B
I05A
I05B
I06Z
I07Z
I08A
I08B
I09A
I09B
I10A
I10B
I11Z
I12A
I12B
I12C
I13A
I13B
I13C
I15Z
I16Z
I17A
I17B
( National
NATIONAL HOSPITAL COST DATA COLLECTION
COST WEIGHTS FOR AR-DRG VERSION 7.0, Round 18 (2013-14)
Public Sector - Sample
)
V7.0 Public Sector
Average Component Cost per DRG ($)
Imaging
DRG
H60B
H60C
H61A
H61B
H61C
H62A
H62B
H63A
H63B
H63C
H64A
H64B
H64C
I01A
I01B
I02A
I02B
I03A
I03B
I04A
I04B
I05A
I05B
I06Z
I07Z
I08A
I08B
I09A
I09B
I10A
I10B
I11Z
I12A
I12B
I12C
I13A
I13B
I13C
I15Z
I16Z
I17A
I17B
Direct
191
66
527
457
313
412
176
399
253
81
345
162
60
793
189
845
242
395
174
217
93
288
126
440
591
504
291
1,009
416
418
206
262
764
312
134
390
189
151
214
20
215
95
Allied
Ohead
35
13
97
69
59
75
33
65
47
14
60
29
12
152
32
148
42
70
31
36
17
52
20
115
112
91
58
159
74
74
34
58
132
61
27
75
36
33
48
4
50
20
Direct
168
15
465
145
27
238
50
468
121
11
172
46
10
1,793
615
1,348
316
836
460
585
412
603
217
1,374
1,490
873
439
1,411
534
552
231
596
882
367
157
522
201
89
285
97
234
90
Pharmacy
Ohead
56
6
146
50
8
90
27
140
49
6
67
23
5
974
749
507
147
353
331
310
325
387
296
688
480
322
186
747
400
178
78
210
296
135
63
223
100
54
121
55
94
47
Direct
159
57
482
356
93
299
75
534
205
81
225
57
13
1,357
287
1,160
223
390
208
260
168
304
114
333
1,108
479
204
600
171
244
100
177
1,681
743
262
289
109
41
186
49
148
54
Ohead
16
4
32
22
5
26
7
36
14
7
20
6
2
105
36
69
19
36
23
24
19
28
14
42
64
42
20
50
18
21
10
14
102
50
21
25
12
6
16
6
9
5
Critical Care
Direct
32
11
124
23
2
977
42
1,231
103
2
289
16
2
2,198
487
1,867
45
855
126
442
63
509
76
2,310
1,734
649
97
2,185
368
440
49
127
860
42
21
324
16
5
1,353
26
641
131
Ohead
8
1
31
7
1
237
11
288
22
0
72
5
0
518
135
441
13
204
33
110
16
121
17
538
356
155
23
465
93
103
12
21
212
9
6
76
3
1
267
6
154
29
Oper Rooms
Direct
53
227
80
65
114
84
46
217
123
292
83
41
37
8,610
5,054
11,612
4,537
4,021
3,792
4,125
3,728
5,625
4,409
9,391
5,804
3,740
3,364
8,624
6,699
4,936
4,030
5,429
3,118
2,653
2,317
4,416
3,339
2,396
5,938
2,977
4,312
3,191
Ohead
11
54
17
14
28
21
11
44
27
69
19
10
9
1,782
1,138
2,308
943
798
789
831
780
1,154
942
1,781
1,151
741
684
1,730
1,375
1,092
850
1,094
639
570
494
904
719
485
1,274
647
901
672
Emerg Depts
Direct
740
87
726
485
104
874
713
890
709
71
829
712
443
294
13
657
330
660
219
23
9
370
140
44
403
942
723
472
194
173
89
55
560
374
195
801
459
417
85
17
452
127
Ohead
197
22
198
131
25
216
188
222
179
16
214
191
109
80
3
155
83
159
56
6
2
92
33
8
104
226
187
107
47
44
24
13
145
103
55
201
123
117
24
4
124
38
Supplies
Direct
228
33
415
232
53
323
136
476
257
35
295
138
30
1,876
451
1,667
424
621
325
404
277
481
218
713
1,469
683
360
956
323
499
202
367
1,293
674
277
487
199
103
332
118
225
125
Ohead
311
26
684
316
33
432
193
648
291
26
367
173
18
1,650
560
1,742
540
729
424
542
372
657
297
869
1,489
844
485
1,057
449
578
274
412
1,386
774
332
654
269
150
557
142
345
182
Spec Proc Suites
Direct
24
113
17
22
44
14
21
35
18
117
13
9
20
81
13
116
13
28
95
56
143
41
26
27
68
38
7
85
34
24
21
19
71
16
16
26
14
1
7
24
9
30
Prostheses
OnCosts
Hotel
Deprec
No. of
Hosps
Ohead
6
30
4
5
12
3
6
9
5
34
3
2
6
15
3
21
2
7
14
10
19
12
5
17
11
8
2
32
15
6
3
14
11
2
3
5
2
0
3
5
2
4
8
19
14
13
23
8
4
17
12
20
10
5
4
11,057
11,710
2,286
907
4,388
6,373
6,471
6,427
8,204
6,773
20,777
448
1,495
1,271
12,202
9,172
849
475
9,875
272
229
238
1,750
1,083
588
2,125
796
1,208
769
409
77
896
411
91
706
253
1,040
428
87
524
216
45
3,137
1,117
3,560
1,016
1,493
900
1,177
797
1,498
759
1,994
2,635
1,562
918
2,575
1,284
1,294
713
926
2,193
1,158
618
1,264
633
397
1,242
436
905
521
234
28
504
205
33
348
138
493
212
31
276
121
18
1,604
610
1,932
542
716
457
528
418
690
351
779
1,616
802
486
1,009
537
574
299
351
1,184
666
299
628
304
161
492
194
376
208
175
46
326
182
60
251
112
382
177
47
200
99
23
1,303
840
1,245
435
506
419
422
403
550
425
927
1,033
551
392
1,258
714
489
323
394
726
432
259
479
285
200
499
222
362
229
199
141
171
218
139
202
260
165
215
177
230
267
252
82
82
87
108
117
124
120
120
98
120
31
75
111
129
41
51
52
65
38
132
141
155
121
144
113
42
150
62
66
DRG
H60B
H60C
H61A
H61B
H61C
H62A
H62B
H63A
H63B
H63C
H64A
H64B
H64C
I01A
I01B
I02A
I02B
I03A
I03B
I04A
I04B
I05A
I05B
I06Z
I07Z
I08A
I08B
I09A
I09B
I10A
I10B
I11Z
I12A
I12B
I12C
I13A
I13B
I13C
I15Z
I16Z
I17A
I17B
( National
NATIONAL HOSPITAL COST DATA COLLECTION
COST WEIGHTS FOR AR-DRG VERSION 7.0, Round 18 (2013-14)
Public Sector - Sample
DRG Description
DRG
I18Z
I19A
I19B
I20Z
I21Z
I23Z
I24Z
I25A
I25B
I27A
I27B
I27C
I28A
I28B
I29Z
I30Z
I31A
I31B
I32A
I32B
I40Z
I60Z
I61A
I61B
I63A
I63B
I64A
I64B
I65A
I65B
I66A
I66B
I67A
I67B
I68A
I68B
I69A
I69B
I71A
I71B
I72A
I72B
)
V7.0 Public Sector
Cost
Number
Number
ALOS
Average Cost per DRG ($)
Weight
of Seps
of Days
(Days)
Total
Other Knee Procedures
Other Elbow and Forearm Procedures W CC
Other Elbow and Forearm Procedures W/O CC
Other Foot Procedures
Local Excision and Removal of Internal Fixation Devices of Hip and
Local Excision and Removal of Internal Fixation Devices, Except H
Arthroscopy
Bone and Joint Diagnostic Procedures Including Biopsy W CC
Bone and Joint Diagnostic Procedures Including Biopsy W/O CC
Soft Tissue Procedures W Catastrophic or Severe CC
Soft Tissue Procedures W/O Catastrophic or Severe CC
Soft Tissue Procedures, Sameday
Other Musculoskeletal Procedures W CC
Other Musculoskeletal Procedures W/O CC
Knee Reconstructions, and Revisions of Reconstructions
Hand Procedures
Revision of Hip Replacement for Infect/Inflam of Joint Prosth or W
Revision of Hip Replacement not for Infect/Inflam of Joint Prosth W
Revision of Knee Replacement for Infect/Inflam of Joint Prosth or W
Revision of Knee Replacement not for Infect/Inflam of Joint Prosth
Infusions for Musculoskeletal Disorders, Sameday
Femoral Shaft Fractures
Distal Femoral Fractures W CC
Distal Femoral Fractures W/O CC
Sprains, Strains and Dislocations of Hip, Pelvis and Thigh W CC
Sprains, Strains and Dislocations of Hip, Pelvis and Thigh W/O CC
Osteomyelitis W Catastrophic or Severe CC
Osteomyelitis W/O Catastrophic or Severe CC
Musculoskeletal Malignant Neoplasms W Radiotherapy or W Cat C
Musculoskeletal Malignant Neoplasms W/O Radiotherapy W/O Ca
Inflammatory Musculoskeletal Disorders W Catastrophic or Severe
Inflammatory Musculoskeletal Disorders W/O Catastrophic or Seve
Septic Arthritis W Catastrophic or Severe CC
Septic Arthritis W/O Catastrophic or Severe CC
Non-surgical Spinal Disorders W CC
Non-surgical Spinal Disorders W/O CC
Bone Diseases and Arthropathies W Catastrophic or Severe CC
Bone Diseases and Arthropathies W/O Catastrophic or Severe CC
Other Musculotendinous Disorders W Catastrophic or Severe CC
Other Musculotendinous Disorders W/O Catastrophic or Severe C
Specific Musculotendinous Disorders W Catastrophic or Severe CC
Specific Musculotendinous Disorders W/O Catastrophic or Severe
0.83
2.78
1.63
1.48
1.21
0.63
0.92
3.53
1.08
4.07
1.47
0.61
3.27
1.36
1.65
0.91
8.37
5.09
7.90
4.79
0.37
3.04
2.80
1.27
1.52
0.73
3.54
2.17
3.05
1.63
3.25
1.42
3.25
1.53
1.99
0.89
1.93
1.00
1.69
0.78
2.45
0.90
15,234
1,682
10,939
6,862
809
11,990
1,550
360
523
1,370
4,916
3,015
1,109
3,869
3,937
27,086
674
763
360
537
17,849
527
215
195
538
1,291
1,347
1,148
1,648
2,601
1,062
2,248
296
693
9,771
16,969
2,141
5,489
1,260
5,297
944
3,488
20,717
8,498
19,354
15,249
1,648
13,644
2,611
3,660
1,384
14,031
12,398
3,015
9,101
6,836
5,277
36,773
11,765
5,844
6,580
3,270
17,849
4,549
2,096
806
2,747
2,649
20,761
11,236
15,836
11,665
10,158
8,941
3,970
4,827
66,862
47,997
14,582
18,783
7,576
12,966
8,098
11,142
1.36
5.05
1.77
2.22
2.04
1.14
1.68
10.17
2.65
10.24
2.52
1.00
8.21
1.77
1.34
1.36
17.46
7.66
18.28
6.09
1.00
8.63
9.75
4.13
5.11
2.05
15.41
9.79
9.61
4.48
9.56
3.98
13.41
6.97
6.84
2.83
6.81
3.42
6.01
2.45
8.58
3.19
4,106
13,830
8,078
7,351
6,029
3,142
4,590
17,543
5,363
20,231
7,312
3,018
16,216
6,775
8,190
4,541
41,555
25,253
39,251
23,803
1,816
15,081
13,902
6,300
7,546
3,637
17,559
10,794
15,167
8,096
16,164
7,058
16,145
7,619
9,906
4,397
9,572
4,974
8,412
3,895
12,163
4,474
Direct
3,159
10,829
6,487
5,783
4,719
2,446
3,575
13,351
4,188
15,475
5,665
2,368
12,628
5,360
6,535
3,533
33,642
20,573
31,768
19,712
1,555
11,274
10,348
4,694
5,687
2,742
13,153
7,988
11,314
6,213
12,280
5,317
12,036
5,588
7,362
3,256
7,160
3,652
6,225
2,895
9,124
3,280
Ohead
947
3,001
1,591
1,568
1,310
696
1,015
4,191
1,175
4,756
1,647
650
3,588
1,415
1,655
1,008
7,914
4,680
7,483
4,091
261
3,807
3,554
1,606
1,859
894
4,406
2,806
3,853
1,884
3,884
1,741
4,109
2,031
2,544
1,141
2,411
1,321
2,187
1,000
3,039
1,194
Average Component Cost per DRG ($)
Ward Medical
Ward Nursing
Direct
Direct
408
1,043
433
560
446
192
410
2,534
488
2,271
652
193
1,622
450
538
344
3,334
1,839
3,528
1,688
156
2,071
1,842
746
899
360
2,811
1,782
1,861
948
2,342
1,237
2,093
1,167
1,219
530
1,230
748
1,103
486
1,596
649
Ohead
59
168
79
93
57
34
73
450
62
302
114
29
265
81
101
48
646
329
805
304
17
302
192
136
150
85
356
200
391
120
367
147
295
174
157
79
153
88
147
65
205
92
313
1,828
652
819
719
218
435
3,993
814
3,588
974
128
2,956
614
620
337
5,575
2,384
5,279
1,798
112
4,888
3,990
1,583
1,723
645
4,313
2,673
3,734
1,981
3,414
1,437
4,214
1,812
2,446
948
2,247
1,027
2,037
792
2,762
970
Ohead
39
152
66
81
58
26
53
367
70
332
94
18
265
64
75
39
446
224
444
188
16
382
337
154
196
90
538
296
337
188
430
203
524
283
279
129
269
154
237
97
308
114
Non
Clinical
Salaries
157
612
262
320
255
121
197
1,286
294
1,248
359
108
993
271
281
172
1,824
886
1,651
679
81
1,191
1,094
470
570
236
1,469
1,021
1,235
649
1,193
573
1,351
642
780
330
752
397
691
294
987
352
Pathology
Direct
18
150
21
32
54
19
40
682
258
523
88
73
321
36
16
19
1,023
439
995
330
18
81
312
59
152
30
409
183
378
200
807
247
486
167
197
49
584
153
211
78
368
85
Ohead
2
18
3
4
6
2
3
70
29
55
8
8
34
4
2
2
103
51
86
35
3
9
29
5
16
3
42
24
38
25
88
31
56
18
21
5
30
11
22
7
42
9
DRG
I18Z
I19A
I19B
I20Z
I21Z
I23Z
I24Z
I25A
I25B
I27A
I27B
I27C
I28A
I28B
I29Z
I30Z
I31A
I31B
I32A
I32B
I40Z
I60Z
I61A
I61B
I63A
I63B
I64A
I64B
I65A
I65B
I66A
I66B
I67A
I67B
I68A
I68B
I69A
I69B
I71A
I71B
I72A
I72B
( National
NATIONAL HOSPITAL COST DATA COLLECTION
COST WEIGHTS FOR AR-DRG VERSION 7.0, Round 18 (2013-14)
Public Sector - Sample
)
V7.0 Public Sector
Average Component Cost per DRG ($)
Imaging
DRG
I18Z
I19A
I19B
I20Z
I21Z
I23Z
I24Z
I25A
I25B
I27A
I27B
I27C
I28A
I28B
I29Z
I30Z
I31A
I31B
I32A
I32B
I40Z
I60Z
I61A
I61B
I63A
I63B
I64A
I64B
I65A
I65B
I66A
I66B
I67A
I67B
I68A
I68B
I69A
I69B
I71A
I71B
I72A
I72B
Direct
19
288
154
90
67
28
33
1,176
436
444
80
23
431
109
51
48
554
232
424
141
24
256
351
172
240
124
596
382
591
294
524
205
535
194
374
190
257
130
300
150
361
133
Allied
Ohead
4
58
28
16
13
6
6
217
80
83
17
5
76
21
10
10
102
44
76
27
5
57
59
30
44
26
108
73
102
51
94
37
96
41
69
37
45
25
55
27
63
25
Direct
59
279
64
140
115
31
83
698
94
565
125
26
478
86
111
33
1,029
536
1,007
501
43
356
647
233
330
136
547
207
805
243
603
179
429
153
458
156
430
178
397
114
436
96
Pharmacy
Ohead
21
141
69
66
42
13
30
197
35
176
48
11
169
56
72
21
509
395
496
449
6
162
199
74
96
38
182
76
188
74
145
48
132
44
134
47
125
51
113
37
130
37
Direct
27
145
45
74
60
18
52
657
146
499
83
22
427
49
56
31
832
238
1,207
239
876
142
257
68
143
43
970
471
925
1,078
750
278
660
298
235
69
239
93
229
61
353
84
Critical Care
Ohead
3
13
6
8
6
2
5
37
7
38
9
2
27
6
7
3
54
25
84
26
37
18
24
8
15
5
70
38
51
62
53
24
50
26
23
8
25
11
22
7
29
9
Direct
8
223
7
21
67
12
16
102
3
1,137
33
3
393
12
5
6
1,544
362
928
122
0
14
181
0
50
2
125
9
130
8
764
44
296
10
156
11
74
10
39
20
584
26
Ohead
1
56
1
4
11
2
4
18
1
234
8
0
81
2
1
1
326
92
195
33
0
4
42
0
12
1
29
2
31
2
198
9
62
4
35
3
18
3
9
5
143
7
Oper Rooms
Direct
1,739
3,271
2,798
2,531
2,291
1,498
1,783
592
1,090
3,120
2,307
1,481
2,520
2,286
3,355
1,920
7,243
5,293
5,965
4,797
130
900
154
295
236
201
162
219
77
82
159
137
267
165
48
29
40
43
28
64
195
76
Ohead
403
694
593
540
474
336
393
141
213
645
481
329
527
499
718
424
1,395
1,057
1,196
1,006
30
175
33
55
50
44
33
45
15
15
32
29
60
39
10
7
8
9
7
12
46
18
Emerg Depts
Direct
52
813
368
153
42
8
73
316
138
519
353
60
646
249
21
157
400
213
305
66
3
632
865
737
898
764
573
441
501
320
678
561
675
480
920
721
792
619
750
649
803
604
Ohead
14
207
103
42
11
2
19
87
34
136
96
16
154
69
5
44
94
58
77
17
1
174
214
196
232
201
156
118
139
86
169
156
185
145
239
198
206
176
199
179
204
173
Supplies
Direct
65
256
94
122
106
43
81
572
130
597
146
34
434
111
121
64
1,036
464
1,088
367
47
493
450
206
255
93
736
446
517
280
531
222
652
340
291
126
296
153
271
104
372
133
Ohead
89
412
146
175
157
57
98
797
176
798
204
39
581
143
141
91
1,172
591
1,096
452
43
778
707
278
318
119
927
636
782
386
676
338
812
410
475
190
464
247
426
169
576
224
Spec Proc Suites
Direct
13
16
6
17
9
3
15
41
35
59
12
5
32
6
9
7
77
86
101
35
2
0
2
0
4
0
18
10
145
5
39
14
22
1
7
2
4
3
6
5
9
1
Prostheses
OnCosts
Hotel
Deprec
No. of
Hosps
Ohead
3
3
1
3
1
1
4
9
7
10
2
1
6
1
2
1
19
21
21
9
1
0
1
0
1
0
3
1
35
1
10
3
4
0
2
0
1
0
1
1
2
0
89
1,435
1,262
609
203
83
130
74
54
215
154
50
771
801
980
178
7,800
6,945
8,033
8,423
16
46
10
43
7
6
25
16
11
11
9
5
24
10
12
5
16
21
4
6
5
4
257
822
425
442
377
201
305
1,263
355
1,392
451
179
1,094
381
462
284
2,360
1,248
2,150
1,016
85
894
941
367
494
204
1,269
767
1,085
536
1,103
505
1,109
518
672
266
655
324
579
249
884
286
113
381
180
193
191
85
123
664
140
698
211
72
527
179
197
120
1,238
638
1,193
539
24
639
618
242
252
99
643
332
534
240
586
200
645
246
399
148
388
170
318
119
414
150
133
347
211
195
190
101
125
502
172
550
203
104
386
189
232
135
821
563
821
517
39
418
351
143
165
80
450
328
531
214
402
187
411
232
249
115
224
132
214
97
284
118
166
121
145
160
108
170
151
80
104
130
176
192
126
176
146
207
95
100
86
103
204
115
103
98
141
189
197
188
146
198
158
205
118
193
259
286
201
266
198
269
168
243
DRG
I18Z
I19A
I19B
I20Z
I21Z
I23Z
I24Z
I25A
I25B
I27A
I27B
I27C
I28A
I28B
I29Z
I30Z
I31A
I31B
I32A
I32B
I40Z
I60Z
I61A
I61B
I63A
I63B
I64A
I64B
I65A
I65B
I66A
I66B
I67A
I67B
I68A
I68B
I69A
I69B
I71A
I71B
I72A
I72B
( National
NATIONAL HOSPITAL COST DATA COLLECTION
COST WEIGHTS FOR AR-DRG VERSION 7.0, Round 18 (2013-14)
Public Sector - Sample
DRG Description
DRG
I73A
I73B
I74A
I74B
I75A
I75B
I76A
I76B
I77A
I77B
I78A
I78B
I79A
I79B
I80Z
I81Z
I82Z
J01A
J01B
J06A
J06B
J07A
J07B
J08A
J08B
J08C
J09Z
J10Z
J11Z
J12A
J12B
J12C
J13A
J13B
J14Z
J60A
J60B
J60C
J62A
J62B
J63A
J63B
Aftercare of Musculoskeletal Implants or Prostheses W Cat or Sev
Aftercare of Musculoskeletal Implants or Prostheses W/O Cat or S
Injuries to Forearm, Wrist, Hand and Foot W CC
Injuries to Forearm, Wrist, Hand and Foot W/O CC
Injuries to Shoulder, Arm, Elbow, Knee, Leg and Ankle W CC
Injuries to Shoulder, Arm, Elbow, Knee, Leg and Ankle W/O CC
Other Musculoskeletal Disorders W Catastrophic or Severe CC
Other Musculoskeletal Disorders W/O Catastrophic or Severe CC
Fractures of Pelvis W Catastrophic or Severe CC
Fractures of Pelvis W/O Catastrophic or Severe CC
Fractures of Neck of Femur W Catastrophic or Severe CC
Fractures of Neck of Femur W/O Catastrophic or Severe CC
Pathological Fractures W Catastrophic CC
Pathological Fractures W/O Catastrophic CC
Femoral Fractures, Transferred to Acute Facility <2 Days
Musculoskeletal Injuries, Sameday
Other Sameday Treatment for Musculoskeletal Disorders
Microvas Tiss Transf for Skin, Subcut Tiss & Breast Dsrds W Cat
Microvas Tiss Transf for Skin, Subcut Tiss & Breast Dsrds W/O Ca
Major Procedures for Malignant Breast Disorders
Major Procedures for Non-Malignant Breast Disorders
Minor Procedures for Malignant Breast Disorders
Minor Procedures for Non-Malignant Breast Disorders
Other Skin Grafts and Debridement Procedures W CC
Other Skin Grafts and Debridement Procedures W/O CC
Other Skin Grafts and Debridement Procedures, Sameday
Perianal and Pilonidal Procedures
Plastic OR Procedures for Skin, Subcutaneous Tissue and Breast
Other Skin, Subcutaneous Tissue and Breast Procedures
Lower Limb Procs W Ulcer/Cellulitis W Catastrophic CC
Lower Limb Procs W Ulcer/Cellulitis W/O Cat CC W Skin Graft/Fla
Lower Limb Procs W Ulcer/Cellulitis W/O Cat CC W/O Skin Graft/
Lwr Limb Procs W/O Ulcer/Cellulitis W (Skin Grafts and Sev CC) o
Lwr Limb Procs W/O Ulcer/Cellulitis W/O (Skin Grafts and Sev CC
Major Breast Reconstructions
Skin Ulcers W Catastrophic CC
Skin Ulcers W/O Catastrophic CC
Skin Ulcers, Sameday
Malignant Breast Disorders
Malignant Breast Disorders, Sameday
Non-Malignant Breast Disorders
Non-Malignant Breast Disorders, Sameday
)
V7.0 Public Sector
Cost
Number
Number
ALOS
Average Cost per DRG ($)
Weight
of Seps
of Days
(Days)
Total
2.57
1.23
1.49
0.68
1.96
0.81
2.13
0.93
2.51
1.35
2.17
1.27
3.52
1.82
0.34
0.25
0.23
8.97
5.81
1.82
1.80
0.84
0.67
3.08
1.46
0.60
0.90
0.73
0.52
5.47
3.24
2.24
3.03
1.22
4.50
3.15
1.41
0.19
1.79
0.26
0.93
0.30
848
2,269
1,930
11,265
4,985
10,487
1,608
2,715
2,308
2,183
888
936
530
1,799
2,045
27,477
32,625
299
157
8,301
2,418
2,187
4,438
3,307
3,822
6,990
2,252
8,905
35,770
631
285
743
508
2,293
416
735
1,811
1,178
685
350
1,502
714
9,565
14,242
10,122
16,313
36,182
25,287
11,936
7,281
21,641
10,742
7,156
4,006
6,270
11,725
2,045
27,477
32,625
3,882
1,204
25,070
6,287
2,541
4,749
28,218
11,560
6,990
4,685
10,798
44,058
11,108
3,075
5,593
4,647
6,837
3,036
8,882
11,403
1,178
4,196
350
4,502
714
11.28
6.28
5.24
1.45
7.26
2.41
7.42
2.68
9.38
4.92
8.06
4.28
11.83
6.52
1.00
1.00
1.00
12.98
7.67
3.02
2.60
1.16
1.07
8.53
3.02
1.00
2.08
1.21
1.23
17.60
10.79
7.53
9.15
2.98
7.30
12.08
6.30
1.00
6.13
1.00
3.00
1.00
12,748
6,088
7,392
3,382
9,748
4,029
10,589
4,611
12,454
6,695
10,756
6,298
17,500
9,025
1,706
1,238
1,145
44,537
28,833
9,018
8,922
4,189
3,328
15,310
7,271
2,980
4,460
3,608
2,558
27,169
16,101
11,146
15,043
6,058
22,371
15,626
7,017
947
8,864
1,268
4,620
1,499
Direct
9,275
4,487
5,451
2,554
7,138
2,976
7,962
3,432
9,158
4,867
7,887
4,647
13,239
6,625
1,293
968
894
35,470
22,976
7,108
6,905
3,322
2,596
11,642
5,544
2,320
3,420
2,799
1,972
20,749
12,112
8,416
11,444
4,619
17,547
11,632
5,035
728
6,632
1,000
3,430
1,171
Ohead
3,474
1,601
1,941
828
2,610
1,053
2,626
1,180
3,295
1,828
2,869
1,651
4,261
2,399
413
270
251
9,067
5,857
1,911
2,016
867
732
3,668
1,728
660
1,040
809
587
6,420
3,989
2,730
3,599
1,439
4,824
3,994
1,982
219
2,233
269
1,190
328
Average Component Cost per DRG ($)
Ward Medical
Ward Nursing
Direct
Direct
1,647
940
919
314
1,225
463
1,315
562
1,530
923
1,325
799
2,238
1,172
117
75
78
4,166
2,520
797
816
239
205
1,785
802
255
471
335
241
3,552
2,499
1,600
2,161
814
2,363
2,109
1,079
54
1,315
112
697
97
Ohead
179
139
104
51
155
76
185
84
215
135
188
135
394
135
21
13
13
346
325
72
79
37
27
276
103
28
44
39
29
436
249
229
267
93
143
344
181
4
169
16
93
15
3,258
1,405
1,647
463
2,343
773
2,476
896
3,355
1,522
2,786
1,492
5,072
2,416
202
87
84
4,838
3,160
890
917
260
163
2,964
1,056
109
508
227
181
6,079
3,920
2,511
3,353
1,000
2,581
4,136
1,501
67
1,961
111
818
98
Ohead
411
181
207
54
294
103
280
120
382
210
336
269
527
297
45
15
13
380
233
111
115
36
26
283
123
19
70
33
27
535
379
303
316
112
211
459
287
10
216
15
122
16
Non
Clinical
Salaries
1,089
530
616
192
791
295
787
321
992
588
956
613
1,264
719
147
54
57
1,673
1,264
399
415
166
118
994
413
92
231
137
113
1,914
1,187
818
1,098
365
913
1,187
649
61
723
86
364
60
Pathology
Direct
248
100
214
13
188
30
263
66
263
94
263
84
419
180
25
5
25
857
508
637
144
369
165
368
155
95
76
97
98
749
320
230
335
160
389
453
160
12
229
73
112
66
Ohead
22
9
14
2
21
3
27
6
29
9
27
8
48
20
1
0
3
79
51
51
15
30
15
40
13
9
6
10
9
81
28
24
32
14
49
44
16
1
22
5
9
5
DRG
I73A
I73B
I74A
I74B
I75A
I75B
I76A
I76B
I77A
I77B
I78A
I78B
I79A
I79B
I80Z
I81Z
I82Z
J01A
J01B
J06A
J06B
J07A
J07B
J08A
J08B
J08C
J09Z
J10Z
J11Z
J12A
J12B
J12C
J13A
J13B
J14Z
J60A
J60B
J60C
J62A
J62B
J63A
J63B
( National
NATIONAL HOSPITAL COST DATA COLLECTION
COST WEIGHTS FOR AR-DRG VERSION 7.0, Round 18 (2013-14)
Public Sector - Sample
)
V7.0 Public Sector
Average Component Cost per DRG ($)
Imaging
DRG
I73A
I73B
I74A
I74B
I75A
I75B
I76A
I76B
I77A
I77B
I78A
I78B
I79A
I79B
I80Z
I81Z
I82Z
J01A
J01B
J06A
J06B
J07A
J07B
J08A
J08B
J08C
J09Z
J10Z
J11Z
J12A
J12B
J12C
J13A
J13B
J14Z
J60A
J60B
J60C
J62A
J62B
J63A
J63B
Direct
274
102
183
102
238
112
284
160
305
160
246
161
554
332
86
60
60
264
74
227
13
125
74
146
29
4
5
8
18
550
74
154
114
36
81
326
140
13
382
63
132
59
Allied
Ohead
52
20
37
22
45
24
54
32
57
32
43
33
90
59
21
13
12
50
18
43
2
24
15
27
6
1
1
2
4
94
11
30
19
7
19
58
26
3
62
12
26
11
Direct
667
175
273
52
462
134
502
129
617
293
483
228
890
375
20
21
26
733
465
94
44
25
14
289
59
10
18
16
15
863
349
243
403
95
239
744
259
9
315
21
48
7
Pharmacy
Ohead
242
56
81
20
145
43
140
41
187
90
145
73
241
117
9
7
8
262
194
44
47
12
8
104
31
6
16
9
8
280
147
91
141
40
165
231
76
3
88
8
24
4
Direct
594
230
102
24
184
45
235
67
263
110
213
90
629
239
17
8
26
351
391
81
80
26
18
357
91
19
56
23
27
894
360
397
337
68
168
619
228
11
456
145
87
9
Critical Care
Ohead
48
20
11
3
19
5
23
7
27
13
22
11
55
23
2
1
2
22
26
7
7
2
1
28
8
3
5
3
2
66
38
35
25
7
16
53
22
1
28
11
7
1
Direct
113
11
48
16
187
6
403
67
113
7
120
23
215
16
2
1
1
1,413
376
46
13
10
4
289
11
2
13
13
8
969
24
21
58
7
112
312
7
0
102
4
8
1
Ohead
31
3
13
3
51
2
86
16
23
2
27
7
51
3
1
0
0
333
104
10
3
2
1
63
2
0
2
2
2
191
6
5
10
1
28
72
2
0
29
1
2
0
Oper Rooms
Direct
234
250
169
612
101
200
59
184
30
14
124
86
79
28
9
145
144
16,520
11,431
3,204
3,460
1,796
1,579
2,954
2,280
1,505
1,627
1,668
1,048
2,402
2,202
1,237
2,445
1,645
8,219
95
51
34
84
200
390
479
Ohead
52
56
40
135
24
45
12
39
6
3
25
17
20
6
2
33
33
3,312
2,259
676
770
378
351
627
500
346
376
382
248
492
471
266
494
366
1,668
24
12
8
19
48
91
108
Emerg Depts
Direct
346
360
906
582
904
697
1,021
755
1,020
867
817
710
829
737
548
445
304
31
15
7
10
6
7
388
165
8
98
4
27
646
155
450
120
40
14
675
532
130
449
93
532
162
Ohead
95
99
239
164
234
190
252
200
262
231
208
187
209
207
156
109
78
8
5
2
4
2
2
111
46
2
26
1
8
172
44
134
32
12
4
188
154
32
116
21
148
41
Supplies
Direct
439
257
231
69
310
116
325
115
417
209
347
214
551
274
79
20
23
785
577
191
173
63
57
483
162
33
104
58
48
1,089
652
408
538
147
468
516
293
8
282
48
130
18
Ohead
693
323
365
107
496
168
475
195
623
336
572
275
811
458
42
18
22
1,067
695
228
243
75
60
636
247
44
123
71
61
1,164
780
481
619
213
618
744
391
16
457
36
217
27
Spec Proc Suites
Direct
4
3
2
2
3
2
24
3
6
0
3
0
16
2
0
1
21
47
19
2
22
1
2
26
20
16
5
11
9
53
18
14
31
19
28
28
4
295
114
3
4
37
Prostheses
OnCosts
Hotel
Deprec
No. of
Hosps
Ohead
1
0
0
0
1
0
5
1
2
0
1
0
3
0
0
0
4
12
5
0
4
0
0
4
3
4
1
3
2
7
3
2
5
4
6
6
1
60
50
1
0
10
65
33
24
18
23
32
10
14
21
7
39
33
18
6
7
6
7
1,400
1,025
135
458
29
22
59
45
16
16
19
13
129
32
54
33
29
958
15
7
1
6
12
6
9
867
404
503
193
674
237
726
278
846
415
721
379
1,181
588
68
51
56
2,967
1,520
587
562
263
215
1,077
479
179
312
224
161
1,983
1,048
727
1,009
381
1,530
1,091
478
63
648
71
304
87
722
223
269
82
390
132
375
132
568
254
464
222
703
383
36
20
19
1,576
814
225
246
88
77
519
218
75
123
94
65
1,105
675
377
660
207
744
710
259
26
310
25
126
32
357
158
175
89
239
96
246
121
297
169
256
150
393
234
45
27
27
1,043
759
253
259
123
104
413
205
100
124
119
84
673
429
307
386
177
637
387
202
24
232
29
124
40
172
225
212
267
251
283
179
245
200
219
181
215
123
207
238
278
287
37
34
137
144
126
178
177
188
218
188
216
236
117
94
151
106
179
60
159
246
120
141
99
195
144
DRG
I73A
I73B
I74A
I74B
I75A
I75B
I76A
I76B
I77A
I77B
I78A
I78B
I79A
I79B
I80Z
I81Z
I82Z
J01A
J01B
J06A
J06B
J07A
J07B
J08A
J08B
J08C
J09Z
J10Z
J11Z
J12A
J12B
J12C
J13A
J13B
J14Z
J60A
J60B
J60C
J62A
J62B
J63A
J63B
( National
NATIONAL HOSPITAL COST DATA COLLECTION
COST WEIGHTS FOR AR-DRG VERSION 7.0, Round 18 (2013-14)
Public Sector - Sample
DRG Description
DRG
J64A
J64B
J65A
J65B
J65C
J67A
J67B
J68A
J68B
J68C
J69A
J69B
J69C
K01A
K01B
K02A
K02B
K03Z
K05A
K05B
K06A
K06B
K08Z
K09A
K09B
K09C
K10A
K10B
K11A
K11B
K12Z
K13Z
K40A
K40B
K40C
K60A
K60B
K60C
K61Z
K62A
K62B
K62C
)
V7.0 Public Sector
Cost
Number
Number
ALOS
Average Cost per DRG ($)
Weight
of Seps
of Days
(Days)
Total
Cellulitis W Catastrophic or Severe CC
Cellulitis W/O Catastrophic or Severe CC
Trauma to Skin Subcutaneous Tissue and Breast W Cat or Sev CC
Trauma to Skin Subcutaneous Tissue and Breast W/O Cat or Sev
Trauma to Skin Subcutaneous Tissue and Breast, Sameday
Minor Skin Disorders
Minor Skin Disorders, Sameday
Major Skin Disorders W Catastrophic or Severe CC
Major Skin Disorders W/O Catastrophic or Severe CC
Major Skin Disorders, Sameday
Skin Malignancy W Catastrophic CC
Skin Malignancy W/O Catastrophic CC
Skin Malignancy, Sameday
OR Procedures for Diabetic Complications W Catastrophic CC
OR Procedures for Diabetic Complications W/O Catastrophic CC
Pituitary Procedures W CC
Pituitary Procedures W/O CC
Adrenal Procedures
Parathyroid Procedures W Catastrophic or Severe CC
Parathyroid Procedures W/O Catastrophic or Severe CC
Thyroid Procedures W Catastrophic or Severe CC
Thyroid Procedures W/O Catastrophic or Severe CC
Thyroglossal Procedures
Other Endocrine, Nutritional and Metabolic OR Procs W Catastrop
Other Endocrine, Nutritional and Metabolic OR Procs W Severe or
Other Endocrine, Nutritional and Metabolic OR Procs W/O CC
Revisional and Open Bariatric Procedures W CC
Revisional and Open Bariatric Procedures W/O CC
Major Laparoscopic Bariatric Procedures W CC
Major Laparoscopic Bariatric Procedures W/O CC
Other Bariatric Procedures
Plastic OR Procedures for Endocrine, Nutritional and Metabolic Dis
Endoscopic and Investigative Procs for Metabolic Disorders W Cat
Endoscopic and Investigative Procs for Metabolic Disorders W/O C
Endoscopic and Investigative Procs for Metabolic Disorders, Same
Diabetes W Catastrophic or Severe CC
Diabetes W/O Catastrophic or Severe CC
Diabetes, Sameday
Severe Nutritional Disturbance
Miscellaneous Metabolic Disorders W Catastrophic or Severe CC
Miscellaneous Metabolic Disorders W/O Catastrophic or Severe C
Miscellaneous Metabolic Disorders, Sameday
1.90
0.82
1.63
0.68
0.26
0.94
0.25
2.35
1.10
0.24
2.86
1.45
0.19
7.25
3.63
5.72
3.27
3.59
3.01
1.36
2.86
1.69
1.19
6.27
2.73
2.10
5.17
2.65
2.83
1.98
1.82
2.29
5.89
1.90
0.34
2.29
1.20
0.26
3.05
1.79
0.94
0.17
10,788
45,294
2,536
7,637
8,392
4,949
8,670
1,034
3,225
5,196
251
417
1,153
1,020
1,651
254
128
295
283
1,235
745
4,014
270
212
140
218
42
45
333
455
237
330
268
524
2,655
4,656
12,058
4,500
779
6,847
7,384
10,345
73,256
131,520
14,333
14,610
8,392
14,423
8,670
7,715
11,438
5,196
2,348
2,168
1,153
22,908
18,723
2,371
632
1,444
1,510
1,704
2,682
6,712
359
3,400
841
953
415
143
1,359
1,210
350
1,391
4,820
2,778
2,655
30,929
40,910
4,500
7,351
38,387
20,151
10,345
6.79
2.90
5.65
1.91
1.00
2.91
1.00
7.46
3.55
1.00
9.35
5.20
1.00
22.46
11.34
9.33
4.94
4.89
5.34
1.38
3.60
1.67
1.33
16.04
6.01
4.37
9.88
3.18
4.08
2.66
1.48
4.22
17.99
5.30
1.00
6.64
3.39
1.00
9.44
5.61
2.73
1.00
9,440
4,053
8,084
3,395
1,270
4,656
1,235
11,687
5,484
1,216
14,225
7,196
965
35,999
18,041
28,396
16,233
17,826
14,962
6,767
14,186
8,404
5,924
31,127
13,552
10,447
25,679
13,173
14,052
9,855
9,025
11,373
29,262
9,459
1,668
11,360
5,973
1,308
15,165
8,868
4,691
826
Direct
7,041
3,004
5,962
2,526
996
3,475
933
8,663
3,971
997
10,375
5,332
733
27,733
13,614
22,671
12,832
14,071
11,593
5,296
11,304
6,701
4,655
24,468
10,511
8,298
20,808
10,831
11,279
8,104
7,456
8,243
22,243
7,184
1,268
8,625
4,490
1,067
11,232
6,678
3,488
633
Ohead
2,399
1,049
2,122
869
274
1,181
302
3,024
1,513
219
3,849
1,864
232
8,267
4,427
5,726
3,401
3,756
3,369
1,472
2,882
1,704
1,269
6,659
3,041
2,149
4,871
2,342
2,773
1,751
1,569
3,130
7,019
2,275
399
2,735
1,483
241
3,933
2,189
1,203
193
Average Component Cost per DRG ($)
Ward Medical
Ward Nursing
Direct
Direct
1,297
596
986
392
58
720
127
1,708
1,115
112
2,009
1,012
103
4,563
2,440
1,991
916
1,573
1,235
532
1,107
648
473
3,513
1,403
1,151
1,461
870
799
528
440
1,478
3,863
1,352
227
1,563
954
81
1,945
1,097
678
73
Ohead
177
92
116
55
13
97
14
276
179
10
307
155
20
553
319
225
118
255
107
44
119
68
49
462
149
138
125
106
84
73
41
163
389
126
12
179
114
13
272
150
91
13
2,245
863
1,856
546
77
1,048
81
2,725
1,055
63
3,413
1,449
81
7,969
4,168
3,540
1,519
1,849
2,176
535
1,266
614
539
6,675
2,383
1,653
3,679
961
1,530
880
720
1,647
6,500
1,937
71
2,252
1,197
96
4,192
2,007
1,070
109
Ohead
315
133
240
79
13
125
13
334
133
11
416
228
14
721
540
293
135
160
173
68
141
82
56
490
210
225
253
132
177
155
85
196
720
212
13
292
165
14
585
248
135
16
Non
Clinical
Salaries
740
313
592
221
47
366
66
951
494
54
1,215
614
76
2,500
1,371
1,135
566
659
691
267
525
292
221
2,042
737
547
1,016
370
473
315
380
627
1,952
696
69
799
462
64
1,284
639
359
64
Pathology
Direct
274
70
202
43
10
120
26
420
142
41
458
152
61
1,012
365
1,360
882
818
758
361
510
326
133
1,095
362
297
631
147
293
101
67
163
1,221
345
78
374
154
28
395
300
128
27
Ohead
28
7
22
4
1
13
3
53
16
3
48
14
6
113
42
180
108
85
93
44
47
27
14
112
43
28
64
19
28
8
7
29
145
38
6
37
15
3
44
31
15
4
DRG
J64A
J64B
J65A
J65B
J65C
J67A
J67B
J68A
J68B
J68C
J69A
J69B
J69C
K01A
K01B
K02A
K02B
K03Z
K05A
K05B
K06A
K06B
K08Z
K09A
K09B
K09C
K10A
K10B
K11A
K11B
K12Z
K13Z
K40A
K40B
K40C
K60A
K60B
K60C
K61Z
K62A
K62B
K62C
( National
NATIONAL HOSPITAL COST DATA COLLECTION
COST WEIGHTS FOR AR-DRG VERSION 7.0, Round 18 (2013-14)
Public Sector - Sample
)
V7.0 Public Sector
Average Component Cost per DRG ($)
Imaging
DRG
J64A
J64B
J65A
J65B
J65C
J67A
J67B
J68A
J68B
J68C
J69A
J69B
J69C
K01A
K01B
K02A
K02B
K03Z
K05A
K05B
K06A
K06B
K08Z
K09A
K09B
K09C
K10A
K10B
K11A
K11B
K12Z
K13Z
K40A
K40B
K40C
K60A
K60B
K60C
K61Z
K62A
K62B
K62C
Direct
211
52
202
119
58
60
17
172
46
3
397
213
33
941
409
694
420
172
183
12
70
10
10
1,688
1,171
965
326
48
97
39
26
20
749
231
9
207
71
12
279
174
66
23
Allied
Ohead
40
10
38
26
13
12
4
35
9
1
72
38
6
155
69
115
65
45
34
2
13
2
2
251
185
139
46
8
15
7
5
4
143
37
2
36
13
2
55
30
13
5
Direct
280
55
377
91
23
96
10
340
79
4
748
253
13
1,145
403
434
152
175
154
25
127
38
18
1,159
363
113
423
106
167
74
44
130
1,480
352
6
384
190
47
848
359
146
20
Pharmacy
Ohead
89
23
108
28
7
34
5
112
37
3
204
77
4
395
142
149
85
87
91
26
58
30
19
327
121
51
204
66
114
54
49
47
430
109
5
110
54
9
237
101
46
7
Direct
351
88
140
34
7
137
28
550
210
550
562
272
25
1,338
630
389
197
261
420
71
148
67
36
1,136
483
421
763
146
161
91
84
90
1,085
224
14
324
165
15
445
275
89
83
Critical Care
Ohead
33
9
14
4
1
13
2
52
19
18
37
20
1
88
47
31
19
21
26
7
11
7
5
65
47
18
56
22
21
13
7
12
87
20
2
28
14
2
36
24
9
6
Direct
237
5
153
23
0
29
1
408
9
0
138
6
1
1,127
69
2,805
974
1,757
933
174
951
167
100
1,254
234
128
1,639
515
818
176
127
93
1,794
280
0
1,096
293
7
275
525
110
2
Ohead
55
1
34
5
0
8
0
88
1
0
28
1
0
280
20
637
258
436
231
33
221
39
22
284
54
30
222
72
170
31
19
21
401
70
0
251
71
2
64
120
27
1
Oper Rooms
Direct
158
269
92
73
67
146
361
59
46
12
78
236
250
3,300
1,953
6,937
5,240
5,213
3,842
2,798
5,341
3,827
2,657
1,798
1,737
1,693
6,916
5,392
4,703
3,967
3,258
3,334
671
721
553
55
18
10
51
26
11
27
Ohead
35
61
22
17
16
32
90
13
11
3
17
52
61
683
424
1,419
1,109
965
758
562
1,019
751
530
335
322
333
1,131
982
876
753
504
862
164
161
134
15
4
3
12
6
2
7
Emerg Depts
Direct
691
472
981
840
596
506
124
710
519
78
495
303
14
569
436
136
51
47
58
13
26
7
11
615
264
152
123
6
8
3
6
47
824
293
2
863
656
367
682
770
602
152
Ohead
187
133
260
225
150
141
33
199
146
20
148
82
4
136
122
31
13
10
19
3
7
2
3
166
65
43
22
2
2
1
1
19
202
74
1
214
176
90
183
202
164
37
Supplies
Direct
312
133
208
79
15
143
22
334
171
27
496
344
21
1,632
778
592
328
376
357
119
246
125
98
1,434
437
306
846
122
195
121
86
221
914
294
25
341
184
21
466
263
140
27
Ohead
444
184
382
127
14
222
35
602
331
26
813
386
36
1,602
857
713
357
403
514
159
304
161
138
1,200
499
290
652
187
298
155
189
459
1,238
400
37
487
272
19
789
389
221
27
Spec Proc Suites
Direct
7
3
9
1
0
3
19
4
3
36
33
309
12
100
27
29
24
17
29
17
31
18
20
131
75
131
35
28
17
8
41
55
145
139
121
10
2
87
3
7
3
9
Prostheses
OnCosts
Hotel
Deprec
No. of
Hosps
Ohead
1
1
2
0
0
1
6
1
1
40
17
34
3
14
3
8
7
3
3
2
5
2
2
24
8
10
6
6
3
2
7
12
39
46
49
2
0
19
1
2
1
2
6
4
6
3
2
4
4
2
2
1
5
3
2
377
143
1,021
631
294
106
92
209
148
37
795
341
294
1,672
1,534
1,405
1,362
1,877
74
28
46
15
8
6
207
5
4
4
3
637
249
535
183
46
314
75
828
394
50
1,096
500
63
2,615
1,151
1,960
1,081
1,161
1,043
418
980
523
405
2,083
899
686
1,682
783
851
544
521
854
2,240
661
96
804
395
50
1,056
605
299
47
348
119
305
96
17
143
28
430
170
34
554
244
20
1,253
642
746
432
478
484
176
360
202
158
1,124
494
294
1,182
336
421
219
270
352
1,139
325
53
372
175
19
573
299
139
17
239
110
201
82
21
124
41
283
146
18
420
199
38
818
471
826
541
506
444
206
344
222
169
868
464
310
504
207
325
174
164
365
698
272
69
255
153
20
389
214
123
19
264
306
223
271
257
254
253
172
229
156
86
131
139
108
134
32
24
56
59
91
103
133
85
70
59
70
16
15
31
26
26
61
89
136
168
238
282
229
170
249
275
259
DRG
J64A
J64B
J65A
J65B
J65C
J67A
J67B
J68A
J68B
J68C
J69A
J69B
J69C
K01A
K01B
K02A
K02B
K03Z
K05A
K05B
K06A
K06B
K08Z
K09A
K09B
K09C
K10A
K10B
K11A
K11B
K12Z
K13Z
K40A
K40B
K40C
K60A
K60B
K60C
K61Z
K62A
K62B
K62C
( National
NATIONAL HOSPITAL COST DATA COLLECTION
COST WEIGHTS FOR AR-DRG VERSION 7.0, Round 18 (2013-14)
Public Sector - Sample
DRG Description
DRG
K63A
K63B
K64A
K64B
K64C
L02A
L02B
L03A
L03B
L03C
L04A
L04B
L04C
L05A
L05B
L06A
L06B
L07A
L07B
L08A
L08B
L09A
L09B
L09C
L40Z
L41Z
L42Z
L60A
L60B
L60C
L61Z
L62A
L62B
L63A
L63B
L64A
L64B
L64C
L65A
L65B
L66Z
L67A
Inborn Errors of Metabolism W Catastrophic or Severe CC
Inborn Errors of Metabolism W/O Catastrophic or Severe CC
Endocrine Disorders W Catastrophic or Severe CC
Endocrine Disorders W/O Catastrophic or Severe CC
Endocrine Disorders, Sameday
Operative Insertion of Peritoneal Catheter for Dialysis W Cat or Se
Operative Insertion of Peritoneal Catheter for Dialysis W/O Cat or
Kidney, Ureter and Major Bladder Procedures for Neoplasm W Cat
Kidney, Ureter and Major Bladder Procedures for Neoplasm W Sev
Kidney, Ureter and Major Bladder Procedures for Neoplasm W/O C
Kidney, Ureter and Major Bladder Procedures for Non-Neoplasm W
Kidney, Ureter and Major Bladder Procedures for Non-Neoplasm W
Kidney, Ureter and Major Bladder Procedures for Non-Neoplasm, S
Transurethral Prostatectomy for Urinary Disorder W Catastrophic o
Transurethral Prostatectomy for Urinary Disorder W/O Cat or Sev
Minor Bladder Procedures W Catastrophic or Severe CC
Minor Bladder Procedures W/O Catastrophic or Severe CC
Other Transurethral Procedures W CC
Other Transurethral Procedures W/O CC
Urethral Procedures W CC
Urethral Procedures W/O CC
Other Procedures for Kidney and Urinary Tract Disorders W Cat C
Other Procedures for Kidney and Urinary Tract Disorders W Sev C
Other Procedures for Kidney and Urinary Tract Disorders W/O Cat
Ureteroscopy
Cystourethroscopy for Urinary Disorder, Sameday
ESW Lithotripsy
Kidney Failure W Catastrophic CC
Kidney Failure W Severe CC
Kidney Failure W/O Catastrophic or Severe CC
Haemodialysis
Kidney and Urinary Tract Neoplasms W Catastrophic or Severe CC
Kidney and Urinary Tract Neoplasms W/O Catastrophic or Severe
Kidney and Urinary Tract Infections W Catastrophic or Severe CC
Kidney and Urinary Tract Infections W/O Catastrophic or Severe C
Urinary Stones and Obstruction W Catastrophic or Severe CC
Urinary Stones and Obstruction W/O Catastrophic or Severe CC
Urinary Stones and Obstruction, Sameday
Kidney and Urinary Tract Signs and Symptoms W Catastrophic or
Kidney and Urinary Tract Signs and Symptoms W/O Catastrophic
Urethral Stricture
Other Kidney and Urinary Tract Disorders W Catastrophic or Seve
)
V7.0 Public Sector
Cost
Number
Number
ALOS
Average Cost per DRG ($)
Weight
of Seps
of Days
(Days)
Total
2.55
0.30
2.40
1.12
0.24
2.87
1.11
7.21
4.02
3.05
5.08
1.89
0.74
2.68
1.30
3.19
1.12
1.49
0.76
1.54
0.83
5.43
1.62
1.10
0.85
0.24
0.75
3.11
1.46
0.80
0.11
1.98
0.70
1.80
0.73
1.69
0.71
0.25
1.46
0.53
0.65
1.91
200
3,211
1,438
3,325
2,588
445
565
897
478
1,156
1,246
5,948
3,917
396
1,233
622
1,353
2,699
9,345
256
1,117
749
538
1,908
513
26,897
1,614
4,651
4,218
5,318
1,023,212
798
1,146
14,572
34,414
1,169
14,381
13,495
3,790
11,263
697
3,937
1,299
3,929
9,825
9,115
2,588
2,862
855
11,595
2,765
4,595
14,432
16,710
3,917
2,959
2,977
4,972
2,823
9,178
11,939
821
1,498
9,756
1,475
2,650
718
26,897
1,776
43,126
19,147
13,427
1,023,418
5,316
2,352
88,754
79,471
5,054
23,772
13,495
17,972
20,277
1,074
23,082
6.50
1.22
6.83
2.74
1.00
6.43
1.51
12.93
5.78
3.97
11.58
2.81
1.00
7.47
2.41
7.99
2.09
3.40
1.28
3.21
1.34
13.03
2.74
1.39
1.40
1.00
1.10
9.27
4.54
2.52
1.00
6.66
2.05
6.09
2.31
4.32
1.65
1.00
4.74
1.80
1.54
5.86
12,675
1,495
11,933
5,563
1,204
14,255
5,503
35,806
19,976
15,144
25,204
9,387
3,690
13,305
6,458
15,823
5,580
7,391
3,772
7,659
4,133
26,964
8,029
5,472
4,197
1,207
3,723
15,438
7,255
3,970
552
9,815
3,455
8,926
3,648
8,389
3,519
1,250
7,246
2,620
3,215
9,484
Direct
9,850
1,140
9,084
4,255
953
11,218
4,286
28,424
16,058
12,105
19,675
7,387
2,946
10,262
4,979
12,129
4,295
5,685
2,928
5,885
3,174
21,069
6,293
4,301
3,249
923
3,058
11,857
5,513
3,051
404
7,343
2,656
6,699
2,728
6,416
2,679
989
5,406
1,956
2,405
7,206
Ohead
2,825
355
2,849
1,309
251
3,037
1,217
7,382
3,918
3,039
5,528
2,000
744
3,043
1,479
3,694
1,285
1,705
844
1,774
960
5,894
1,736
1,171
948
284
666
3,581
1,742
920
148
2,471
799
2,227
920
1,973
840
261
1,840
663
810
2,277
Average Component Cost per DRG ($)
Ward Medical
Ward Nursing
Direct
Direct
1,616
248
1,525
805
102
1,508
394
3,225
1,584
1,253
2,657
844
169
1,834
992
1,865
610
828
341
770
360
2,462
678
369
288
114
170
1,712
860
449
31
1,264
393
1,143
456
948
363
52
943
325
360
1,212
Ohead
349
20
199
142
12
321
87
390
186
144
340
94
19
155
78
210
70
97
44
86
41
311
105
61
38
13
15
245
135
75
16
161
52
166
68
118
52
10
116
39
48
165
2,517
262
2,591
1,012
115
2,620
660
4,926
2,301
1,579
4,178
1,203
132
2,738
882
2,941
737
1,151
342
1,112
389
5,230
1,120
436
382
61
109
3,384
1,630
885
148
2,424
620
2,132
747
1,308
486
79
1,745
483
458
2,157
Ohead
351
26
294
95
13
282
86
414
211
159
343
114
18
266
105
280
89
121
46
132
45
453
120
51
47
9
17
360
213
129
14
268
64
281
109
181
70
12
197
67
62
246
Non
Clinical
Salaries
832
130
867
398
71
851
253
1,572
736
552
1,376
436
94
880
346
966
287
444
174
445
191
1,647
403
205
194
65
77
1,056
528
299
65
784
238
654
251
506
211
48
578
194
233
705
Pathology
Direct
573
61
454
234
143
556
94
1,343
715
496
879
137
18
384
152
506
85
255
104
117
23
1,037
159
65
40
9
11
669
313
184
10
299
133
274
83
246
48
13
229
74
35
382
Ohead
66
10
50
17
19
53
8
129
57
45
93
15
2
37
13
51
8
26
9
12
2
122
16
6
5
1
1
64
30
17
1
36
13
28
8
22
4
1
26
8
4
39
DRG
K63A
K63B
K64A
K64B
K64C
L02A
L02B
L03A
L03B
L03C
L04A
L04B
L04C
L05A
L05B
L06A
L06B
L07A
L07B
L08A
L08B
L09A
L09B
L09C
L40Z
L41Z
L42Z
L60A
L60B
L60C
L61Z
L62A
L62B
L63A
L63B
L64A
L64B
L64C
L65A
L65B
L66Z
L67A
( National
NATIONAL HOSPITAL COST DATA COLLECTION
COST WEIGHTS FOR AR-DRG VERSION 7.0, Round 18 (2013-14)
Public Sector - Sample
)
V7.0 Public Sector
Average Component Cost per DRG ($)
Imaging
DRG
K63A
K63B
K64A
K64B
K64C
L02A
L02B
L03A
L03B
L03C
L04A
L04B
L04C
L05A
L05B
L06A
L06B
L07A
L07B
L08A
L08B
L09A
L09B
L09C
L40Z
L41Z
L42Z
L60A
L60B
L60C
L61Z
L62A
L62B
L63A
L63B
L64A
L64B
L64C
L65A
L65B
L66Z
L67A
Direct
244
18
409
641
139
290
56
759
250
143
1,226
269
115
187
18
316
48
163
60
73
17
836
175
59
149
24
99
364
173
108
2
416
259
192
87
337
166
110
164
67
24
253
Allied
Ohead
49
5
73
115
18
60
14
145
42
24
227
45
16
30
3
59
8
29
9
17
3
148
29
9
23
4
23
64
32
19
1
77
51
35
17
62
29
20
30
13
6
48
Direct
499
66
410
98
27
297
41
608
198
116
468
59
9
228
36
259
37
84
16
70
18
703
87
37
15
5
11
562
207
91
11
305
57
330
60
126
23
8
202
34
25
228
Pharmacy
Ohead
138
17
120
31
7
95
26
244
99
71
186
43
18
108
24
105
33
42
13
45
14
236
43
23
16
4
6
167
64
31
6
99
23
99
23
52
17
4
69
16
18
79
Direct
883
149
561
203
100
649
126
755
275
131
934
106
30
266
77
359
65
167
45
99
33
1,740
235
109
35
17
9
640
340
182
42
430
195
264
68
188
44
9
240
56
37
475
Ohead
50
11
36
13
6
37
9
45
21
13
55
10
3
21
8
27
6
13
4
10
4
119
14
8
3
1
1
47
26
15
2
27
14
27
8
15
5
1
19
5
3
36
Critical Care
Direct
1,174
20
710
84
3
436
46
3,091
1,014
341
1,858
70
1
186
20
665
25
131
5
158
6
1,731
36
10
18
0
5
1,422
293
56
0
72
2
287
15
658
11
1
103
10
3
323
Ohead
245
5
170
23
1
92
12
684
231
82
452
15
0
33
5
155
5
30
1
39
2
342
7
2
6
0
1
322
64
14
0
16
1
66
4
151
3
0
27
3
1
73
Oper Rooms
Direct
83
41
97
21
76
2,330
2,068
8,276
6,739
5,732
3,320
3,089
1,801
2,443
2,010
2,558
1,701
1,776
1,471
2,260
1,797
2,617
2,500
2,411
1,642
495
1,743
101
46
39
1
169
360
43
157
771
426
15
87
100
896
182
Ohead
14
10
18
5
16
420
424
1,584
1,218
1,079
644
612
379
491
431
544
366
381
323
453
379
504
486
499
350
117
303
20
9
8
0
38
74
9
33
167
91
3
20
22
206
39
Emerg Depts
Direct
578
49
749
356
91
217
17
128
36
17
441
158
11
244
28
428
122
149
45
152
20
489
100
36
75
6
34
854
663
425
1
499
154
876
638
715
659
598
679
477
113
665
Ohead
139
12
187
100
21
54
5
34
10
5
104
39
3
60
7
116
33
41
12
37
6
128
28
9
20
2
8
207
176
113
0
135
42
229
173
185
181
146
194
133
33
176
Supplies
Direct
386
66
342
146
35
623
122
1,013
383
311
811
201
38
434
142
489
115
188
68
171
66
1,271
262
97
75
23
37
556
264
214
97
396
98
256
96
204
84
16
278
83
75
355
Ohead
419
70
506
236
39
441
131
938
445
333
858
258
43
546
222
637
183
253
88
243
110
1,040
237
114
99
29
31
611
309
152
34
517
134
395
146
296
111
15
374
113
119
438
Spec Proc Suites
Direct
15
2
17
51
8
48
9
110
83
91
95
63
107
29
23
57
18
37
41
41
26
109
30
13
75
37
450
23
5
10
0
28
26
8
2
19
7
2
9
6
16
16
Prostheses
OnCosts
Hotel
Deprec
No. of
Hosps
Ohead
3
0
3
9
2
8
1
23
18
17
16
12
8
6
5
12
3
6
5
7
4
23
4
2
7
5
105
5
1
2
0
6
3
2
0
4
1
0
2
1
3
3
17
3
20
6
11
165
142
942
770
644
357
358
230
50
36
173
264
59
51
111
44
303
169
172
67
19
24
21
7
6
0
20
23
7
2
96
63
3
9
7
28
21
855
110
823
366
63
1,002
352
2,451
1,294
907
1,818
610
221
944
431
1,102
346
500
240
555
283
1,842
523
355
293
80
237
1,071
462
237
34
712
231
602
206
545
189
46
490
152
231
632
320
32
398
155
22
465
159
1,110
529
415
816
260
86
437
188
542
167
229
100
236
122
842
223
140
112
27
67
532
241
122
18
364
97
319
106
252
83
17
235
71
97
316
263
53
303
201
47
336
161
869
534
445
653
267
116
270
176
397
149
193
113
209
131
677
238
173
124
41
127
360
165
90
17
255
98
203
84
216
91
21
181
61
83
219
80
126
168
187
146
64
68
80
75
87
89
113
116
85
113
117
154
133
154
85
138
97
83
137
82
175
60
205
228
243
143
162
147
264
302
158
279
246
222
271
123
201
DRG
K63A
K63B
K64A
K64B
K64C
L02A
L02B
L03A
L03B
L03C
L04A
L04B
L04C
L05A
L05B
L06A
L06B
L07A
L07B
L08A
L08B
L09A
L09B
L09C
L40Z
L41Z
L42Z
L60A
L60B
L60C
L61Z
L62A
L62B
L63A
L63B
L64A
L64B
L64C
L65A
L65B
L66Z
L67A
( National
NATIONAL HOSPITAL COST DATA COLLECTION
COST WEIGHTS FOR AR-DRG VERSION 7.0, Round 18 (2013-14)
Public Sector - Sample
DRG Description
DRG
L67B
L67C
L68Z
M01A
M01B
M02A
M02B
M03Z
M04Z
M05Z
M06A
M06B
M40Z
M60A
M60B
M61A
M61B
M62A
M62B
M63Z
M64Z
N01A
N01B
N04A
N04B
N05A
N05B
N06Z
N07A
N07B
N08Z
N09Z
N10Z
N11Z
N12A
N12B
N60A
N60B
N61Z
N62Z
O01A
O01B
)
V7.0 Public Sector
Cost
Number
Number
ALOS
Average Cost per DRG ($)
Weight
of Seps
of Days
(Days)
Total
Other Kidney and Urinary Tract Disorders W/O Catastrophic or Se
Other Kidney and Urinary Tract Disorders, Sameday
Peritoneal Dialysis
Major Male Pelvic Procedures W Catastrophic or Severe CC
Major Male Pelvic Procedures W/O Catastrophic or Severe CC
Transurethral Prostatectomy for Reproductive System Disorder W
Transurethral Prostatectomy for Reproductive System Disorder W/
Penis Procedures
Testes Procedures
Circumcision
Other Male Reproductive System OR Procedures W CC
Other Male Reproductive System OR Procedures W/O CC
Cystourethroscopy for Male Reproductive System Disorder, Samed
Male Reproductive System Malignancy W Catastrophic or Severe
Male Reproductive System Malignancy W/O Catastrophic or Seve
Benign Prostatic Hypertrophy W CC
Benign Prostatic Hypertrophy W/O CC
Male Reproductive System Inflammation W CC
Male Reproductive System Inflammation W/O CC
Male Sterilisation Procedures
Other Male Reproductive System Disorders
Pelvic Evisceration and Radical Vulvectomy W Catastrophic or Se
Pelvic Evisceration and Radical Vulvectomy W/O Catastrophic or S
Hysterectomy for Non-Malignancy W Catastrophic or Severe CC
Hysterectomy for Non-Malignancy W/O Catastrophic or Severe CC
Oophorectomy and Complex Fallopian Tube Procs for Non-Malig W
Oophorectomy and Complex Fallopian Tube Procs for Non-Malig W
Female Reproductive System Reconstructive Procedures
Other Uterus and Adnexa Procedures for Non-Malignancy
Other Uterus and Adnexa Procedures for Non-Malignancy, Samed
Endoscopic and Laparoscopic Procedures, Female Reproductive S
Other Vagina, Cervix and Vulva Procedures
Diagnostic Curettage and Diagnostic Hysteroscopy
Other Female Reproductive System OR Procedures
Uterus and Adnexa Procedures for Malignancy W Catastrophic CC
Uterus and Adnexa Procedures for Malignancy W/O Catastrophic
Female Reproductive System Malignancy W Catastrophic CC
Female Reproductive System Malignancy W/O Catastrophic CC
Female Reproductive System Infections
Menstrual and Other Female Reproductive System Disorders
Caesarean Delivery W Catastrophic CC
Caesarean Delivery W Severe CC
0.92
0.18
0.19
4.57
3.68
2.17
1.32
1.02
0.83
0.61
2.09
0.80
0.23
1.98
0.43
0.88
0.36
1.22
0.57
0.47
0.42
5.87
2.87
2.75
1.99
2.66
1.56
1.48
1.52
0.61
0.91
0.57
0.50
0.63
4.64
2.48
2.52
0.99
0.68
0.40
3.35
2.34
6,290
17,238
5,684
504
1,431
1,022
4,601
1,940
7,203
3,861
291
1,511
2,180
785
3,995
245
844
1,297
3,779
3,210
2,767
150
150
1,839
8,412
560
2,982
6,009
5,482
14,793
9,615
16,418
18,357
2,716
538
1,992
409
1,158
3,369
16,634
5,321
12,569
16,078
17,238
5,689
3,328
5,073
5,186
11,258
2,974
9,047
4,144
1,386
1,822
2,180
5,082
5,027
715
984
5,343
7,226
3,216
3,647
1,783
638
7,940
23,048
2,513
5,384
12,958
10,613
14,793
12,305
19,158
19,462
4,597
4,470
6,586
3,336
3,409
7,059
21,544
41,847
58,918
2.56
1.00
1.00
6.60
3.55
5.07
2.45
1.53
1.26
1.07
4.76
1.21
1.00
6.47
1.26
2.92
1.17
4.12
1.91
1.00
1.32
11.89
4.25
4.32
2.74
4.49
1.81
2.16
1.94
1.00
1.28
1.17
1.06
1.69
8.31
3.31
8.16
2.94
2.10
1.30
7.86
4.69
4,563
910
941
22,693
18,283
10,797
6,571
5,066
4,106
3,014
10,403
3,959
1,161
9,841
2,121
4,347
1,764
6,056
2,826
2,347
2,075
29,166
14,237
13,670
9,896
13,192
7,739
7,363
7,540
3,029
4,524
2,824
2,469
3,136
23,021
12,324
12,525
4,906
3,402
1,987
16,646
11,645
Direct
3,442
704
788
18,306
15,014
8,331
5,077
3,979
3,210
2,321
7,984
3,091
897
7,322
1,651
3,275
1,364
4,532
2,123
1,715
1,554
22,750
11,072
10,371
7,472
10,144
5,876
5,577
5,705
2,270
3,427
2,140
1,855
2,157
17,600
9,445
9,295
3,688
2,515
1,495
11,941
8,335
Ohead
1,121
207
153
4,387
3,268
2,465
1,494
1,086
896
693
2,419
868
264
2,518
470
1,072
399
1,524
703
632
521
6,415
3,166
3,299
2,424
3,048
1,863
1,786
1,835
760
1,096
684
615
979
5,421
2,880
3,230
1,218
887
492
4,705
3,310
Average Component Cost per DRG ($)
Ward Medical
Ward Nursing
Direct
Direct
626
67
40
2,129
1,366
1,404
923
455
339
270
1,301
457
133
1,343
244
655
174
861
381
275
236
3,382
1,641
1,267
993
1,248
648
782
648
229
335
243
181
303
2,504
1,193
1,581
621
425
215
1,597
1,248
Ohead
82
16
46
205
141
158
100
54
39
25
134
35
10
226
31
80
28
110
49
16
31
615
212
218
183
185
113
123
112
37
68
41
36
33
311
178
278
116
63
31
474
385
966
129
365
2,587
1,466
1,820
927
498
335
175
1,613
295
55
2,246
202
892
194
1,238
478
94
272
5,296
1,842
1,815
1,059
1,795
727
910
735
97
282
192
114
584
3,914
1,519
3,164
1,080
645
294
4,166
2,818
Ohead
116
14
18
262
179
229
124
40
38
24
192
45
9
318
35
131
35
188
71
17
37
666
250
271
179
239
113
141
102
16
42
31
20
49
512
223
330
144
99
41
526
338
Non
Clinical
Salaries
346
67
50
880
560
667
359
209
148
105
718
219
55
759
113
344
99
484
197
69
140
1,685
704
585
405
611
285
327
308
92
150
111
84
399
1,212
531
1,111
388
248
118
1,183
818
Pathology
Direct
139
48
27
847
538
332
164
43
70
28
255
53
33
303
140
140
104
178
64
27
41
1,058
463
307
176
421
212
45
177
80
71
133
87
82
1,016
500
384
158
99
41
455
210
Ohead
14
4
2
58
37
31
14
5
7
3
34
5
3
30
10
13
6
17
6
4
4
67
37
25
14
44
17
4
15
6
6
11
7
4
76
37
30
14
9
3
40
20
DRG
L67B
L67C
L68Z
M01A
M01B
M02A
M02B
M03Z
M04Z
M05Z
M06A
M06B
M40Z
M60A
M60B
M61A
M61B
M62A
M62B
M63Z
M64Z
N01A
N01B
N04A
N04B
N05A
N05B
N06Z
N07A
N07B
N08Z
N09Z
N10Z
N11Z
N12A
N12B
N60A
N60B
N61Z
N62Z
O01A
O01B
( National
NATIONAL HOSPITAL COST DATA COLLECTION
COST WEIGHTS FOR AR-DRG VERSION 7.0, Round 18 (2013-14)
Public Sector - Sample
)
V7.0 Public Sector
Average Component Cost per DRG ($)
Imaging
DRG
L67B
L67C
L68Z
M01A
M01B
M02A
M02B
M03Z
M04Z
M05Z
M06A
M06B
M40Z
M60A
M60B
M61A
M61B
M62A
M62B
M63Z
M64Z
N01A
N01B
N04A
N04B
N05A
N05B
N06Z
N07A
N07B
N08Z
N09Z
N10Z
N11Z
N12A
N12B
N60A
N60B
N61Z
N62Z
O01A
O01B
Direct
137
33
4
247
44
144
13
14
19
2
416
255
11
365
28
113
13
146
62
2
56
250
32
101
13
148
20
12
66
21
17
11
5
39
255
41
402
173
89
61
126
37
Allied
Ohead
27
5
1
40
7
25
2
3
4
0
49
30
2
64
5
22
2
27
13
1
11
48
4
16
2
24
3
2
13
4
4
2
1
6
45
7
69
31
19
12
32
8
Direct
57
11
19
209
85
131
35
31
17
11
311
168
3
383
17
74
12
108
24
5
25
689
256
105
56
139
38
42
31
21
15
14
7
135
582
182
503
115
31
15
184
94
Pharmacy
Ohead
27
6
5
111
48
66
25
18
12
7
65
24
3
113
9
27
5
41
14
5
11
181
85
55
29
66
20
35
20
7
12
7
5
29
194
62
158
39
16
8
111
67
Direct
162
74
130
274
146
229
77
38
28
16
238
37
11
560
70
84
16
217
61
10
24
532
212
151
88
173
69
67
74
23
32
27
30
40
420
213
599
313
66
30
244
125
Critical Care
Ohead
13
4
8
22
19
19
8
5
3
2
18
3
1
34
5
9
2
19
6
2
2
47
20
15
10
16
8
8
8
3
4
3
3
3
38
20
52
25
8
3
20
12
Direct
25
1
0
1,029
185
259
15
24
24
1
272
0
0
94
2
15
0
105
7
0
5
954
0
179
20
317
21
18
46
1
7
6
3
42
562
58
122
14
26
5
307
56
Ohead
6
0
0
217
49
58
3
5
5
0
77
0
0
23
0
3
0
25
2
0
1
248
0
44
4
71
5
4
10
0
1
1
1
9
127
14
24
3
7
1
64
11
Oper Rooms
Direct
269
80
2
7,977
8,860
2,482
2,090
2,194
1,781
1,493
1,706
1,006
450
150
624
381
538
182
156
1,069
265
6,443
4,790
4,749
3,905
4,116
3,208
2,523
2,892
1,467
2,029
1,156
1,143
358
5,317
4,331
118
231
74
190
2,547
2,178
Ohead
57
20
0
1,445
1,399
527
447
435
373
340
365
245
106
34
142
92
126
40
36
311
56
1,362
918
1,207
995
927
843
663
757
417
542
315
333
80
1,240
1,022
25
50
18
53
589
526
Emerg Depts
Direct
439
62
2
12
15
78
12
55
148
10
243
13
2
505
24
350
80
690
536
2
386
14
4
31
12
193
88
8
178
3
99
57
15
39
71
26
435
232
633
421
33
15
Ohead
121
16
0
3
2
22
3
17
41
3
62
4
0
128
6
88
22
182
146
1
106
6
1
9
4
48
23
3
47
1
26
16
4
9
20
8
115
61
173
110
10
5
Supplies
Direct
155
31
121
548
488
322
183
83
57
34
316
112
20
328
42
113
37
187
75
29
47
735
289
294
196
283
123
148
129
39
57
41
32
106
510
212
479
175
97
46
565
388
Ohead
208
30
25
510
339
366
204
119
84
64
440
127
29
497
55
188
44
286
110
50
84
948
491
471
302
490
209
243
226
81
97
69
50
390
940
422
726
242
168
75
1,080
725
Spec Proc Suites
Direct
9
68
0
40
33
53
24
5
10
3
56
39
69
21
42
8
18
5
25
0
7
93
0
1
0
3
0
1
2
1
1
3
1
1
13
0
53
42
6
2
1
0
Prostheses
OnCosts
Hotel
Deprec
No. of
Hosps
Ohead
2
16
0
9
7
10
5
1
2
1
9
5
6
5
10
2
3
1
5
0
2
19
0
0
0
1
0
0
0
0
0
1
0
0
2
0
14
8
1
1
0
0
17
5
0
464
438
53
38
82
24
11
204
288
12
13
19
13
14
5
3
11
4
242
70
120
94
74
60
398
75
36
105
12
30
11
185
71
32
9
2
7
25
16
287
58
47
1,379
914
722
407
340
269
197
691
242
68
703
124
277
99
384
155
141
119
1,999
1,094
944
623
911
489
462
482
188
284
173
150
240
1,676
778
905
343
200
107
1,237
851
136
22
13
606
407
337
197
134
104
79
303
108
28
335
53
139
39
183
77
82
50
766
404
362
268
339
196
202
184
64
105
64
53
80
645
334
460
148
91
49
625
399
118
21
17
584
509
251
173
158
127
110
313
144
41
263
68
93
56
150
66
125
55
820
418
327
268
311
201
190
203
95
133
87
74
63
634
343
356
132
88
47
404
296
251
217
39
71
77
106
125
145
197
189
77
109
139
157
160
94
140
176
234
156
219
26
22
148
167
107
170
180
176
181
195
209
192
120
58
128
104
161
227
276
134
156
DRG
L67B
L67C
L68Z
M01A
M01B
M02A
M02B
M03Z
M04Z
M05Z
M06A
M06B
M40Z
M60A
M60B
M61A
M61B
M62A
M62B
M63Z
M64Z
N01A
N01B
N04A
N04B
N05A
N05B
N06Z
N07A
N07B
N08Z
N09Z
N10Z
N11Z
N12A
N12B
N60A
N60B
N61Z
N62Z
O01A
O01B
( National
NATIONAL HOSPITAL COST DATA COLLECTION
COST WEIGHTS FOR AR-DRG VERSION 7.0, Round 18 (2013-14)
Public Sector - Sample
DRG Description
DRG
O01C
O02A
O02B
O03A
O03B
O04A
O04B
O04C
O05Z
O60A
O60B
O60C
O61Z
O63Z
O66A
O66B
O66C
P01Z
P02Z
P03A
P03B
P04A
P04B
P05A
P05B
P06A
P06B
P07Z
P08Z
P60A
P60B
P61Z
P62Z
P63A
P63B
P64A
P64B
P65A
P65B
P65C
P65D
P66A
Caesarean Delivery W/O Catastrophic or Severe CC
Vaginal Delivery W OR Procedures W Catastrophic or Severe CC
Vaginal Delivery W OR Procedures W/O Catastrophic or Severe C
Ectopic Pregnancy W CC
Ectopic Pregnancy W/O CC
Postpartum and Post Abortion W OR Procedures W Catastrophic
Postpartum and Post Abortion W OR Procedures W/O Catastroph
Postpartum and Post Abortion W OR Procedures, Sameday
Abortion W OR Procedures
Vaginal Delivery W Catastrophic or Severe CC
Vaginal Delivery W/O Catastrophic or Severe CC
Vaginal Delivery, Single Uncomplicated
Postpartum and Post Abortion W/O OR Procedures
Abortion W/O OR Procedures
Antenatal and Other Obstetric Admissions W Catastrophic or Seve
Antenatal and Other Obstetric Admissions W/O Catastrophic or Se
Antenatal and Other Obstetric Admissions, Sameday
Neonate W Significant OR Proc, Died or Transferred to Acute Fac
Cardiothoracic and Vascular Procedures for Neonates
Neonate, AdmWt 1000-1499g W Significant OR Proc W Multiple M
Neonate, AdmWt 1000-1499g W Significant OR Proc W/O Multiple
Neonate, AdmWt 1500-1999g W Significant OR Proc W Multiple M
Neonate, AdmWt 1500-1999g W Significant OR Proc W/O Multiple
Neonate, AdmWt 2000-2499g W Significant OR Proc W Multiple M
Neonate, AdmWt 2000-2499g W Significant OR Proc W/O Multiple
Neonate, AdmWt >=2500g W Significant OR Procedure W Multiple
Neonate, AdmWt >=2500g W Significant OR Procedure W/O Mult
Neonate, AdmWt <750g W Significant OR Procedure
Neonate, AdmWt 750-999g W Significant OR Procedure
Neonate W/O Sig OR Proc, Died or Transferred to Acute Facility <
Neonate W/O Sig OR Proc, Died or Transferred to Acute Facility S
Neonate, AdmWt <750g W/O Significant OR Procedure
Neonate, AdmWt 750-999g W/O Significant OR Procedure
Neonate, AdmWt 1000-1249g W/O Sig OR Proc <32 Completed W
Neonate, AdmWt 1000-1249g W/O Sig OR Proc >=32 Completed
Neonate, AdmWt 1250-1499g W/O Sig OR Proc <32 Completed W
Neonate, AdmWt 1250-1499g W/O Sig OR Proc >=32 Completed
Neonate, AdmWt 1500-1999g W/O Significant OR Proc W Multiple
Neonate, AdmWt 1500-1999g W/O Significant OR Proc W Major P
Neonate, AdmWt 1500-1999g W/O Significant OR Proc W Other P
Neonate, AdmWt 1500-1999g W/O Significant OR Proc W/O Prob
Neonate, AdmWt 2000-2499g W/O Significant OR Proc W Multiple
)
V7.0 Public Sector
Cost
Number
Number
ALOS
Average Cost per DRG ($)
Weight
of Seps
of Days
(Days)
Total
1.98
2.27
1.61
1.60
1.09
3.13
1.28
0.52
0.50
1.89
1.29
0.97
0.68
0.36
1.00
0.55
0.12
1.24
23.48
21.17
15.03
13.82
8.58
14.23
6.99
13.08
5.13
44.07
39.04
0.86
0.27
35.97
28.49
10.49
4.25
8.11
6.81
6.80
6.07
4.90
4.51
4.49
43,861
1,896
4,822
720
2,570
337
691
527
23,021
7,609
22,571
113,792
13,678
6,073
9,374
27,741
52,350
260
170
461
311
219
268
169
158
661
522
26
34
3,085
1,412
247
449
177
153
417
331
333
1,035
1,248
1,153
420
153,268
7,572
14,193
1,566
4,176
1,791
1,874
527
24,762
34,616
62,203
245,705
32,139
6,999
32,800
49,330
52,350
394
4,501
23,391
11,630
7,627
6,631
5,430
2,612
16,875
5,707
1,981
2,741
6,602
1,412
17,512
27,788
5,795
2,008
11,299
7,593
7,819
21,471
22,805
18,327
6,483
3.49
3.99
2.94
2.18
1.62
5.31
2.71
1.00
1.08
4.55
2.76
2.16
2.35
1.15
3.50
1.78
1.00
1.52
26.48
50.74
37.40
34.83
24.74
32.13
16.53
25.53
10.93
76.19
80.62
2.14
1.00
70.90
61.89
32.74
13.12
27.10
22.94
23.48
20.74
18.27
15.90
15.44
9,811
11,258
7,980
7,930
5,423
15,557
6,356
2,571
2,497
9,393
6,423
4,832
3,387
1,794
4,950
2,708
584
6,163
116,601
105,110
74,644
68,640
42,629
70,657
34,733
64,951
25,486
218,861
193,896
4,250
1,348
178,642
141,470
52,117
21,129
40,273
33,803
33,748
30,121
24,315
22,396
22,308
Direct
7,081
8,137
5,739
6,092
4,173
12,172
4,721
1,913
1,887
6,628
4,535
3,427
2,446
1,343
3,504
1,928
441
5,101
92,172
81,157
56,483
53,616
32,495
56,081
26,476
51,393
19,964
172,093
152,599
3,294
1,124
137,516
107,669
39,337
16,032
30,932
25,614
25,841
22,781
18,462
16,631
17,298
Ohead
2,730
3,121
2,242
1,839
1,250
3,385
1,635
658
609
2,765
1,888
1,405
942
450
1,446
780
143
1,062
24,429
23,953
18,161
15,024
10,134
14,576
8,257
13,558
5,522
46,768
41,296
956
224
41,126
33,801
12,780
5,097
9,340
8,189
7,907
7,341
5,852
5,765
5,010
Average Component Cost per DRG ($)
Ward Medical
Ward Nursing
Direct
Direct
1,076
1,086
864
609
451
1,118
615
170
193
1,068
822
640
451
166
638
363
73
492
12,987
10,939
5,346
7,124
3,312
7,053
3,556
6,646
2,432
18,563
15,253
533
151
12,185
9,777
5,164
2,517
5,293
5,029
4,433
3,836
3,734
4,103
3,224
Ohead
327
345
263
125
85
231
169
37
34
250
203
171
86
34
121
79
24
30
342
420
363
478
366
235
334
221
198
668
540
63
26
539
473
331
290
806
662
531
652
848
640
468
2,329
3,017
2,323
844
542
2,050
1,133
128
181
3,188
2,280
1,771
914
342
1,438
750
129
166
8,752
4,704
4,646
4,757
4,014
4,032
3,109
5,422
2,859
6,402
5,050
610
138
5,200
5,451
6,845
2,411
6,637
6,708
5,792
6,317
6,104
7,227
5,175
Ohead
282
325
256
120
77
297
146
21
23
375
259
208
99
49
172
95
18
16
552
564
550
377
388
288
249
313
178
415
411
53
15
691
669
660
186
581
582
495
547
485
660
372
Non
Clinical
Salaries
659
824
616
301
217
610
373
74
98
849
601
462
302
121
489
259
64
297
4,855
1,869
1,556
1,420
1,153
1,596
999
1,786
783
2,351
2,457
276
116
2,132
2,152
1,909
789
1,867
1,759
1,837
1,540
1,372
1,691
1,334
Pathology
Direct
Ohead
DRG
107
10 O01C
302
22 O02A
113
10 O02B
250
14 O03A
130
9 O03B
495
41 O04A
201
14 O04B
86
7 O04C
107
11 O05Z
251
23 O60A
102
9 O60B
70
6 O60C
74
6 O61Z
100
8 O63Z
141
12 O66A
80
7 O66B
25
2 O66C
215
33 P01Z
4,603
959 P02Z
1,824
190 P03A
970
107 P03B
1,681
237 P04A
714
84 P04B
2,237
307 P05A
921
153 P05B
2,439
340 P06A
564
68 P06B
5,616 1,067 P07Z
5,358
732 P08Z
214
19 P60A
89
5 P60B
3,410
306 P61Z
2,260
214 P62Z
706
90 P63A
330
43 P63B
475
47 P64A
432
40 P64B
540
47 P65A
391
40 P65B
275
30 P65C
98
8 P65D
476
49 P66A
( National
NATIONAL HOSPITAL COST DATA COLLECTION
COST WEIGHTS FOR AR-DRG VERSION 7.0, Round 18 (2013-14)
Public Sector - Sample
)
V7.0 Public Sector
Average Component Cost per DRG ($)
Imaging
DRG
O01C
O02A
O02B
O03A
O03B
O04A
O04B
O04C
O05Z
O60A
O60B
O60C
O61Z
O63Z
O66A
O66B
O66C
P01Z
P02Z
P03A
P03B
P04A
P04B
P05A
P05B
P06A
P06B
P07Z
P08Z
P60A
P60B
P61Z
P62Z
P63A
P63B
P64A
P64B
P65A
P65B
P65C
P65D
P66A
Direct
15
37
12
54
30
279
73
29
10
39
11
10
49
45
97
58
14
152
1,555
919
598
984
377
1,205
425
1,111
374
2,204
2,706
96
62
1,735
1,155
386
212
303
203
270
188
90
40
206
Allied
Ohead
3
9
2
11
7
55
17
6
2
10
2
2
10
10
25
13
3
39
428
207
142
250
104
277
96
265
89
483
648
21
11
384
260
92
53
68
49
56
48
21
6
45
Direct
70
128
88
39
20
169
53
9
12
105
59
48
58
34
66
30
6
55
3,428
671
448
736
323
1,222
499
1,314
300
1,538
1,280
38
12
1,063
897
271
136
274
283
395
208
153
162
378
Pharmacy
Ohead
50
83
59
22
13
66
26
6
7
74
47
35
21
14
33
17
4
26
604
232
170
242
118
341
330
352
113
530
399
19
5
321
278
174
79
151
182
227
139
114
145
201
Direct
86
147
92
68
49
2,403
71
16
38
125
68
52
42
24
73
35
8
62
1,396
1,541
686
1,178
496
1,710
406
1,408
373
4,018
3,121
49
7
2,460
1,557
691
273
445
338
426
253
196
148
277
Ohead
Critical Care
Direct
9
17
12
176
9
13
7
158
6
11
188
1,053
6
52
3
3
3
5
10
48
6
12
5
9
5
110
2
3
7
58
4
6
1
0
7
921
185 33,246
177 50,032
86 36,706
121 29,094
53 18,421
179 29,321
49 13,355
139 23,648
33
8,540
433 109,214
339 97,428
4
974
1
81
243 94,915
191 74,265
77 19,621
43
7,570
56 12,595
42
8,386
40
9,410
28
7,737
25
4,696
20
1,506
23
4,442
Oper Rooms
Ohead
Direct
2
37
2
37
3
227
11
0
1
11
2
1
31
1
13
2
0
230
6,336
13,096
9,820
7,365
4,879
6,750
3,290
5,313
1,965
28,090
24,210
241
16
25,728
20,208
5,042
2,010
3,238
2,156
2,284
1,953
1,209
384
1,049
2,090
1,670
1,105
2,626
1,856
2,488
1,407
1,152
964
388
215
76
60
37
140
59
9
2,261
13,962
231
95
1,087
270
2,221
904
2,587
1,487
2,796
2,753
26
78
150
108
36
106
16
11
53
15
8
7
84
Ohead
519
389
269
615
427
594
349
342
271
84
48
15
14
9
29
13
2
246
2,554
44
21
182
46
369
158
428
221
473
548
5
10
27
22
8
25
4
3
9
3
2
2
14
Emerg Depts
Direct
10
16
11
584
499
435
368
71
113
18
13
8
209
385
99
149
66
10
31
77
51
58
51
81
41
87
145
321
363
62
99
153
105
51
303
26
29
13
21
20
12
30
Ohead
3
5
4
151
134
113
94
18
30
6
4
3
55
100
28
43
17
2
8
22
15
17
15
22
13
25
41
99
107
17
30
45
32
15
106
8
9
4
6
6
4
8
Supplies
Direct
314
424
308
141
86
299
137
24
38
411
286
228
115
49
190
103
35
78
2,641
916
632
891
613
785
451
1,089
529
1,806
1,302
229
253
1,042
829
932
327
899
912
953
1,029
837
1,156
643
Ohead
550
696
493
242
156
517
288
48
63
744
507
363
222
81
393
192
26
100
3,138
1,914
1,424
1,390
922
1,288
839
1,607
725
2,826
2,361
160
44
2,027
1,964
1,838
631
1,246
1,352
1,283
1,221
1,016
1,252
851
Spec Proc Suites
Direct
Prostheses
OnCosts
Hotel
Deprec
No. of
Hosps
Ohead
0
0
0
0
0
9
0
0
0
0
0
0
1
0
1
0
0
0
0
0
0
0
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
4
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
17
10
5
21
38
172
11
14
12
1
1
0
2
0
4
3
0
92
1,060
14
16
46
11
220
57
248
60
38
29
4
3
19
12
3
3
2
2
5
2
0
0
4
689
820
577
519
314
928
405
154
156
720
478
358
241
101
361
184
35
319
6,396
8,990
5,607
5,499
3,406
5,561
2,326
4,912
1,797
20,357
17,692
313
53
15,053
10,633
4,345
1,625
3,344
2,832
3,035
2,348
1,914
1,905
1,987
316
394
276
175
126
365
172
64
54
360
231
171
113
40
181
86
10
97
1,877
2,390
2,125
1,406
1,140
1,286
851
1,252
608
2,608
3,465
96
14
4,049
3,614
1,295
436
855
954
869
771
573
687
458
261
282
208
198
136
351
165
89
72
234
159
122
93
38
138
76
12
218
4,706
3,128
2,464
2,020
1,349
2,072
1,321
1,999
1,003
5,945
5,343
128
29
4,763
4,345
1,533
626
1,035
846
741
830
587
533
509
164
136
150
117
133
100
121
128
184
156
168
203
249
228
200
263
269
36
5
27
32
30
34
29
41
37
57
12
17
147
182
26
30
38
62
65
76
60
88
93
123
72
DRG
O01C
O02A
O02B
O03A
O03B
O04A
O04B
O04C
O05Z
O60A
O60B
O60C
O61Z
O63Z
O66A
O66B
O66C
P01Z
P02Z
P03A
P03B
P04A
P04B
P05A
P05B
P06A
P06B
P07Z
P08Z
P60A
P60B
P61Z
P62Z
P63A
P63B
P64A
P64B
P65A
P65B
P65C
P65D
P66A
( National
NATIONAL HOSPITAL COST DATA COLLECTION
COST WEIGHTS FOR AR-DRG VERSION 7.0, Round 18 (2013-14)
Public Sector - Sample
DRG Description
DRG
P66B
P66C
P66D
P67A
P67B
P67C
P67D
P68A
P68B
P68C
P68D
Q01A
Q01B
Q02A
Q02B
Q60A
Q60B
Q60C
Q61A
Q61B
Q61C
Q62A
Q62B
R01A
R01B
R02A
Neonate, AdmWt 2000-2499g W/O Significant OR Proc W Major P
Neonate, AdmWt 2000-2499g W/O Significant OR Proc W Other P
Neonate, AdmWt 2000-2499g W/O Significant OR Proc W/O Prob
Neonate, AdmWt >=2500g W/O Sig OR Proc <37 Comp Wks Ges
Neonate, AdmWt >=2500g W/O Sig OR Proc <37 Comp Wks Ges
Neonate, AdmWt >=2500g W/O Sig OR Proc <37 Comp Wks Ges
Neonate, AdmWt >=2500g W/O Sig OR Proc <37 Comp Wks Ges
Neonate, AdmWt >=2500g W/O Sig OR Proc >=37 Comp Wks Ge
Neonate, AdmWt >=2500g W/O Sig OR Proc >=37 Comp Wks Ge
Neonate, AdmWt >=2500g W/O Sig OR Proc >=37 Comp Wks Ge
Neonate, AdmWt >=2500g W/O Sig OR Proc >=37 Comp Wks Ge
Splenectomy W Catastrophic or Severe CC
Splenectomy W/O Catastrophic or Severe CC
Blood and Immune System Disorders W Other OR Procedures W
Blood and Immune System Disorders W Other OR Procedures W/
Reticuloendothelial and Immunity Disorders W Catastrophic or Sev
Reticuloendothelial and Immunity Disorders W/O Catastrophic or S
Reticuloendothelial and Immunity Disorders, Sameday
Red Blood Cell Disorders W Catastrophic or Severe CC
Red Blood Cell Disorders W/O Catastrophic or Severe CC
Red Blood Cell Disorders, Sameday
Coagulation Disorders
Coagulation Disorders, Sameday
Lymphoma and Leukaemia W Major OR Procedures W Catastroph
Lymphoma and Leukaemia W Major OR Procedures W/O Catastro
Other Neoplastic Disorders W Major OR Procedures W Catastroph
)
V7.0 Public Sector
Cost
Number
Number
ALOS
Average Cost per DRG ($)
Weight
of Seps
of Days
(Days)
Total
3.72
2.83
1.17
4.15
3.11
2.23
1.04
3.17
1.73
1.03
0.57
5.70
3.04
4.47
0.97
2.58
1.21
0.16
1.55
0.78
0.20
1.26
0.20
10.10
2.29
6.65
1,502
4,244
2,184
300
1,070
2,551
1,197
1,522
6,243
13,175
18,444
130
144
584
1,494
4,460
4,419
18,754
6,569
9,598
43,828
3,487
3,937
341
246
305
19,061
42,556
9,787
3,866
11,059
19,889
4,441
13,557
32,968
40,646
38,783
1,408
701
5,995
2,719
30,698
15,719
18,754
32,607
21,286
43,828
13,904
3,937
7,512
1,017
4,403
12.69
10.03
4.48
12.89
10.34
7.80
3.71
8.91
5.28
3.09
2.10
10.83
4.87
10.27
1.82
6.88
3.56
1.00
4.96
2.22
1.00
3.99
1.00
22.03
4.13
14.44
18,487
14,063
5,821
20,616
15,453
11,061
5,168
15,764
8,594
5,113
2,846
28,328
15,115
22,173
4,833
12,825
5,984
792
7,689
3,861
992
6,241
975
50,174
11,348
33,044
Direct
14,074
10,506
4,240
16,136
11,875
8,377
3,831
12,285
6,570
3,840
2,098
22,140
11,923
17,149
3,770
9,947
4,513
611
5,824
2,916
777
4,706
782
40,021
8,903
25,937
Ohead
4,412
3,557
1,581
4,480
3,579
2,684
1,337
3,479
2,025
1,273
748
6,188
3,192
5,025
1,063
2,878
1,472
181
1,865
946
215
1,535
192
10,153
2,445
7,107
Average Component Cost per DRG ($)
Ward Medical
Ward Nursing
Direct
Direct
2,662
2,279
1,142
2,986
2,253
1,799
1,035
2,115
1,324
852
562
2,315
1,218
2,379
427
1,348
796
95
961
486
90
820
73
4,069
835
3,005
Ohead
495
430
184
438
478
396
232
250
212
156
94
368
146
236
48
252
122
14
124
63
11
121
9
825
110
380
4,090
3,883
1,670
4,220
3,591
3,347
1,587
2,648
1,974
1,384
806
3,812
1,938
4,142
511
3,126
1,304
121
1,682
770
122
1,314
133
9,126
1,582
4,850
Ohead
375
338
179
360
320
290
171
198
162
121
106
417
221
373
53
284
148
16
207
98
16
147
14
780
153
388
Non
Clinical
Salaries
978
898
478
1,161
801
685
399
754
516
356
245
1,017
600
1,249
217
915
456
77
558
273
71
450
68
2,599
536
1,641
Pathology
Direct
301
156
59
457
279
167
57
493
200
142
44
1,368
644
1,016
348
695
293
84
396
194
67
316
92
2,936
861
1,127
Ohead
28
16
5
38
25
18
5
55
17
14
4
120
61
113
35
88
34
13
38
18
9
40
11
316
93
117
DRG
P66B
P66C
P66D
P67A
P67B
P67C
P67D
P68A
P68B
P68C
P68D
Q01A
Q01B
Q02A
Q02B
Q60A
Q60B
Q60C
Q61A
Q61B
Q61C
Q62A
Q62B
R01A
R01B
R02A
( National
NATIONAL HOSPITAL COST DATA COLLECTION
COST WEIGHTS FOR AR-DRG VERSION 7.0, Round 18 (2013-14)
Public Sector - Sample
)
V7.0 Public Sector
Average Component Cost per DRG ($)
Imaging
DRG
P66B
P66C
P66D
P67A
P67B
P67C
P67D
P68A
P68B
P68C
P68D
Q01A
Q01B
Q02A
Q02B
Q60A
Q60B
Q60C
Q61A
Q61B
Q61C
Q62A
Q62B
R01A
R01B
R02A
Direct
97
30
10
179
112
34
9
276
83
31
10
514
135
750
145
243
115
8
168
55
7
123
12
1,804
424
653
Allied
Ohead
20
6
2
31
20
6
2
58
18
6
2
95
21
133
33
46
22
2
28
10
1
22
3
297
79
107
Direct
164
86
35
426
157
62
28
288
107
34
21
436
159
451
40
303
85
10
208
57
10
123
15
1,676
151
781
Pharmacy
Ohead
98
75
30
173
90
48
26
110
55
26
14
166
94
183
18
105
37
6
69
23
8
46
7
474
66
234
Direct
148
92
38
322
123
67
37
173
71
38
21
1,240
241
1,076
60
1,542
373
86
401
174
179
337
223
5,343
343
632
Ohead
17
11
4
30
15
8
4
19
7
4
2
65
20
82
5
86
22
4
29
13
8
21
15
249
26
36
Critical Care
Direct
4,218
1,745
405
4,844
3,357
1,425
310
4,180
1,521
596
122
3,730
892
1,610
58
284
82
0
128
20
0
170
0
2,236
176
2,565
Ohead
1,027
429
95
1,122
832
336
73
965
342
124
25
932
196
363
14
62
20
0
31
5
0
39
0
516
39
614
Oper Rooms
Direct
20
411
11
50
18
12
10
106
37
23
14
4,585
4,394
2,115
1,457
85
55
33
132
130
110
80
25
4,921
2,778
7,580
Ohead
4
95
2
9
3
2
2
19
5
4
3
916
910
417
305
17
10
8
30
30
26
16
8
939
546
1,517
Emerg Depts
Direct
35
25
41
9
17
12
12
91
147
87
106
763
341
530
102
730
674
28
718
529
31
655
89
565
173
169
Ohead
9
8
11
3
5
4
3
23
38
22
29
177
85
145
27
187
179
5
187
145
7
179
23
131
48
35
Supplies
Direct
596
522
227
565
520
413
230
381
263
163
96
689
310
605
96
388
178
59
227
102
33
179
33
1,700
259
853
Ohead
717
719
379
708
563
536
289
528
373
262
157
735
354
817
129
530
277
34
337
161
33
277
27
1,479
347
927
Spec Proc Suites
Direct
0
0
0
0
0
0
0
0
0
0
0
5
3
126
43
16
3
3
60
49
28
5
2
54
17
81
Prostheses
OnCosts
Hotel
Deprec
No. of
Hosps
Ohead
0
0
0
0
0
0
0
0
0
0
0
1
1
20
15
4
1
1
14
12
9
1
0
12
4
19
3
0
0
4
1
1
0
6
1
0
0
426
379
363
43
6
6
2
8
5
4
9
2
1,237
312
419
1,448
1,085
478
1,678
1,141
839
376
1,279
669
381
203
1,890
912
1,474
320
806
369
49
502
225
64
406
51
3,105
740
2,341
442
359
167
385
351
272
134
315
217
143
82
849
397
764
130
396
175
16
268
117
21
194
21
1,555
302
1,175
497
367
168
420
381
284
137
433
233
140
78
696
441
641
154
283
148
19
179
95
25
151
21
1,230
346
797
107
130
157
74
102
123
137
101
139
164
204
57
55
114
163
199
231
221
242
266
280
205
158
76
78
71
DRG
P66B
P66C
P66D
P67A
P67B
P67C
P67D
P68A
P68B
P68C
P68D
Q01A
Q01B
Q02A
Q02B
Q60A
Q60B
Q60C
Q61A
Q61B
Q61C
Q62A
Q62B
R01A
R01B
R02A
( National
NATIONAL HOSPITAL COST DATA COLLECTION
COST WEIGHTS FOR AR-DRG VERSION 7.0, Round 18 (2013-14)
Public Sector - Sample
DRG Description
DRG
R02B
R02C
R03A
R03B
R03C
R04A
R04B
R60A
R60B
R60C
R61A
R61B
R61C
R62A
R62B
R63Z
S65A
S65B
S65C
S65D
T01A
T01B
T01C
T40Z
T60A
T60B
T61A
T61B
T62A
T62B
T63A
T63B
T64A
T64B
T64C
U40Z
U60Z
U61A
U61B
U62A
U62B
Other Neoplastic Disorders W Major OR Procedures W Severe or
Other Neoplastic Disorders W Major OR Procedures W/O CC
Lymphoma and Leukaemia W Other OR Procedures W Catastroph
Lymphoma and Leukaemia W Other OR Procedures W/O Catastro
Lymphoma and Leukaemia W Other OR Procedures, Sameday
Other Neoplastic Disorders W Other OR Procedures W CC
Other Neoplastic Disorders W Other OR Procedures W/O CC
Acute Leukaemia W Catastrophic CC
Acute Leukaemia W/O Catastrophic CC
Acute Leukaemia, Sameday
Lymphoma and Non-Acute Leukaemia W Catastrophic CC
Lymphoma and Non-Acute Leukaemia W/O Catastrophic CC
Lymphoma and Non-Acute Leukaemia, Sameday
Other Neoplastic Disorders W CC
Other Neoplastic Disorders W/O CC
Chemotherapy
Human Immunodeficiency Virus W Catastrophic CC
Human Immunodeficiency Virus W Severe CC
Human Immunodeficiency Virus W/O Catastrophic or Severe CC
Human Immunodeficiency Virus, Sameday
Infectious and Parasitic Diseases W OR Procedures W Catastroph
Infectious and Parasitic Diseases W OR Procedures W Severe or
Infectious and Parasitic Diseases W OR Procedures W/O CC
Infectious and Parasitic Diseases W Ventilator Support
Septicaemia W Catastrophic CC
Septicaemia W/O Catastrophic CC
Postoperative and Post-Traumatic Infections W Catastrophic or Se
Postoperative and Post-Traumatic Infections W/O Catastrophic or
Fever of Unknown Origin W Catastrophic CC
Fever of Unknown Origin W/O Catastrophic CC
Viral Illnesses W CC
Viral Illnesses W/O CC
Other Infectious and Parasitic Diseases W Catastrophic CC
Other Infectious and Parasitic Diseases W Severe or Moderate CC
Other Infectious and Parasitic Diseases W/O CC
Mental Health Treatment W ECT, Sameday
Mental Health Treatment W/O ECT, Sameday
Schizophrenia Disorders, Involuntary Admission
Schizophrenia Disorders
Paranoia & Acute Psyc Disorders, Involuntary Admission W Cat or
Paranoia & Acute Psyc Disorders W/O Cat or Sev CC
)
V7.0 Public Sector
Cost
Number
Number
ALOS
Average Cost per DRG ($)
Weight
of Seps
of Days
(Days)
Total
3.67
2.42
7.82
2.13
0.63
2.16
1.07
9.26
2.25
0.31
5.15
1.76
0.24
1.66
0.83
0.30
7.09
3.34
2.09
0.32
7.44
3.22
2.13
7.52
3.14
1.51
1.93
0.91
1.37
0.66
1.08
0.53
4.50
1.75
0.99
0.16
0.18
4.97
3.25
4.03
2.38
401
928
685
539
779
677
1,127
1,609
2,671
4,950
1,881
6,783
17,742
1,529
2,000
127,542
280
181
311
602
2,156
1,150
1,317
288
9,430
7,169
2,306
6,711
4,495
5,640
3,266
15,485
1,182
1,338
1,769
12,116
18,795
13,444
9,616
2,738
2,422
2,927
4,054
12,890
2,253
779
3,422
1,557
36,646
14,627
4,950
27,105
31,271
17,742
7,754
2,863
127,551
4,683
1,424
1,434
602
42,084
10,803
8,317
3,349
85,972
35,309
17,191
23,521
18,558
11,138
10,146
23,660
15,886
8,455
6,123
12,116
18,795
299,868
135,143
44,793
22,256
7.30
4.37
18.82
4.18
1.00
5.05
1.38
22.78
5.48
1.00
14.41
4.61
1.00
5.07
1.43
1.00
16.73
7.87
4.61
1.00
19.52
9.39
6.32
11.63
9.12
4.93
7.45
3.50
4.13
1.97
3.11
1.53
13.44
6.32
3.46
1.00
1.00
22.30
14.05
16.36
9.19
18,234
12,028
38,830
10,554
3,149
10,709
5,294
46,001
11,166
1,547
25,598
8,737
1,191
8,245
4,122
1,473
35,219
16,591
10,375
1,576
36,946
15,995
10,594
37,337
15,577
7,491
9,591
4,527
6,790
3,296
5,351
2,609
22,366
8,706
4,896
795
884
24,683
16,138
20,022
11,824
Direct
14,322
9,516
30,304
8,242
2,525
8,348
4,232
36,576
8,826
1,195
19,856
6,871
929
6,265
3,176
1,280
27,732
13,110
8,192
1,340
28,834
12,221
8,078
29,792
11,911
5,627
7,257
3,378
5,155
2,472
4,078
1,966
17,608
6,636
3,730
580
565
18,060
11,785
14,820
8,611
Ohead
3,912
2,512
8,526
2,312
623
2,361
1,062
9,426
2,340
352
5,742
1,866
263
1,979
946
193
7,486
3,482
2,182
237
8,112
3,774
2,515
7,545
3,666
1,864
2,333
1,149
1,635
823
1,273
644
4,759
2,071
1,166
215
319
6,622
4,353
5,202
3,213
Average Component Cost per DRG ($)
Ward Medical
Ward Nursing
Direct
Direct
1,717
1,063
3,268
915
148
1,108
646
3,922
990
59
2,393
810
59
976
308
86
4,970
2,306
1,483
143
3,943
2,160
1,378
2,218
1,713
935
1,450
723
808
425
730
357
2,788
1,267
708
84
69
3,194
2,202
2,383
1,564
Ohead
170
155
749
145
18
133
25
890
172
8
626
166
10
183
37
14
510
278
189
10
482
318
185
260
202
131
214
96
129
64
106
51
429
182
102
14
26
1,493
535
908
334
2,442
1,535
7,657
1,665
114
1,727
243
10,801
2,804
200
5,854
1,820
148
1,774
295
121
5,809
3,009
1,919
137
6,830
3,329
2,060
2,935
3,188
1,750
2,306
1,073
1,601
695
1,184
524
4,741
1,953
1,088
95
80
7,971
5,031
6,887
3,712
Ohead
230
156
697
193
17
168
28
799
196
20
565
172
16
180
34
17
500
335
157
15
573
312
219
285
336
217
274
146
175
122
126
59
544
233
184
14
16
512
312
405
287
Non
Clinical
Salaries
898
565
2,271
539
84
582
201
2,975
774
110
1,783
586
98
628
152
75
2,601
1,194
778
110
2,080
989
663
1,081
1,027
559
794
361
496
236
390
170
1,487
675
359
74
151
2,655
1,792
2,142
1,196
Pathology
Direct
548
384
2,570
835
510
498
142
3,193
613
271
1,519
466
200
248
67
19
2,014
848
589
78
1,277
404
228
1,714
613
238
265
91
294
118
217
80
836
309
154
1
9
249
147
190
99
Ohead
53
35
317
83
51
52
13
356
78
47
173
54
30
27
6
2
217
82
65
7
128
38
22
179
62
21
22
9
31
12
23
7
86
34
14
0
1
69
24
49
11
DRG
R02B
R02C
R03A
R03B
R03C
R04A
R04B
R60A
R60B
R60C
R61A
R61B
R61C
R62A
R62B
R63Z
S65A
S65B
S65C
S65D
T01A
T01B
T01C
T40Z
T60A
T60B
T61A
T61B
T62A
T62B
T63A
T63B
T64A
T64B
T64C
U40Z
U60Z
U61A
U61B
U62A
U62B
( National
NATIONAL HOSPITAL COST DATA COLLECTION
COST WEIGHTS FOR AR-DRG VERSION 7.0, Round 18 (2013-14)
Public Sector - Sample
)
V7.0 Public Sector
Average Component Cost per DRG ($)
Imaging
DRG
R02B
R02C
R03A
R03B
R03C
R04A
R04B
R60A
R60B
R60C
R61A
R61B
R61C
R62A
R62B
R63Z
S65A
S65B
S65C
S65D
T01A
T01B
T01C
T40Z
T60A
T60B
T61A
T61B
T62A
T62B
T63A
T63B
T64A
T64B
T64C
U40Z
U60Z
U61A
U61B
U62A
U62B
Direct
174
95
1,504
436
181
447
154
985
134
15
755
238
37
334
863
16
807
334
229
17
1,057
324
202
930
387
195
254
83
199
70
92
34
600
250
103
1
14
54
43
107
74
Allied
Ohead
35
16
272
82
38
86
25
180
26
3
137
45
7
61
170
2
153
70
44
6
182
54
34
179
67
35
45
16
35
13
18
7
103
44
20
0
3
8
7
16
14
Direct
297
128
1,202
160
16
249
101
1,287
233
18
911
185
8
302
42
15
1,586
477
237
10
948
251
144
964
488
146
197
63
154
36
98
23
616
170
58
9
31
622
407
663
350
Pharmacy
Ohead
114
52
354
65
8
79
32
322
81
14
237
56
9
76
21
7
347
119
67
6
328
104
64
264
153
54
77
28
52
18
35
13
188
57
26
6
5
153
108
154
99
Direct
223
160
5,218
739
43
222
38
8,609
2,188
321
3,581
1,993
231
611
160
868
4,227
2,431
1,314
586
2,203
559
297
997
703
268
374
124
338
61
247
39
2,493
572
303
5
9
547
356
319
158
Ohead
15
10
233
28
5
15
4
329
106
15
170
101
10
35
11
34
173
103
63
14
136
43
24
52
52
23
29
12
26
6
15
4
112
39
23
1
1
57
39
35
21
Critical Care
Direct
632
136
1,464
83
5
276
49
1,294
15
0
797
32
2
155
3
0
2,174
489
151
0
3,432
287
134
14,937
1,782
298
203
11
98
11
68
9
1,228
139
60
0
1
519
321
404
165
Ohead
137
27
356
18
1
58
11
267
3
0
183
7
0
37
1
0
456
115
34
0
783
71
31
3,364
414
76
54
3
25
3
16
2
272
35
16
0
0
169
111
136
49
Oper Rooms
Direct
5,799
4,453
1,770
1,828
1,190
2,161
2,071
592
309
120
186
80
59
275
352
11
376
229
225
152
3,127
2,252
1,865
336
115
53
152
118
29
10
65
5
159
57
64
227
13
81
45
31
9
Ohead
1,131
866
340
388
259
428
460
102
55
31
35
18
19
59
78
3
83
52
42
24
627
478
396
61
24
11
31
27
6
3
13
1
33
12
15
53
3
19
11
7
2
Emerg Depts
Direct
48
12
583
202
6
179
11
484
161
22
501
228
10
314
51
0
823
744
638
45
747
477
372
791
970
771
609
469
769
649
719
623
930
620
498
1
233
375
523
471
703
Ohead
11
4
146
56
1
50
2
111
41
4
125
63
2
80
14
0
186
174
145
7
185
125
101
175
233
202
154
129
195
168
191
169
225
161
126
0
60
106
163
127
212
Supplies
Direct
402
281
1,145
217
32
264
103
1,501
427
48
844
247
64
283
81
49
1,029
442
269
34
1,387
595
337
458
430
253
388
168
207
93
150
62
798
333
177
39
20
874
532
653
381
Ohead
517
303
1,463
344
41
350
94
1,659
462
61
998
353
45
381
81
34
1,365
639
439
43
1,327
673
430
562
607
328
454
220
291
130
224
101
860
410
200
38
44
1,218
1,012
1,012
682
Spec Proc Suites
Direct
21
14
72
11
6
62
102
27
6
1
29
12
3
104
518
1
27
28
23
10
99
21
7
40
21
9
19
14
12
4
2
0
44
48
25
27
1
10
4
5
1
Prostheses
OnCosts
Hotel
Deprec
No. of
Hosps
Ohead
4
3
12
3
2
20
32
5
2
0
10
2
1
16
229
0
6
9
4
3
17
3
1
8
5
2
4
2
3
1
0
0
9
12
6
6
0
2
1
1
0
290
152
415
233
23
110
97
53
23
2
27
10
1
21
9
1
40
10
8
2
293
135
91
40
13
7
13
10
5
3
1
0
28
19
10
2
1
4
1
1
3
1,241
758
2,488
671
187
751
403
2,676
664
84
1,663
516
71
570
302
63
2,398
1,122
680
69
2,551
1,012
673
2,767
1,074
455
643
271
428
181
335
144
1,648
609
295
58
54
2,045
1,338
1,606
926
623
347
1,301
299
61
340
94
1,521
330
33
868
264
24
275
77
17
1,534
601
345
28
1,262
560
349
885
527
266
347
147
223
86
161
67
660
265
138
17
19
1,005
644
805
457
463
316
960
316
103
293
115
1,060
272
42
628
214
29
240
161
16
806
351
234
21
941
421
287
854
370
189
217
114
163
78
123
59
449
200
123
21
21
672
428
506
314
78
120
97
104
138
106
126
77
123
117
135
210
198
161
160
135
54
51
71
42
135
147
153
82
222
283
208
277
237
269
206
276
149
175
218
74
265
111
221
127
210
DRG
R02B
R02C
R03A
R03B
R03C
R04A
R04B
R60A
R60B
R60C
R61A
R61B
R61C
R62A
R62B
R63Z
S65A
S65B
S65C
S65D
T01A
T01B
T01C
T40Z
T60A
T60B
T61A
T61B
T62A
T62B
T63A
T63B
T64A
T64B
T64C
U40Z
U60Z
U61A
U61B
U62A
U62B
( National
NATIONAL HOSPITAL COST DATA COLLECTION
COST WEIGHTS FOR AR-DRG VERSION 7.0, Round 18 (2013-14)
Public Sector - Sample
DRG Description
DRG
U63A
U63B
U64Z
U65Z
U66Z
U67Z
U68Z
V60A
V60B
V61Z
V62Z
V63Z
V64Z
V65Z
V66Z
W01A
W01B
W01C
W02A
W02B
W03Z
W04A
W04B
W60Z
W61A
W61B
X02A
X02B
X04A
X04B
X05A
X05B
X06A
X06B
X07A
X07B
X40Z
X60A
X60B
X61Z
X62A
X62B
Major Affective Disorders Age >=70 or W Catastrophic or Severe C
Major Affective Disorders Age <70 W/O Catastrophic or Severe CC
Other Affective and Somatoform Disorders
Anxiety Disorders
Eating and Obsessive-Compulsive Disorders
Personality Disorders and Acute Reactions
Childhood Mental Disorders
Alcohol Intoxication and Withdrawal W CC
Alcohol Intoxication and Withdrawal W/O CC
Drug Intoxication and Withdrawal
Alcohol Use and Dependence
Opioid Use and Dependence
Other Drug Use and Dependence
Treatment for Alcohol Disorders, Sameday
Treatment for Drug Disorders, Sameday
Tracheostomy for Multiple Significant Trauma
Vent & Cran Procs for Mult Sig Trauma, W/O Trach W (Vent >=96
Vent & Cran Procs for Mult Sig Trauma, W/O Trach W/O Vent >=9
Hip, Femur & Lower Limb Procs for Mult Significant Trauma W Cat
Hip, Femur & Lower Limb Procs for Mult Significant Trauma W/O C
Abdominal Procedures for Multiple Significant Trauma
Multiple Significant Trauma W Other OR Procs W Catastrophic or
Multiple Significant Trauma W Other OR Procs W/O Catastrophic
Multiple Trauma, Died or Transferred to Acute Facility <5 Days
Multiple Trauma W/O OR Procedures W Catastrophic or Severe C
Multiple Trauma W/O OR Procedures W/O Catastrophic or Severe
Microvascular Tiss Transfer or (Skin Graft W Cat/Sev CC) for Injur
Skin Graft for Injuries to Hand W/O Catastrophic or Severe CC
Other Procedures for Injuries to Lower Limb W Catastrophic or Sev
Other Procedures for Injuries to Lower Limb W/O Catastrophic or S
Other Procedures for Injuries to Hand W CC
Other Procedures for Injuries to Hand W/O CC
Other Procedures for Other Injuries W Catastrophic or Severe CC
Other Procedures for Other Injuries W/O Catastrophic or Severe C
Skin Graft for Injuries Excl Hand W Microvascular Tiss Trans or W
Skin Graft for Injuries Excl Hand W/O Microvascular Tiss Trans W
Injuries, Poisoning and Toxic Effects of Drugs W Ventilator Suppor
Injuries W Catastrophic or Severe CC
Injuries W/O Catastrophic or Severe CC
Allergic Reactions
Poisoning/Toxic Effects of Drugs and Other Substances W Cat or
Poisoning/Toxic Effects of Drugs and Other Substances W/O Cat o
)
V7.0 Public Sector
Cost
Number
Number
ALOS
Average Cost per DRG ($)
Weight
of Seps
of Days
(Days)
Total
5.30
3.52
1.92
1.55
5.75
1.61
3.29
1.22
0.66
1.87
1.54
1.11
1.11
0.23
0.21
43.19
20.03
10.43
8.64
6.19
6.13
9.96
5.58
2.06
4.23
2.25
2.40
0.87
3.16
1.08
1.62
0.75
2.91
1.08
4.68
1.97
4.62
1.35
0.46
0.36
1.72
0.62
3,203
15,441
8,168
5,333
2,409
20,367
709
3,057
5,997
6,639
4,847
850
2,319
7,386
1,745
211
587
177
517
240
250
311
247
576
678
857
930
1,307
621
2,491
1,165
6,577
3,852
9,087
960
805
905
7,599
41,324
7,165
6,657
27,025
74,924
212,647
57,698
26,088
45,274
109,659
5,984
12,349
13,140
44,890
28,644
4,760
11,996
7,386
1,745
10,286
14,579
2,392
8,448
2,534
2,750
5,402
2,231
1,044
7,428
4,894
3,491
2,023
5,169
4,948
4,377
8,731
28,521
19,053
12,830
4,458
6,202
36,549
60,341
8,492
30,797
51,281
23.39
13.77
7.06
4.89
18.79
5.38
8.44
4.04
2.19
6.76
5.91
5.60
5.17
1.00
1.00
48.75
24.84
13.51
16.34
10.56
11.00
17.37
9.03
1.81
10.96
5.71
3.75
1.55
8.32
1.99
3.76
1.33
7.40
2.10
13.36
5.54
6.85
4.81
1.46
1.19
4.63
1.90
Direct
26,316 19,363
17,473 12,798
9,533
6,928
7,686
5,724
28,565 21,403
8,020
5,831
16,354 12,410
6,073
4,492
3,296
2,363
9,298
6,904
7,649
5,461
5,515
3,853
5,530
3,934
1,153
889
1,024
787
214,462 171,200
99,450 79,867
51,779 42,043
42,882 33,845
30,745 24,058
30,432 24,122
49,475 39,350
27,693 21,971
10,242
8,277
20,997 15,979
11,196
8,353
11,935
9,433
4,297
3,313
15,670 11,911
5,358
4,090
8,035
6,097
3,731
2,853
14,439 11,125
5,368
4,134
23,218 17,855
9,788
7,449
22,961 18,155
6,700
4,916
2,275
1,704
1,797
1,370
8,533
6,544
3,083
2,301
Ohead
6,952
4,675
2,605
1,962
7,162
2,189
3,945
1,581
932
2,394
2,189
1,662
1,596
264
236
43,263
19,583
9,735
9,038
6,686
6,310
10,125
5,722
1,965
5,018
2,843
2,502
984
3,759
1,268
1,939
878
3,314
1,234
5,363
2,339
4,806
1,784
571
427
1,989
782
Average Component Cost per DRG ($)
Ward Medical
Ward Nursing
Direct
Direct
3,113
2,295
1,216
1,026
4,190
995
2,079
733
384
1,123
852
686
709
93
73
8,820
5,125
2,932
3,352
2,347
2,607
3,451
2,175
388
1,994
1,155
1,103
386
1,709
464
846
300
1,564
530
2,909
1,328
1,322
848
218
162
895
327
Ohead
1,278
761
281
207
1,170
292
572
229
118
420
185
135
159
35
26
1,395
716
372
531
369
275
829
323
46
270
191
95
31
345
62
136
35
181
67
361
170
209
96
35
24
211
93
8,803
5,832
3,090
2,293
9,902
2,594
6,519
1,473
682
2,880
2,538
1,567
1,603
120
103
10,513
6,114
3,821
5,792
3,674
3,814
6,365
3,360
385
4,030
2,107
1,362
410
2,901
697
1,272
330
2,524
681
4,633
1,951
1,379
1,486
299
205
1,467
538
Ohead
543
382
239
205
575
180
373
140
83
188
202
112
118
17
13
1,027
528
304
417
307
418
486
287
48
400
259
101
37
254
64
108
35
251
74
355
176
179
190
48
33
146
57
Non
Clinical
Salaries
2,451
1,820
990
717
2,640
794
1,596
479
276
968
816
722
664
51
61
3,788
2,434
1,257
1,848
1,186
1,180
2,162
1,050
1,015
1,289
624
535
186
1,009
254
483
161
833
258
1,507
628
611
508
141
95
505
217
Pathology
Direct
299
139
81
85
345
81
84
174
48
124
137
155
99
14
14
5,221
2,649
956
817
385
728
855
360
477
520
184
99
11
315
32
113
12
352
54
410
85
727
151
25
31
231
53
Ohead
29
19
10
10
45
24
10
13
4
12
13
15
7
1
1
627
302
144
86
46
67
113
36
25
59
19
12
1
38
4
12
2
34
5
42
9
65
15
2
3
23
5
DRG
U63A
U63B
U64Z
U65Z
U66Z
U67Z
U68Z
V60A
V60B
V61Z
V62Z
V63Z
V64Z
V65Z
V66Z
W01A
W01B
W01C
W02A
W02B
W03Z
W04A
W04B
W60Z
W61A
W61B
X02A
X02B
X04A
X04B
X05A
X05B
X06A
X06B
X07A
X07B
X40Z
X60A
X60B
X61Z
X62A
X62B
( National
NATIONAL HOSPITAL COST DATA COLLECTION
COST WEIGHTS FOR AR-DRG VERSION 7.0, Round 18 (2013-14)
Public Sector - Sample
)
V7.0 Public Sector
Average Component Cost per DRG ($)
Imaging
DRG
U63A
U63B
U64Z
U65Z
U66Z
U67Z
U68Z
V60A
V60B
V61Z
V62Z
V63Z
V64Z
V65Z
V66Z
W01A
W01B
W01C
W02A
W02B
W03Z
W04A
W04B
W60Z
W61A
W61B
X02A
X02B
X04A
X04B
X05A
X05B
X06A
X06B
X07A
X07B
X40Z
X60A
X60B
X61Z
X62A
X62B
Direct
185
50
44
97
80
26
42
83
28
46
42
14
17
13
9
4,906
2,811
1,657
962
822
861
1,257
819
444
696
452
47
10
230
38
48
13
267
47
211
31
350
161
68
12
108
16
Allied
Ohead
30
8
9
19
17
5
9
16
6
8
7
3
4
3
2
944
567
308
215
196
195
281
190
109
147
106
9
2
47
8
9
3
48
10
42
6
66
32
15
2
19
3
Direct
998
486
299
321
1,722
246
707
192
80
218
314
213
183
22
20
7,568
3,398
1,684
1,461
918
977
1,799
895
211
983
476
132
24
308
71
102
21
250
49
613
186
634
298
48
22
201
61
Pharmacy
Ohead
266
124
77
76
437
67
192
55
27
55
80
54
48
7
6
2,037
923
479
555
367
298
559
304
63
266
140
63
16
120
31
43
14
102
26
213
80
138
90
16
8
57
17
Direct
479
251
110
103
353
95
123
102
38
133
106
84
72
7
11
2,935
1,401
472
649
330
573
685
246
59
347
153
122
32
339
53
131
28
376
62
526
138
166
130
21
53
149
30
Ohead
69
35
17
14
48
14
17
11
4
16
13
11
8
1
2
174
97
44
47
33
47
44
21
4
34
16
10
4
27
6
13
3
28
6
34
13
18
15
2
4
15
4
Critical Care
Oper Rooms
Direct
Ohead
Direct
303
260
40
85
147
88
101
204
35
265
33
35
68
6
5
91,050
31,931
13,851
3,376
1,650
3,467
5,590
2,239
1,532
3,124
1,063
62
1
336
16
85
5
805
47
264
18
10,109
87
8
154
1,490
208
79
76
11
19
33
24
18
47
8
74
9
10
19
1
1
19,768
6,818
2,651
735
382
727
1,146
487
339
647
249
16
0
83
3
18
1
177
11
63
5
2,266
23
2
38
322
47
442
132
48
19
40
18
49
17
3
15
11
18
5
1
2
13,075
10,675
6,877
7,452
6,593
5,599
7,641
5,052
1,433
171
88
4,626
1,683
2,740
1,609
2,015
1,443
2,429
1,603
4,406
2,101
202
66
134
9
41
12
Ohead
98
31
11
4
12
5
11
5
0
3
3
4
1
0
1
2,370
1,930
1,176
1,465
1,397
990
1,488
970
289
36
24
906
360
573
344
433
318
499
340
893
429
35
15
29
2
10
2
Emerg Depts
Direct
391
452
482
575
340
462
336
712
623
561
342
181
267
498
449
1,829
1,826
2,223
1,550
1,573
1,420
1,772
1,711
1,289
1,468
1,386
383
294
679
508
493
309
552
404
494
313
913
866
636
542
919
682
Ohead
112
140
143
158
95
139
94
195
179
161
96
47
74
131
114
406
435
474
380
383
313
409
435
307
364
344
91
76
192
146
136
88
145
108
121
83
203
235
169
146
232
188
Supplies
Direct
921
585
329
235
850
242
450
149
93
283
260
245
226
21
16
2,028
1,221
535
1,033
551
616
1,125
495
121
551
269
217
65
517
94
206
52
430
112
803
331
228
188
50
34
183
74
Ohead
1,396
980
556
382
1,489
442
797
279
152
443
487
371
348
17
16
2,309
1,429
785
1,203
806
768
1,284
687
114
800
416
305
105
641
156
294
88
535
156
941
398
337
323
73
45
276
111
Spec Proc Suites
Direct
86
17
6
4
3
4
3
2
1
3
2
1
1
0
0
60
53
7
37
9
14
38
7
7
6
1
18
7
6
3
12
6
29
10
27
15
13
4
2
3
9
4
Prostheses
OnCosts
Hotel
Deprec
No. of
Hosps
Ohead
20
3
1
1
1
1
1
1
0
1
0
0
0
0
0
16
17
4
13
2
3
15
3
3
1
0
2
1
1
1
1
1
5
2
5
3
2
1
0
1
2
1
17
3
2
1
23
2
14
7
2
1
1
0
0
0
0
4,523
4,047
2,649
3,744
2,726
742
4,226
2,270
560
52
37
148
15
347
76
30
23
171
63
176
42
10
3
3
0
2
0
2,080
1,408
769
550
2,256
621
1,158
429
234
716
533
420
438
55
44
14,939
6,553
3,415
2,656
1,840
1,948
3,105
1,660
502
1,401
683
860
294
1,008
310
525
227
1,005
340
1,651
623
1,723
439
118
93
590
185
1,167
699
379
271
994
317
542
177
93
343
320
230
223
21
18
5,714
2,617
1,395
1,416
1,030
993
1,521
854
200
787
451
318
119
495
150
236
98
477
155
930
343
501
254
55
41
232
72
664
486
292
209
758
243
459
149
93
238
248
184
170
18
17
6,420
2,832
1,308
1,091
823
792
1,227
756
271
552
303
294
122
410
160
233
116
370
150
586
283
555
178
58
36
197
77
187
234
276
275
151
264
109
207
256
223
229
111
166
239
173
34
61
36
81
67
63
51
50
147
117
131
66
105
115
158
109
147
175
200
94
113
92
260
304
254
228
281
DRG
U63A
U63B
U64Z
U65Z
U66Z
U67Z
U68Z
V60A
V60B
V61Z
V62Z
V63Z
V64Z
V65Z
V66Z
W01A
W01B
W01C
W02A
W02B
W03Z
W04A
W04B
W60Z
W61A
W61B
X02A
X02B
X04A
X04B
X05A
X05B
X06A
X06B
X07A
X07B
X40Z
X60A
X60B
X61Z
X62A
X62B
( National
NATIONAL HOSPITAL COST DATA COLLECTION
COST WEIGHTS FOR AR-DRG VERSION 7.0, Round 18 (2013-14)
Public Sector - Sample
DRG Description
DRG
X63A
X63B
X64A
X64B
Y01Z
Y02A
Y02B
Y02C
Y03Z
Y60Z
Y61Z
Y62A
Y62B
Y62C
Z01A
Z01B
Z40Z
Z60Z
Z61A
Z61B
Z63A
Z63B
Z64A
Z64B
Z65Z
Z66Z
801A
801B
801C
960Z
961Z
963Z
Total
Sequelae of Treatment W Catastrophic or Severe CC
Sequelae of Treatment W/O Catastrophic or Severe CC
Other Injuries, Poisonings and Toxic Effects W Catastrophic or Se
Other Injuries, Poisonings and Toxic Effects W/O Catastrophic or S
Vent >=96hrs or Trach for Burns or OR Procs for Severe Full Thic
Skin Grafts for Other Burns W Catastrophic or Severe CC
Skin Grafts for Other Burns W/O Catastrophic or Severe CC, Eme
Skin Grafts for Other Burns W/O Catastrophic or Severe CC, Non
Other OR Procedures for Other Burns
Burns, Transferred to Acute Facility <5 Days
Severe Burns
Other Burns W CC
Other Burns W/O CC
Other Burns, Sameday
Other Contacts W Health Services W OR Procedures
Other Contacts W Health Services W OR Procedures, Sameday
Other Contacts W Health Services W Endoscopy, Sameday
Rehabilitation
Signs and Symptoms
Signs and Symptoms, Sameday
Other Follow Up After Surgery or Medical Care W Catastrophic CC
Other Follow Up After Surgery or Medical Care W/O Catastrophic
Other Factors Influencing Health Status
Other Factors Influencing Health Status, Sameday
Congenital Anomalies and Problems Arising from Neonatal Period
Sleep Disorders
OR Procedures Unrelated to Principal Diagnosis W Catastrophic C
OR Procedures Unrelated to Principal Diagnosis W Severe or Mod
OR Procedures Unrelated to Principal Diagnosis W/O CC
Ungroupable
Unacceptable Principal Diagnosis
Neonatal Diagnosis Not Consistent W Age/Weight
)
V7.0 Public Sector
Cost
Number
Number
ALOS
Average Cost per DRG ($)
Weight
of Seps
of Days
(Days)
Total
1.53
0.61
1.57
0.45
37.48
6.88
2.87
1.34
1.60
0.61
1.43
1.72
0.82
0.23
1.73
0.47
0.25
1.67
1.11
0.24
2.52
1.02
0.98
0.26
1.20
0.57
7.57
3.12
1.52
1.27
0.29 **
0.87 **
1.00
3,727
12,785
1,242
5,124
103
578
797
1,054
1,088
484
389
486
1,332
1,094
1,414
2,948
36,918
420
7,478
7,035
1,701
6,174
9,029
38,040
265
1,788
1,858
820
1,644
703
18,741
26,945
6,348
7,319
3,883
8,112
4,412
2,742
3,739
586
1,312
2,409
2,855
1,094
5,105
2,948
36,918
3,347
29,028
7,035
17,771
29,095
32,603
38,040
755
5,891
34,076
5,666
4,141
3,179
5.03
2.11
5.11
1.43
37.70
14.03
5.54
2.60
3.44
1.21
3.37
4.96
2.14
1.00
3.61
1.00
1.00
7.97
3.88
1.00
10.45
4.71
3.61
1.00
2.85
3.29
18.34
6.91
2.52
4.52
1.00
4.33
13,497,673
2.70
**
**
4,998,408
Direct
7,579
5,732
3,053
2,287
7,800
5,725
2,222
1,664
186,132 148,862
34,154 26,609
14,234 10,733
6,648
5,185
7,923
5,991
3,034
2,321
7,124
5,122
8,522
6,483
4,067
3,114
1,119
856
8,571
6,526
2,357
1,825
1,235
939
8,295
6,053
5,532
4,116
1,185
930
12,490
8,969
5,088
3,613
4,875
3,638
1,266
982
5,941
4,456
2,826
2,291
37,604 29,152
15,489 12,042
7,536
5,915
6,292
4,389
1,423
1,069
4,322
3,012
4,966
3,808
Ohead
Average Component Cost per DRG ($)
Ward Medical
Ward Nursing
Direct
Direct
Ohead
Ohead
Non
Clinical
Salaries
Pathology
Direct
1,847
766
2,076
558
37,270
7,545
3,501
1,463
1,931
712
2,002
2,040
952
263
2,046
531
296
2,242
1,416
255
3,521
1,475
1,238
284
1,485
535
8,453
3,447
1,621
1,903
354
1,310
1,029
429
864
208
7,878
2,775
863
526
718
183
617
1,001
477
71
902
151
145
930
726
106
1,797
820
628
141
959
164
3,797
1,544
653
962
95
575
144
50
97
46
1,260
386
45
155
92
26
105
147
79
13
100
17
12
90
81
16
228
94
110
16
93
9
453
232
95
41
6
110
1,657
591
1,628
366
15,464
7,777
3,454
1,216
1,402
283
1,708
2,169
907
96
1,326
97
55
2,469
1,231
106
3,271
1,180
1,265
99
1,366
1,125
7,146
2,606
873
1,026
62
1,661
193
72
178
51
791
362
190
64
91
65
633
177
73
17
157
16
9
462
146
16
686
260
177
14
140
26
633
240
147
100
6
114
561
220
538
157
4,206
1,797
672
319
487
826
528
630
312
55
528
80
58
1,002
461
83
1,176
509
447
77
834
343
2,113
832
365
559
36
295
237
61
200
32
5,421
686
156
95
90
34
102
163
50
11
197
73
28
77
170
98
272
87
72
34
116
7
1,228
399
137
125
0
10
1,158
517
87
871
95
303
120
Ohead
22
6
23
3
571
79
22
9
14
2
15
19
4
1
20
6
2
13
22
6
26
8
8
4
19
1
129
38
12
14
0
2
DRG
X63A
X63B
X64A
X64B
Y01Z
Y02A
Y02B
Y02C
Y03Z
Y60Z
Y61Z
Y62A
Y62B
Y62C
Z01A
Z01B
Z40Z
Z60Z
Z61A
Z61B
Z63A
Z63B
Z64A
Z64B
Z65Z
Z66Z
801A
801B
801C
960Z
961Z
963Z
12 Total
( National
NATIONAL HOSPITAL COST DATA COLLECTION
COST WEIGHTS FOR AR-DRG VERSION 7.0, Round 18 (2013-14)
Public Sector - Sample
)
V7.0 Public Sector
Average Component Cost per DRG ($)
Imaging
DRG
X63A
X63B
X64A
X64B
Y01Z
Y02A
Y02B
Y02C
Y03Z
Y60Z
Y61Z
Y62A
Y62B
Y62C
Z01A
Z01B
Z40Z
Z60Z
Z61A
Z61B
Z63A
Z63B
Z64A
Z64B
Z65Z
Z66Z
801A
801B
801C
960Z
961Z
963Z
Total
Direct
Allied
Ohead
Direct
Pharmacy
Ohead
Direct
Critical Care
Ohead
Oper Rooms
Direct
Ohead
Direct
Ohead
Emerg Depts
Direct
Ohead
Spec Proc Suites
Supplies
Direct
Ohead
Direct
Prostheses
OnCosts
Hotel
Deprec
No. of
Hosps
Ohead
199
62
150
51
1,647
200
17
7
19
23
54
63
11
4
153
54
7
72
154
64
173
83
67
78
203
7
1,313
470
181
122
0
31
37
11
27
11
346
53
5
1
4
7
7
12
3
1
28
9
1
19
26
10
29
15
13
14
33
1
236
91
32
27
0
7
184
41
373
53
12,378
1,770
610
352
246
34
282
436
284
27
132
11
4
645
217
11
499
145
160
29
240
88
1,319
362
116
171
6
93
65
19
115
16
2,952
478
187
87
73
12
84
89
46
8
62
9
4
171
62
5
182
52
43
6
70
6
411
113
42
102
0
31
283
64
135
18
3,459
676
236
94
101
22
103
170
46
5
153
29
22
275
124
26
406
125
113
92
131
12
1,322
317
105
141
0
77
23
6
15
2
269
51
16
11
8
3
8
15
5
1
15
3
1
22
12
1
47
16
9
6
7
1
79
27
11
17
0
2
225
29
522
61
52,406
1,440
188
119
96
196
205
359
79
14
146
1
0
17
73
1
369
85
23
5
27
0
3,657
916
291
272
0
0
53
7
118
14
12,096
256
44
26
31
43
52
78
18
3
36
0
0
5
18
0
101
25
6
1
6
0
854
214
59
80
0
0
240
149
16
8
21,743
4,637
1,799
1,810
1,894
124
303
219
90
173
2,093
1,089
451
23
30
169
82
73
223
228
176
2
2,628
2,305
2,100
480
796
0
51
33
4
2
3,840
917
461
367
403
31
57
31
19
48
460
261
113
4
6
43
21
17
50
52
36
1
529
502
454
148
209
0
557
439
978
562
707
440
321
32
237
521
460
488
467
336
42
2
1
51
613
171
90
56
248
29
146
39
928
604
203
280
0
9
146
123
254
152
163
114
114
7
72
149
130
137
130
88
11
1
0
14
161
43
28
17
74
8
41
12
227
148
52
93
0
3
274
99
161
47
10,874
2,994
1,845
308
397
106
493
517
232
29
199
27
25
377
172
35
507
224
178
32
174
123
1,166
415
155
149
2
198
350
138
356
75
2,990
1,337
737
190
352
78
292
414
171
22
325
40
28
475
275
32
698
315
247
40
381
191
1,361
519
186
389
49
363
57
34
11
55
22
15
0
4
4
0
2
9
0
0
39
36
77
1
12
17
9
77
34
59
6
279
245
121
22
24
0
0
14
8
3
11
7
3
0
1
1
0
0
3
0
0
8
4
23
0
3
3
1
17
9
17
2
46
48
23
4
4
0
0
25
10
2
0
2,931
170
35
70
51
2
10
10
4
2
359
64
11
3
5
7
40
79
33
33
6
0
908
531
389
97
0
0
515
189
522
114
11,271
2,239
996
397
552
118
430
565
248
49
579
145
75
701
402
66
840
354
371
79
429
208
2,573
1,024
449
397
89
364
259
92
280
52
5,482
1,571
759
180
233
52
205
289
128
20
247
52
31
254
196
22
554
191
142
26
117
93
1,333
489
193
243
5
153
94
17
110
39
158
11
287
67
553
121
298
79
151
183
40
8
145
321
147
177
73
229
55
4,955
931
462
201
257
95
241
311
185
27
253
80
52
121
133
30
359
165
123
47
183
43
968
409
211
231
60 **
221 **
130
214
264
176
277
14
42
32
44
107
173
114
141
188
154
165
185
218
46
264
209
212
274
293
277
72
111
136
134
181
60
DRG
X63A
X63B
X64A
X64B
Y01Z
Y02A
Y02B
Y02C
Y03Z
Y60Z
Y61Z
Y62A
Y62B
Y62C
Z01A
Z01B
Z40Z
Z60Z
Z61A
Z61B
Z63A
Z63B
Z64A
Z64B
Z65Z
Z66Z
801A
801B
801C
960Z
961Z
963Z
355 Total
NATIONAL HOSPITAL COST DATA COLLECTION
( National
)
ESTIMATED COST WEIGHTS FOR AR-DRG VERSION 7.0, Round 18 (2013-14)
Public Sector - Estimated National
DRG Description
DRG
A01Z
A03Z
A05Z
A06A
A06B
A06C
A07A
A07B
A08A
A08B
A09A
A09B
A10Z
A11A
A11B
A12Z
A40A
A40B
B01A
B01B
B02A
B02B
B02C
B03A
B03B
B04A
B04B
B05Z
B06A
B06B
B06C
B07A
B07B
B40Z
B41Z
B42A
B42B
B60A
B60B
B61A
B61B
B62Z
B63Z
B64A
B64B
B65A
B65B
B66A
B66B
B66C
B67A
B67B
B67C
Liver Transplant
Lung or Heart-Lung Transplant
Heart Transplant
Tracheostomy W Ventilation >=96hrs W Catastrophic CC
Ventilation >=96hrs and OR Proc (W/O Tracheostomy or W/O Cat CC)
Tracheostomy W/O Ventilation >=96hrs, or Ventilation >=96hrs W/O OR Proc
Allogeneic Bone Marrow Transplant, Age <17
Allogeneic Bone Marrow Transplant, Age >=17
Autologous Bone Marrow Transplant W Catastrophic CC
Autologous Bone Marrow Transplant W/O Catastrophic CC
Kidney Transplant, Age <17 or W Catastrophic CC
Kidney Transplant, Age >=17 W/O Catastrophic CC
Insertion of Ventricular Assist Device
Insertion of Implantable Spinal Infusion Device W Catastrophic CC
Insertion of Implantable Spinal Infusion Device W/O Catastrophic CC
Insertion of Neurostimulator Device
ECMO W Tracheostomy
ECMO W/O Tracheostomy
Ventricular Shunt Revision W Catastrophic or Severe CC
Ventricular Shunt Revision W/O Catastrophic or Severe CC
Cranial Procs W Cerebral Haemorrhage W Cat CC
Cranial Procs W/O Cerebral Haem W Cat CC or (W Cerebral Haem W Sev CC)
Cranial Procs W/O Cerebral Haem W Sev CC or W/O Cat/Sev CC
Spinal Procedures W Catastrophic or Severe CC
Spinal Procedures W/O Catastrophic or Severe CC
Extracranial Vascular Procedures W Catastrophic CC
Extracranial Vascular Procedures W/O Catastrophic CC
Carpal Tunnel Release
Procs for Cerebral Palsy, Muscular Dystrophy, Neuropathy W Cat or Sev CC
Procs for Cerebral Palsy, Muscular Dystrophy, Neuropathy W/O Cat or Sev CC
Procs for Cerebral Palsy, Muscular Dystrophy, Neuropathy, Sameday
Cranial or Peripheral Nerve and Other Nervous System Procedures W CC
Cranial or Peripheral Nerve and Other Nervous System Procedures W/O CC
Plasmapheresis W Neurological Disease, Sameday
Telemetric EEG Monitoring
Nervous System Disorders W Ventilator Support W Catastrophic CC
Nervous System Disorders W Ventilator Support W/O Catastrophic CC
Acute Paraplegia/Quadriplegia W or W/O OR Procs W Catastrophic CC
Acute Paraplegia/Quadriplegia W or W/O OR Procs W/O Catastrophic CC
Spinal Cord Conditions W or W/O OR Procedures W Catastrophic or Severe CC
Spinal Cord Conditions W or W/O OR Procedures W/O Catastrophic or Severe CC
Apheresis
Dementia and Other Chronic Disturbances of Cerebral Function
Delirium W Catastrophic CC
Delirium W/O Catastrophic CC
Cerebral Palsy
Cerebral Palsy, Sameday
Nervous System Neoplasms W Radiotherapy
Nervous System Neoplasms W/O Radiotherapy W Catastrophic or Severe CC
Nervous System Neoplasms W/O Radiotherapy W/O Catastrophic or Severe CC
Degenerative Nervous System Disorders W Catastrophic or Severe CC
Degenerative Nervous System Disorders W/O Catastrophic or Severe CC
Degenerative Nervous System Disorders, Sameday
Cost
Weight
26.17
24.17
32.45
41.58
22.12
14.24
44.69
14.89
8.03
2.66
9.93
7.36
66.80
14.56
4.64
5.27
57.14
23.64
3.88
2.44
12.53
7.52
4.52
5.75
3.08
5.24
2.71
0.45
5.43
1.72
0.64
3.34
1.18
0.17
1.40
7.87
4.03
8.90
3.07
5.89
2.11
0.28
2.64
2.71
1.30
2.41
0.30
4.25
2.05
0.95
3.03
1.43
0.16
Standard
Error
0.04
0.06
0.09
0.02
0.01
0.01
0.09
0.04
0.03
0.06
0.03
0.02
0.08
0.27
0.10
0.04
0.14
0.08
0.04
0.03
0.03
0.01
0.01
0.04
0.02
0.03
0.01
0.01
0.05
0.03
0.01
0.04
0.01
0.02
0.02
0.04
0.03
0.12
0.09
0.03
0.05
0.05
0.01
0.02
0.01
0.12
0.02
0.05
0.02
0.02
0.03
0.02
0.01
Number
of Seps
244
172
74
1,587
3,021
4,278
95
512
816
328
504
423
63
16
35
358
51
229
252
177
652
3,014
5,741
452
1,124
517
1,399
10,694
376
809
1,437
863
3,612
1,250
1,185
564
537
103
119
869
715
427
8,839
3,388
7,307
151
2,005
380
2,449
3,040
2,584
3,506
8,557
Number
of Days
6,610
4,851
2,490
71,803
85,053
83,511
5,448
14,566
17,610
2,536
5,997
3,198
3,103
306
169
1,045
2,371
4,850
1,978
759
11,974
42,401
40,259
5,353
4,410
5,508
5,120
11,337
5,566
2,038
1,437
7,236
5,911
1,250
4,998
7,815
2,742
2,247
971
11,708
3,057
436
100,755
36,238
34,824
956
2,005
5,202
16,875
8,548
27,967
18,103
8,557
ALOS
(Days)
27.05
28.14
33.85
45.24
28.16
19.52
57.38
28.43
21.58
7.73
11.90
7.55
48.95
18.99
4.79
2.92
46.29
21.21
7.84
4.29
18.35
14.07
7.01
11.84
3.92
10.66
3.66
1.06
14.79
2.52
1.00
8.39
1.64
1.00
4.22
13.86
5.10
21.82
8.18
13.47
4.27
1.02
11.40
10.70
4.77
6.35
1.00
13.69
6.89
2.81
10.82
5.16
1.00
Average Cost per DRG ($)
Total
Direct
Ohead
133,465
123,266
165,511
212,069
112,804
72,628
227,906
75,958
40,940
13,591
50,624
37,532
340,664
74,244
23,655
26,882
291,390
120,557
19,801
12,434
63,913
38,329
23,041
29,310
15,730
26,719
13,817
2,287
27,696
8,754
3,283
17,009
6,024
852
7,132
40,147
20,573
45,408
15,668
30,045
10,774
1,434
13,473
13,828
6,620
12,291
1,512
21,679
10,472
4,856
15,431
7,297
792
108,313
106,285
140,926
169,264
90,601
57,734
190,773
62,591
32,023
10,351
42,447
30,947
304,335
61,706
19,821
24,144
236,669
98,753
15,804
9,972
51,931
30,648
18,523
23,271
12,837
21,019
11,056
1,733
21,304
6,827
2,561
13,079
4,677
635
5,554
31,579
16,384
34,933
11,547
23,142
8,405
1,012
9,768
10,268
4,916
8,904
1,123
15,897
7,787
3,662
11,579
5,384
638
25,152
16,981
24,585
42,804
22,203
14,894
37,133
13,367
8,917
3,240
8,178
6,585
36,329
12,537
3,834
2,738
54,721
21,804
3,997
2,462
11,983
7,681
4,518
6,039
2,893
5,700
2,761
554
6,392
1,927
722
3,930
1,347
217
1,579
8,568
4,190
10,476
4,121
6,904
2,369
422
3,705
3,560
1,704
3,387
389
5,782
2,685
1,194
3,852
1,913
153
Average Component Cost per DRG ($)
Ward Medical
Direct
Ohead
21,524
10,737
16,884
9,120
6,452
4,206
18,662
4,156
3,567
1,103
4,558
4,561
15,788
5,561
1,056
647
8,019
6,036
1,462
995
4,547
2,670
1,601
2,145
933
2,126
1,008
203
2,958
808
207
1,702
453
52
1,231
2,603
1,038
4,201
1,389
2,457
813
83
1,701
1,761
829
2,155
170
3,210
1,245
527
1,893
979
98
3,879
1,431
1,309
916
624
479
1,237
2,706
750
349
1,136
1,182
2,670
1,188
76
80
554
180
194
125
422
309
177
433
117
193
105
23
310
80
29
200
62
31
99
271
141
2,571
784
616
123
18
246
205
114
355
13
539
183
75
281
138
22
Ward Nursing
Direct
Ohead
16,278
9,891
10,975
8,777
5,840
4,365
49,865
14,508
10,010
3,690
5,847
4,843
20,911
9,429
2,011
1,205
3,361
3,574
3,378
1,787
6,525
5,683
2,902
4,781
1,705
3,750
1,306
112
5,296
1,121
151
2,922
518
210
1,943
5,179
1,196
9,309
3,759
6,057
1,968
219
4,062
3,670
1,646
2,938
183
5,215
2,629
1,001
3,990
1,779
117
832
397
380
879
514
436
1,630
551
630
353
330
294
639
593
223
106
264
223
274
148
473
418
242
280
126
298
107
17
499
91
23
270
54
14
93
426
151
686
441
459
189
24
421
397
187
370
15
449
278
112
447
222
18
Non
Clinical
Salaries
5,265
3,802
5,008
3,513
2,429
1,743
10,874
3,122
2,794
870
1,699
1,129
5,931
4,074
842
463
2,316
2,450
1,022
528
2,066
1,629
851
1,439
544
1,251
483
91
1,795
377
101
981
228
83
838
1,412
437
2,926
1,177
1,935
577
152
1,183
1,150
513
1,112
119
1,846
838
372
1,271
622
66
Pathology
Ohead
Direct
5,836
4,649
5,834
6,399
4,962
2,842
10,105
4,368
2,451
727
2,396
1,474
8,576
1,864
50
63
10,605
6,104
379
179
1,811
1,045
510
681
190
612
230
6
831
110
77
354
35
36
80
1,421
735
1,095
206
591
155
254
183
353
139
150
7
288
188
99
305
123
102
710
494
1,078
714
561
289
1,598
598
404
101
370
170
1,181
119
10
11
1,014
1,184
49
16
226
141
61
86
23
68
24
1
116
14
8
43
4
9
10
156
71
67
21
73
22
53
22
35
13
16
1
34
21
13
35
13
4
DRG
A01Z
A03Z
A05Z
A06A
A06B
A06C
A07A
A07B
A08A
A08B
A09A
A09B
A10Z
A11A
A11B
A12Z
A40A
A40B
B01A
B01B
B02A
B02B
B02C
B03A
B03B
B04A
B04B
B05Z
B06A
B06B
B06C
B07A
B07B
B40Z
B41Z
B42A
B42B
B60A
B60B
B61A
B61B
B62Z
B63Z
B64A
B64B
B65A
B65B
B66A
B66B
B66C
B67A
B67B
B67C
NATIONAL HOSPITAL COST DATA COLLECTION
V7.0 Public Sector
ESTIMATED COST WEIGHTS FOR AR-DRG VERSION 7.0, Round 18 (2013-14)
Public Sector - Estimated National
Average Component Cost per DRG ($)
DRG
A01Z
A03Z
A05Z
A06A
A06B
A06C
A07A
A07B
A08A
A08B
A09A
A09B
A10Z
A11A
A11B
A12Z
A40A
A40B
B01A
B01B
B02A
B02B
B02C
B03A
B03B
B04A
B04B
B05Z
B06A
B06B
B06C
B07A
B07B
B40Z
B41Z
B42A
B42B
B60A
B60B
B61A
B61B
B62Z
B63Z
B64A
B64B
B65A
B65B
B66A
B66B
B66C
B67A
B67B
B67C
Imaging
Direct Ohea
d
2,193
336
1,536
374
1,578
325
3,746
657
2,737
468
1,283
228
1,633
230
1,159
206
804
174
210
37
1,189
203
799
133
2,477
525
1,238
163
86
16
196
35
4,678
965
2,039
456
483
95
321
61
4,686
682
1,474
243
1,053
160
715
120
283
47
1,009
163
355
54
2
1
813
140
77
15
7
2
385
81
33
8
12
3
255
39
984
178
523
101
1,088
191
442
64
804
141
384
75
2
1
158
28
286
47
151
26
235
52
39
10
450
81
401
68
319
65
312
56
184
33
23
4
Allied
Direct
Ohead
2,893
3,595
5,229
6,302
3,120
2,330
7,578
2,862
1,290
341
923
651
9,384
3,486
625
247
4,773
4,123
472
165
1,708
1,275
500
881
292
824
169
10
1,484
247
24
561
61
9
518
1,609
524
2,989
817
1,825
410
18
798
771
289
848
150
1,691
582
180
1,008
380
19
532
858
1,216
1,535
815
576
1,377
548
319
115
278
153
3,271
618
554
266
1,021
679
167
78
502
368
177
307
141
252
76
6
415
92
13
177
29
13
74
397
113
736
203
492
155
18
214
217
78
221
23
309
156
52
257
99
6
Pharmacy
Direct Ohead
Critical Care
Direct
Ohead
8,130
17,057
15,757
4,196
2,792
1,645
58,867
19,423
6,518
2,527
12,164
8,049
9,975
2,083
417
120
5,982
2,575
249
134
966
870
240
569
128
302
93
12
587
101
21
304
42
61
129
798
211
1,296
296
755
148
100
211
321
122
221
53
898
462
195
419
214
54
17,433
27,186
41,562
98,245
41,236
28,848
22,706
7,193
2,078
8
2,444
131
79,513
11,253
380
120
158,321
46,574
838
79
13,614
3,774
1,563
930
346
2,772
1,152
1
1,681
153
0
739
27
2
40
13,249
8,677
2,899
657
1,812
282
31
61
208
69
159
20
94
42
521
52
1
252
287
275
285
174
117
2,630
874
338
109
342
319
233
79
41
10
347
182
23
14
56
50
18
48
14
21
6
1
50
12
3
27
4
8
15
56
22
82
22
54
11
3
25
31
15
26
4
58
34
15
36
15
4
3,321
4,158
6,515
21,746
8,842
6,380
4,096
1,192
453
2
477
34
11,808
1,657
86
23
31,346
8,672
185
18
2,966
830
354
220
80
631
268
0
392
29
0
181
6
0
10
2,877
1,910
528
137
446
70
2
14
47
16
28
4
22
10
111
13
0
Oper Room
Direct
Ohead
17,081
13,624
18,518
7,850
8,597
3,554
1,927
373
212
165
7,109
6,592
21,013
6,105
2,690
4,161
12,085
13,012
4,025
3,415
5,523
6,580
5,443
6,016
4,956
4,832
4,441
1,114
2,423
2,910
1,632
2,681
2,449
12
42
437
398
3,172
1,009
2,270
1,513
39
14
36
13
422
302
33
59
207
97
49
37
2,133
1,808
2,785
1,485
1,598
676
298
75
33
35
1,116
1,241
3,018
1,033
618
941
1,868
2,161
811
662
1,218
1,354
1,090
1,211
988
922
815
274
558
588
371
541
525
2
7
100
74
588
180
464
302
6
4
9
3
74
70
6
17
44
21
10
10
Direct
ED
Ohead
357
349
388
825
847
754
103
69
30
13
147
80
239
154
6
21
544
549
675
439
882
588
301
283
103
511
181
5
609
54
2
836
336
0
64
1,065
1,070
433
455
699
556
3
700
989
838
168
3
452
687
414
765
594
48
63
81
108
190
190
178
18
13
10
5
31
16
50
40
1
3
106
116
173
111
196
140
78
71
26
120
47
1
143
17
1
215
93
0
14
234
252
97
123
175
145
1
198
238
215
42
1
112
175
109
198
161
11
Ward Supplies
Direct
Ohead
4,969
5,749
7,900
2,863
1,653
943
6,223
2,986
1,447
490
1,262
763
15,492
1,670
344
240
1,701
2,602
604
306
1,609
1,017
504
748
247
581
252
32
747
144
54
395
96
153
255
580
192
1,259
449
898
241
134
394
415
178
369
48
808
354
161
465
215
41
3,453
1,376
2,294
2,338
1,601
1,071
6,289
1,740
1,597
633
1,085
875
2,948
1,546
461
290
1,493
1,595
568
328
1,357
1,070
574
956
329
758
291
44
1,127
250
48
635
128
44
381
974
247
1,349
612
1,093
355
107
774
703
310
643
73
1,290
545
211
749
379
21
Spec Proc Suites
Direct
Ohead
13
168
1,088
497
452
132
29
16
13
20
1
487
92
42
847
476
2
0
612
109
108
49
20
156
79
7
154
19
13
62
9
0
34
19
31
24
46
11
3
5
1
12
3
328
4
5
51
23
3
2
28
181
81
76
24
7
2
4
5
0
96
26
28
159
64
2
0
77
22
16
16
6
20
10
2
25
3
3
15
2
0
7
3
2
7
15
4
1
2
1
3
1
107
1
1
10
6
0
Prostheses
1,061
1,164
1,655
2,498
2,379
419
76
71
36
13
378
329
100,293
12,586
10,988
16,079
2,084
1,776
1,418
1,085
3,747
1,949
1,782
2,880
2,390
1,079
639
20
977
328
87
498
91
0
3
24
22
2,021
260
1,914
955
1
4
4
2
24
13
9
8
14
9
6
5
OnCosts
7,870
7,122
9,961
15,602
8,078
5,379
11,676
3,614
2,558
773
3,159
1,967
15,549
4,010
1,015
782
21,296
8,150
1,321
770
4,068
2,621
1,429
1,783
891
1,913
895
150
1,975
556
211
1,171
378
54
565
3,023
1,434
2,995
1,005
1,935
646
86
1,055
1,026
439
849
105
1,566
733
312
1,173
533
45
Hotel
4,397
3,582
3,991
4,805
2,578
1,674
3,220
2,091
1,426
544
1,007
833
4,891
2,402
477
353
7,355
1,944
490
339
1,416
1,066
609
873
358
861
343
62
856
262
82
595
176
20
216
1,004
428
1,775
650
1,093
351
37
648
590
252
345
30
895
411
150
582
267
14
Deprec
2,654
1,761
2,716
6,005
3,187
2,056
4,990
1,425
993
363
950
912
3,705
1,292
464
351
8,287
3,059
444
330
1,960
1,035
701
789
447
692
385
87
736
297
113
438
178
23
212
1,050
588
1,020
478
924
313
42
354
313
160
456
74
981
277
152
371
188
19
No. of
Hosps
9
4
5
85
90
108
6
18
39
36
21
15
9
10
19
35
16
32
32
30
33
42
54
46
60
55
68
203
81
115
156
110
144
24
25
86
89
31
35
110
128
23
258
180
267
43
50
48
176
195
196
230
175
DRG
A01Z
A03Z
A05Z
A06A
A06B
A06C
A07A
A07B
A08A
A08B
A09A
A09B
A10Z
A11A
A11B
A12Z
A40A
A40B
B01A
B01B
B02A
B02B
B02C
B03A
B03B
B04A
B04B
B05Z
B06A
B06B
B06C
B07A
B07B
B40Z
B41Z
B42A
B42B
B60A
B60B
B61A
B61B
B62Z
B63Z
B64A
B64B
B65A
B65B
B66A
B66B
B66C
B67A
B67B
B67C
NATIONAL HOSPITAL COST DATA COLLECTION
( National
)
ESTIMATED COST WEIGHTS FOR AR-DRG VERSION 7.0, Round 18 (2013-14)
Public Sector - Estimated National
DRG Description
DRG
B68A
B68B
B69A
B69B
B70A
B70B
B70C
B70D
B71A
B71B
B71C
B72A
B72B
B73Z
B74A
B74B
B75Z
B76A
B76B
B76C
B77Z
B78A
B78B
B78C
B79A
B79B
B80A
B80B
B81A
B81B
B82A
B82B
B82C
C01Z
C02Z
C03Z
C04Z
C05Z
C10Z
C11Z
C12Z
C13Z
C14Z
C15Z
C16Z
C60A
C60B
C61A
C61B
C62A
C62B
C63A
C63B
Multiple Sclerosis and Cerebellar Ataxia W CC
Multiple Sclerosis and Cerebellar Ataxia W/O CC
TIA and Precerebral Occlusion W Catastrophic or Severe CC
TIA and Precerebral Occlusion W/O Catastrophic or Severe CC
Stroke & Other Cerebrovascular Disorders W Catastrophic CC
Stroke & Other Cerebrovascular Disorders W Severe CC
Stroke & Other Cerebrovascular Disorders W/O Catastrophic or Severe CC
Stroke & Other Cerebrovascular Disorders, Died/Trans Acute Facility <5 Days
Cranial and Peripheral Nerve Disorders W CC
Cranial and Peripheral Nerve Disorders W/O CC
Cranial and Peripheral Nerve Disorders, Sameday
Nervous System Infection Except Viral Meningitis W Cat or Sev CC
Nervous System Infection Except Viral Meningitis W/O Cat or Sev CC
Viral Meningitis
Nontraumatic Stupor and Coma W Catastrophic or Severe CC
Nontraumatic Stupor and Coma W/O Catastrophic or Severe CC
Febrile Convulsions
Seizures W Catastrophic or Severe CC
Seizures W/O Catastrophic or Severe CC
Seizures, Sameday
Headache
Intracranial Injuries W Catastrophic or Severe CC
Intracranial Injuries W/O Catastrophic or Severe CC
Intracranial Injuries, Died or Transferred to Acute Facility <5 Days
Skull Fractures W Catastrophic or Severe CC
Skull Fractures W/O Catastrophic or Severe CC
Other Head Injuries W Catastrophic or Severe CC
Other Head Injuries W/O Catastrophic or Severe CC
Other Disorders of the Nervous System W Catastrophic or Severe CC
Other Disorders of the Nervous System W/O Catastrophic or Severe CC
Chronic and Unspec Para/Quadriplegia W or W/O OR Proc W Skin Grft/Flap Repair
Chronic and Unspec Para/Quadriplegia W or W/O OR Proc W Cat CC
Chronic and Unspec Para/Quadriplegia W or W/O OR Proc W/O Cat CC
Procedures for Penetrating Eye Injury
Enucleations and Orbital Procedures
Retinal Procedures
Major Corneal, Scleral and Conjunctival Procedures
Dacryocystorhinostomy
Strabismus Procedures
Eyelid Procedures
Other Corneal, Scleral and Conjunctival Procedures
Lacrimal Procedures
Other Eye Procedures
Glaucoma and Complex Cataract Procedures
Lens Procedures
Acute and Major Eye Infections W CC
Acute and Major Eye Infections W/O CC
Neurological and Vascular Disorders of the Eye W CC
Neurological and Vascular Disorders of the Eye W/O CC
Hyphaema and Medically Managed Trauma to the Eye W CC
Hyphaema and Medically Managed Trauma to the Eye W/O CC
Other Disorders of the Eye W CC
Other Disorders of the Eye W/O CC
Cost
Weight
1.99
0.43
1.36
0.71
3.59
1.94
1.34
0.75
2.11
1.09
0.15
4.34
1.32
0.99
1.72
0.59
0.48
1.93
0.84
0.26
0.45
2.84
1.25
0.69
1.76
0.74
1.05
0.36
2.07
0.83
22.12
5.53
1.74
1.94
1.99
0.71
1.60
0.96
0.77
0.69
0.75
0.48
0.57
0.80
0.54
2.10
1.27
1.28
0.59
0.85
0.39
0.84
0.50
Standard
Error
0.04
0.01
0.01
0.02
0.01
0.01
0.01
0.01
0.03
0.02
0.01
0.04
0.03
0.02
0.07
0.03
0.02
0.02
0.01
0.01
0.01
0.02
0.02
0.03
0.06
0.03
0.03
0.01
0.02
0.01
0.10
0.04
0.03
0.04
0.04
0.01
0.06
0.02
0.01
0.01
0.02
0.05
0.03
0.02
0.00
0.04
0.04
0.04
0.03
0.04
0.02
0.04
0.02
Number
of Seps
904
16,518
2,989
10,348
8,030
7,734
8,639
4,625
2,590
3,238
17,008
984
2,171
2,011
664
1,302
2,151
5,121
15,777
9,525
28,828
2,197
3,672
1,170
237
1,567
1,067
18,765
5,162
12,916
105
1,535
3,571
747
719
11,015
898
873
2,021
4,034
3,311
585
1,995
3,387
65,883
442
895
602
1,633
969
3,208
1,073
3,975
Number
of Days
5,944
20,102
13,230
21,728
99,266
47,911
35,099
8,598
17,851
11,304
17,008
13,179
9,412
5,905
3,618
2,257
2,815
27,981
34,484
9,525
43,660
20,278
12,986
1,868
1,139
2,895
3,687
22,135
38,916
32,881
7,729
24,222
18,884
2,209
2,439
14,061
2,179
970
2,032
4,569
4,879
758
3,033
4,620
66,468
3,118
3,581
2,434
3,183
2,664
4,142
3,008
6,522
ALOS
(Days)
6.58
1.22
4.43
2.10
12.36
6.19
4.06
1.86
6.89
3.49
1.00
13.39
4.34
2.94
5.45
1.73
1.31
5.46
2.19
1.00
1.51
9.23
3.54
1.60
4.81
1.85
3.46
1.18
7.54
2.55
73.39
15.78
5.29
2.96
3.39
1.28
2.43
1.11
1.01
1.13
1.47
1.29
1.52
1.36
1.01
7.06
4.00
4.04
1.95
2.75
1.29
2.80
1.64
Average Cost per DRG ($)
Total
Direct
Ohead
10,150
2,171
6,915
3,643
18,293
9,894
6,840
3,844
10,764
5,572
783
22,109
6,720
5,034
8,775
3,026
2,468
9,832
4,272
1,311
2,279
14,499
6,378
3,530
8,995
3,775
5,346
1,843
10,579
4,232
112,795
28,206
8,874
9,903
10,155
3,622
8,158
4,874
3,929
3,504
3,813
2,431
2,909
4,105
2,776
10,722
6,464
6,546
3,029
4,332
1,977
4,304
2,542
7,796
1,890
5,189
2,741
13,771
7,462
5,170
2,982
8,086
4,198
607
17,172
5,119
3,831
6,598
2,307
1,871
7,499
3,220
1,025
1,735
10,992
4,821
2,740
6,816
2,862
3,969
1,394
7,871
3,191
79,379
21,528
6,702
7,656
7,826
2,729
6,116
3,680
3,018
2,669
2,853
1,829
2,179
3,059
2,153
7,910
4,756
4,973
2,291
3,222
1,486
3,200
1,903
2,354
281
1,726
903
4,522
2,433
1,670
863
2,677
1,374
175
4,938
1,601
1,203
2,177
719
597
2,333
1,051
286
544
3,506
1,557
791
2,179
913
1,377
449
2,707
1,040
33,416
6,677
2,172
2,247
2,329
893
2,042
1,195
911
835
960
602
730
1,046
624
2,812
1,707
1,573
738
1,111
491
1,104
639
Average Component Cost per DRG ($)
Ward Medical
Direct
Ohead
1,210
121
796
361
2,052
1,137
793
329
1,420
770
104
2,731
904
684
1,309
293
346
1,186
561
87
226
1,571
734
273
911
391
590
153
1,383
523
12,939
2,917
993
1,534
1,186
366
830
446
369
479
571
338
452
432
491
1,951
1,392
848
386
565
212
745
420
171
18
101
45
245
145
100
41
209
108
17
341
122
85
119
38
49
149
77
13
35
202
91
35
101
55
70
26
160
69
9,260
536
204
164
150
63
94
57
28
35
52
20
51
50
28
226
183
110
45
68
29
87
49
Ward Nursing
Direct
Ohead
2,527
170
1,512
615
4,675
2,228
1,349
516
2,545
1,201
128
5,135
1,618
1,098
1,913
475
473
2,093
827
101
354
3,582
1,366
475
1,736
613
906
216
2,621
770
31,442
6,960
1,969
1,129
1,278
319
925
297
135
186
327
188
304
298
103
2,615
1,531
1,321
491
888
275
845
385
235
20
188
85
439
251
172
64
284
142
17
524
161
111
217
61
40
219
96
16
46
334
140
59
161
64
134
36
287
94
2,512
663
232
163
168
66
176
70
32
32
64
45
56
60
19
318
250
158
70
108
40
118
55
Non
Clinical
Salaries
821
93
471
223
1,355
674
447
312
905
443
81
1,669
538
359
604
189
156
684
300
57
142
1,026
403
211
790
243
402
94
854
298
10,649
2,065
679
470
494
170
408
158
101
119
171
110
150
156
86
888
533
502
203
319
117
349
182
Pathology
Ohead
Direct
272
20
143
62
378
179
124
67
302
118
51
666
230
180
192
51
51
241
80
31
41
322
97
73
189
35
124
13
247
81
1,415
686
155
50
303
14
56
18
5
17
37
31
61
15
2
220
74
195
99
75
12
104
39
29
3
14
6
43
19
13
6
35
14
4
79
23
16
21
4
6
27
8
3
4
36
10
7
19
4
12
1
28
11
209
73
15
5
38
2
5
2
1
2
4
3
7
2
1
19
7
21
12
7
1
11
4
DRG
B68A
B68B
B69A
B69B
B70A
B70B
B70C
B70D
B71A
B71B
B71C
B72A
B72B
B73Z
B74A
B74B
B75Z
B76A
B76B
B76C
B77Z
B78A
B78B
B78C
B79A
B79B
B80A
B80B
B81A
B81B
B82A
B82B
B82C
C01Z
C02Z
C03Z
C04Z
C05Z
C10Z
C11Z
C12Z
C13Z
C14Z
C15Z
C16Z
C60A
C60B
C61A
C61B
C62A
C62B
C63A
C63B
NATIONAL HOSPITAL COST DATA COLLECTION
V7.0 Public Sector
ESTIMATED COST WEIGHTS FOR AR-DRG VERSION 7.0, Round 18 (2013-14)
Public Sector - Estimated National
Average Component Cost per DRG ($)
DRG
B68A
B68B
B69A
B69B
B70A
B70B
B70C
B70D
B71A
B71B
B71C
B72A
B72B
B73Z
B74A
B74B
B75Z
B76A
B76B
B76C
B77Z
B78A
B78B
B78C
B79A
B79B
B80A
B80B
B81A
B81B
B82A
B82B
B82C
C01Z
C02Z
C03Z
C04Z
C05Z
C10Z
C11Z
C12Z
C13Z
C14Z
C15Z
C16Z
C60A
C60B
C61A
C61B
C62A
C62B
C63A
C63B
Imaging
Direct Ohea
d
351
64
34
6
329
58
244
44
573
96
469
82
443
78
172
30
365
64
233
39
14
3
694
121
218
39
103
17
148
27
82
16
28
5
245
44
114
22
88
17
113
20
426
80
237
49
159
32
330
71
155
33
179
38
73
17
302
53
295
55
436
63
574
99
151
27
52
10
98
20
6
1
9
2
5
1
1
0
10
2
6
2
13
2
13
2
7
2
1
0
131
23
56
12
413
71
252
45
97
21
55
12
118
19
74
15
Allied
Direct
Ohead
653
28
396
146
1,668
758
376
187
560
211
16
777
185
49
307
82
22
440
119
18
41
846
264
123
387
120
199
35
617
163
5,168
1,286
308
111
92
18
39
14
18
16
20
19
21
24
10
252
69
244
74
130
40
83
39
150
8
103
38
413
184
91
46
145
54
6
232
51
26
88
24
12
105
30
6
13
230
75
33
103
35
56
11
173
41
1,191
332
86
45
56
12
44
17
8
10
11
10
13
18
13
92
41
67
21
39
14
31
18
Pharmacy
Direct Ohead
516
1,301
132
49
393
186
126
43
297
95
33
1,885
239
106
165
51
17
256
77
18
34
268
82
47
108
32
66
11
250
62
2,279
996
232
189
256
103
231
59
40
27
80
29
80
105
28
554
270
196
50
54
22
221
121
27
60
16
6
32
19
13
3
24
10
2
109
21
11
18
5
2
25
9
2
3
23
8
6
12
4
8
1
24
7
162
77
22
25
30
11
28
8
5
4
12
5
8
14
4
63
30
17
6
6
3
17
10
Critical Care
Direct
Ohead
165
2
85
19
418
210
126
219
263
49
0
1,147
182
84
571
165
71
757
142
6
9
826
254
232
638
101
254
31
129
40
1,097
1,968
215
37
90
3
4
1
1
5
3
3
6
0
102
5
16
6
51
3
30
4
38
0
23
7
106
56
34
52
64
13
0
253
42
19
139
42
15
161
32
1
2
191
59
53
159
24
63
7
29
11
268
473
55
9
19
1
2
0
0
1
1
1
2
0
34
2
6
2
17
1
7
1
Oper Room
Direct
Ohead
92
14
14
10
39
22
26
27
80
111
55
237
90
16
29
9
19
32
37
66
31
66
38
27
108
100
14
8
37
103
5,414
1,002
665
2,831
2,987
1,347
2,374
2,273
2,042
1,462
1,320
864
844
1,492
976
57
55
101
102
28
83
111
221
18
3
3
2
11
5
7
6
14
19
12
48
22
3
6
2
4
8
8
14
7
24
11
5
26
21
3
2
10
22
1,203
209
140
653
703
354
628
571
497
376
355
215
222
458
277
15
16
21
25
6
18
25
54
Direct
ED
Ohead
546
46
970
837
1,114
1,033
938
885
709
646
57
921
553
943
915
764
586
1,000
757
480
637
1,176
1,013
926
1,223
900
1,010
681
846
562
162
758
515
408
142
35
32
21
6
68
13
38
35
25
3
556
369
731
446
822
577
362
265
136
12
254
221
264
252
235
209
187
174
14
228
144
236
243
191
159
249
204
122
167
298
261
230
298
237
264
181
212
146
42
197
137
105
38
12
10
6
2
19
4
11
11
9
1
156
117
186
117
224
156
99
76
Ward Supplies
Direct
Ohead
294
36
170
79
511
254
178
107
332
163
41
661
218
123
208
61
56
245
105
25
49
417
160
94
210
93
110
34
319
134
4,467
946
321
282
320
139
193
88
80
93
113
85
99
208
66
442
316
185
81
106
46
143
94
436
42
280
130
840
414
270
109
502
244
30
903
296
209
386
95
93
409
171
25
71
625
253
92
340
125
208
43
525
175
5,356
1,173
371
279
283
81
212
95
70
78
103
74
91
101
59
568
329
273
117
180
62
217
108
Spec Proc Suites
Direct
Ohead
17
1
7
7
25
15
21
5
11
4
4
23
2
1
17
7
0
7
2
4
1
7
4
0
2
0
2
0
8
16
22
38
36
6
1
1
0
0
6
2
1
9
28
7
0
20
8
1
1
3
2
0
2
1
6
3
4
1
3
0
1
4
0
0
3
1
0
1
0
1
0
2
1
0
0
0
1
0
2
3
6
11
8
1
1
0
0
0
1
1
0
2
3
1
0
3
2
0
0
1
Prostheses
12
1
7
5
20
15
27
5
9
7
7
14
4
2
5
1
3
5
3
5
3
11
9
8
2
3
5
2
11
30
304
346
190
143
238
79
897
74
15
28
65
20
11
146
274
11
7
13
6
2
1
11
7
OnCosts
741
79
426
202
1,349
662
430
216
770
380
53
1,541
431
302
604
173
142
684
260
57
123
997
375
170
538
197
316
80
764
267
7,960
1,946
577
660
634
234
494
318
262
211
228
162
194
260
138
719
411
443
193
258
99
279
153
Hotel
390
25
242
107
778
370
234
95
389
183
16
669
205
144
317
81
56
323
122
19
58
573
220
83
301
95
167
40
423
130
5,456
1,137
335
242
218
84
226
120
85
89
108
63
81
91
63
406
213
207
85
146
45
126
65
Deprec
235
28
172
91
450
251
187
88
278
140
18
498
181
105
206
61
57
237
110
30
48
339
164
77
234
96
144
44
266
124
3,312
738
238
300
311
104
239
154
127
128
141
85
99
114
103
299
176
178
88
116
51
144
80
No. of
Hosps
115
177
190
251
196
203
224
256
203
224
223
147
206
171
136
175
173
210
264
251
287
146
175
178
91
174
178
284
204
262
26
152
223
78
74
78
47
67
70
165
132
76
148
105
139
116
158
115
147
170
230
151
233
DRG
B68A
B68B
B69A
B69B
B70A
B70B
B70C
B70D
B71A
B71B
B71C
B72A
B72B
B73Z
B74A
B74B
B75Z
B76A
B76B
B76C
B77Z
B78A
B78B
B78C
B79A
B79B
B80A
B80B
B81A
B81B
B82A
B82B
B82C
C01Z
C02Z
C03Z
C04Z
C05Z
C10Z
C11Z
C12Z
C13Z
C14Z
C15Z
C16Z
C60A
C60B
C61A
C61B
C62A
C62B
C63A
C63B
NATIONAL HOSPITAL COST DATA COLLECTION
( National
)
ESTIMATED COST WEIGHTS FOR AR-DRG VERSION 7.0, Round 18 (2013-14)
Public Sector - Estimated National
DRG Description
DRG
D01Z
D02A
D02B
D02C
D03Z
D04Z
D05Z
D06Z
D10Z
D11Z
D12A
D12B
D13Z
D14A
D14B
D15Z
D40Z
D60A
D60B
D60C
D61A
D61B
D61C
D62A
D62B
D63A
D63B
D63C
D64Z
D65Z
D66A
D66B
D66C
D67A
D67B
E01A
E01B
E02A
E02B
E02C
E40A
E40B
E41A
E41B
E42A
E42B
E42C
E60A
E60B
E61A
E61B
E62A
E62B
Cochlear Implant
Head and Neck Procedures W Microvascular Tissue Transfer or W Cat/Sev CC
Head and Neck Procedures W Malignancy or W Mod CC
Head and Neck Procedures W/O Malignancy W/O CC
Surgical Repair for Cleft Lip and Palate Disorders
Maxillo Surgery
Parotid Gland Procedures
Sinus and Complex Middle Ear Procedures
Nasal Procedures
Tonsillectomy and/or Adenoidectomy
Other Ear, Nose, Mouth and Throat Procedures W CC
Other Ear, Nose, Mouth and Throat Procedures W/O CC
Myringotomy W Tube Insertion
Mouth and Salivary Gland Procedures W CC
Mouth and Salivary Gland Procedures W/O CC
Mastoid Procedures
Dental Extractions and Restorations
Ear, Nose, Mouth and Throat Malignancy W Catastrophic or Severe CC
Ear, Nose, Mouth and Throat Malignancy W/O Catastrophic or Severe CC
Ear, Nose, Mouth and Throat Malignancy, Sameday
Dysequilibrium W CC
Dysequilibrium W/O CC
Dysequilibrium, Sameday
Epistaxis
Epistaxis, Sameday
Otitis Media and Upper Respiratory Infections W CC
Otitis Media and Upper Respiratory Infections W/O CC
Otitis Media and Upper Respiratory Infections, Sameday
Laryngotracheitis and Epiglottitis
Nasal Trauma and Deformity
Other Ear, Nose, Mouth and Throat Disorders W CC
Other Ear, Nose, Mouth and Throat Disorders W/O CC
Other Ear, Nose, Mouth and Throat Disorders, Sameday
Oral and Dental Disorders
Oral and Dental Disorders, Sameday
Major Chest Procedures W Catastrophic CC
Major Chest Procedures W/O Catastrophic CC
Other Respiratory System OR Procedures W Catastrophic CC
Other Respiratory System OR Procedures W Severe or Moderate CC
Other Respiratory System OR Procedures W/O CC
Respiratory System Disorders W Ventilator Support
Respiratory System Disorders W Vent Supp, Died/Trans Acute Facility <5 Days
Respiratory System Disorders W Non-Invasive Ventilation W Catastrophic CC
Respiratory System Disorders W Non-Invasive Ventilation W/O Catastrophic CC
Bronchoscopy W Catastrophic CC
Bronchoscopy W/O Catastrophic CC
Bronchoscopy, Sameday
Cystic Fibrosis W Catastrophic or Severe CC
Cystic Fibrosis W/O Catastrophic or Severe CC
Pulmonary Embolism W Catastrophic CC
Pulmonary Embolism W/O Catastrophic CC
Respiratory Infections/Inflammations W Catastrophic CC
Respiratory Infections/Inflammations W Severe or Moderate CC
Cost
Weight
5.98
6.15
3.04
1.76
1.84
1.97
2.19
1.26
0.95
0.72
2.26
0.84
0.42
1.80
0.82
2.01
0.60
2.75
1.13
0.34
1.04
0.64
0.21
0.71
0.20
1.14
0.61
0.21
0.41
0.44
1.55
0.63
0.25
0.89
0.24
5.66
3.36
4.83
1.79
0.86
7.29
3.22
5.32
3.14
5.01
2.13
0.39
4.31
2.85
2.57
1.23
2.27
1.30
Standard
Error
0.02
0.04
0.05
0.03
0.02
0.01
0.02
0.01
0.01
0.01
0.04
0.01
0.01
0.05
0.01
0.02
0.01
0.04
0.04
0.02
0.02
0.01
0.01
0.02
0.02
0.02
0.01
0.01
0.02
0.02
0.03
0.01
0.01
0.01
0.01
0.02
0.01
0.03
0.03
0.01
0.02
0.04
0.02
0.01
0.03
0.02
0.01
0.02
0.02
0.02
0.01
0.01
0.01
Number
of Seps
634
588
323
531
705
4,067
896
7,094
7,357
18,892
909
5,831
6,544
599
4,240
1,090
21,049
1,020
1,209
1,153
3,551
9,712
8,355
3,460
2,065
5,951
19,349
10,671
7,261
4,134
1,580
5,273
8,848
6,492
8,025
2,466
2,487
1,199
925
6,981
1,175
209
4,272
4,337
1,195
2,702
7,129
2,080
1,669
1,537
7,839
21,423
22,512
Number
of Days
746
6,096
1,382
1,094
1,602
9,064
2,165
8,241
7,896
20,972
4,245
7,642
7,167
1,942
5,861
1,832
22,808
8,235
3,266
1,153
12,742
19,293
8,355
7,781
2,065
19,299
33,105
10,671
8,790
5,600
7,438
9,924
8,848
16,164
8,025
31,482
16,243
15,041
3,215
9,009
13,738
556
51,127
28,593
17,255
16,198
7,129
25,154
15,050
13,129
35,258
167,464
97,201
ALOS
(Days)
1.18
10.38
4.29
2.06
2.27
2.23
2.42
1.16
1.07
1.11
4.67
1.31
1.10
3.24
1.38
1.68
1.08
8.08
2.70
1.00
3.59
1.99
1.00
2.25
1.00
3.24
1.71
1.00
1.21
1.35
4.71
1.88
1.00
2.49
1.00
12.77
6.53
12.55
3.47
1.29
11.69
2.67
11.97
6.59
14.45
5.99
1.00
12.09
9.01
8.54
4.50
7.82
4.32
Average Cost per DRG ($)
Total
Direct
Ohead
30,499
31,368
15,481
8,977
9,397
10,045
11,160
6,407
4,869
3,663
11,506
4,273
2,119
9,189
4,186
10,275
3,042
14,049
5,738
1,753
5,281
3,281
1,057
3,619
1,010
5,808
3,114
1,052
2,105
2,267
7,888
3,217
1,299
4,522
1,229
28,887
17,124
24,640
9,123
4,376
37,166
16,416
27,111
16,038
25,527
10,844
1,989
21,959
14,543
13,122
6,297
11,555
6,626
27,067
25,011
12,406
7,094
7,391
8,066
8,908
4,953
3,774
2,796
8,918
3,347
1,626
7,137
3,268
8,025
2,281
10,425
4,401
1,400
3,926
2,436
830
2,697
778
4,362
2,302
820
1,604
1,726
5,974
2,423
1,017
3,383
944
22,845
13,469
19,216
7,112
3,370
29,371
13,292
21,058
12,414
19,924
8,436
1,601
17,475
11,439
9,996
4,757
8,679
4,906
3,432
6,357
3,075
1,883
2,007
1,980
2,252
1,454
1,095
867
2,589
926
493
2,052
918
2,250
761
3,624
1,337
353
1,355
845
227
922
231
1,446
812
232
501
542
1,914
794
282
1,140
285
6,042
3,655
5,424
2,011
1,006
7,795
3,124
6,053
3,624
5,603
2,408
388
4,484
3,104
3,126
1,540
2,876
1,720
Average Component Cost per DRG ($)
Ward Medical
Direct
Ohead
604
2,684
1,319
831
1,219
767
750
750
630
474
1,332
399
268
932
353
812
179
1,775
645
120
668
363
51
548
73
790
464
89
266
219
1,113
463
114
609
75
2,785
1,896
2,553
939
470
2,352
580
2,506
1,589
3,140
1,401
146
3,031
1,957
1,573
802
1,403
854
47
315
172
68
44
89
98
56
41
42
123
33
22
103
40
91
37
406
171
35
83
46
9
53
8
96
62
16
38
27
131
52
12
83
14
406
282
317
109
39
205
50
308
227
551
212
13
715
420
206
111
184
109
Ward Nursing
Direct
Ohead
557
3,804
1,704
926
1,260
867
971
414
388
501
1,623
350
161
1,020
327
659
171
3,256
1,009
105
1,109
593
73
718
102
1,247
665
114
319
256
1,609
537
122
891
83
4,579
2,507
4,345
1,372
613
2,560
273
4,208
2,628
5,315
1,985
71
4,805
3,314
2,846
1,176
2,764
1,525
98
297
153
83
67
86
107
68
55
61
139
39
19
95
40
115
24
351
127
14
145
87
13
88
12
131
80
15
33
34
180
71
13
112
12
339
199
383
123
56
245
36
380
223
507
208
12
260
235
285
140
309
204
Non
Clinical
Salaries
282
1,319
588
379
511
355
401
229
188
187
602
171
84
449
171
283
122
1,151
403
78
407
226
42
275
42
423
225
52
121
119
554
284
56
335
55
1,522
805
1,509
489
223
1,065
196
1,224
749
1,694
724
79
1,547
928
927
426
821
494
Pathology
Ohead
Direct
22
766
393
119
22
44
288
53
19
27
225
58
11
239
107
94
11
331
129
82
116
46
13
90
18
181
58
24
17
20
173
44
26
77
12
1,055
555
963
323
58
1,462
861
881
410
1,579
660
262
454
304
458
191
374
198
3
92
46
12
5
6
27
6
2
3
24
6
2
25
10
12
2
31
13
7
11
4
1
8
2
19
6
2
2
2
21
5
3
8
1
116
57
106
39
6
157
90
84
47
151
53
16
49
46
50
19
41
20
DRG
D01Z
D02A
D02B
D02C
D03Z
D04Z
D05Z
D06Z
D10Z
D11Z
D12A
D12B
D13Z
D14A
D14B
D15Z
D40Z
D60A
D60B
D60C
D61A
D61B
D61C
D62A
D62B
D63A
D63B
D63C
D64Z
D65Z
D66A
D66B
D66C
D67A
D67B
E01A
E01B
E02A
E02B
E02C
E40A
E40B
E41A
E41B
E42A
E42B
E42C
E60A
E60B
E61A
E61B
E62A
E62B
NATIONAL HOSPITAL COST DATA COLLECTION
V7.0 Public Sector
ESTIMATED COST WEIGHTS FOR AR-DRG VERSION 7.0, Round 18 (2013-14)
Public Sector - Estimated National
Average Component Cost per DRG ($)
DRG
D01Z
D02A
D02B
D02C
D03Z
D04Z
D05Z
D06Z
D10Z
D11Z
D12A
D12B
D13Z
D14A
D14B
D15Z
D40Z
D60A
D60B
D60C
D61A
D61B
D61C
D62A
D62B
D63A
D63B
D63C
D64Z
D65Z
D66A
D66B
D66C
D67A
D67B
E01A
E01B
E02A
E02B
E02C
E40A
E40B
E41A
E41B
E42A
E42B
E42C
E60A
E60B
E61A
E61B
E62A
E62B
Imaging
Direct Ohea
d
56
14
308
63
110
22
45
11
5
2
136
32
23
4
14
3
3
1
5
1
259
55
29
6
6
1
146
27
28
6
37
8
8
2
340
65
135
27
70
13
183
33
140
26
41
7
32
6
5
1
84
16
28
6
13
3
11
2
47
10
194
37
56
11
36
8
80
17
20
5
863
159
428
81
958
170
261
52
29
5
668
120
387
71
446
78
161
30
816
139
325
55
43
8
284
66
203
64
576
102
309
57
239
41
131
25
Allied
Direct
Ohead
260
892
296
106
129
140
55
19
11
15
245
30
11
169
31
39
39
942
243
50
220
103
21
55
9
127
29
10
15
41
206
49
14
106
11
797
355
858
182
37
984
381
889
450
1,000
307
12
1,993
1,105
455
113
523
193
343
256
83
42
48
60
33
19
14
14
80
14
7
48
14
22
8
215
47
10
60
30
7
25
4
41
16
4
8
14
68
17
5
33
4
231
121
236
60
22
260
84
252
136
256
84
6
437
246
136
39
153
63
Pharmacy
Direct Ohead
113
374
135
63
62
90
65
100
43
42
230
39
21
115
39
150
21
619
355
47
98
42
7
91
17
212
47
16
14
16
269
57
20
120
6
698
254
767
170
52
691
218
694
308
2,000
532
45
3,172
2,210
444
224
382
198
23
23
12
8
14
8
7
10
6
5
17
4
2
8
4
23
3
34
21
2
10
5
1
7
2
15
6
2
2
2
19
6
2
10
1
42
21
48
14
6
53
20
56
35
99
29
4
151
123
36
20
34
21
Critical Care
Direct
Ohead
18
2,283
709
247
345
216
89
25
28
29
893
94
3
1,032
162
45
25
234
33
2
49
25
2
45
223
24
1
178
24
459
58
2
86
2
2,916
984
2,377
493
110
15,648
8,006
7,118
4,087
680
195
3
42
20
818
216
540
142
5
513
170
53
64
50
21
6
7
6
207
20
1
258
39
8
6
53
9
0
16
8
0
13
49
6
0
34
6
96
12
0
20
0
622
234
501
103
24
3,409
1,718
1,585
898
154
46
0
8
5
198
56
127
35
Oper Room
Direct
Ohead
4,296
9,420
5,815
3,492
3,348
3,457
5,313
2,906
2,132
1,227
2,184
1,736
875
2,076
1,601
5,077
1,421
471
748
652
7
5
4
55
101
28
29
47
17
439
322
308
424
198
274
4,387
3,731
1,993
1,843
1,452
223
205
114
97
871
929
653
236
241
36
11
30
14
1,028
1,765
1,074
704
599
719
1,047
659
485
285
440
361
204
417
351
1,173
368
93
164
135
1
1
1
11
22
6
6
11
4
101
61
65
95
42
64
776
672
368
354
305
38
36
39
20
172
176
144
40
46
8
3
7
3
Direct
ED
Ohead
15
91
48
41
9
282
8
14
8
38
408
120
14
296
119
36
35
320
95
27
821
743
521
613
371
768
600
410
551
419
580
341
100
641
226
380
215
731
183
13
916
975
997
818
690
448
5
193
131
1,036
945
940
820
2
20
14
13
4
78
2
4
3
12
102
32
4
75
31
10
10
86
28
7
222
211
134
182
103
215
176
108
148
107
159
96
26
178
58
94
59
171
49
4
230
236
236
205
164
112
1
42
34
258
242
243
219
Ward Supplies
Direct
Ohead
138
744
280
145
171
157
184
81
61
67
285
61
32
194
72
127
62
509
186
34
127
80
13
113
17
163
87
19
44
42
237
88
19
133
18
846
496
723
248
84
425
104
585
350
1,073
386
39
978
573
378
175
333
200
199
784
343
208
333
217
217
145
107
118
388
98
55
276
90
172
64
684
200
28
232
123
12
166
19
271
142
20
67
64
355
135
28
199
22
894
524
882
303
142
655
106
790
470
974
416
31
769
591
558
256
521
314
Spec Proc Suites
Direct
Ohead
31
20
11
19
19
6
27
32
17
8
0
8
12
8
1
54
170
14
6
3
7
3
0
3
1
1
0
2
18
62
18
9
102
43
17
63
44
12
35
3
65
34
197
137
108
93
28
27
22
13
4
7
3
2
4
2
1
3
3
3
1
0
1
2
1
0
18
26
3
1
1
1
1
0
1
0
0
0
0
4
12
5
2
23
10
4
17
13
3
7
0
13
9
46
37
33
24
8
6
5
3
1
Prostheses
21,156
613
201
284
36
1,030
115
60
32
23
148
44
46
33
35
85
15
17
21
20
6
4
12
5
1
3
3
1
0
6
9
5
9
12
6
657
526
382
192
53
28
12
8
4
43
49
23
20
15
12
6
6
3
OnCosts
534
2,342
995
573
593
633
762
419
314
239
818
289
137
651
278
707
197
1,009
370
113
346
188
36
226
45
380
182
42
123
133
554
207
80
268
71
2,105
1,099
1,823
635
304
2,912
1,095
2,041
1,170
1,715
731
133
1,422
924
921
393
809
425
Hotel
306
842
368
248
223
249
270
149
118
96
355
108
51
233
107
227
87
537
169
33
179
99
14
115
17
171
87
16
45
56
259
86
25
130
30
875
500
810
261
122
846
248
814
463
887
329
40
686
433
447
186
439
237
Deprec
381
719
405
261
283
254
281
191
142
110
302
123
79
264
117
253
127
446
193
52
123
79
14
78
18
144
77
17
47
60
204
91
41
123
33
692
501
588
271
131
972
427
700
419
615
279
61
441
337
324
154
273
171
No. of
Hosps
24
69
64
102
23
82
100
147
142
173
111
173
148
97
191
93
176
127
117
119
218
271
209
214
177
235
284
258
236
212
188
227
224
260
253
84
90
113
101
137
95
78
143
144
98
109
105
54
81
150
239
251
285
DRG
D01Z
D02A
D02B
D02C
D03Z
D04Z
D05Z
D06Z
D10Z
D11Z
D12A
D12B
D13Z
D14A
D14B
D15Z
D40Z
D60A
D60B
D60C
D61A
D61B
D61C
D62A
D62B
D63A
D63B
D63C
D64Z
D65Z
D66A
D66B
D66C
D67A
D67B
E01A
E01B
E02A
E02B
E02C
E40A
E40B
E41A
E41B
E42A
E42B
E42C
E60A
E60B
E61A
E61B
E62A
E62B
NATIONAL HOSPITAL COST DATA COLLECTION
( National
)
ESTIMATED COST WEIGHTS FOR AR-DRG VERSION 7.0, Round 18 (2013-14)
Public Sector - Estimated National
DRG Description
DRG
E62C
E63Z
E64A
E64B
E65A
E65B
E66A
E66B
E66C
E67A
E67B
E68A
E68B
E69A
E69B
E70A
E70B
E71A
E71B
E71C
E72Z
E73A
E73B
E73C
E74A
E74B
E74C
E75A
E75B
E76A
E76B
F01A
F01B
F02Z
F03A
F03B
F04A
F04B
F05A
F05B
F06A
F06B
F07A
F07B
F08A
F08B
F09A
F09B
F09C
F10A
F10B
F11A
F11B
Respiratory Infections/Inflammations W/O CC
Sleep Apnoea
Pulmonary Oedema and Respiratory Failure
Pulmonary Oedema and Respiratory Failure, Died/Trans Acute Facility <5 Days
Chronic Obstructive Airways Disease W Catastrophic CC
Chronic Obstructive Airways Disease W/O Catastrophic CC
Major Chest Trauma W Catastrophic CC
Major Chest Trauma W Severe or Moderate CC
Major Chest Trauma W/O CC
Respiratory Signs and Symptoms
Respiratory Signs and Symptoms, <2 Days
Pneumothorax W Catastrophic or Severe CC
Pneumothorax W/O Catastrophic or Severe CC
Bronchitis and Asthma W CC
Bronchitis and Asthma W/O CC
Whooping Cough and Acute Bronchiolitis W CC
Whooping Cough and Acute Bronchiolitis W/O CC
Respiratory Neoplasms W Catastrophic CC
Respiratory Neoplasms W/O Catastrophic CC
Respiratory Neoplasms, Sameday
Respiratory Problems Arising from Neonatal Period
Pleural Effusion W Catastrophic CC
Pleural Effusion W Severe or Moderate CC
Pleural Effusion W/O CC
Interstitial Lung Disease W Catastrophic CC
Interstitial Lung Disease W Severe or Moderate CC
Interstitial Lung Disease W/O CC
Other Respiratory System Disorders W CC
Other Respiratory System Disorders W/O CC
Respiratory Tuberculosis W CC
Respiratory Tuberculosis W/O CC
Implantation or Replacement of AICD, Total System W Catastrophic CC
Implantation or Replacement of AICD, Total System W/O Catastrophic CC
Other AICD Procedures
Cardiac Valve Procs W CPB Pump W Invasive Cardiac Inves W Cat CC
Cardiac Valve Procs W CPB Pump W Invasive Cardiac Inves W/O Cat CC
Cardiac Valve Procs W CPB Pump W/O Invasive Cardiac Inves W Cat CC
Cardiac Valve Procs W CPB Pump W/O Invasive Cardiac Inves W/O Cat CC
Coronary Bypass W Invasive Cardiac Investigation W Catastrophic CC
Coronary Bypass W Invasive Cardiac Investigation W/O Catastrophic CC
Coronary Bypass W/O Invasive Cardiac Investigation W Catastrophic CC
Coronary Bypass W/O Invasive Cardiac Investigation W/O Catastrophic CC
Other Cardiothoracic/Vascular Procedures W CPB Pump W Catastrophic CC
Other Cardiothoracic/Vascular Procedures W CPB Pump W/O Catastrophic CC
Major Reconstructive Vascular Procedures W/O CPB Pump W Cat CC
Major Reconstructive Vascular Procedures W/O CPB Pump W/O Cat CC
Other Cardiothoracic Procs W/O CPB Pump W Catastrophic CC
Other Cardiothoracic Procs W/O CPB Pump W/O Catastrophic CC
Other Cardiothoracic Procs W/O CPB Pump, Died/Trans Acute Facility <5 Days
Interventional Coronary Procedures Admitted for AMI W Catastrophic CC
Interventional Coronary Procedures Admitted for AMI W/O Catastrophic CC
Amputation, Except Upper Limb and Toe, for Circulatory Disorders W Cat CC
Amputation, Except Upper Limb and Toe, for Circulatory Disorders W/O Cat CC
Cost
Weight
0.81
0.36
1.92
0.82
2.00
1.11
2.77
1.39
0.75
1.28
0.37
1.97
1.00
1.06
0.51
1.37
0.74
2.60
1.40
0.31
0.90
2.50
1.33
0.70
2.30
1.44
0.86
1.34
0.58
4.81
1.83
9.27
4.39
2.74
13.05
7.49
9.98
6.87
10.57
7.84
7.76
5.78
10.19
6.54
7.46
4.52
7.26
2.61
2.41
3.67
2.17
10.26
5.90
Standard
Error
0.01
0.02
0.03
0.04
0.01
0.01
0.02
0.02
0.02
0.02
0.01
0.02
0.02
0.01
0.01
0.03
0.01
0.02
0.02
0.02
0.14
0.02
0.02
0.03
0.03
0.03
0.03
0.01
0.01
0.09
0.14
0.02
0.02
0.07
0.02
0.04
0.01
0.01
0.01
0.01
0.01
0.01
0.02
0.02
0.02
0.01
0.04
0.04
0.06
0.01
0.01
0.03
0.06
Number
of Seps
23,976
6,354
1,840
617
12,190
36,782
810
2,039
2,510
3,725
12,550
1,327
3,035
6,529
29,558
2,585
13,713
3,121
4,298
1,847
352
1,322
1,846
1,392
748
927
1,084
11,151
15,175
189
334
727
2,316
286
507
118
2,820
885
1,252
559
2,467
2,049
707
405
2,152
2,157
483
544
185
2,439
10,410
497
196
Number
of Days
61,539
9,287
10,446
1,008
86,964
145,775
7,666
8,500
5,608
15,407
12,550
7,861
8,617
20,539
44,049
8,716
25,461
27,548
20,010
1,847
1,000
11,811
8,275
3,449
6,258
4,773
3,279
48,827
27,166
3,592
2,357
8,058
5,133
1,056
9,878
863
34,808
6,418
21,308
6,953
26,572
15,350
8,063
2,695
27,233
11,769
5,830
1,978
297
16,691
33,235
13,426
3,017
ALOS
(Days)
2.57
1.46
5.68
1.63
7.13
3.96
9.47
4.17
2.23
4.14
1.00
5.93
2.84
3.15
1.49
3.37
1.86
8.83
4.66
1.00
2.84
8.93
4.48
2.48
8.37
5.15
3.02
4.38
1.79
19.05
7.07
11.08
2.22
3.70
19.49
7.31
12.34
7.25
17.02
12.44
10.77
7.49
11.40
6.65
12.65
5.46
12.07
3.63
1.61
6.84
3.19
27.02
15.38
Average Cost per DRG ($)
Total
Direct
Ohead
4,137
1,837
9,812
4,190
10,184
5,661
14,107
7,084
3,847
6,505
1,902
10,035
5,098
5,393
2,591
7,001
3,792
13,272
7,121
1,589
4,602
12,762
6,773
3,582
11,742
7,319
4,378
6,851
2,940
24,545
9,348
47,289
22,373
13,990
66,551
38,214
50,908
35,025
53,927
40,005
39,552
29,474
51,954
33,330
38,052
23,070
37,010
13,323
12,292
18,736
11,052
52,319
30,081
3,059
1,354
7,401
3,247
7,641
4,176
10,587
5,329
2,879
4,818
1,447
7,618
3,837
4,055
1,927
5,306
2,828
9,835
5,303
1,270
3,332
9,670
5,089
2,692
8,805
5,419
3,232
5,072
2,187
18,456
7,138
40,232
20,079
11,423
54,367
32,924
42,134
29,237
43,397
31,584
32,246
24,022
41,909
26,806
31,117
19,010
29,464
10,814
10,438
14,923
8,952
40,630
23,113
1,078
483
2,411
943
2,543
1,486
3,520
1,755
968
1,687
455
2,417
1,260
1,338
664
1,695
964
3,437
1,818
319
1,270
3,092
1,684
890
2,937
1,900
1,146
1,779
752
6,089
2,210
7,057
2,293
2,567
12,184
5,289
8,774
5,788
10,530
8,421
7,306
5,452
10,046
6,524
6,935
4,060
7,545
2,509
1,853
3,813
2,100
11,689
6,968
Average Component Cost per DRG ($)
Ward Medical
Direct
Ohead
561
181
1,180
309
1,313
764
1,626
835
425
913
172
1,239
627
672
349
1,070
611
1,782
955
99
544
1,685
896
480
1,500
997
545
847
359
4,042
1,259
2,441
575
872
4,834
2,204
3,383
2,613
4,317
3,424
2,873
2,278
4,039
3,437
2,668
1,472
2,966
1,125
351
1,437
741
5,883
4,057
76
17
154
36
183
102
173
103
52
108
22
182
81
82
41
108
86
271
143
16
94
202
130
67
192
122
80
108
61
314
141
306
109
161
721
323
437
358
551
576
336
331
277
226
382
187
357
110
26
183
94
595
463
Ward Nursing
Direct
Ohead
929
244
1,777
455
2,387
1,255
3,063
1,296
606
1,374
194
2,037
1,016
1,050
501
1,899
1,066
3,207
1,604
130
1,163
3,100
1,498
646
2,762
1,647
889
1,528
599
6,350
2,760
2,669
548
1,197
4,997
1,808
3,564
2,262
4,622
3,668
2,956
2,198
4,238
2,568
4,389
2,123
3,167
1,187
185
1,581
695
10,669
5,807
127
34
198
54
293
189
296
154
83
159
23
260
148
123
55
126
87
354
223
21
92
343
191
104
279
198
139
179
80
556
452
192
41
64
345
117
223
159
308
249
190
153
242
150
304
172
204
77
23
127
53
702
559
Non
Clinical
Salaries
304
239
598
225
765
430
971
451
237
489
90
677
347
369
175
579
280
1,072
543
69
323
988
504
253
900
540
321
502
195
2,514
1,031
1,283
361
490
1,970
897
1,519
987
1,802
1,360
1,267
923
1,929
1,360
1,363
671
1,443
507
232
738
351
2,851
1,595
Pathology
Ohead
Direct
101
17
292
121
307
137
336
116
44
182
34
209
61
130
30
90
39
394
201
146
39
535
279
155
331
209
141
200
58
807
287
777
95
237
2,452
828
1,679
1,042
2,061
1,454
1,503
1,040
1,626
1,060
1,048
355
1,402
269
350
512
204
1,718
762
10
3
30
11
31
13
38
12
4
20
3
19
6
12
3
13
5
41
19
11
8
81
26
15
34
22
10
20
5
116
35
93
12
31
305
105
235
138
213
275
209
128
284
209
106
38
180
35
40
54
20
179
66
DRG
E62C
E63Z
E64A
E64B
E65A
E65B
E66A
E66B
E66C
E67A
E67B
E68A
E68B
E69A
E69B
E70A
E70B
E71A
E71B
E71C
E72Z
E73A
E73B
E73C
E74A
E74B
E74C
E75A
E75B
E76A
E76B
F01A
F01B
F02Z
F03A
F03B
F04A
F04B
F05A
F05B
F06A
F06B
F07A
F07B
F08A
F08B
F09A
F09B
F09C
F10A
F10B
F11A
F11B
NATIONAL HOSPITAL COST DATA COLLECTION
V7.0 Public Sector
ESTIMATED COST WEIGHTS FOR AR-DRG VERSION 7.0, Round 18 (2013-14)
Public Sector - Estimated National
Average Component Cost per DRG ($)
DRG
E62C
E63Z
E64A
E64B
E65A
E65B
E66A
E66B
E66C
E67A
E67B
E68A
E68B
E69A
E69B
E70A
E70B
E71A
E71B
E71C
E72Z
E73A
E73B
E73C
E74A
E74B
E74C
E75A
E75B
E76A
E76B
F01A
F01B
F02Z
F03A
F03B
F04A
F04B
F05A
F05B
F06A
F06B
F07A
F07B
F08A
F08B
F09A
F09B
F09C
F10A
F10B
F11A
F11B
Imaging
Direct Ohea
d
72
14
12
3
172
32
71
14
182
31
90
17
422
79
255
55
151
31
224
41
64
12
432
85
246
53
68
13
17
4
36
9
12
3
573
102
378
66
358
71
29
11
580
89
350
63
263
48
282
52
205
42
160
35
162
34
73
16
298
61
86
20
610
99
174
28
213
38
951
176
458
99
595
115
382
82
787
146
533
105
520
95
348
65
617
143
435
95
1,203
198
831
136
643
122
216
41
347
53
348
59
155
28
1,223
210
548
94
Allied
Direct
Ohead
70
111
308
109
423
173
694
265
115
167
20
308
107
116
28
101
26
603
221
22
141
434
171
64
524
273
119
231
48
667
193
783
208
214
1,190
418
1,001
517
1,116
731
736
521
1,542
884
665
204
1,010
278
185
400
158
2,056
1,068
28
11
88
29
127
52
205
80
36
53
8
99
36
42
15
49
19
170
63
8
66
135
56
24
143
77
35
68
17
239
61
764
435
405
499
222
331
238
287
193
167
121
280
174
292
250
245
68
52
112
62
705
323
Pharmacy
Direct Ohead
81
29
233
75
314
169
290
119
50
144
17
221
74
147
58
87
24
461
324
73
326
389
209
70
341
260
262
247
52
1,099
485
410
77
101
987
286
580
278
630
382
407
232
570
328
557
166
781
152
215
374
255
1,571
536
10
2
20
9
31
19
27
13
6
14
2
20
8
15
6
9
3
32
28
5
14
30
17
7
27
20
19
19
6
62
28
36
9
13
72
29
40
22
42
29
27
18
55
41
34
12
51
13
9
26
16
83
40
Critical Care
Direct
Ohead
50
20
1,308
678
377
87
1,082
343
52
148
9
682
161
377
54
391
54
178
36
2
329
314
116
30
517
137
52
172
22
437
2
5,891
475
807
11,293
3,489
8,913
4,322
10,548
6,407
7,956
4,767
9,326
5,223
4,112
940
9,111
1,384
3,016
3,508
1,477
2,785
1,326
12
5
311
153
91
22
217
81
13
40
2
167
43
85
13
75
11
46
10
1
62
77
33
10
129
33
15
40
6
92
1
1,368
140
224
2,828
978
1,963
1,067
2,511
1,770
1,700
1,077
1,914
1,113
864
225
2,125
358
560
984
466
657
388
Oper Room
Direct
Ohead
6
8
29
16
23
12
79
31
12
27
18
103
50
23
3
113
18
45
47
98
18
51
42
52
12
8
24
19
14
76
22
1,504
949
1,197
8,045
5,346
9,964
7,316
9,140
7,510
8,956
7,855
11,818
7,508
7,991
5,776
3,062
1,954
1,099
269
194
6,386
4,515
1
2
6
4
6
3
17
7
3
5
4
24
13
5
1
26
4
11
10
24
4
12
11
16
3
2
4
4
3
9
9
265
164
200
1,376
832
1,653
1,158
1,564
1,284
1,483
1,304
2,085
1,119
1,438
1,079
504
277
173
46
35
1,234
940
Direct
ED
Ohead
702
32
829
890
937
765
1,281
1,268
1,039
777
661
1,059
849
813
620
671
552
700
515
135
116
770
621
473
876
727
462
796
629
582
295
564
97
241
298
76
104
44
431
345
83
52
193
61
369
175
485
182
694
660
515
549
370
193
9
228
242
241
209
313
320
266
214
171
260
221
215
174
180
160
181
139
33
33
190
167
122
222
198
133
222
172
158
82
123
22
78
72
18
24
11
99
87
21
14
44
18
92
43
111
47
140
141
125
152
97
Ward Supplies
Direct
Ohead
118
70
246
136
321
175
366
184
86
194
41
322
163
146
62
214
104
438
228
29
151
432
218
100
376
238
134
212
81
849
429
622
245
369
2,035
877
1,534
1,497
1,349
1,294
948
941
1,517
1,632
928
425
1,016
415
90
403
192
2,415
1,213
187
70
397
103
460
267
623
275
138
315
49
383
198
224
110
352
191
701
343
26
332
569
302
141
546
350
201
329
116
1,491
450
722
190
269
1,208
511
856
572
1,055
870
703
520
1,141
746
780
424
826
305
73
395
185
1,952
1,074
Spec Proc Suites
Direct
Ohead
2
346
95
19
19
8
2
1
1
29
65
3
2
5
1
2
0
30
74
16
54
36
17
18
39
20
27
9
3
11
1
2,498
1,650
758
3,961
5,353
493
368
1,655
1,512
510
244
260
44
132
95
1,008
1,326
1,474
1,980
1,764
164
56
0
114
18
4
4
2
0
0
0
8
14
1
1
1
0
0
0
10
11
7
11
7
4
5
8
5
6
2
1
3
0
483
316
120
460
469
97
68
235
184
80
36
46
7
25
12
166
229
220
363
316
24
8
Prostheses
1
1
4
2
4
3
5
7
3
9
8
10
4
3
0
2
0
9
8
13
0
10
7
4
9
2
3
5
2
3
8
18,732
14,299
4,325
7,864
9,271
6,199
6,068
1,634
800
1,211
907
2,062
938
3,835
4,912
1,425
1,335
1,522
1,799
1,734
738
256
OnCosts
242
153
678
235
712
359
987
418
197
454
99
629
300
364
146
462
234
986
460
85
365
898
437
211
866
482
279
448
157
2,125
600
2,035
494
612
4,223
1,656
3,197
1,813
4,030
2,617
2,769
1,967
3,192
1,700
2,441
1,201
2,518
718
694
1,204
600
3,439
1,921
Hotel
131
58
315
91
378
199
568
227
106
214
43
341
154
166
68
187
108
510
256
32
120
470
241
108
486
309
157
258
87
1,062
402
865
176
238
1,652
658
1,039
679
1,469
1,070
876
645
982
731
974
526
1,007
306
172
505
256
2,010
1,192
Deprec
109
46
266
97
225
142
348
168
92
184
57
264
130
124
59
150
94
365
216
60
157
336
168
100
286
195
125
189
78
521
209
1,154
483
514
1,735
887
1,171
962
1,326
1,276
971
790
1,534
1,525
861
620
1,075
410
298
529
361
1,369
807
No. of
Hosps
291
129
178
161
246
296
129
200
224
223
267
165
216
233
275
156
231
182
237
151
66
151
182
177
117
149
159
264
287
61
72
50
53
51
28
23
31
28
26
26
26
25
30
28
65
75
53
56
44
61
66
60
48
DRG
E62C
E63Z
E64A
E64B
E65A
E65B
E66A
E66B
E66C
E67A
E67B
E68A
E68B
E69A
E69B
E70A
E70B
E71A
E71B
E71C
E72Z
E73A
E73B
E73C
E74A
E74B
E74C
E75A
E75B
E76A
E76B
F01A
F01B
F02Z
F03A
F03B
F04A
F04B
F05A
F05B
F06A
F06B
F07A
F07B
F08A
F08B
F09A
F09B
F09C
F10A
F10B
F11A
F11B
NATIONAL HOSPITAL COST DATA COLLECTION
( National
)
ESTIMATED COST WEIGHTS FOR AR-DRG VERSION 7.0, Round 18 (2013-14)
Public Sector - Estimated National
DRG Description
DRG
F12A
F12B
F13A
F13B
F14A
F14B
F14C
F15A
F15B
F16A
F16B
F17Z
F18A
F18B
F19A
F19B
F20Z
F21A
F21B
F40A
F40B
F41A
F41B
F42A
F42B
F42C
F43Z
F60A
F60B
F61A
F61B
F62A
F62B
F62C
F63A
F63B
F64A
F64B
F65A
F65B
F66A
F66B
F67A
F67B
F68Z
F69A
F69B
F72A
F72B
F73A
F73B
F73C
F74A
Implantation or Replacement of Pacemaker, Total System W Catastrophic CC
Implantation or Replacement of Pacemaker, Total System W/O Catastrophic CC
Amputation, Upper Limb and Toe, for Circulatory Disorders W Cat or Sev CC
Amputation, Upper Limb and Toe, for Circulatory Disorders W/O Cat or Sev CC
Vascular Procs, Except Major Reconstruction, W/O CPB Pump W Cat CC
Vascular Procs, Except Major Reconstruction, W/O CPB Pump W Sev or Mod CC
Vascular Procs, Except Major Reconstruction, W/O CPB Pump W/O CC
Interventional Coronary Procs, Not Adm for AMI W Stent Implant W Cat/Sev CC
Interventional Coronary Procs, Not Adm for AMI W Stent Implant W/O Cat/Sev CC
Interventional Coronary Procs, Not Adm for AMI W/O Stent Implant W CC
Interventional Coronary Procs, Not Adm for AMI W/O Stent Implant W/O CC
Insertion or Replacement of Pacemaker Generator
Other Pacemaker Procedures W CC
Other Pacemaker Procedures W/O CC
Trans-Vascular Percutaneous Cardiac Intervention, Age >=80 or W CC
Trans-Vascular Percutaneous Cardiac Intervention, Age <80 W/O CC
Vein Ligation and Stripping
Other Circulatory System OR Procedures W Catastrophic CC
Other Circulatory System OR Procedures W/O Catastrophic CC
Circulatory Disorders W Ventilator Support
Circulatory Disorders W Ventilator Support, Died/Trans Acute Facility <5 Days
Circulatory Dsrds, Adm for AMI W Invasive Cardiac Inves
Circulatory Dsrds, Adm for AMI W Invasv Card Inves, Died/Trans Ac Fac <5 Days
Circulatory Dsrds, Not Adm for AMI W Invasive Cardiac Inves W Cat/Sev CC
Circulatory Dsrds, Not Adm for AMI W Invasive Cardiac Inves W/O Cat/Sev CC
Circulatory Dsrds, Not Adm for AMI W Invasive Cardiac Inves, Sameday
Circulatory Disorders W Non-Invasive Ventilation
Circulatory Dsrd, Adm for AMI W/O Invasive Cardiac Inves
Circulatory Dsrd, Adm for AMI W/O Invas Card Inves, Died/Trans Ac Fac <5 Days
Infective Endocarditis W Catastrophic CC
Infective Endocarditis W/O Catastrophic CC
Heart Failure and Shock W Catastrophic CC
Heart Failure and Shock W/O Catastrophic CC
Heart Failure and Shock, Died or Transferred to Acute Facility <5 Days
Venous Thrombosis W Catastrophic or Severe CC
Venous Thrombosis W/O Catastrophic or Severe CC
Skin Ulcers in Circulatory Disorders W Catastrophic or Severe CC
Skin Ulcers in Circulatory Disorders W/O Catastrophic or Severe CC
Peripheral Vascular Disorders W Catastrophic or Severe CC
Peripheral Vascular Disorders W/O Catastrophic or Severe CC
Coronary Atherosclerosis W Catastrophic or Severe CC
Coronary Atherosclerosis W/O Catastrophic or Severe CC
Hypertension W Catastrophic or Severe CC
Hypertension W/O Catastrophic or Severe CC
Congenital Heart Disease
Valvular Disorders W Catastrophic or Severe CC
Valvular Disorders W/O Catastrophic or Severe CC
Unstable Angina W Catastrophic or Severe CC
Unstable Angina W/O Catastrophic or Severe CC
Syncope and Collapse W Catastrophic or Severe CC
Syncope and Collapse W/O Catastrophic or Severe CC
Syncope and Collapse, Sameday
Chest Pain
Cost
Weight
4.51
2.33
4.91
2.57
3.81
1.79
1.43
2.37
1.65
2.08
1.35
1.48
2.96
1.43
3.56
2.55
0.99
4.39
1.73
8.17
3.18
2.80
1.58
2.62
1.47
0.61
4.78
1.64
0.69
6.12
2.51
2.48
1.22
0.61
1.66
0.76
2.58
0.89
1.93
0.69
1.15
0.49
1.38
0.53
0.85
1.69
0.44
1.21
0.59
1.45
0.71
0.24
1.05
Standard
Error
0.02
0.01
0.04
0.06
0.02
0.01
0.01
0.02
0.01
0.05
0.03
0.02
0.09
0.07
0.04
0.03
0.01
0.04
0.03
0.03
0.02
0.01
0.01
0.01
0.01
0.01
0.02
0.01
0.01
0.04
0.04
0.01
0.01
0.02
0.02
0.01
0.04
0.04
0.02
0.02
0.02
0.01
0.03
0.02
0.09
0.03
0.02
0.02
0.01
0.01
0.01
0.01
0.01
Number
of Seps
1,472
5,665
546
240
2,882
3,667
4,898
2,566
5,483
245
371
1,728
140
173
432
502
4,836
903
1,166
423
339
2,417
5,616
4,433
12,835
15,500
1,269
10,486
9,175
504
666
12,361
20,194
3,651
1,396
5,493
863
1,512
1,891
6,289
1,820
9,890
1,066
4,942
796
1,322
7,693
2,219
11,930
7,788
16,479
10,045
11,646
Number
of Days
12,886
16,541
7,806
1,830
23,519
10,143
8,549
9,229
9,160
959
567
2,550
854
390
2,402
632
5,744
11,667
4,573
5,693
826
16,391
18,456
29,768
35,815
15,500
14,290
55,138
14,166
10,301
7,794
110,394
86,633
6,051
8,998
22,683
8,695
5,894
12,470
13,058
6,626
14,836
4,817
9,149
1,553
7,424
11,090
8,210
20,422
38,459
34,282
10,045
38,099
ALOS
(Days)
8.75
2.92
14.31
7.63
8.16
2.77
1.75
3.60
1.67
3.92
1.53
1.48
6.10
2.25
5.56
1.26
1.19
12.92
3.92
13.46
2.44
6.78
3.29
6.72
2.79
1.00
11.26
5.26
1.54
20.45
11.70
8.93
4.29
1.66
6.44
4.13
10.07
3.90
6.60
2.08
3.64
1.50
4.52
1.85
1.95
5.62
1.44
3.70
1.71
4.94
2.08
1.00
3.27
Average Cost per DRG ($)
Total
Direct
Ohead
22,985
11,885
25,061
13,089
19,450
9,154
7,301
12,087
8,440
10,610
6,871
7,526
15,083
7,310
18,178
13,010
5,050
22,405
8,824
41,683
16,195
14,256
8,065
13,342
7,497
3,135
24,399
8,386
3,523
31,199
12,803
12,639
6,225
3,093
8,445
3,888
13,175
4,557
9,848
3,516
5,884
2,515
7,054
2,686
4,339
8,621
2,238
6,146
2,987
7,374
3,615
1,239
5,356
18,674
9,999
19,315
10,039
15,511
7,375
5,946
9,915
7,041
8,550
5,683
6,576
11,879
5,919
14,765
11,359
3,880
17,439
6,933
32,995
13,237
11,041
6,282
10,339
5,916
2,551
18,933
6,318
2,736
23,877
9,696
9,476
4,604
2,369
6,389
2,936
9,747
3,363
7,442
2,709
4,438
1,903
5,341
2,029
3,320
6,546
1,706
4,654
2,254
5,497
2,709
986
3,991
4,311
1,886
5,746
3,050
3,939
1,779
1,355
2,172
1,399
2,060
1,188
951
3,203
1,391
3,413
1,650
1,170
4,966
1,891
8,689
2,959
3,215
1,784
3,003
1,582
584
5,466
2,068
787
7,323
3,107
3,163
1,621
725
2,056
952
3,429
1,194
2,407
807
1,447
612
1,713
657
1,019
2,075
533
1,492
732
1,877
906
253
1,365
Average Component Cost per DRG ($)
Ward Medical
Direct
Ohead
1,905
688
2,988
1,826
1,767
694
522
813
435
851
381
273
1,479
636
1,464
546
417
2,563
996
2,687
540
1,464
744
1,457
708
140
2,357
1,015
275
4,015
2,082
1,643
823
282
1,176
629
1,975
702
1,307
396
707
266
842
303
711
1,087
235
685
301
927
423
59
654
264
107
367
239
241
73
44
119
61
143
65
44
235
79
414
68
48
297
147
349
52
186
105
234
96
21
234
147
41
654
279
202
105
33
170
66
248
76
158
53
118
44
114
46
49
185
40
115
50
135
61
11
95
Ward Nursing
Direct
Ohead
2,417
840
5,499
2,778
3,029
995
562
833
481
845
450
333
2,100
651
2,011
665
348
4,491
1,269
2,803
94
1,721
829
1,732
738
147
3,373
1,566
340
6,706
2,838
2,963
1,377
444
1,955
797
3,436
1,028
2,232
535
1,114
347
1,509
495
684
1,697
296
1,134
426
1,672
615
77
892
183
64
456
209
231
79
54
64
35
78
32
26
171
55
121
34
46
353
124
224
21
141
67
145
61
9
322
219
68
734
352
342
190
64
242
98
438
168
251
64
146
61
204
82
46
187
43
153
69
208
90
12
129
Non
Clinical
Salaries
999
377
1,636
779
927
342
230
400
237
408
214
181
835
297
644
286
193
1,576
448
1,332
166
826
463
780
355
100
1,164
551
229
2,515
1,084
963
467
222
656
309
1,079
413
727
241
412
157
499
180
370
658
136
434
184
520
232
41
348
Pathology
Ohead
Direct
491
126
669
274
557
147
71
247
97
269
86
44
447
112
382
112
18
697
151
1,507
647
464
177
403
140
12
921
250
85
1,145
385
408
173
87
290
95
366
95
340
77
190
56
235
69
53
280
48
176
67
185
70
19
127
53
14
72
28
54
15
8
22
11
19
8
6
52
16
33
20
2
84
15
185
72
44
17
39
14
2
91
23
6
118
39
43
17
7
30
9
38
10
34
8
19
5
22
6
13
28
5
16
6
20
7
2
12
DRG
F12A
F12B
F13A
F13B
F14A
F14B
F14C
F15A
F15B
F16A
F16B
F17Z
F18A
F18B
F19A
F19B
F20Z
F21A
F21B
F40A
F40B
F41A
F41B
F42A
F42B
F42C
F43Z
F60A
F60B
F61A
F61B
F62A
F62B
F62C
F63A
F63B
F64A
F64B
F65A
F65B
F66A
F66B
F67A
F67B
F68Z
F69A
F69B
F72A
F72B
F73A
F73B
F73C
F74A
NATIONAL HOSPITAL COST DATA COLLECTION
V7.0 Public Sector
ESTIMATED COST WEIGHTS FOR AR-DRG VERSION 7.0, Round 18 (2013-14)
Public Sector - Estimated National
Average Component Cost per DRG ($)
DRG
F12A
F12B
F13A
F13B
F14A
F14B
F14C
F15A
F15B
F16A
F16B
F17Z
F18A
F18B
F19A
F19B
F20Z
F21A
F21B
F40A
F40B
F41A
F41B
F42A
F42B
F42C
F43Z
F60A
F60B
F61A
F61B
F62A
F62B
F62C
F63A
F63B
F64A
F64B
F65A
F65B
F66A
F66B
F67A
F67B
F68Z
F69A
F69B
F72A
F72B
F73A
F73B
F73C
F74A
Imaging
Direct Ohea
d
419
70
201
32
1,011
167
550
88
1,569
264
1,237
202
1,249
193
251
38
119
18
198
33
76
11
72
12
397
73
141
22
323
70
730
77
76
14
493
84
130
25
805
146
377
68
509
89
257
45
476
77
207
34
94
11
459
76
167
31
50
10
989
171
328
61
232
41
106
21
56
12
357
58
141
23
366
60
162
27
483
82
394
65
174
32
88
18
228
41
88
18
166
40
206
36
59
11
163
31
81
16
179
34
107
21
35
7
316
61
Allied
Direct
Ohead
593
190
671
221
367
83
45
164
70
134
63
83
419
145
326
126
20
682
117
1,402
327
318
142
302
114
29
670
239
38
1,024
240
476
174
72
261
65
520
115
310
53
163
40
200
46
148
265
38
154
39
296
89
16
98
280
149
250
90
138
66
63
74
62
53
29
77
158
75
126
44
17
212
47
276
65
72
29
83
28
9
177
70
12
294
70
143
52
22
80
24
170
38
96
20
46
12
65
16
39
77
11
43
12
82
28
7
32
Pharmacy
Direct Ohead
293
71
770
276
531
139
78
173
76
168
46
33
202
70
204
31
27
973
210
594
107
277
132
277
87
14
479
192
46
2,115
696
336
147
66
375
133
374
108
315
108
160
37
218
45
85
222
31
155
46
153
46
9
86
21
7
48
24
31
10
7
15
7
16
4
3
14
6
16
5
3
60
15
39
10
22
12
20
7
1
42
21
7
131
47
32
17
8
32
11
36
10
24
7
16
4
22
6
6
19
3
16
7
17
5
1
10
Critical Care
Direct
Ohead
2,726
672
367
3
1,156
158
90
1,618
567
1,608
571
146
1,290
294
1,687
205
23
1,275
145
16,997
8,228
2,604
1,231
1,888
745
7
6,488
907
602
2,004
534
778
231
235
87
7
90
1
292
39
347
106
422
58
248
717
85
488
221
205
103
5
261
750
209
98
0
259
42
24
444
168
464
163
43
370
93
496
59
5
281
41
3,716
1,664
712
353
506
213
2
1,480
263
173
491
148
200
68
60
21
1
26
1
73
10
99
34
101
15
49
196
26
142
69
54
32
1
82
Oper Room
Direct
Ohead
683
498
2,756
1,792
2,664
1,702
1,390
229
205
143
204
445
985
666
838
2,138
2,353
2,217
1,766
214
147
95
78
169
280
159
126
36
29
317
131
29
7
6
26
15
149
53
168
232
45
10
20
12
292
64
42
17
10
13
6
13
8
129
103
554
395
502
335
278
41
41
29
44
87
185
149
147
448
519
405
343
46
27
18
15
40
70
41
33
6
4
67
27
6
2
1
6
3
32
12
33
53
8
2
4
2
65
14
10
3
1
3
1
5
2
Direct
ED
Ohead
639
314
357
276
407
134
68
339
189
369
143
35
291
81
122
9
9
501
139
903
1,041
721
526
654
497
18
946
806
684
798
408
892
763
714
712
544
571
231
599
286
748
604
740
557
117
713
518
810
680
953
820
541
893
153
81
95
72
99
37
17
81
49
85
35
9
80
27
33
2
2
121
40
205
218
180
135
163
130
4
222
209
179
202
109
229
208
180
183
138
144
64
156
76
199
162
191
153
33
181
145
217
190
252
224
137
252
Ward Supplies
Direct
Ohead
454
210
1,166
545
630
201
124
212
196
228
239
112
524
347
411
173
79
974
239
584
150
317
235
382
218
173
551
244
215
1,077
525
380
182
92
267
137
487
175
344
116
159
80
212
86
163
272
59
182
91
191
86
25
129
558
210
995
545
561
214
142
201
121
192
96
89
481
201
339
173
113
904
280
707
78
427
212
409
189
42
722
315
84
1,260
624
575
286
95
400
186
679
226
454
127
226
75
286
94
211
343
67
219
90
324
128
15
206
Spec Proc Suites
Direct
Ohead
1,338
1,196
79
62
151
211
228
2,230
2,086
2,158
2,143
1,098
753
824
3,121
1,592
33
89
646
303
145
961
981
1,046
1,208
1,323
159
36
12
170
141
17
8
11
19
5
30
197
24
78
29
29
7
9
118
55
61
24
10
8
10
45
15
227
216
10
2
23
25
28
364
357
314
325
217
122
123
564
226
6
17
92
63
23
186
185
189
203
263
29
6
2
35
22
3
2
2
4
1
7
45
5
12
5
6
2
2
22
11
12
6
2
2
2
7
3
Prostheses
4,860
4,261
603
331
892
941
956
1,812
1,931
582
728
3,520
1,598
1,394
2,384
4,345
50
168
359
137
25
145
128
197
297
144
35
13
6
118
44
7
7
2
10
8
28
9
27
40
14
7
5
7
24
22
33
16
4
7
16
73
7
OnCosts
1,298
501
1,676
799
1,258
515
387
678
379
646
335
256
933
389
931
445
326
1,604
537
3,358
1,262
938
488
874
433
176
1,876
572
180
2,127
811
909
401
167
565
254
898
293
685
219
375
136
461
148
309
609
120
404
166
497
210
41
335
Hotel
580
212
1,081
490
603
225
160
258
145
245
129
89
433
149
488
132
132
756
258
971
241
419
206
414
180
53
758
279
68
1,189
447
489
227
85
274
102
594
169
365
98
181
63
235
76
88
272
50
198
76
263
102
17
156
Deprec
603
336
620
397
541
332
283
367
300
331
251
194
457
268
482
319
170
531
245
1,131
402
401
273
385
246
138
609
204
79
733
334
300
163
68
188
83
333
129
266
112
150
66
169
66
192
204
55
144
73
172
82
19
148
No. of
Hosps
60
64
78
66
77
83
112
61
64
48
53
61
46
45
31
31
162
94
122
80
81
70
73
77
79
60
130
240
269
114
157
240
276
245
167
239
151
177
185
222
188
264
184
266
88
158
250
196
255
226
272
232
259
DRG
F12A
F12B
F13A
F13B
F14A
F14B
F14C
F15A
F15B
F16A
F16B
F17Z
F18A
F18B
F19A
F19B
F20Z
F21A
F21B
F40A
F40B
F41A
F41B
F42A
F42B
F42C
F43Z
F60A
F60B
F61A
F61B
F62A
F62B
F62C
F63A
F63B
F64A
F64B
F65A
F65B
F66A
F66B
F67A
F67B
F68Z
F69A
F69B
F72A
F72B
F73A
F73B
F73C
F74A
NATIONAL HOSPITAL COST DATA COLLECTION
( National
)
ESTIMATED COST WEIGHTS FOR AR-DRG VERSION 7.0, Round 18 (2013-14)
Public Sector - Estimated National
DRG Description
DRG
F74B
F75A
F75B
F75C
F76A
F76B
F76C
G01A
G01B
G02A
G02B
G03A
G03B
G03C
G04A
G04B
G04C
G05A
G05B
G05C
G06Z
G07A
G07B
G10A
G10B
G11Z
G12A
G12B
G12C
G46A
G46B
G46C
G47A
G47B
G47C
G48A
G48B
G48C
G60A
G60B
G61A
G61B
G64A
G64B
G65A
G65B
G66A
G66B
G67A
G67B
G70A
G70B
G70C
Chest Pain, <2 Days
Other Circulatory Disorders W Catastrophic CC
Other Circulatory Disorders W Severe or Moderate CC
Other Circulatory Disorders W/O CC
Arrhythmia, Cardiac Arrest and Conduction Disorders W Cat or Sev CC
Arrhythmia, Cardiac Arrest and Conduction Disorders W/O Cat or Sev CC
Arrhythmia, Cardiac Arrest and Conduction Disorders, Sameday
Rectal Resection W Catastrophic CC
Rectal Resection W/O Catastrophic CC
Major Small and Large Bowel Procedures W Catastrophic CC
Major Small and Large Bowel Procedures W/O Catastrophic CC
Stomach, Oesophageal and Duodenal Procedures W Malignancy or W Cat CC
Stomach, Oesophageal and Duodenal Procedures W/O Malignancy W Sev or Mod CC
Stomach, Oesophageal and Duodenal Procedures W/O Malignancy W/O CC
Peritoneal Adhesiolysis W Catastrophic CC
Peritoneal Adhesiolysis W Severe or Moderate CC
Peritoneal Adhesiolysis W/O CC
Minor Small and Large Bowel Procedures W Catastrophic CC
Minor Small and Large Bowel Procedures W Severe or Moderate CC
Minor Small and Large Bowel Procedures W/O CC
Pyloromyotomy
Appendicectomy W Malignancy or Peritonitis or W Catastrophic or Severe CC
Appendicectomy W/O Malignancy or Peritonitis W/O Cat or Sev CC
Hernia Procedures W CC
Hernia Procedures W/O CC
Anal and Stomal Procedures
Other Digestive System OR Procedures W Catastrophic CC
Other Digestive System OR Procedures W Severe or Moderate CC
Other Digestive System OR Procedures W/O CC
Complex Endoscopy W Catastrophic CC
Complex Endoscopy W/O Catastrophic CC
Complex Endoscopy, Sameday
Gastroscopy W Catastrophic CC
Gastroscopy W/O Catastrophic CC
Gastroscopy, Sameday
Colonoscopy W Catastrophic or Severe CC
Colonoscopy W/O Catastrophic or Severe CC
Colonoscopy, Sameday
Digestive Malignancy W Catastrophic CC
Digestive Malignancy W/O Catastrophic CC
Gastrointestinal Haemorrhage W Catastrophic or Severe CC
Gastrointestinal Haemorrhage W/O Catastrophic or Severe CC
Inflammatory Bowel Disease W CC
Inflammatory Bowel Disease W/O CC
Gastrointestinal Obstruction W Catastrophic or Severe CC
Gastrointestinal Obstruction W/O Catastrophic or Severe CC
Abdominal Pain and Mesenteric Adenitis
Abdominal Pain and Mesenteric Adenitis, Sameday
Oesophagitis and Gastroenteritis W Catastrophic or Severe CC
Oesophagitis and Gastroenteritis W/O Catastrophic or Severe CC
Other Digestive System Disorders W Catastrophic or Severe CC
Other Digestive System Disorders W/O Catastrophic or Severe CC
Other Digestive System Disorders, Sameday
Cost
Weight
0.31
2.89
1.22
0.65
1.63
0.78
0.26
7.51
4.28
6.82
3.09
7.41
3.17
2.21
5.47
2.91
1.84
4.50
2.36
1.66
2.02
1.86
1.30
2.02
1.00
0.85
4.89
2.19
1.38
3.89
1.50
0.37
3.04
1.15
0.29
2.49
1.11
0.32
2.19
0.82
1.32
0.57
1.41
0.55
1.68
0.82
0.65
0.23
1.40
0.46
1.57
0.74
0.22
Standard
Error
0.00
0.02
0.01
0.02
0.01
0.01
0.01
0.01
0.01
0.01
0.01
0.02
0.03
0.03
0.02
0.01
0.01
0.06
0.03
0.02
0.06
0.01
0.00
0.01
0.00
0.01
0.02
0.03
0.02
0.02
0.01
0.00
0.02
0.01
0.00
0.02
0.01
0.00
0.02
0.02
0.02
0.01
0.03
0.01
0.01
0.01
0.00
0.00
0.01
0.00
0.01
0.01
0.00
Number
of Seps
94,319
3,124
7,124
7,944
9,254
23,426
14,558
2,716
2,162
7,253
6,209
1,698
681
1,311
1,753
1,864
4,715
282
313
930
241
8,766
20,113
4,527
27,903
16,778
1,348
1,057
1,975
2,196
7,284
32,626
2,861
12,832
38,228
3,013
7,674
63,682
2,166
4,635
3,848
9,158
1,478
14,183
4,556
9,775
34,694
25,441
13,495
46,331
15,079
39,663
30,897
Number
of Days
94,319
26,125
25,701
14,653
47,973
54,446
14,558
44,226
16,973
110,593
37,953
23,910
3,788
4,294
21,726
11,721
15,557
3,188
1,734
3,299
955
31,555
41,102
17,549
36,847
30,579
17,617
5,760
6,174
24,869
28,995
32,626
26,724
40,073
38,228
23,878
24,007
63,682
16,550
14,439
17,418
17,967
6,842
18,139
26,051
25,709
67,714
25,441
61,168
72,362
80,297
94,539
30,897
ALOS
(Days)
1.00
8.36
3.61
1.84
5.18
2.32
1.00
16.29
7.85
15.25
6.11
14.08
5.57
3.28
12.39
6.29
3.30
11.28
5.54
3.55
3.96
3.60
2.04
3.88
1.32
1.82
13.07
5.45
3.13
11.32
3.98
1.00
9.34
3.12
1.00
7.92
3.13
1.00
7.64
3.11
4.53
1.96
4.63
1.28
5.72
2.63
1.95
1.00
4.53
1.56
5.33
2.38
1.00
Average Cost per DRG ($)
Total
Direct
Ohead
1,574
14,735
6,219
3,340
8,296
3,965
1,319
38,308
21,816
34,779
15,784
37,771
16,182
11,277
27,916
14,843
9,359
22,930
12,061
8,461
10,284
9,494
6,627
10,294
5,124
4,325
24,929
11,170
7,052
19,832
7,627
1,900
15,483
5,855
1,474
12,711
5,679
1,656
11,182
4,192
6,710
2,892
7,169
2,814
8,550
4,177
3,318
1,180
7,146
2,360
7,985
3,786
1,135
1,209
11,315
4,754
2,563
6,264
2,961
1,043
30,064
17,141
27,245
12,309
29,925
12,708
8,874
21,860
11,436
7,238
17,682
9,358
6,534
8,128
7,361
5,129
8,034
3,978
3,302
19,433
8,592
5,430
15,173
5,807
1,451
11,830
4,410
1,128
9,736
4,309
1,261
8,256
3,127
5,022
2,157
5,486
2,455
6,434
3,123
2,471
929
5,341
1,755
5,991
2,803
878
365
3,420
1,465
777
2,032
1,003
275
8,244
4,675
7,534
3,475
7,845
3,474
2,403
6,056
3,406
2,121
5,248
2,702
1,927
2,156
2,133
1,498
2,260
1,146
1,023
5,496
2,578
1,622
4,659
1,820
449
3,652
1,446
346
2,976
1,371
395
2,926
1,065
1,688
736
1,683
359
2,116
1,053
847
251
1,806
605
1,995
983
257
Average Component Cost per DRG ($)
Ward Medical
Direct
Ohead
111
1,667
738
360
986
474
85
3,411
1,914
3,186
1,490
2,964
1,422
911
2,664
1,522
896
2,474
1,239
922
1,437
925
585
982
449
429
2,567
1,250
679
2,251
945
236
1,813
699
157
1,590
756
210
1,454
535
850
377
916
148
1,118
559
426
63
933
299
1,046
529
73
21
278
113
54
120
68
16
325
202
326
166
322
163
122
275
148
100
185
123
95
103
102
78
100
48
47
286
132
86
288
98
14
220
75
11
207
92
14
213
69
116
42
111
21
125
61
48
12
114
44
136
68
14
Ward Nursing
Direct
Ohead
150
2,958
1,214
506
1,511
560
88
5,616
2,855
5,343
2,261
4,933
2,235
1,400
4,368
2,360
1,226
4,027
1,964
1,303
2,143
1,410
805
1,413
409
513
4,622
1,843
926
4,044
1,445
58
3,267
941
66
2,859
1,078
69
2,756
867
1,510
514
1,542
224
2,030
834
580
87
1,634
417
1,848
733
88
27
304
134
62
185
89
13
574
329
566
267
445
214
160
486
260
143
417
227
139
112
152
94
157
62
65
469
186
114
383
152
10
343
115
11
323
140
11
317
110
174
72
170
28
254
118
75
14
196
60
218
112
17
Non
Clinical
Salaries
72
1,006
426
220
561
258
57
1,627
826
1,588
697
1,467
706
446
1,325
710
411
1,212
685
432
597
460
284
472
198
219
1,383
610
343
1,272
483
74
1,046
367
63
873
369
65
940
349
486
203
535
105
635
305
228
46
550
159
601
277
55
Pathology
Ohead
Direct
30
557
187
92
247
91
22
1,363
689
1,200
464
1,236
332
146
764
302
140
738
291
199
150
184
105
187
24
80
934
362
185
857
312
100
643
199
75
577
204
50
332
103
259
95
269
48
232
84
72
19
245
60
243
76
19
2
54
19
10
23
8
2
134
63
120
44
114
34
15
82
30
14
71
28
23
21
18
10
18
2
7
96
39
17
82
29
9
63
19
7
54
18
4
33
9
26
9
30
7
21
7
7
2
28
6
24
7
2
DRG
F74B
F75A
F75B
F75C
F76A
F76B
F76C
G01A
G01B
G02A
G02B
G03A
G03B
G03C
G04A
G04B
G04C
G05A
G05B
G05C
G06Z
G07A
G07B
G10A
G10B
G11Z
G12A
G12B
G12C
G46A
G46B
G46C
G47A
G47B
G47C
G48A
G48B
G48C
G60A
G60B
G61A
G61B
G64A
G64B
G65A
G65B
G66A
G66B
G67A
G67B
G70A
G70B
G70C
NATIONAL HOSPITAL COST DATA COLLECTION
V7.0 Public Sector
ESTIMATED COST WEIGHTS FOR AR-DRG VERSION 7.0, Round 18 (2013-14)
Public Sector - Estimated National
Average Component Cost per DRG ($)
DRG
F74B
F75A
F75B
F75C
F76A
F76B
F76C
G01A
G01B
G02A
G02B
G03A
G03B
G03C
G04A
G04B
G04C
G05A
G05B
G05C
G06Z
G07A
G07B
G10A
G10B
G11Z
G12A
G12B
G12C
G46A
G46B
G46C
G47A
G47B
G47C
G48A
G48B
G48C
G60A
G60B
G61A
G61B
G64A
G64B
G65A
G65B
G66A
G66B
G67A
G67B
G70A
G70B
G70C
Imaging
Direct Ohea
d
67
13
430
78
200
37
121
22
160
28
68
13
29
5
656
116
135
24
714
122
164
31
750
140
192
35
71
13
568
102
209
39
82
16
369
65
103
19
27
5
69
15
122
22
53
11
102
18
8
2
22
4
1,173
188
542
85
285
48
507
91
146
27
7
1
414
70
132
24
9
2
339
57
109
20
8
2
383
69
170
30
144
25
58
11
178
32
19
3
286
54
158
31
154
30
70
14
130
24
42
8
223
40
115
23
38
8
Allied
Direct
Ohead
18
446
126
58
230
64
17
875
283
850
214
979
262
127
617
185
66
598
147
77
155
66
26
129
21
27
618
168
55
674
112
3
582
87
5
288
55
3
493
110
167
34
140
13
222
51
37
8
199
27
267
57
14
6
129
40
17
68
20
5
329
161
307
107
351
108
63
233
98
45
246
72
45
64
42
22
70
28
19
219
73
36
218
51
6
181
38
5
105
31
5
135
36
61
19
61
9
82
26
19
4
64
12
84
25
5
Pharmacy
Direct Ohead
15
789
299
124
191
69
16
822
269
1,067
240
989
284
112
823
248
90
654
211
87
64
119
47
139
31
83
913
219
89
771
173
14
535
113
13
632
169
16
493
260
177
45
779
1,679
265
71
49
8
214
33
283
65
20
2
51
22
9
20
8
2
52
23
69
21
61
26
12
60
22
9
50
13
8
9
12
5
11
4
8
60
20
7
52
16
2
40
11
1
41
13
2
32
18
18
5
45
59
24
7
5
1
19
3
24
6
2
Critical Care
Direct
Ohead
29
1,453
400
177
930
375
53
3,506
574
3,618
421
5,117
1,017
318
2,943
402
84
1,648
216
46
301
175
8
451
21
25
2,050
324
95
1,219
154
0
791
72
0
291
19
0
107
15
200
25
65
1
205
5
11
0
201
9
169
12
2
9
352
105
52
256
117
14
812
140
828
104
1,119
220
69
687
96
19
410
53
12
63
40
2
105
4
7
460
80
23
278
37
0
182
19
0
67
5
0
22
4
53
6
13
0
49
1
3
0
47
2
40
3
0
Oper Room
Direct
Ohead
3
145
102
72
35
22
68
8,200
7,054
5,966
4,468
7,439
4,490
4,100
4,768
3,713
2,973
3,847
3,354
2,668
2,001
2,525
2,112
2,864
2,142
1,412
2,275
1,861
1,836
1,136
866
728
689
653
471
615
660
610
64
140
39
26
79
13
46
16
17
8
13
5
55
46
108
1
29
21
14
6
4
15
1,678
1,442
1,201
926
1,407
854
796
957
769
628
820
672
544
303
511
444
606
486
319
443
390
404
237
191
174
138
142
115
131
155
151
15
30
8
7
17
3
11
4
4
2
4
1
12
11
28
Direct
ED
Ohead
645
743
607
527
874
730
376
348
173
617
360
388
359
154
680
554
486
222
89
32
632
726
660
244
64
198
800
530
385
727
462
3
846
662
22
667
351
2
589
257
819
649
601
105
921
859
752
572
865
605
810
711
378
172
187
163
145
224
202
95
86
46
149
94
96
94
45
161
144
133
54
26
9
170
183
176
63
17
54
185
141
97
182
126
1
208
182
6
168
96
0
152
70
213
174
152
27
230
222
203
143
232
169
211
193
97
Ward Supplies
Direct
Ohead
26
538
215
93
223
99
38
919
455
888
355
816
334
222
711
344
175
589
317
197
269
201
110
219
75
89
786
292
152
626
217
30
475
165
29
403
172
31
364
150
207
84
220
49
282
122
86
17
206
60
253
115
22
29
560
242
111
318
137
21
1,090
571
1,035
448
921
440
273
817
484
259
852
416
276
363
285
168
295
110
124
876
393
213
805
299
38
632
232
31
537
225
34
619
219
303
120
325
59
388
178
140
15
339
92
367
166
19
Spec Proc Suites
Direct
Ohead
3
47
35
86
24
24
123
42
24
58
33
81
54
38
39
14
6
24
6
10
12
7
26
11
9
90
71
31
209
182
98
184
133
131
189
170
103
27
56
13
7
24
11
7
2
5
2
3
2
9
5
22
1
8
6
16
5
4
20
10
6
14
8
16
13
8
7
2
1
5
2
2
1
1
4
2
2
23
17
7
59
50
36
46
33
38
51
46
36
5
8
2
1
5
3
1
0
1
1
1
1
2
1
5
Prostheses
2
28
26
34
24
11
27
957
990
630
524
890
325
306
346
320
256
339
271
237
3
87
71
372
304
35
224
130
91
216
79
23
28
17
16
22
21
17
11
22
6
3
7
2
6
3
3
2
3
1
7
4
5
OnCosts
64
1,030
393
186
566
241
58
2,611
1,320
2,354
961
2,612
1,061
743
1,958
954
566
1,649
816
536
743
604
394
688
309
282
1,704
714
452
1,399
496
107
1,089
370
87
846
355
94
805
281
437
158
441
103
546
223
188
40
474
127
536
219
51
Hotel
27
506
190
81
272
105
21
1,254
677
1,116
489
1,193
482
321
827
491
266
786
384
290
241
268
171
300
134
123
843
364
194
734
264
47
560
187
39
467
187
45
444
146
242
85
236
36
310
130
93
15
241
61
284
115
20
Deprec
30
361
160
92
206
103
32
895
572
847
424
924
425
285
649
421
269
581
317
243
252
241
179
258
158
122
644
335
203
518
215
78
396
169
65
313
164
74
309
127
156
65
174
37
200
96
82
17
168
54
192
94
24
No. of
Hosps
298
181
239
265
229
273
268
123
129
147
167
115
117
122
139
149
176
85
101
129
19
160
177
191
211
215
131
141
166
133
180
201
134
183
204
155
201
209
172
245
223
274
152
194
226
258
287
280
265
296
269
290
291
DRG
F74B
F75A
F75B
F75C
F76A
F76B
F76C
G01A
G01B
G02A
G02B
G03A
G03B
G03C
G04A
G04B
G04C
G05A
G05B
G05C
G06Z
G07A
G07B
G10A
G10B
G11Z
G12A
G12B
G12C
G46A
G46B
G46C
G47A
G47B
G47C
G48A
G48B
G48C
G60A
G60B
G61A
G61B
G64A
G64B
G65A
G65B
G66A
G66B
G67A
G67B
G70A
G70B
G70C
NATIONAL HOSPITAL COST DATA COLLECTION
( National
)
ESTIMATED COST WEIGHTS FOR AR-DRG VERSION 7.0, Round 18 (2013-14)
Public Sector - Estimated National
DRG Description
DRG
H01A
H01B
H02A
H02B
H05A
H05B
H06A
H06B
H07A
H07B
H08A
H08B
H40A
H40B
H43A
H43B
H43C
H60A
H60B
H60C
H61A
H61B
H61C
H62A
H62B
H63A
H63B
H63C
H64A
H64B
H64C
I01A
I01B
I02A
I02B
I03A
I03B
I04A
I04B
I05A
I05B
I06Z
I07Z
I08A
I08B
I09A
I09B
I10A
I10B
I11Z
I12A
I12B
I12C
Pancreas, Liver and Shunt Procedures W Catastrophic CC
Pancreas, Liver and Shunt Procedures W/O Catastrophic CC
Major Biliary Tract Procedures W Catastrophic CC
Major Biliary Tract Procedures W/O Catastrophic CC
Hepatobiliary Diagnostic Procedures W Catastrophic CC
Hepatobiliary Diagnostic Procedures W/O Catastrophic CC
Other Hepatobiliary and Pancreas OR Procedures W Catastrophic CC
Other Hepatobiliary and Pancreas OR Procedures W/O Catastrophic CC
Open Cholecystectomy W Closed CDE or W Catastrophic CC
Open Cholecystectomy W/O Closed CDE W/O Catastrophic CC
Laparoscopic Cholecystectomy W Closed CDE or W Cat or Sev CC
Laparoscopic Cholecystectomy W/O Closed CDE W/O Cat or Sev CC
Endoscopic Procedures for Bleeding Oesophageal Varices W Cat CC
Endoscopic Procedures for Bleeding Oesophageal Varices W/O Cat CC
ERCP Procedures W Catastrophic or Severe CC
ERCP Procedures W/O Catastrophic or Severe CC
ERCP Procedures, Sameday
Cirrhosis and Alcoholic Hepatitis W Catastrophic CC
Cirrhosis and Alcoholic Hepatitis W/O Catastrophic CC
Cirrhosis and Alcoholic Hepatitis, Sameday
Malignancy of Hepatobiliary System and Pancreas W Catastrophic CC
Malignancy of Hepatobiliary System and Pancreas W/O Catastrophic CC
Malignancy of Hepatobiliary System and Pancreas, Sameday
Disorders of Pancreas, Except Malignancy W Catastrophic or Severe CC
Disorders of Pancreas, Except Malignancy W/O Catastrophic or Severe CC
Other Disorders of Liver W Catastrophic CC
Other Disorders of Liver W/O Catastrophic CC
Other Disorders of Liver, Sameday
Disorders of the Biliary Tract W CC
Disorders of the Biliary Tract W/O CC
Disorders of the Biliary Tract, Sameday
Bilateral and Multiple Major Joint Proc of Lower Limb W Revision or W Cat CC
Bilateral and Multiple Major Joint Proc of Lower Limb W/O Revision W/O Cat CC
Microvascular Tissue Transfers or (Skin Grafts W Cat or Sev CC), Excl Hand
Skin Grafts W/O Cat or Sev CC, Excluding Hand
Hip Replacement W Catastrophic CC
Hip Replacement W/O Catastrophic CC
Knee Replacement W Catastrophic or Severe CC
Knee Replacement W/O Catastrophic or Severe CC
Other Joint Replacement W Catastrophic or Severe CC
Other Joint Replacement W/O Catastrophic or Severe CC
Spinal Fusion for Deformity
Amputation
Other Hip and Femur Procedures W Catastrophic CC
Other Hip and Femur Procedures W/O Catastrophic CC
Spinal Fusion W Catastrophic CC
Spinal Fusion W/O Catastrophic CC
Other Back and Neck Procedures W Catastrophic or Severe CC
Other Back and Neck Procedures W/O Catastrophic or Severe CC
Limb Lengthening Procedures
Misc Musculoskeletal Procs for Infect/Inflam of Bone/Joint W Cat CC
Misc Musculoskeletal Procs for Infect/Inflam of Bone/Joint W Sev or Mod CC
Misc Musculoskeletal Procs for Infect/Inflam of Bone/Joint W/O CC
Cost
Weight
7.44
3.76
6.51
2.73
4.90
1.34
5.11
1.51
5.33
2.58
2.51
1.44
3.69
1.58
3.12
1.40
0.44
3.00
1.30
0.25
2.49
1.27
0.31
2.10
0.86
2.93
1.33
0.28
1.63
0.78
0.23
11.98
5.92
10.64
3.26
5.08
3.94
4.48
3.71
5.78
3.69
10.38
7.57
4.89
3.08
9.58
5.43
3.66
2.13
4.92
6.28
3.53
1.93
Standard
Error
0.02
0.03
0.05
0.03
0.06
0.04
0.04
0.03
0.04
0.02
0.01
0.00
0.04
0.05
0.02
0.01
0.01
0.02
0.03
0.02
0.02
0.02
0.03
0.02
0.01
0.03
0.02
0.02
0.01
0.01
0.01
0.06
0.02
0.02
0.04
0.01
0.00
0.01
0.00
0.03
0.01
0.03
0.05
0.01
0.01
0.02
0.01
0.02
0.01
0.12
0.02
0.02
0.02
Number
of Seps
1,371
1,038
702
770
276
730
693
1,368
496
848
6,681
22,589
513
338
2,558
3,681
3,246
2,663
1,634
1,308
1,682
2,685
1,297
3,916
11,870
1,950
4,547
4,564
4,877
8,521
5,237
266
563
950
628
4,203
11,138
3,734
10,512
458
1,270
537
367
6,106
9,171
771
2,280
1,092
3,492
153
2,079
1,766
3,214
Number
of Days
19,386
5,998
11,148
4,659
3,160
2,180
9,786
4,238
5,971
4,158
32,510
42,308
4,214
1,128
23,571
14,838
3,246
25,491
7,210
1,308
14,352
11,073
1,297
25,392
33,553
16,863
19,001
4,564
25,807
21,356
5,237
6,626
3,621
23,757
4,519
46,083
63,005
27,914
51,896
4,388
4,592
4,579
7,559
78,624
62,242
11,354
12,479
7,995
11,258
708
44,728
21,472
17,657
ALOS
(Days)
14.14
5.78
15.89
6.05
11.45
2.99
14.12
3.10
12.03
4.90
4.87
1.87
8.22
3.34
9.21
4.03
1.00
9.57
4.41
1.00
8.53
4.12
1.00
6.48
2.83
8.65
4.18
1.00
5.29
2.51
1.00
24.93
6.44
25.00
7.20
10.96
5.66
7.48
4.94
9.58
3.61
8.52
20.58
12.88
6.79
14.72
5.47
7.32
3.22
4.62
21.51
12.16
5.49
Average Cost per DRG ($)
Total
Direct
Ohead
37,922
19,187
33,188
13,923
25,000
6,852
26,039
7,725
27,204
13,162
12,781
7,319
18,827
8,056
15,917
7,139
2,232
15,313
6,644
1,279
12,694
6,489
1,595
10,696
4,384
14,942
6,761
1,412
8,322
3,999
1,160
61,091
30,205
54,278
16,626
25,884
20,093
22,836
18,915
29,465
18,810
52,925
38,626
24,916
15,707
48,873
27,668
18,680
10,862
25,087
32,053
18,011
9,847
29,978
15,168
25,924
10,800
19,783
5,248
20,147
6,115
21,218
10,034
10,021
5,701
14,949
6,272
12,205
5,404
1,764
11,720
4,939
1,014
9,382
4,879
1,274
8,135
3,258
11,446
5,132
1,120
6,270
2,960
905
49,112
25,002
42,506
12,916
20,756
16,601
18,845
15,722
24,337
15,763
45,711
29,630
19,404
12,254
40,537
23,289
14,674
8,581
21,734
24,551
13,671
7,569
7,944
4,018
7,264
3,123
5,217
1,604
5,893
1,610
5,986
3,128
2,760
1,618
3,877
1,785
3,713
1,736
467
3,593
1,704
265
3,312
1,610
321
2,561
1,126
3,496
1,629
292
2,052
1,039
255
11,978
5,203
11,773
3,710
5,128
3,492
3,991
3,193
5,128
3,046
7,214
8,996
5,512
3,453
8,336
4,379
4,006
2,281
3,352
7,502
4,340
2,278
Average Component Cost per DRG ($)
Ward Medical
Direct
Ohead
2,674
1,110
3,227
1,352
2,170
598
2,926
635
2,451
1,275
1,129
620
1,751
796
1,869
811
102
1,945
871
91
1,695
857
104
1,310
588
1,874
920
113
1,098
552
72
5,210
1,861
5,330
1,608
2,123
1,430
1,755
1,388
1,965
1,143
2,784
4,139
2,419
1,455
2,520
1,136
1,422
739
1,120
4,045
2,359
1,129
237
130
300
115
291
52
255
61
191
134
120
69
208
72
207
79
12
263
109
9
184
105
12
143
63
184
116
11
131
67
12
1,074
273
774
228
403
246
290
239
318
180
145
558
442
245
426
150
205
107
162
580
394
208
Ward Nursing
Direct
Ohead
4,606
2,037
5,541
2,119
4,136
918
4,648
960
3,951
1,762
1,690
696
3,001
1,183
3,228
1,351
93
3,317
1,480
85
3,110
1,386
116
2,165
886
2,981
1,392
82
1,806
764
95
9,441
2,656
8,750
2,603
3,920
2,088
2,702
1,854
3,475
1,406
4,123
7,410
4,746
2,538
5,713
2,243
2,897
1,328
2,107
6,727
3,744
1,740
373
185
481
222
368
82
436
93
401
244
185
94
312
121
295
125
12
402
221
10
341
157
14
255
125
319
185
11
234
125
19
712
209
627
212
315
187
240
168
295
136
222
554
360
203
318
156
230
109
119
588
340
159
Non
Clinical
Salaries
1,428
660
1,753
696
1,293
321
1,512
420
1,245
547
574
278
936
370
1,034
470
76
1,048
498
62
1,008
490
76
712
325
1,106
502
60
638
302
63
2,541
824
2,800
802
1,180
666
879
598
1,075
478
1,429
2,153
1,369
762
1,707
724
916
437
811
2,273
1,228
562
Pathology
Ohead
Direct
1,536
723
1,158
349
1,184
267
1,063
184
809
264
326
127
1,051
336
611
214
22
837
330
77
414
210
121
399
121
699
339
76
283
104
21
1,443
307
1,119
201
549
207
316
138
434
126
505
1,157
612
252
962
248
325
104
96
910
381
172
160
76
145
39
109
26
107
17
87
26
31
11
88
36
60
23
2
77
31
6
50
23
11
41
11
65
33
7
29
9
2
146
33
131
23
56
21
31
14
43
12
96
114
62
27
122
31
39
13
15
95
39
17
DRG
H01A
H01B
H02A
H02B
H05A
H05B
H06A
H06B
H07A
H07B
H08A
H08B
H40A
H40B
H43A
H43B
H43C
H60A
H60B
H60C
H61A
H61B
H61C
H62A
H62B
H63A
H63B
H63C
H64A
H64B
H64C
I01A
I01B
I02A
I02B
I03A
I03B
I04A
I04B
I05A
I05B
I06Z
I07Z
I08A
I08B
I09A
I09B
I10A
I10B
I11Z
I12A
I12B
I12C
NATIONAL HOSPITAL COST DATA COLLECTION
V7.0 Public Sector
ESTIMATED COST WEIGHTS FOR AR-DRG VERSION 7.0, Round 18 (2013-14)
Public Sector - Estimated National
Average Component Cost per DRG ($)
DRG
H01A
H01B
H02A
H02B
H05A
H05B
H06A
H06B
H07A
H07B
H08A
H08B
H40A
H40B
H43A
H43B
H43C
H60A
H60B
H60C
H61A
H61B
H61C
H62A
H62B
H63A
H63B
H63C
H64A
H64B
H64C
I01A
I01B
I02A
I02B
I03A
I03B
I04A
I04B
I05A
I05B
I06Z
I07Z
I08A
I08B
I09A
I09B
I10A
I10B
I11Z
I12A
I12B
I12C
Imaging
Direct Ohea
d
1,020
183
441
75
1,972
321
782
122
860
145
194
27
1,979
325
1,882
261
662
122
192
33
301
52
129
21
326
62
111
18
638
113
301
56
118
25
417
77
193
36
67
12
537
99
464
71
317
61
421
77
181
34
406
67
257
48
83
14
351
61
165
30
61
12
832
158
195
33
872
153
244
42
400
70
179
32
224
37
96
17
297
54
128
21
444
115
613
116
511
92
291
57
1,028
162
417
74
418
73
203
34
262
57
782
134
321
63
138
28
Allied
Direct
Ohead
740
231
736
141
558
58
596
67
482
136
108
28
436
87
339
55
8
554
170
14
472
146
27
238
49
475
121
11
170
44
10
1,838
605
1,378
321
832
453
576
404
609
214
1,392
1,519
877
437
1,439
537
557
231
593
901
374
158
317
126
262
78
209
41
222
44
209
66
67
27
144
41
139
43
10
170
56
6
149
51
8
91
27
142
49
6
68
23
5
996
750
528
151
354
320
298
311
376
279
701
487
327
188
765
406
181
79
212
305
139
64
Pharmacy
Direct Ohead
1,106
262
964
231
625
93
1,039
390
741
147
155
49
645
311
428
112
32
513
161
58
488
358
93
302
76
543
205
81
224
57
14
1,446
291
1,199
226
392
209
261
169
311
118
337
1,105
484
204
615
171
246
100
178
1,725
761
269
60
17
50
18
56
8
53
21
43
16
13
5
37
26
27
9
4
41
16
4
32
22
6
26
8
36
14
7
20
6
2
110
36
71
19
35
23
24
20
29
14
42
64
42
20
51
18
21
10
14
104
52
22
Critical Care
Direct
Ohead
4,841
1,736
2,912
229
2,237
99
2,335
147
3,011
281
475
27
2,770
861
870
49
0
1,005
36
12
127
21
2
972
44
1,233
101
2
288
15
2
2,339
487
1,953
46
866
123
452
65
522
80
2,343
1,804
664
95
2,219
372
444
48
143
867
40
21
1,068
409
604
48
452
23
497
32
632
70
107
6
558
192
194
12
0
222
10
1
32
6
1
235
12
288
22
0
71
5
0
552
134
464
13
206
33
112
17
124
18
544
367
159
23
471
94
104
12
23
214
9
6
Oper Room
Direct
Ohead
7,727
5,746
3,883
3,191
3,828
1,857
1,182
397
5,099
4,103
3,625
2,881
1,471
858
984
803
720
141
53
229
81
66
115
83
45
218
123
296
82
40
37
8,778
5,024
11,886
4,566
4,013
3,786
4,132
3,722
5,652
4,382
9,447
5,885
3,745
3,351
8,653
6,703
4,933
4,023
5,475
3,135
2,661
2,319
1,513
1,113
729
646
763
379
211
74
1,021
936
739
625
300
172
202
168
153
28
11
55
17
14
28
21
11
44
27
70
19
10
9
1,820
1,147
2,380
954
802
802
845
798
1,177
960
1,802
1,175
748
687
1,741
1,376
1,092
849
1,108
646
579
499
Direct
ED
Ohead
200
78
572
360
480
117
509
132
631
351
504
234
870
651
657
459
5
874
733
85
726
482
104
869
710
890
705
70
824
707
446
306
13
665
336
661
222
25
9
383
148
48
407
944
723
479
197
174
90
59
562
376
201
48
20
142
103
110
37
124
34
159
95
126
63
207
170
168
128
1
211
197
21
199
132
26
217
189
224
180
16
215
191
111
83
3
158
85
161
58
6
2
96
36
8
106
228
189
109
48
45
24
14
146
105
57
Ward Supplies
Direct
Ohead
883
407
962
387
699
151
778
196
605
272
270
116
501
227
519
225
51
489
230
32
423
238
53
327
137
481
259
34
298
141
31
1,999
456
1,727
431
627
329
412
281
494
225
721
1,472
693
362
977
325
501
201
374
1,316
686
284
976
435
1,156
462
745
238
1,051
263
810
391
342
160
534
262
655
303
29
639
321
26
703
327
34
440
197
661
297
26
373
178
19
1,745
564
1,823
554
746
426
544
372
682
302
889
1,500
871
493
1,097
459
590
278
420
1,424
795
345
Spec Proc Suites
Direct
Ohead
86
47
208
127
205
176
174
119
44
6
48
22
98
130
217
207
231
28
24
112
18
22
44
14
20
35
18
116
13
9
20
92
14
124
13
29
105
61
161
45
28
27
71
38
8
87
34
24
21
20
74
16
17
20
12
39
26
55
59
34
19
14
1
10
3
31
41
54
49
68
7
6
30
4
5
12
3
6
9
5
34
3
2
6
16
4
23
2
7
16
11
21
13
6
18
12
8
2
32
15
6
3
15
12
2
3
Prostheses
1,143
707
597
291
369
109
329
210
243
138
232
174
180
24
283
153
161
11
8
19
14
13
23
8
5
17
12
20
10
5
4
11,102
11,700
2,328
915
4,384
6,341
6,460
6,412
8,191
6,811
20,982
458
1,495
1,275
12,235
9,180
860
478
9,993
278
229
223
OnCosts
2,730
1,257
2,356
911
1,745
479
1,907
501
1,987
833
883
444
1,332
522
1,100
467
152
1,039
417
77
915
420
92
715
257
1,055
433
87
528
219
46
3,284
1,118
3,692
1,034
1,510
908
1,193
806
1,537
771
2,042
2,687
1,590
925
2,625
1,293
1,304
715
947
2,247
1,182
632
Hotel
1,252
558
1,216
453
674
211
942
214
901
463
357
196
554
228
575
243
61
575
244
29
518
213
34
357
142
502
217
31
281
126
19
1,682
621
2,027
553
729
468
537
432
713
366
784
1,638
823
494
1,037
542
580
301
355
1,219
690
310
Deprec
995
590
900
426
632
233
805
349
655
380
312
214
425
208
449
223
85
385
183
46
337
190
61
257
115
390
181
48
204
104
24
1,346
847
1,297
442
513
417
412
400
556
422
935
1,055
567
398
1,285
719
493
324
395
746
447
264
No. of
Hosps
86
70
87
109
74
100
78
87
103
147
171
189
74
77
80
87
55
171
197
139
169
216
138
200
258
163
213
175
228
265
250
81
80
85
107
115
122
118
118
96
118
31
73
109
127
41
51
51
64
37
130
139
152
DRG
H01A
H01B
H02A
H02B
H05A
H05B
H06A
H06B
H07A
H07B
H08A
H08B
H40A
H40B
H43A
H43B
H43C
H60A
H60B
H60C
H61A
H61B
H61C
H62A
H62B
H63A
H63B
H63C
H64A
H64B
H64C
I01A
I01B
I02A
I02B
I03A
I03B
I04A
I04B
I05A
I05B
I06Z
I07Z
I08A
I08B
I09A
I09B
I10A
I10B
I11Z
I12A
I12B
I12C
NATIONAL HOSPITAL COST DATA COLLECTION
( National
)
ESTIMATED COST WEIGHTS FOR AR-DRG VERSION 7.0, Round 18 (2013-14)
Public Sector - Estimated National
DRG Description
DRG
I13A
I13B
I13C
I15Z
I16Z
I17A
I17B
I18Z
I19A
I19B
I20Z
I21Z
I23Z
I24Z
I25A
I25B
I27A
I27B
I27C
I28A
I28B
I29Z
I30Z
I31A
I31B
I32A
I32B
I40Z
I60Z
I61A
I61B
I63A
I63B
I64A
I64B
I65A
I65B
I66A
I66B
I67A
I67B
I68A
I68B
I69A
I69B
I71A
I71B
I72A
I72B
I73A
I73B
I74A
I74B
Humerus, Tibia, Fibula and Ankle Procedures W CC
Humerus, Tibia, Fibula and Ankle Procedures W/O CC, Age >=17
Humerus, Tibia, Fibula and Ankle Procedures W/O CC, Age <17
Cranio-Facial Surgery
Other Shoulder Procedures
Maxillo-Facial Surgery W CC
Maxillo-Facial Surgery W/O CC
Other Knee Procedures
Other Elbow and Forearm Procedures W CC
Other Elbow and Forearm Procedures W/O CC
Other Foot Procedures
Local Excision and Removal of Internal Fixation Devices of Hip and Femur
Local Excision and Removal of Internal Fixation Devices, Except Hip and Femur
Arthroscopy
Bone and Joint Diagnostic Procedures Including Biopsy W CC
Bone and Joint Diagnostic Procedures Including Biopsy W/O CC
Soft Tissue Procedures W Catastrophic or Severe CC
Soft Tissue Procedures W/O Catastrophic or Severe CC
Soft Tissue Procedures, Sameday
Other Musculoskeletal Procedures W CC
Other Musculoskeletal Procedures W/O CC
Knee Reconstructions, and Revisions of Reconstructions
Hand Procedures
Revision of Hip Replacement for Infect/Inflam of Joint Prosth or W Cat CC
Revision of Hip Replacement not for Infect/Inflam of Joint Prosth W/O Cat CC
Revision of Knee Replacement for Infect/Inflam of Joint Prosth or W Cat CC
Revision of Knee Replacement not for Infect/Inflam of Joint Prosth W/O Cat CC
Infusions for Musculoskeletal Disorders, Sameday
Femoral Shaft Fractures
Distal Femoral Fractures W CC
Distal Femoral Fractures W/O CC
Sprains, Strains and Dislocations of Hip, Pelvis and Thigh W CC
Sprains, Strains and Dislocations of Hip, Pelvis and Thigh W/O CC
Osteomyelitis W Catastrophic or Severe CC
Osteomyelitis W/O Catastrophic or Severe CC
Musculoskeletal Malignant Neoplasms W Radiotherapy or W Cat CC
Musculoskeletal Malignant Neoplasms W/O Radiotherapy W/O Cat CC
Inflammatory Musculoskeletal Disorders W Catastrophic or Severe CC
Inflammatory Musculoskeletal Disorders W/O Catastrophic or Severe CC
Septic Arthritis W Catastrophic or Severe CC
Septic Arthritis W/O Catastrophic or Severe CC
Non-surgical Spinal Disorders W CC
Non-surgical Spinal Disorders W/O CC
Bone Diseases and Arthropathies W Catastrophic or Severe CC
Bone Diseases and Arthropathies W/O Catastrophic or Severe CC
Other Musculotendinous Disorders W Catastrophic or Severe CC
Other Musculotendinous Disorders W/O Catastrophic or Severe CC
Specific Musculotendinous Disorders W Catastrophic or Severe CC
Specific Musculotendinous Disorders W/O Catastrophic or Severe CC
Aftercare of Musculoskeletal Implants or Prostheses W Cat or Sev CC
Aftercare of Musculoskeletal Implants or Prostheses W/O Cat or Sev CC
Injuries to Forearm, Wrist, Hand and Foot W CC
Injuries to Forearm, Wrist, Hand and Foot W/O CC
Cost
Weight
4.05
2.17
1.38
4.02
1.46
2.86
1.67
0.81
2.74
1.59
1.44
1.20
0.62
0.90
3.51
1.07
4.10
1.44
0.59
3.23
1.33
1.61
0.89
8.21
5.06
7.92
4.71
0.35
3.04
2.80
1.26
1.50
0.72
3.54
2.18
3.03
1.60
3.25
1.40
3.22
1.51
1.97
0.87
1.90
0.98
1.67
0.77
2.42
0.89
2.54
1.22
1.46
0.67
Standard
Error
0.01
0.01
0.02
0.03
0.01
0.05
0.03
0.01
0.02
0.00
0.01
0.04
0.01
0.03
0.08
0.05
0.03
0.01
0.01
0.03
0.02
0.01
0.00
0.02
0.02
0.03
0.02
0.01
0.05
0.07
0.07
0.04
0.02
0.03
0.03
0.02
0.02
0.04
0.03
0.05
0.05
0.01
0.01
0.02
0.02
0.03
0.01
0.04
0.02
0.03
0.02
0.03
0.01
Number
of Seps
3,974
11,919
4,184
552
6,953
376
564
16,832
1,826
11,770
7,345
862
12,824
1,694
397
548
1,511
5,228
3,255
1,212
4,173
4,196
29,157
777
820
404
562
19,237
582
239
214
588
1,414
1,527
1,268
1,824
2,811
1,165
2,431
331
758
10,720
18,430
2,362
5,968
1,379
5,742
1,052
3,814
967
2,525
2,104
12,200
Number
of Days
35,969
43,149
7,318
2,939
9,099
1,400
983
22,836
9,386
20,875
16,391
1,808
14,596
2,844
4,152
1,489
16,152
13,265
3,255
10,199
7,394
5,656
39,635
13,765
6,494
7,882
3,440
19,237
5,188
2,407
926
3,063
2,895
24,615
12,935
17,907
12,755
11,441
9,822
4,572
5,419
74,842
52,816
16,446
20,658
8,462
14,233
9,200
12,341
11,222
16,433
11,186
17,753
ALOS
(Days)
9.05
3.62
1.75
5.33
1.31
3.72
1.74
1.36
5.14
1.77
2.23
2.10
1.14
1.68
10.45
2.72
10.69
2.54
1.00
8.41
1.77
1.35
1.36
17.73
7.92
19.49
6.12
1.00
8.91
10.05
4.33
5.20
2.05
16.12
10.20
9.82
4.54
9.82
4.04
13.80
7.14
6.98
2.87
6.96
3.46
6.13
2.48
8.75
3.24
11.60
6.51
5.32
1.46
Average Cost per DRG ($)
Total
Direct
Ohead
20,657
11,052
7,061
20,511
7,427
14,563
8,494
4,117
13,949
8,106
7,365
6,131
3,160
4,593
17,917
5,447
20,904
7,354
3,021
16,467
6,801
8,215
4,541
41,858
25,807
40,400
24,028
1,802
15,483
14,280
6,447
7,634
3,652
18,045
11,109
15,437
8,151
16,565
7,138
16,427
7,693
10,054
4,448
9,710
5,014
8,535
3,943
12,328
4,531
12,969
6,232
7,455
3,408
16,138
8,672
5,581
16,344
5,871
11,603
6,760
3,157
10,901
6,495
5,781
4,789
2,453
3,568
13,609
4,243
15,969
5,686
2,364
12,802
5,371
6,541
3,526
33,831
21,025
32,607
19,900
1,540
11,548
10,608
4,784
5,737
2,745
13,497
8,211
11,493
6,241
12,554
5,370
12,229
5,632
7,453
3,283
7,238
3,671
6,297
2,921
9,234
3,311
9,415
4,579
5,488
2,567
4,519
2,380
1,480
4,166
1,556
2,960
1,735
960
3,048
1,611
1,584
1,342
707
1,025
4,308
1,204
4,935
1,668
658
3,666
1,430
1,674
1,015
8,027
4,782
7,793
4,129
262
3,935
3,672
1,662
1,896
907
4,547
2,898
3,944
1,909
4,010
1,768
4,198
2,061
2,602
1,166
2,472
1,343
2,238
1,022
3,094
1,220
3,554
1,653
1,967
840
Average Component Cost per DRG ($)
Ward Medical
Direct
Ohead
1,757
837
479
1,635
680
1,297
631
430
1,062
442
573
457
198
425
2,588
511
2,365
673
207
1,662
463
564
351
3,402
1,955
3,737
1,765
156
2,161
1,910
763
912
365
2,895
1,847
1,902
957
2,393
1,257
2,145
1,176
1,239
538
1,251
756
1,123
492
1,626
655
1,684
965
927
323
312
146
87
115
90
116
62
59
165
76
91
57
33
72
443
62
301
111
29
260
78
100
47
624
334
816
306
17
294
189
133
145
80
350
197
380
117
362
144
289
171
153
76
151
86
143
63
203
89
172
136
102
49
Ward Nursing
Direct
Ohead
3,274
1,265
755
2,184
556
1,441
726
310
1,863
652
819
743
217
431
4,091
833
3,726
976
126
3,030
614
618
336
5,636
2,485
5,582
1,846
112
5,046
4,108
1,625
1,749
644
4,447
2,760
3,801
1,993
3,489
1,454
4,288
1,830
2,494
963
2,295
1,038
2,076
805
2,810
984
3,328
1,449
1,663
464
267
123
60
158
73
125
63
39
155
66
81
59
26
53
376
72
342
93
18
272
64
75
39
453
238
478
197
16
398
343
158
194
88
542
306
340
188
431
202
528
284
279
128
270
152
237
97
310
114
413
184
208
54
Non
Clinical
Salaries
1,062
455
270
805
243
538
309
155
618
260
319
261
121
195
1,318
300
1,289
358
106
1,009
269
279
171
1,847
898
1,736
673
81
1,211
1,122
484
578
234
1,506
1,041
1,263
654
1,222
576
1,371
644
790
333
764
400
701
296
996
355
1,097
540
619
192
Pathology
Ohead
Direct
266
59
16
331
23
138
35
18
152
21
33
56
18
40
683
249
543
84
70
327
36
16
19
1,020
446
1,025
330
18
85
322
61
153
30
418
187
382
200
818
248
488
166
198
50
572
152
212
77
370
86
249
102
214
14
29
7
3
64
2
17
4
2
19
3
4
7
2
3
73
30
58
8
8
35
4
2
2
106
54
91
36
3
9
30
5
16
3
44
25
40
25
91
32
57
18
21
5
31
11
22
7
43
10
22
10
14
2
DRG
I13A
I13B
I13C
I15Z
I16Z
I17A
I17B
I18Z
I19A
I19B
I20Z
I21Z
I23Z
I24Z
I25A
I25B
I27A
I27B
I27C
I28A
I28B
I29Z
I30Z
I31A
I31B
I32A
I32B
I40Z
I60Z
I61A
I61B
I63A
I63B
I64A
I64B
I65A
I65B
I66A
I66B
I67A
I67B
I68A
I68B
I69A
I69B
I71A
I71B
I72A
I72B
I73A
I73B
I74A
I74B
NATIONAL HOSPITAL COST DATA COLLECTION
V7.0 Public Sector
ESTIMATED COST WEIGHTS FOR AR-DRG VERSION 7.0, Round 18 (2013-14)
Public Sector - Estimated National
Average Component Cost per DRG ($)
DRG
I13A
I13B
I13C
I15Z
I16Z
I17A
I17B
I18Z
I19A
I19B
I20Z
I21Z
I23Z
I24Z
I25A
I25B
I27A
I27B
I27C
I28A
I28B
I29Z
I30Z
I31A
I31B
I32A
I32B
I40Z
I60Z
I61A
I61B
I63A
I63B
I64A
I64B
I65A
I65B
I66A
I66B
I67A
I67B
I68A
I68B
I69A
I69B
I71A
I71B
I72A
I72B
I73A
I73B
I74A
I74B
Imaging
Direct Ohea
d
396
76
190
36
150
33
219
50
20
4
218
51
97
20
19
4
291
58
154
28
91
16
69
13
28
6
34
6
1,198
221
452
83
467
87
82
17
23
5
436
76
109
21
51
10
47
10
556
101
247
47
448
79
146
29
24
5
257
57
358
60
176
30
242
44
126
27
615
111
394
75
598
103
299
52
540
97
208
37
564
100
202
43
382
70
195
38
263
47
132
25
306
56
153
28
367
64
136
26
281
54
105
21
187
38
102
22
Allied
Direct
Ohead
529
201
89
287
85
238
93
56
283
64
139
118
31
81
712
96
585
124
25
486
86
111
33
1,017
535
1,032
487
42
356
661
236
328
133
557
210
813
243
619
181
438
155
460
156
433
177
400
114
443
95
659
174
275
52
226
101
53
122
52
95
47
21
142
69
65
43
13
30
203
36
183
48
11
172
56
71
21
512
386
489
427
6
167
204
74
96
38
188
78
192
75
149
49
134
44
135
47
127
51
115
38
133
37
243
56
82
20
Pharmacy
Direct Ohead
292
110
41
188
50
153
55
27
146
45
75
61
18
51
669
151
516
84
22
436
49
56
31
840
244
1,298
240
864
145
264
70
144
43
1,003
490
930
1,075
759
280
679
308
238
70
241
94
231
63
359
85
606
239
102
24
26
12
6
16
6
9
5
3
13
6
9
6
2
5
38
8
39
9
2
27
6
7
3
54
26
90
27
36
18
24
8
15
5
73
40
51
63
54
25
51
28
23
8
25
11
22
8
30
9
49
21
11
3
Critical Care
Direct
Ohead
325
15
5
1,379
25
663
139
8
218
7
22
68
12
15
109
3
1,195
33
4
404
12
5
6
1,565
364
969
120
0
14
182
49
2
125
9
134
9
816
44
271
9
156
11
73
10
38
21
581
26
125
11
50
15
77
3
1
273
6
158
31
1
55
1
4
11
2
4
19
1
246
8
1
84
2
1
1
331
93
203
33
0
4
42
12
1
29
2
32
2
213
9
58
4
35
3
17
3
9
5
141
7
34
3
13
3
Oper Room
Direct
Ohead
4,433
3,347
2,391
5,998
2,920
4,327
3,221
1,725
3,268
2,798
2,531
2,298
1,500
1,772
594
1,060
3,153
2,301
1,469
2,517
2,285
3,343
1,909
7,233
5,336
6,018
4,816
130
885
155
297
237
207
165
221
79
81
161
139
269
166
49
29
39
43
28
66
191
77
236
248
170
617
914
730
489
1,299
646
911
685
404
700
600
546
479
339
394
143
213
653
485
329
527
502
723
424
1,401
1,086
1,215
1,034
30
173
34
56
51
46
34
45
15
16
33
29
61
40
11
7
8
10
7
13
45
18
53
56
41
137
Direct
ED
Ohead
805
462
418
89
17
464
130
51
817
370
154
44
8
71
322
145
519
357
61
639
249
22
157
403
228
322
70
3
628
858
737
896
761
565
438
504
320
677
560
670
473
914
717
787
616
744
646
803
604
341
358
903
581
203
125
117
26
4
129
39
14
209
105
43
11
2
19
89
35
138
99
16
153
70
6
45
96
63
81
18
1
175
214
196
234
203
155
118
141
87
170
158
184
144
239
199
207
177
199
180
206
175
95
100
240
165
Ward Supplies
Direct
Ohead
495
200
102
332
114
228
127
63
260
94
122
109
43
80
581
137
619
147
34
444
111
119
64
1,052
486
1,151
376
46
509
462
212
259
93
760
462
522
281
540
224
667
345
298
128
303
154
274
106
378
135
447
264
236
69
673
274
153
569
140
352
188
90
422
148
177
163
58
99
825
183
835
207
41
601
145
144
92
1,206
611
1,168
455
44
814
735
290
329
122
963
659
811
393
704
346
835
416
490
196
479
253
440
174
591
229
716
337
370
109
Spec Proc Suites
Direct
Ohead
26
15
1
7
26
9
31
14
16
6
18
10
3
16
42
38
61
13
6
32
6
10
8
80
96
111
39
3
0
2
0
4
0
18
10
153
5
40
14
22
1
7
2
4
3
6
5
10
1
4
3
2
2
6
2
0
3
6
2
4
3
4
1
3
1
1
4
9
7
10
2
1
6
1
3
1
20
23
22
10
1
0
1
0
1
0
3
1
36
1
10
3
5
0
2
0
1
0
1
1
2
0
1
0
0
0
Prostheses
1,759
1,085
574
2,095
776
1,213
774
89
1,437
1,260
591
209
84
133
75
55
220
153
50
771
804
975
178
7,816
7,018
7,883
8,454
16
47
10
42
8
7
25
16
11
11
9
5
25
10
12
5
16
21
4
6
5
4
66
33
24
18
OnCosts
1,288
641
400
1,270
435
920
534
257
833
429
446
385
203
306
1,294
365
1,448
457
179
1,119
384
467
285
2,391
1,291
2,254
1,034
86
923
973
381
504
206
1,308
792
1,110
543
1,137
517
1,133
525
685
271
669
329
591
254
903
292
886
416
509
196
Hotel
645
315
165
496
201
383
213
116
391
185
198
197
88
126
686
146
731
218
74
544
183
203
122
1,263
658
1,250
552
24
673
646
263
263
103
675
346
548
245
612
206
669
256
412
154
402
175
328
125
425
157
742
234
277
85
Deprec
495
296
203
504
227
367
232
140
355
216
198
194
104
129
515
174
573
206
105
398
193
235
138
831
561
849
510
40
432
371
148
172
84
472
341
545
218
418
192
424
236
260
121
236
136
224
102
292
124
367
168
179
91
No. of
Hosps
119
141
111
42
147
61
65
163
119
143
157
106
167
148
79
103
128
173
189
125
174
144
204
93
98
84
101
202
114
102
97
140
188
195
186
145
195
156
203
116
191
257
284
199
263
196
266
166
241
170
222
210
264
DRG
I13A
I13B
I13C
I15Z
I16Z
I17A
I17B
I18Z
I19A
I19B
I20Z
I21Z
I23Z
I24Z
I25A
I25B
I27A
I27B
I27C
I28A
I28B
I29Z
I30Z
I31A
I31B
I32A
I32B
I40Z
I60Z
I61A
I61B
I63A
I63B
I64A
I64B
I65A
I65B
I66A
I66B
I67A
I67B
I68A
I68B
I69A
I69B
I71A
I71B
I72A
I72B
I73A
I73B
I74A
I74B
NATIONAL HOSPITAL COST DATA COLLECTION
( National
)
ESTIMATED COST WEIGHTS FOR AR-DRG VERSION 7.0, Round 18 (2013-14)
Public Sector - Estimated National
DRG Description
DRG
I75A
I75B
I76A
I76B
I77A
I77B
I78A
I78B
I79A
I79B
I80Z
I81Z
I82Z
J01A
J01B
J06A
J06B
J07A
J07B
J08A
J08B
J08C
J09Z
J10Z
J11Z
J12A
J12B
J12C
J13A
J13B
J14Z
J60A
J60B
J60C
J62A
J62B
J63A
J63B
J64A
J64B
J65A
J65B
J65C
J67A
J67B
J68A
J68B
J68C
J69A
J69B
J69C
K01A
K01B
Injuries to Shoulder, Arm, Elbow, Knee, Leg and Ankle W CC
Injuries to Shoulder, Arm, Elbow, Knee, Leg and Ankle W/O CC
Other Musculoskeletal Disorders W Catastrophic or Severe CC
Other Musculoskeletal Disorders W/O Catastrophic or Severe CC
Fractures of Pelvis W Catastrophic or Severe CC
Fractures of Pelvis W/O Catastrophic or Severe CC
Fractures of Neck of Femur W Catastrophic or Severe CC
Fractures of Neck of Femur W/O Catastrophic or Severe CC
Pathological Fractures W Catastrophic CC
Pathological Fractures W/O Catastrophic CC
Femoral Fractures, Transferred to Acute Facility <2 Days
Musculoskeletal Injuries, Sameday
Other Sameday Treatment for Musculoskeletal Disorders
Microvas Tiss Transf for Skin, Subcut Tiss & Breast Dsrds W Cat or Sev CC
Microvas Tiss Transf for Skin, Subcut Tiss & Breast Dsrds W/O Cat or Sev CC
Major Procedures for Malignant Breast Disorders
Major Procedures for Non-Malignant Breast Disorders
Minor Procedures for Malignant Breast Disorders
Minor Procedures for Non-Malignant Breast Disorders
Other Skin Grafts and Debridement Procedures W CC
Other Skin Grafts and Debridement Procedures W/O CC
Other Skin Grafts and Debridement Procedures, Sameday
Perianal and Pilonidal Procedures
Plastic OR Procedures for Skin, Subcutaneous Tissue and Breast Disorders
Other Skin, Subcutaneous Tissue and Breast Procedures
Lower Limb Procs W Ulcer/Cellulitis W Catastrophic CC
Lower Limb Procs W Ulcer/Cellulitis W/O Cat CC W Skin Graft/Flap Repair
Lower Limb Procs W Ulcer/Cellulitis W/O Cat CC W/O Skin Graft/Flap Repair
Lwr Limb Procs W/O Ulcer/Cellulitis W (Skin Grafts and Sev CC) or W Cat CC
Lwr Limb Procs W/O Ulcer/Cellulitis W/O (Skin Grafts and Sev CC) W/O Cat CC
Major Breast Reconstructions
Skin Ulcers W Catastrophic CC
Skin Ulcers W/O Catastrophic CC
Skin Ulcers, Sameday
Malignant Breast Disorders
Malignant Breast Disorders, Sameday
Non-Malignant Breast Disorders
Non-Malignant Breast Disorders, Sameday
Cellulitis W Catastrophic or Severe CC
Cellulitis W/O Catastrophic or Severe CC
Trauma to Skin Subcutaneous Tissue and Breast W Cat or Sev CC
Trauma to Skin Subcutaneous Tissue and Breast W/O Cat or Sev CC
Trauma to Skin Subcutaneous Tissue and Breast, Sameday
Minor Skin Disorders
Minor Skin Disorders, Sameday
Major Skin Disorders W Catastrophic or Severe CC
Major Skin Disorders W/O Catastrophic or Severe CC
Major Skin Disorders, Sameday
Skin Malignancy W Catastrophic CC
Skin Malignancy W/O Catastrophic CC
Skin Malignancy, Sameday
OR Procedures for Diabetic Complications W Catastrophic CC
OR Procedures for Diabetic Complications W/O Catastrophic CC
Cost
Weight
1.95
0.80
2.10
0.91
2.49
1.33
2.13
1.25
3.54
1.79
0.34
0.25
0.23
8.81
5.68
1.77
1.75
0.82
0.65
3.07
1.42
0.58
0.88
0.71
0.50
5.40
3.26
2.20
2.97
1.19
4.45
3.13
1.41
0.19
1.78
0.25
0.92
0.30
1.88
0.80
1.61
0.67
0.25
0.92
0.24
2.33
1.08
0.24
2.83
1.44
0.19
7.31
3.60
Standard
Error
0.02
0.01
0.03
0.02
0.02
0.02
0.04
0.04
0.04
0.02
0.02
0.01
0.00
0.03
0.04
0.01
0.01
0.01
0.01
0.02
0.01
0.01
0.02
0.01
0.01
0.03
0.05
0.03
0.04
0.02
0.03
0.04
0.03
0.02
0.05
0.05
0.02
0.03
0.01
0.00
0.02
0.01
0.01
0.02
0.01
0.03
0.02
0.02
0.06
0.06
0.03
0.02
0.03
Number
of Seps
5,513
11,410
1,775
2,956
2,560
2,391
979
1,030
596
1,992
2,246
28,969
34,421
328
169
8,990
2,641
2,338
4,818
3,634
4,138
7,635
2,464
9,723
39,014
715
322
807
556
2,496
443
826
1,993
1,244
755
376
1,625
761
11,763
48,815
2,786
8,273
8,790
5,390
9,370
1,135
3,505
5,697
274
453
1,219
1,181
1,805
Number
of Days
41,183
27,882
13,424
8,014
24,565
11,967
7,974
4,448
7,298
13,180
2,246
28,969
34,421
4,344
1,309
27,587
6,887
2,733
5,158
32,106
12,550
7,635
5,212
11,798
48,084
12,787
3,645
6,183
5,169
7,464
3,320
10,254
12,956
1,244
4,748
376
4,914
761
81,762
143,655
16,145
16,013
8,790
15,906
9,370
8,637
12,510
5,697
2,617
2,415
1,219
27,691
20,960
ALOS
(Days)
7.47
2.44
7.56
2.71
9.60
5.00
8.14
4.32
12.25
6.62
1.00
1.00
1.00
13.26
7.74
3.07
2.61
1.17
1.07
8.84
3.03
1.00
2.12
1.21
1.23
17.89
11.30
7.66
9.29
2.99
7.49
12.42
6.50
1.00
6.29
1.00
3.02
1.00
6.95
2.94
5.80
1.94
1.00
2.95
1.00
7.61
3.57
1.00
9.55
5.34
1.00
23.44
11.61
Average Cost per DRG ($)
Total
Direct
Ohead
9,941
4,075
10,735
4,643
12,681
6,786
10,840
6,358
18,041
9,128
1,747
1,260
1,154
44,941
28,965
9,051
8,917
4,205
3,320
15,656
7,261
2,981
4,487
3,600
2,556
27,528
16,628
11,230
15,172
6,058
22,710
15,968
7,190
952
9,055
1,271
4,671
1,523
9,605
4,102
8,227
3,434
1,281
4,698
1,247
11,864
5,496
1,203
14,437
7,337
972
37,255
18,350
7,258
3,001
8,054
3,446
9,300
4,913
7,930
4,675
13,626
6,682
1,317
983
899
35,742
23,065
7,116
6,886
3,326
2,585
11,890
5,526
2,312
3,434
2,782
1,964
21,003
12,490
8,471
11,522
4,603
17,785
11,857
5,139
730
6,767
1,000
3,463
1,185
7,148
3,034
6,052
2,547
1,003
3,498
939
8,782
3,973
979
10,518
5,434
734
28,659
13,819
2,683
1,074
2,681
1,197
3,380
1,873
2,910
1,683
4,415
2,447
430
277
255
9,199
5,900
1,934
2,031
879
735
3,766
1,734
669
1,053
818
592
6,526
4,138
2,758
3,651
1,456
4,925
4,110
2,052
222
2,288
271
1,207
337
2,458
1,069
2,174
887
278
1,200
308
3,081
1,523
224
3,919
1,903
238
8,597
4,531
Average Component Cost per DRG ($)
Ward Medical
Direct
Ohead
1,248
471
1,333
568
1,557
941
1,334
813
2,320
1,189
120
79
79
4,230
2,547
822
830
250
212
1,846
815
273
490
351
248
3,614
2,608
1,620
2,193
827
2,425
2,151
1,109
53
1,351
112
718
104
1,324
606
1,008
399
60
730
131
1,725
1,117
111
2,057
1,027
102
4,759
2,514
152
73
180
81
211
130
182
130
387
133
20
13
12
339
316
72
77
36
26
274
100
28
44
38
28
434
247
223
260
89
144
337
176
4
167
15
90
15
173
89
114
53
13
94
14
269
172
10
299
149
19
554
314
Ward Nursing
Direct
Ohead
2,409
784
2,520
905
3,427
1,550
2,810
1,508
5,257
2,438
206
88
84
4,924
3,177
899
916
261
162
3,055
1,054
108
515
226
181
6,141
4,084
2,536
3,384
1,001
2,623
4,234
1,560
67
2,006
111
823
99
2,290
872
1,898
555
78
1,060
81
2,767
1,061
62
3,460
1,473
82
8,281
4,243
297
102
278
119
386
207
338
266
542
294
43
15
13
384
232
110
113
36
25
292
123
18
70
32
27
538
394
303
318
111
212
460
288
10
220
16
120
16
314
131
241
78
13
124
13
336
132
10
418
225
14
740
541
Non
Clinical
Salaries
809
297
794
322
1,012
592
960
611
1,303
725
146
54
57
1,692
1,252
402
413
166
117
1,016
410
91
232
136
112
1,936
1,226
820
1,107
365
930
1,212
662
60
740
86
364
60
750
314
603
223
46
369
67
960
493
53
1,231
619
77
2,596
1,386
Pathology
Ohead
Direct
191
30
263
66
266
95
260
84
426
181
24
5
25
860
506
628
142
365
163
375
152
92
76
95
96
757
328
231
334
158
394
460
162
12
230
72
112
66
277
70
204
44
10
119
26
421
141
38
458
152
60
1,041
369
21
3
28
7
30
10
28
9
50
21
2
0
3
82
53
52
16
31
16
42
14
9
7
10
9
85
30
24
33
14
51
46
16
1
23
5
9
5
29
7
23
4
1
13
3
54
17
3
49
14
6
119
44
DRG
I75A
I75B
I76A
I76B
I77A
I77B
I78A
I78B
I79A
I79B
I80Z
I81Z
I82Z
J01A
J01B
J06A
J06B
J07A
J07B
J08A
J08B
J08C
J09Z
J10Z
J11Z
J12A
J12B
J12C
J13A
J13B
J14Z
J60A
J60B
J60C
J62A
J62B
J63A
J63B
J64A
J64B
J65A
J65B
J65C
J67A
J67B
J68A
J68B
J68C
J69A
J69B
J69C
K01A
K01B
NATIONAL HOSPITAL COST DATA COLLECTION
V7.0 Public Sector
ESTIMATED COST WEIGHTS FOR AR-DRG VERSION 7.0, Round 18 (2013-14)
Public Sector - Estimated National
Average Component Cost per DRG ($)
DRG
I75A
I75B
I76A
I76B
I77A
I77B
I78A
I78B
I79A
I79B
I80Z
I81Z
I82Z
J01A
J01B
J06A
J06B
J07A
J07B
J08A
J08B
J08C
J09Z
J10Z
J11Z
J12A
J12B
J12C
J13A
J13B
J14Z
J60A
J60B
J60C
J62A
J62B
J63A
J63B
J64A
J64B
J65A
J65B
J65C
J67A
J67B
J68A
J68B
J68C
J69A
J69B
J69C
K01A
K01B
Imaging
Direct Ohea
d
243
46
114
24
289
55
163
34
311
58
165
34
252
45
167
34
567
91
338
61
88
22
61
13
60
12
269
51
74
18
229
43
14
3
127
24
74
15
151
28
29
6
5
1
5
1
8
2
19
4
567
97
78
12
159
31
116
20
37
7
84
20
333
60
146
28
13
3
390
63
65
12
133
26
60
11
216
41
53
10
206
39
123
27
59
13
61
12
17
4
176
36
47
9
3
1
403
73
216
38
32
6
973
159
421
71
Allied
Direct
Ohead
468
133
506
129
621
292
487
230
902
378
20
21
26
743
462
94
44
25
14
298
58
9
17
15
14
883
365
244
406
92
245
752
260
9
320
21
47
7
283
54
382
90
23
95
10
344
78
3
753
253
13
1,192
407
148
43
142
42
190
90
147
73
248
118
9
7
8
265
196
45
47
12
8
108
32
6
16
9
8
285
152
91
144
40
166
236
77
3
90
7
24
4
91
23
110
28
7
34
5
114
37
3
206
79
4
413
145
Pharmacy
Direct Ohead
188
46
237
68
267
112
214
91
644
241
18
8
26
356
396
81
79
26
17
367
90
19
56
23
26
890
370
403
341
68
168
634
232
11
459
144
87
10
356
89
142
34
7
137
28
556
209
540
563
279
26
1,387
639
19
5
23
7
27
14
23
11
55
23
2
1
2
23
25
7
7
2
2
29
8
3
5
3
2
68
39
36
26
8
17
53
22
1
28
11
7
1
34
10
15
4
1
13
2
52
19
17
37
20
1
91
47
Critical Care
Direct
Ohead
184
6
416
64
113
8
123
24
226
16
2
1
1
1,439
380
45
12
10
4
297
11
2
13
13
8
1,016
21
20
62
7
111
327
7
0
100
4
8
1
246
5
155
23
0
29
1
436
9
147
6
1
1,134
69
51
2
89
15
23
2
27
8
54
3
1
0
0
340
105
10
3
2
1
65
2
0
2
2
2
198
6
5
10
1
27
75
2
0
29
1
2
0
58
1
35
5
0
8
0
95
1
30
1
0
284
20
Oper Room
Direct
Ohead
102
204
58
180
31
14
124
86
78
28
9
151
147
16,539
11,454
3,184
3,435
1,789
1,567
2,970
2,263
1,487
1,617
1,646
1,042
2,408
2,203
1,231
2,438
1,628
8,279
96
49
36
83
202
398
486
157
273
95
74
69
145
367
59
45
12
80
244
250
3,369
1,955
24
46
12
39
6
3
25
17
20
6
2
34
34
3,332
2,268
675
769
379
349
634
499
346
376
380
248
497
475
268
496
367
1,697
24
12
8
19
48
92
111
35
62
23
17
16
32
92
13
11
3
17
54
61
698
427
Direct
ED
Ohead
898
694
1,016
756
1,016
859
807
700
831
736
558
447
305
33
16
7
11
7
7
387
164
8
99
4
27
642
162
446
123
39
15
672
521
129
450
91
529
161
688
474
976
838
598
506
121
711
516
75
498
298
13
568
435
235
191
252
202
264
232
207
187
211
209
162
110
78
9
5
2
4
2
2
111
46
2
26
1
8
172
46
133
32
12
4
189
153
32
117
21
148
41
188
135
261
226
151
142
32
201
147
19
150
81
4
137
122
Ward Supplies
Direct
Ohead
318
118
328
116
428
213
350
217
569
277
82
20
23
794
581
194
172
64
58
496
161
33
105
57
47
1,087
673
411
540
145
480
529
303
8
288
48
131
18
318
134
212
80
15
145
22
337
171
26
504
345
21
1,682
788
513
173
489
200
646
349
581
284
853
470
44
19
22
1,093
700
233
247
77
61
656
248
45
125
73
62
1,183
817
490
633
218
634
775
410
16
471
36
221
28
459
189
395
131
15
228
36
614
334
27
833
397
38
1,679
882
Spec Proc Suites
Direct
Ohead
3
2
23
3
7
0
3
0
17
2
0
1
21
48
20
2
22
1
2
27
21
17
6
12
9
53
19
14
33
20
29
27
4
298
128
3
4
37
8
3
9
1
0
3
19
4
3
38
34
356
11
107
28
1
0
5
1
2
0
1
0
3
0
0
0
4
12
6
0
4
0
0
4
4
4
1
3
2
7
3
2
5
4
6
6
1
61
53
1
0
10
1
1
2
0
0
1
6
1
1
42
18
39
2
15
3
Prostheses
23
33
10
14
20
8
40
34
18
5
7
6
7
1,418
1,035
135
463
29
22
61
46
16
17
19
13
131
32
54
33
29
971
15
7
1
6
12
6
9
6
4
6
3
2
4
4
2
2
1
5
4
2
388
144
OnCosts
692
242
742
282
866
424
731
388
1,223
598
72
53
57
3,013
1,552
592
565
266
215
1,107
480
179
315
224
161
2,025
1,089
738
1,022
383
1,566
1,122
493
64
665
72
309
89
652
253
548
187
47
320
77
846
398
50
1,115
508
65
2,723
1,180
Hotel
408
138
387
137
587
263
478
229
735
392
40
22
20
1,600
824
230
248
90
78
539
221
77
126
96
67
1,125
703
386
672
210
764
738
279
27
320
25
132
33
363
125
316
101
18
148
29
443
175
35
569
253
21
1,309
664
Deprec
250
100
258
125
309
180
263
157
409
246
49
28
28
1,053
764
255
263
125
106
425
206
102
128
121
86
690
444
312
391
181
648
404
213
25
240
30
129
42
251
114
210
86
22
129
43
291
150
18
430
205
39
856
491
No. of
Hosps
250
281
177
242
198
217
179
213
122
205
236
275
284
36
34
136
143
124
176
176
186
215
186
213
233
116
93
150
105
177
59
158
244
119
139
98
193
143
262
304
221
269
256
252
250
170
227
155
86
130
138
107
133
DRG
I75A
I75B
I76A
I76B
I77A
I77B
I78A
I78B
I79A
I79B
I80Z
I81Z
I82Z
J01A
J01B
J06A
J06B
J07A
J07B
J08A
J08B
J08C
J09Z
J10Z
J11Z
J12A
J12B
J12C
J13A
J13B
J14Z
J60A
J60B
J60C
J62A
J62B
J63A
J63B
J64A
J64B
J65A
J65B
J65C
J67A
J67B
J68A
J68B
J68C
J69A
J69B
J69C
K01A
K01B
NATIONAL HOSPITAL COST DATA COLLECTION
( National
)
ESTIMATED COST WEIGHTS FOR AR-DRG VERSION 7.0, Round 18 (2013-14)
Public Sector - Estimated National
DRG Description
DRG
K02A
K02B
K03Z
K05A
K05B
K06A
K06B
K08Z
K09A
K09B
K09C
K10A
K10B
K11A
K11B
K12Z
K13Z
K40A
K40B
K40C
K60A
K60B
K60C
K61Z
K62A
K62B
K62C
K63A
K63B
K64A
K64B
K64C
L02A
L02B
L03A
L03B
L03C
L04A
L04B
L04C
L05A
L05B
L06A
L06B
L07A
L07B
L08A
L08B
L09A
L09B
L09C
L40Z
L41Z
Pituitary Procedures W CC
Pituitary Procedures W/O CC
Adrenal Procedures
Parathyroid Procedures W Catastrophic or Severe CC
Parathyroid Procedures W/O Catastrophic or Severe CC
Thyroid Procedures W Catastrophic or Severe CC
Thyroid Procedures W/O Catastrophic or Severe CC
Thyroglossal Procedures
Other Endocrine, Nutritional and Metabolic OR Procs W Catastrophic CC
Other Endocrine, Nutritional and Metabolic OR Procs W Severe or Moderate CC
Other Endocrine, Nutritional and Metabolic OR Procs W/O CC
Revisional and Open Bariatric Procedures W CC
Revisional and Open Bariatric Procedures W/O CC
Major Laparoscopic Bariatric Procedures W CC
Major Laparoscopic Bariatric Procedures W/O CC
Other Bariatric Procedures
Plastic OR Procedures for Endocrine, Nutritional and Metabolic Disorders
Endoscopic and Investigative Procs for Metabolic Disorders W Cat CC
Endoscopic and Investigative Procs for Metabolic Disorders W/O Cat CC
Endoscopic and Investigative Procs for Metabolic Disorders, Sameday
Diabetes W Catastrophic or Severe CC
Diabetes W/O Catastrophic or Severe CC
Diabetes, Sameday
Severe Nutritional Disturbance
Miscellaneous Metabolic Disorders W Catastrophic or Severe CC
Miscellaneous Metabolic Disorders W/O Catastrophic or Severe CC
Miscellaneous Metabolic Disorders, Sameday
Inborn Errors of Metabolism W Catastrophic or Severe CC
Inborn Errors of Metabolism W/O Catastrophic or Severe CC
Endocrine Disorders W Catastrophic or Severe CC
Endocrine Disorders W/O Catastrophic or Severe CC
Endocrine Disorders, Sameday
Operative Insertion of Peritoneal Catheter for Dialysis W Cat or Sev CC
Operative Insertion of Peritoneal Catheter for Dialysis W/O Cat or Sev CC
Kidney, Ureter and Major Bladder Procedures for Neoplasm W Cat CC
Kidney, Ureter and Major Bladder Procedures for Neoplasm W Sev CC
Kidney, Ureter and Major Bladder Procedures for Neoplasm W/O Cat or Sev CC
Kidney, Ureter and Major Bladder Procedures for Non-Neoplasm W Cat CC
Kidney, Ureter and Major Bladder Procedures for Non-Neoplasm W/O Cat CC
Kidney, Ureter and Major Bladder Procedures for Non-Neoplasm, Sameday
Transurethral Prostatectomy for Urinary Disorder W Catastrophic or Severe CC
Transurethral Prostatectomy for Urinary Disorder W/O Cat or Sev CC
Minor Bladder Procedures W Catastrophic or Severe CC
Minor Bladder Procedures W/O Catastrophic or Severe CC
Other Transurethral Procedures W CC
Other Transurethral Procedures W/O CC
Urethral Procedures W CC
Urethral Procedures W/O CC
Other Procedures for Kidney and Urinary Tract Disorders W Cat CC
Other Procedures for Kidney and Urinary Tract Disorders W Sev CC
Other Procedures for Kidney and Urinary Tract Disorders W/O Cat or Sev CC
Ureteroscopy
Cystourethroscopy for Urinary Disorder, Sameday
Cost
Weight
5.64
3.18
3.52
2.96
1.33
2.78
1.64
1.16
6.39
2.71
2.04
5.11
2.58
2.78
1.95
1.78
2.19
5.76
1.87
0.34
2.25
1.18
0.26
3.02
1.76
0.93
0.16
2.50
0.30
2.36
1.09
0.24
2.86
1.08
7.05
3.90
2.96
5.01
1.84
0.72
2.66
1.26
3.21
1.09
1.47
0.74
1.49
0.80
5.45
1.58
1.07
0.82
0.24
Standard
Error
0.05
0.03
0.06
0.04
0.01
0.03
0.01
0.03
0.08
0.08
0.08
0.15
0.06
0.04
0.02
0.03
0.05
0.06
0.04
0.01
0.02
0.01
0.02
0.05
0.01
0.01
0.01
0.10
0.04
0.03
0.02
0.02
0.06
0.03
0.02
0.03
0.02
0.03
0.01
0.01
0.04
0.01
0.04
0.02
0.02
0.01
0.08
0.02
0.05
0.03
0.01
0.03
0.01
Number
of Seps
277
138
317
307
1,334
807
4,322
292
240
153
235
47
49
359
485
257
393
299
582
2,979
5,129
13,167
4,768
843
7,460
8,011
11,242
215
3,406
1,578
3,600
2,719
477
603
1,008
513
1,241
1,368
6,399
4,208
445
1,357
691
1,461
2,916
10,104
278
1,218
814
572
2,038
551
29,562
Number
of Days
2,621
684
1,569
1,669
1,840
2,922
7,236
387
4,068
941
1,019
473
156
1,483
1,299
380
1,635
5,424
3,125
2,979
34,646
45,144
4,768
8,122
42,467
22,129
11,242
1,404
4,176
10,906
9,942
2,719
3,170
913
13,175
2,970
4,933
16,167
18,105
4,208
3,427
3,284
5,803
3,069
10,167
12,955
894
1,631
11,015
1,573
2,849
777
29,562
ALOS
(Days)
9.47
4.96
4.94
5.43
1.38
3.62
1.67
1.33
16.93
6.16
4.34
10.02
3.15
4.13
2.68
1.48
4.16
18.12
5.37
1.00
6.75
3.43
1.00
9.64
5.69
2.76
1.00
6.54
1.23
6.91
2.76
1.00
6.64
1.51
13.07
5.79
3.97
11.82
2.83
1.00
7.70
2.42
8.39
2.10
3.49
1.28
3.21
1.34
13.53
2.75
1.40
1.41
1.00
Average Cost per DRG ($)
Total
Direct
Ohead
28,752
16,234
17,960
15,088
6,768
14,197
8,382
5,909
32,588
13,846
10,407
26,037
13,150
14,155
9,937
9,061
11,185
29,374
9,558
1,714
11,474
6,019
1,320
15,411
8,968
4,735
822
12,759
1,508
12,034
5,571
1,211
14,607
5,509
35,971
19,907
15,114
25,529
9,399
3,686
13,579
6,445
16,392
5,582
7,478
3,766
7,621
4,102
27,789
8,038
5,482
4,206
1,203
22,929
12,823
14,163
11,680
5,289
11,303
6,673
4,633
25,586
10,717
8,259
21,074
10,791
11,345
8,152
7,483
8,080
22,319
7,249
1,301
8,696
4,512
1,076
11,394
6,742
3,511
627
9,904
1,149
9,144
4,251
956
11,474
4,284
28,518
15,982
12,060
19,912
7,384
2,941
10,464
4,963
12,544
4,287
5,741
2,917
5,849
3,144
21,688
6,294
4,302
3,252
918
5,823
3,411
3,797
3,408
1,479
2,894
1,708
1,275
7,002
3,129
2,149
4,964
2,359
2,809
1,785
1,578
3,105
7,055
2,309
413
2,778
1,507
245
4,018
2,227
1,224
195
2,855
359
2,890
1,320
254
3,133
1,226
7,452
3,925
3,053
5,617
2,014
745
3,115
1,482
3,848
1,296
1,737
850
1,771
958
6,102
1,743
1,180
955
285
Average Component Cost per DRG ($)
Ward Medical
Direct
Ohead
2,040
918
1,587
1,258
536
1,120
658
490
3,712
1,444
1,144
1,494
899
810
538
456
1,459
3,879
1,379
271
1,584
964
81
1,972
1,110
689
75
1,603
247
1,535
807
103
1,544
393
3,214
1,559
1,222
2,662
832
181
1,907
987
1,935
609
836
346
772
364
2,548
685
375
294
121
220
115
250
106
43
117
67
49
474
147
133
130
112
84
72
42
157
387
124
12
176
111
12
270
146
88
12
338
19
194
136
12
315
82
379
180
139
334
91
20
158
78
210
69
96
43
84
40
312
102
59
37
13
Ward Nursing
Direct
Ohead
3,580
1,515
1,860
2,219
535
1,269
614
540
7,062
2,453
1,632
3,720
949
1,548
885
723
1,616
6,518
1,956
74
2,287
1,209
96
4,238
2,033
1,082
109
2,528
264
2,615
1,017
115
2,688
657
4,981
2,320
1,587
4,256
1,209
129
2,805
883
3,077
742
1,177
341
1,108
384
5,418
1,118
435
384
62
292
133
159
174
67
140
80
56
512
215
217
250
126
174
149
85
193
709
211
13
291
163
14
591
246
134
16
343
26
291
95
13
285
84
414
209
156
346
113
18
274
104
288
88
122
45
133
45
464
118
50
46
9
Non
Clinical
Salaries
1,147
563
662
701
267
526
291
222
2,149
757
540
1,027
364
476
316
380
616
1,958
702
71
806
464
63
1,303
646
362
63
837
131
875
399
72
875
252
1,589
739
551
1,402
437
94
903
344
1,005
288
452
174
444
189
1,707
403
205
195
65
Pathology
Ohead
Direct
1,378
884
820
763
359
507
324
131
1,135
366
292
637
145
295
104
67
158
1,228
342
75
374
153
27
397
300
127
26
574
61
455
231
142
574
94
1,344
710
494
889
137
18
388
151
521
85
257
103
115
23
1,075
161
65
40
9
187
110
87
95
45
47
27
14
121
44
28
66
20
29
8
7
29
148
39
6
38
15
3
45
32
15
4
68
10
51
17
19
56
8
132
59
47
96
15
2
39
14
55
8
28
10
12
2
129
16
6
5
1
DRG
K02A
K02B
K03Z
K05A
K05B
K06A
K06B
K08Z
K09A
K09B
K09C
K10A
K10B
K11A
K11B
K12Z
K13Z
K40A
K40B
K40C
K60A
K60B
K60C
K61Z
K62A
K62B
K62C
K63A
K63B
K64A
K64B
K64C
L02A
L02B
L03A
L03B
L03C
L04A
L04B
L04C
L05A
L05B
L06A
L06B
L07A
L07B
L08A
L08B
L09A
L09B
L09C
L40Z
L41Z
NATIONAL HOSPITAL COST DATA COLLECTION
V7.0 Public Sector
ESTIMATED COST WEIGHTS FOR AR-DRG VERSION 7.0, Round 18 (2013-14)
Public Sector - Estimated National
Average Component Cost per DRG ($)
DRG
K02A
K02B
K03Z
K05A
K05B
K06A
K06B
K08Z
K09A
K09B
K09C
K10A
K10B
K11A
K11B
K12Z
K13Z
K40A
K40B
K40C
K60A
K60B
K60C
K61Z
K62A
K62B
K62C
K63A
K63B
K64A
K64B
K64C
L02A
L02B
L03A
L03B
L03C
L04A
L04B
L04C
L05A
L05B
L06A
L06B
L07A
L07B
L08A
L08B
L09A
L09B
L09C
L40Z
L41Z
Imaging
Direct Ohea
d
703
116
419
65
174
45
187
34
12
2
70
13
10
2
10
2
1,748
259
1,201
192
972
141
331
47
46
8
98
15
39
7
26
5
19
3
755
143
239
39
9
2
212
37
72
14
13
3
285
56
178
31
67
13
24
5
252
51
18
5
410
73
635
115
142
19
299
62
57
14
771
146
252
42
145
25
1,243
228
270
45
114
16
193
31
18
3
334
62
49
8
166
29
60
9
72
17
16
3
857
152
181
30
60
9
149
23
24
4
Allied
Direct
Ohead
440
153
177
156
25
127
37
18
1,238
377
112
431
106
169
74
44
126
1,491
354
5
387
191
48
870
362
146
20
506
66
413
98
27
305
41
610
198
116
475
58
9
234
35
271
36
85
16
69
18
730
89
36
15
5
153
86
89
93
26
59
29
19
341
124
51
207
66
114
55
49
46
433
110
6
112
54
9
243
102
46
7
141
17
122
31
7
98
26
248
99
70
190
43
18
112
24
109
32
42
13
45
14
245
43
23
16
4
Pharmacy
Direct Ohead
397
197
264
425
70
147
67
36
1,172
496
418
783
148
167
96
83
90
1,091
223
15
326
166
15
449
276
89
82
880
152
563
203
98
666
127
762
277
131
956
106
30
271
78
374
66
169
45
98
32
1,826
237
109
35
17
32
19
22
27
7
11
7
5
69
49
18
57
22
22
14
7
12
87
20
2
28
15
2
36
24
10
6
51
11
36
13
6
38
9
46
21
13
56
10
3
22
8
28
7
13
4
10
4
126
14
8
3
1
Critical Care
Direct
Ohead
2,841
982
1,793
933
182
952
170
97
1,273
243
135
1,669
506
797
165
125
85
1,796
285
0
1,096
295
7
298
536
111
2
1,205
21
718
84
3
461
45
3,073
930
339
1,886
70
0
187
20
713
24
135
5
152
6
1,757
33
10
17
0
644
260
443
229
35
221
39
21
292
56
31
227
70
166
29
19
19
404
71
0
251
72
2
68
122
27
1
252
5
172
23
1
97
12
682
219
83
459
15
0
34
5
167
5
30
1
38
2
350
7
2
5
0
Oper Room
Direct
Ohead
7,001
5,240
5,223
3,832
2,783
5,328
3,799
2,624
1,804
1,721
1,684
6,990
5,365
4,709
3,975
3,257
3,266
672
723
550
53
17
10
53
26
11
26
85
42
98
21
76
2,349
2,073
8,285
6,751
5,717
3,328
3,086
1,787
2,442
1,995
2,584
1,687
1,772
1,460
2,237
1,776
2,639
2,492
2,405
1,636
486
1,432
1,106
969
756
559
1,019
748
524
340
321
332
1,152
991
886
766
505
855
163
162
135
14
4
3
13
6
2
7
15
10
18
5
16
426
426
1,585
1,223
1,080
646
612
378
490
431
550
366
382
322
450
376
509
488
501
349
116
Direct
ED
Ohead
140
51
50
61
14
27
7
11
633
264
152
120
7
9
4
6
47
822
297
2
859
650
368
676
769
598
149
582
49
751
357
91
226
17
130
37
16
444
160
11
248
27
431
123
150
45
153
20
493
99
37
77
6
32
13
11
20
3
7
2
3
172
66
43
21
2
2
1
1
19
203
76
1
215
176
91
183
204
164
37
142
13
189
102
21
57
5
35
11
5
104
40
3
62
7
118
34
42
13
37
6
130
28
10
20
2
Ward Supplies
Direct
Ohead
594
325
377
363
122
250
126
99
1,527
450
304
851
120
196
122
86
218
916
295
25
345
185
21
468
264
141
26
384
66
343
146
35
640
120
1,030
387
312
828
200
38
448
143
505
116
193
67
170
65
1,297
261
96
75
22
732
360
412
525
161
307
163
140
1,275
520
292
664
187
305
161
191
454
1,252
409
40
499
280
20
812
399
226
28
428
71
517
240
39
463
133
952
443
333
874
260
44
562
220
671
184
259
90
243
111
1,085
240
116
101
30
Spec Proc Suites
Direct
Ohead
29
25
17
30
17
32
18
20
142
78
137
35
27
18
9
43
55
144
136
114
10
2
89
4
6
3
9
15
2
16
50
8
50
9
119
92
98
99
67
107
30
24
61
19
38
42
43
26
116
31
13
76
36
8
7
3
3
2
5
2
2
26
8
10
7
6
4
2
7
12
39
44
45
2
0
20
1
2
1
2
3
0
3
9
2
8
1
25
19
18
17
13
8
6
5
13
3
6
5
7
4
24
4
2
8
5
Prostheses
1,026
630
296
106
91
207
146
37
802
346
298
1,697
1,532
1,437
1,385
1,889
70
28
46
15
8
7
213
5
4
4
3
17
3
19
6
11
165
142
938
764
636
359
359
232
50
36
177
264
59
51
115
44
306
168
177
67
19
OnCosts
1,991
1,080
1,175
1,053
420
985
524
406
2,195
922
687
1,709
786
867
558
523
842
2,255
669
96
818
402
51
1,083
617
305
47
869
111
836
369
64
1,031
355
2,477
1,300
915
1,855
616
221
962
433
1,149
349
511
240
555
282
1,916
525
357
295
79
Hotel
756
433
485
491
177
363
203
161
1,198
510
295
1,202
336
431
228
270
348
1,148
331
54
383
181
20
591
308
144
18
323
32
407
159
22
482
162
1,126
531
420
834
263
87
449
194
569
170
235
102
235
123
874
224
142
114
28
Deprec
840
543
511
450
207
344
222
170
917
478
311
513
206
328
176
164
370
704
277
75
263
158
21
402
221
128
21
268
54
310
204
48
347
164
876
537
448
664
269
116
274
177
417
152
196
114
207
130
704
241
174
124
41
No. of
Hosps
32
24
55
59
91
102
132
84
69
58
70
16
15
30
25
26
61
88
135
166
236
280
227
168
247
273
257
79
124
167
185
145
63
68
79
74
86
88
112
115
84
112
116
153
132
153
84
138
96
82
136
81
174
DRG
K02A
K02B
K03Z
K05A
K05B
K06A
K06B
K08Z
K09A
K09B
K09C
K10A
K10B
K11A
K11B
K12Z
K13Z
K40A
K40B
K40C
K60A
K60B
K60C
K61Z
K62A
K62B
K62C
K63A
K63B
K64A
K64B
K64C
L02A
L02B
L03A
L03B
L03C
L04A
L04B
L04C
L05A
L05B
L06A
L06B
L07A
L07B
L08A
L08B
L09A
L09B
L09C
L40Z
L41Z
NATIONAL HOSPITAL COST DATA COLLECTION
( National
)
ESTIMATED COST WEIGHTS FOR AR-DRG VERSION 7.0, Round 18 (2013-14)
Public Sector - Estimated National
DRG Description
DRG
L42Z
L60A
L60B
L60C
L61Z
L62A
L62B
L63A
L63B
L64A
L64B
L64C
L65A
L65B
L66Z
L67A
L67B
L67C
L68Z
M01A
M01B
M02A
M02B
M03Z
M04Z
M05Z
M06A
M06B
M40Z
M60A
M60B
M61A
M61B
M62A
M62B
M63Z
M64Z
N01A
N01B
N04A
N04B
N05A
N05B
N06Z
N07A
N07B
N08Z
N09Z
N10Z
N11Z
N12A
N12B
N60A
ESW Lithotripsy
Kidney Failure W Catastrophic CC
Kidney Failure W Severe CC
Kidney Failure W/O Catastrophic or Severe CC
Haemodialysis
Kidney and Urinary Tract Neoplasms W Catastrophic or Severe CC
Kidney and Urinary Tract Neoplasms W/O Catastrophic or Severe CC
Kidney and Urinary Tract Infections W Catastrophic or Severe CC
Kidney and Urinary Tract Infections W/O Catastrophic or Severe CC
Urinary Stones and Obstruction W Catastrophic or Severe CC
Urinary Stones and Obstruction W/O Catastrophic or Severe CC
Urinary Stones and Obstruction, Sameday
Kidney and Urinary Tract Signs and Symptoms W Catastrophic or Severe CC
Kidney and Urinary Tract Signs and Symptoms W/O Catastrophic or Severe CC
Urethral Stricture
Other Kidney and Urinary Tract Disorders W Catastrophic or Severe CC
Other Kidney and Urinary Tract Disorders W/O Catastrophic or Severe CC
Other Kidney and Urinary Tract Disorders, Sameday
Peritoneal Dialysis
Major Male Pelvic Procedures W Catastrophic or Severe CC
Major Male Pelvic Procedures W/O Catastrophic or Severe CC
Transurethral Prostatectomy for Reproductive System Disorder W Cat/Sev CC
Transurethral Prostatectomy for Reproductive System Disorder W/O Cat/Sev CC
Penis Procedures
Testes Procedures
Circumcision
Other Male Reproductive System OR Procedures W CC
Other Male Reproductive System OR Procedures W/O CC
Cystourethroscopy for Male Reproductive System Disorder, Sameday
Male Reproductive System Malignancy W Catastrophic or Severe CC
Male Reproductive System Malignancy W/O Catastrophic or Severe CC
Benign Prostatic Hypertrophy W CC
Benign Prostatic Hypertrophy W/O CC
Male Reproductive System Inflammation W CC
Male Reproductive System Inflammation W/O CC
Male Sterilisation Procedures
Other Male Reproductive System Disorders
Pelvic Evisceration and Radical Vulvectomy W Catastrophic or Severe CC
Pelvic Evisceration and Radical Vulvectomy W/O Catastrophic or Severe CC
Hysterectomy for Non-Malignancy W Catastrophic or Severe CC
Hysterectomy for Non-Malignancy W/O Catastrophic or Severe CC
Oophorectomy and Complex Fallopian Tube Procs for Non-Malig W Cat or Sev CC
Oophorectomy and Complex Fallopian Tube Procs for Non-Malig W/O Cat or Sev CC
Female Reproductive System Reconstructive Procedures
Other Uterus and Adnexa Procedures for Non-Malignancy
Other Uterus and Adnexa Procedures for Non-Malignancy, Sameday
Endoscopic and Laparoscopic Procedures, Female Reproductive System
Other Vagina, Cervix and Vulva Procedures
Diagnostic Curettage and Diagnostic Hysteroscopy
Other Female Reproductive System OR Procedures
Uterus and Adnexa Procedures for Malignancy W Catastrophic CC
Uterus and Adnexa Procedures for Malignancy W/O Catastrophic CC
Female Reproductive System Malignancy W Catastrophic CC
Cost
Weight
0.73
3.07
1.44
0.79
0.11
1.97
0.68
1.77
0.69
1.65
0.69
0.25
1.43
0.52
0.63
1.88
0.90
0.18
0.19
4.47
3.59
2.12
1.29
0.99
0.81
0.59
2.04
0.78
0.23
1.96
0.42
0.87
0.35
1.19
0.56
0.47
0.41
5.71
2.80
2.67
1.93
2.58
1.51
1.44
1.47
0.59
0.88
0.56
0.48
0.62
4.56
2.42
2.49
Standard
Error
0.01
0.01
0.02
0.03
0.00
0.04
0.04
0.01
0.01
0.03
0.01
0.00
0.02
0.01
0.03
0.02
0.01
0.01
0.02
0.03
0.01
0.03
0.01
0.03
0.01
0.01
0.09
0.04
0.02
0.04
0.02
0.06
0.03
0.04
0.01
0.01
0.02
0.07
0.03
0.01
0.00
0.03
0.01
0.01
0.01
0.00
0.01
0.01
0.00
0.04
0.03
0.01
0.05
Number
of Seps
1,713
5,141
4,569
5,686
1,098,160
876
1,234
15,892
37,024
1,262
15,405
14,295
4,116
12,053
745
4,305
6,787
18,308
5,844
547
1,544
1,111
4,997
2,090
7,801
4,226
308
1,631
2,427
853
4,361
266
899
1,385
4,044
3,821
2,938
161
162
2,017
9,280
614
3,226
6,599
5,948
16,230
10,578
17,825
19,959
2,933
589
2,153
448
Number
of Days
1,891
48,597
20,997
14,552
1,098,374
6,015
2,553
98,576
86,709
5,491
25,539
14,295
19,810
21,997
1,138
25,638
17,485
18,308
5,849
3,670
5,469
5,687
12,336
3,206
9,803
4,540
1,475
1,965
2,427
5,636
5,530
797
1,053
5,728
7,828
3,828
3,895
1,914
694
8,688
25,377
2,752
5,836
14,209
11,514
16,230
13,496
20,812
21,158
4,993
4,988
7,166
3,731
ALOS
(Days)
1.10
9.45
4.60
2.56
1.00
6.87
2.07
6.20
2.34
4.35
1.66
1.00
4.81
1.82
1.53
5.96
2.58
1.00
1.00
6.71
3.54
5.12
2.47
1.53
1.26
1.07
4.78
1.21
1.00
6.61
1.27
3.00
1.17
4.14
1.94
1.00
1.33
11.87
4.28
4.31
2.73
4.48
1.81
2.15
1.94
1.00
1.28
1.17
1.06
1.70
8.47
3.33
8.33
Average Cost per DRG ($)
Total
Direct
Ohead
3,727
15,682
7,334
4,021
550
10,043
3,467
9,044
3,525
8,397
3,524
1,257
7,314
2,651
3,210
9,591
4,582
913
946
22,775
18,312
10,823
6,568
5,053
4,109
3,023
10,428
3,991
1,158
9,985
2,156
4,427
1,773
6,053
2,860
2,413
2,099
29,125
14,279
13,613
9,820
13,152
7,712
7,362
7,516
3,033
4,506
2,840
2,469
3,153
23,276
12,331
12,720
3,061
12,022
5,560
3,082
402
7,496
2,657
6,770
2,619
6,414
2,675
993
5,444
1,974
2,397
7,274
3,450
704
791
18,353
15,040
8,334
5,061
3,964
3,206
2,323
7,996
3,113
891
7,405
1,673
3,316
1,366
4,526
2,142
1,759
1,568
22,688
11,089
10,306
7,394
10,082
5,843
5,560
5,679
2,269
3,406
2,146
1,848
2,170
17,772
9,444
9,416
666
3,659
1,774
938
148
2,547
810
2,273
906
1,984
849
264
1,870
677
813
2,317
1,132
209
155
4,421
3,272
2,489
1,506
1,089
903
700
2,432
878
267
2,580
483
1,111
407
1,527
717
655
531
6,437
3,190
3,307
2,426
3,070
1,868
1,801
1,837
764
1,100
694
620
983
5,504
2,887
3,303
Average Component Cost per DRG ($)
Ward Medical
Direct
Ohead
166
1,742
868
454
31
1,288
389
1,159
464
944
359
52
949
328
357
1,228
630
67
40
2,129
1,341
1,413
927
457
349
281
1,311
468
143
1,371
270
662
180
848
385
295
238
3,365
1,648
1,268
1,001
1,234
654
798
656
242
346
252
188
308
2,550
1,198
1,618
16
241
133
74
15
161
51
162
66
114
50
9
113
38
47
161
80
15
44
202
136
155
99
52
38
25
132
34
11
221
31
79
27
106
48
16
31
590
204
218
180
182
112
124
110
38
68
40
36
32
305
173
275
Ward Nursing
Direct
Ohead
109
3,441
1,645
898
147
2,495
624
2,165
760
1,312
489
79
1,770
492
455
2,185
971
129
366
2,621
1,462
1,831
929
495
334
174
1,616
294
57
2,286
204
921
195
1,243
488
96
276
5,291
1,850
1,808
1,057
1,796
727
908
735
97
279
192
113
588
3,985
1,526
3,220
17
360
211
128
14
271
64
279
108
178
69
12
198
67
61
245
114
14
18
261
174
229
123
40
38
24
192
45
9
317
34
132
35
185
71
16
37
659
249
269
176
238
113
139
101
15
41
30
20
49
518
224
336
Non
Clinical
Salaries
75
1,073
532
303
64
800
240
662
254
507
211
47
583
196
232
712
347
66
51
888
556
670
359
209
148
105
719
219
55
773
114
353
99
481
199
69
141
1,678
703
582
401
612
284
326
307
92
148
111
84
400
1,231
530
1,127
Pathology
Ohead
Direct
12
671
312
183
10
300
132
275
83
245
47
13
228
73
35
382
138
47
27
845
531
328
163
43
69
28
249
53
32
303
137
142
103
177
64
26
41
1,054
463
302
173
418
209
46
174
79
70
131
85
82
1,017
494
385
1
66
31
17
1
37
14
29
8
22
4
1
26
8
4
40
15
5
2
59
38
32
14
5
7
3
34
5
4
31
10
14
6
18
6
4
4
70
39
26
14
45
17
4
15
6
6
11
7
4
78
38
31
DRG
L42Z
L60A
L60B
L60C
L61Z
L62A
L62B
L63A
L63B
L64A
L64B
L64C
L65A
L65B
L66Z
L67A
L67B
L67C
L68Z
M01A
M01B
M02A
M02B
M03Z
M04Z
M05Z
M06A
M06B
M40Z
M60A
M60B
M61A
M61B
M62A
M62B
M63Z
M64Z
N01A
N01B
N04A
N04B
N05A
N05B
N06Z
N07A
N07B
N08Z
N09Z
N10Z
N11Z
N12A
N12B
N60A
NATIONAL HOSPITAL COST DATA COLLECTION
V7.0 Public Sector
ESTIMATED COST WEIGHTS FOR AR-DRG VERSION 7.0, Round 18 (2013-14)
Public Sector - Estimated National
Average Component Cost per DRG ($)
DRG
L42Z
L60A
L60B
L60C
L61Z
L62A
L62B
L63A
L63B
L64A
L64B
L64C
L65A
L65B
L66Z
L67A
L67B
L67C
L68Z
M01A
M01B
M02A
M02B
M03Z
M04Z
M05Z
M06A
M06B
M40Z
M60A
M60B
M61A
M61B
M62A
M62B
M63Z
M64Z
N01A
N01B
N04A
N04B
N05A
N05B
N06Z
N07A
N07B
N08Z
N09Z
N10Z
N11Z
N12A
N12B
N60A
Imaging
Direct Ohea
d
99
23
372
65
176
32
109
19
2
1
428
79
261
52
196
36
89
17
336
62
168
30
110
20
169
31
69
13
24
6
258
49
138
28
34
6
3
1
255
40
45
7
146
25
13
2
14
3
19
4
2
0
419
49
253
29
12
2
371
65
29
5
119
23
13
3
147
27
63
13
2
1
57
12
252
48
32
4
102
16
13
2
144
23
20
3
12
2
66
13
21
4
17
4
11
2
5
1
40
6
261
46
41
7
404
70
Allied
Direct
Ohead
11
567
208
92
11
313
57
332
60
125
22
8
203
34
25
230
57
11
19
210
83
131
34
31
17
10
314
167
3
386
17
74
12
107
24
4
25
688
256
104
55
139
38
41
30
21
15
13
7
136
589
181
501
6
170
65
31
6
102
23
101
23
52
17
4
70
16
18
80
27
6
5
113
47
66
25
18
12
7
65
24
3
114
9
28
5
41
15
4
11
181
86
55
29
66
20
35
21
7
12
7
5
29
198
63
160
Pharmacy
Direct Ohead
9
645
341
183
42
436
195
265
69
188
44
9
241
57
36
478
162
75
131
277
145
229
76
38
28
15
239
37
11
565
70
84
16
218
61
10
24
531
213
150
87
174
69
67
74
23
31
27
29
40
426
213
595
1
48
26
15
2
28
14
27
8
15
5
1
19
5
4
37
13
4
8
22
19
19
8
5
3
2
18
3
2
34
6
9
2
19
6
2
2
47
20
15
10
16
8
8
8
3
4
3
3
3
38
20
52
Critical Care
Direct
Ohead
5
1,447
304
56
0
74
2
293
15
661
11
1
103
9
3
326
26
1
1,032
184
252
15
25
23
1
265
0
0
95
2
16
107
7
5
956
179
20
304
20
17
46
1
7
6
3
42
567
57
124
1
328
67
14
0
16
1
67
4
150
3
0
27
3
1
73
6
0
218
49
57
3
5
5
0
75
0
23
0
3
25
2
1
248
44
4
69
5
4
10
0
1
1
1
9
128
14
25
Oper Room
Direct
Ohead
1,742
102
46
40
1
169
357
44
23
769
425
15
87
102
899
181
267
81
2
7,967
8,949
2,473
2,072
2,183
1,771
1,487
1,700
1,012
436
149
622
373
535
181
157
1,089
268
6,436
4,796
4,708
3,843
4,095
3,181
2,501
2,871
1,459
2,010
1,156
1,136
358
5,314
4,330
118
304
21
9
8
0
37
74
9
5
167
91
3
20
22
206
39
57
20
0
1,441
1,396
528
447
434
372
340
365
249
103
33
142
90
126
40
36
317
57
1,356
913
1,197
980
928
837
660
749
415
538
315
332
80
1,235
1,011
25
Direct
ED
Ohead
33
854
665
426
1
496
153
875
637
716
658
601
672
476
109
667
439
62
2
12
16
80
12
55
148
10
246
14
2
496
24
348
81
689
536
2
387
15
5
32
12
190
88
8
177
3
98
56
15
40
73
27
435
8
209
179
114
0
137
42
231
175
186
182
147
194
134
33
178
122
16
0
3
2
22
3
17
41
3
63
4
0
127
6
90
22
183
147
1
107
6
1
9
4
48
23
3
47
1
26
16
4
10
20
8
116
Ward Supplies
Direct
Ohead
38
564
267
219
96
409
98
259
98
205
84
16
280
84
74
360
156
31
120
554
484
324
182
82
57
34
317
110
21
331
43
115
36
189
76
28
47
728
290
293
194
283
122
147
129
38
56
41
32
106
518
211
485
30
630
316
157
35
536
136
407
151
300
113
15
379
116
119
449
211
30
26
516
338
371
206
121
85
64
442
128
30
515
57
197
46
285
113
50
86
966
503
475
305
499
212
246
229
82
98
70
51
392
967
429
745
Spec Proc Suites
Direct
Ohead
459
23
5
10
0
28
27
8
2
19
8
3
9
6
17
16
10
68
42
35
55
25
5
10
3
58
39
66
21
41
8
17
5
25
0
7
88
1
0
3
0
1
2
1
1
3
1
1
13
0
57
107
5
1
2
0
6
4
2
0
4
1
0
2
1
3
3
2
16
9
8
11
5
1
2
1
9
5
6
5
9
2
3
1
5
0
2
18
0
0
1
0
0
0
0
0
1
0
0
2
0
14
Prostheses
23
21
7
6
0
20
23
7
3
96
63
3
9
7
28
21
18
5
0
465
431
53
37
83
24
12
207
298
12
13
18
13
14
5
3
14
4
243
69
119
92
74
58
395
73
36
104
13
30
11
184
70
32
OnCosts
238
1,095
472
242
34
733
234
615
207
550
191
47
498
156
233
642
290
59
48
1,389
914
728
410
341
270
197
696
244
68
716
126
285
100
387
159
143
122
2,012
1,104
945
621
914
491
464
483
188
283
174
151
242
1,709
784
922
Hotel
67
548
248
126
18
380
99
328
111
255
85
17
243
74
98
325
139
23
14
616
412
342
200
135
106
81
306
110
29
345
56
146
40
187
80
86
51
774
409
366
272
341
198
207
187
66
107
66
54
81
659
338
481
Deprec
126
371
170
94
17
267
100
210
85
219
93
21
189
64
84
226
120
22
17
587
510
253
175
158
128
113
319
145
42
278
70
99
56
152
69
137
57
826
422
329
272
313
203
196
206
98
136
90
76
64
644
345
368
No. of
Hosps
59
203
226
241
141
160
146
262
300
157
277
245
220
269
121
199
249
216
39
70
76
105
124
143
196
188
76
108
138
155
159
93
139
174
232
154
218
26
22
147
166
106
169
179
175
180
194
208
190
118
57
127
103
DRG
L42Z
L60A
L60B
L60C
L61Z
L62A
L62B
L63A
L63B
L64A
L64B
L64C
L65A
L65B
L66Z
L67A
L67B
L67C
L68Z
M01A
M01B
M02A
M02B
M03Z
M04Z
M05Z
M06A
M06B
M40Z
M60A
M60B
M61A
M61B
M62A
M62B
M63Z
M64Z
N01A
N01B
N04A
N04B
N05A
N05B
N06Z
N07A
N07B
N08Z
N09Z
N10Z
N11Z
N12A
N12B
N60A
NATIONAL HOSPITAL COST DATA COLLECTION
( National
)
ESTIMATED COST WEIGHTS FOR AR-DRG VERSION 7.0, Round 18 (2013-14)
Public Sector - Estimated National
DRG Description
DRG
N60B
N61Z
N62Z
O01A
O01B
O01C
O02A
O02B
O03A
O03B
O04A
O04B
O04C
O05Z
O60A
O60B
O60C
O61Z
O63Z
O66A
O66B
O66C
P01Z
P02Z
P03A
P03B
P04A
P04B
P05A
P05B
P06A
P06B
P07Z
P08Z
P60A
P60B
P61Z
P62Z
P63A
P63B
P64A
P64B
P65A
P65B
P65C
P65D
P66A
P66B
P66C
P66D
P67A
P67B
P67C
Female Reproductive System Malignancy W/O Catastrophic CC
Female Reproductive System Infections
Menstrual and Other Female Reproductive System Disorders
Caesarean Delivery W Catastrophic CC
Caesarean Delivery W Severe CC
Caesarean Delivery W/O Catastrophic or Severe CC
Vaginal Delivery W OR Procedures W Catastrophic or Severe CC
Vaginal Delivery W OR Procedures W/O Catastrophic or Severe CC
Ectopic Pregnancy W CC
Ectopic Pregnancy W/O CC
Postpartum and Post Abortion W OR Procedures W Catastrophic or Severe CC
Postpartum and Post Abortion W OR Procedures W/O Catastrophic or Severe CC
Postpartum and Post Abortion W OR Procedures, Sameday
Abortion W OR Procedures
Vaginal Delivery W Catastrophic or Severe CC
Vaginal Delivery W/O Catastrophic or Severe CC
Vaginal Delivery, Single Uncomplicated
Postpartum and Post Abortion W/O OR Procedures
Abortion W/O OR Procedures
Antenatal and Other Obstetric Admissions W Catastrophic or Severe CC
Antenatal and Other Obstetric Admissions W/O Catastrophic or Severe CC
Antenatal and Other Obstetric Admissions, Sameday
Neonate W Significant OR Proc, Died or Transferred to Acute Facility <5 Days
Cardiothoracic and Vascular Procedures for Neonates
Neonate, AdmWt 1000-1499g W Significant OR Proc W Multiple Major Problems
Neonate, AdmWt 1000-1499g W Significant OR Proc W/O Multiple Major Problems
Neonate, AdmWt 1500-1999g W Significant OR Proc W Multiple Major Problems
Neonate, AdmWt 1500-1999g W Significant OR Proc W/O Multiple Major Problems
Neonate, AdmWt 2000-2499g W Significant OR Proc W Multiple Major Problems
Neonate, AdmWt 2000-2499g W Significant OR Proc W/O Multiple Major Problems
Neonate, AdmWt >=2500g W Significant OR Procedure W Multiple Major Problems
Neonate, AdmWt >=2500g W Significant OR Procedure W/O Multiple Major Problems
Neonate, AdmWt <750g W Significant OR Procedure
Neonate, AdmWt 750-999g W Significant OR Procedure
Neonate W/O Sig OR Proc, Died or Transferred to Acute Facility <5 Days
Neonate W/O Sig OR Proc, Died or Transferred to Acute Facility Sameday
Neonate, AdmWt <750g W/O Significant OR Procedure
Neonate, AdmWt 750-999g W/O Significant OR Procedure
Neonate, AdmWt 1000-1249g W/O Sig OR Proc <32 Completed Wks Gestation
Neonate, AdmWt 1000-1249g W/O Sig OR Proc >=32 Completed Wks Gestation
Neonate, AdmWt 1250-1499g W/O Sig OR Proc <32 Completed Wks Gestation
Neonate, AdmWt 1250-1499g W/O Sig OR Proc >=32 Completed Wks Gestation
Neonate, AdmWt 1500-1999g W/O Significant OR Proc W Multiple Major Problems
Neonate, AdmWt 1500-1999g W/O Significant OR Proc W Major Problem
Neonate, AdmWt 1500-1999g W/O Significant OR Proc W Other Problem
Neonate, AdmWt 1500-1999g W/O Significant OR Proc W/O Problem
Neonate, AdmWt 2000-2499g W/O Significant OR Proc W Multiple Major Problems
Neonate, AdmWt 2000-2499g W/O Significant OR Proc W Major Problem
Neonate, AdmWt 2000-2499g W/O Significant OR Proc W Other Problem
Neonate, AdmWt 2000-2499g W/O Significant OR Proc W/O Problem
Neonate, AdmWt >=2500g W/O Sig OR Proc <37 Comp Wks Gest W Mult Major Probs
Neonate, AdmWt >=2500g W/O Sig OR Proc <37 Comp Wks Gest W Major Problem
Neonate, AdmWt >=2500g W/O Sig OR Proc <37 Comp Wks Gest W Other Problem
Cost
Weight
0.98
0.67
0.40
3.29
2.29
1.93
2.21
1.57
1.55
1.06
3.04
1.25
0.51
0.49
1.85
1.26
0.95
0.67
0.35
0.97
0.53
0.12
1.22
23.94
21.47
14.89
14.31
8.55
15.19
6.88
13.47
5.09
49.58
41.40
0.83
0.27
38.90
28.96
10.32
4.20
8.07
6.81
6.79
6.00
4.81
4.44
4.40
3.65
2.78
1.15
4.13
3.02
2.17
Standard
Error
0.03
0.02
0.01
0.01
0.00
0.00
0.01
0.01
0.02
0.01
0.17
0.03
0.02
0.00
0.01
0.00
0.00
0.01
0.01
0.01
0.01
0.01
0.06
0.08
0.04
0.03
0.06
0.05
0.08
0.06
0.04
0.05
0.14
0.07
0.02
0.05
0.04
0.03
0.05
0.10
0.03
0.03
0.04
0.02
0.02
0.02
0.04
0.02
0.03
0.02
0.05
0.03
0.02
Number
of Seps
1,254
3,577
17,836
5,848
13,714
47,736
2,070
5,228
777
2,774
365
741
582
25,300
8,323
24,607
123,247
14,839
6,477
10,157
29,992
55,189
270
195
563
381
261
300
205
173
767
582
40
50
3,359
1,518
352
571
203
176
489
386
385
1,183
1,419
1,305
468
1,672
4,697
2,389
335
1,182
2,839
Number
of Days
3,775
7,567
23,208
46,765
64,634
167,302
8,315
15,459
1,694
4,521
1,933
2,031
582
27,188
38,083
68,125
267,497
35,107
7,481
35,648
53,435
55,189
413
5,464
29,727
14,519
9,651
7,622
7,260
2,914
20,840
6,514
3,547
4,528
7,177
1,518
28,223
36,981
6,716
2,352
13,660
9,147
9,360
25,098
26,276
21,021
7,295
21,434
47,577
10,835
4,422
12,251
22,331
ALOS
(Days)
3.01
2.12
1.30
8.00
4.71
3.50
4.02
2.96
2.18
1.63
5.30
2.74
1.00
1.07
4.58
2.77
2.17
2.37
1.16
3.51
1.78
1.00
1.53
27.99
52.81
38.15
37.03
25.42
35.48
16.84
27.19
11.19
89.64
91.45
2.14
1.00
80.08
64.75
33.11
13.36
27.91
23.70
24.31
21.21
18.52
16.11
15.59
12.82
10.13
4.53
13.21
10.36
7.87
Average Cost per DRG ($)
Total
Direct
Ohead
4,999
3,436
2,015
16,771
11,666
9,835
11,279
8,001
7,908
5,423
15,482
6,377
2,602
2,498
9,412
6,444
4,852
3,403
1,806
4,966
2,718
589
6,200
122,116
109,521
75,945
72,979
43,584
77,452
35,077
68,701
25,963
252,861
211,121
4,220
1,374
198,384
147,710
52,656
21,412
41,155
34,708
34,625
30,612
24,545
22,640
22,415
18,593
14,170
5,870
21,053
15,413
11,077
3,747
2,534
1,511
12,009
8,337
7,083
8,140
5,740
6,060
4,161
12,095
4,728
1,928
1,885
6,631
4,541
3,432
2,450
1,348
3,508
1,929
443
5,129
96,491
84,568
57,420
57,025
33,204
61,510
26,704
54,331
20,325
198,826
166,161
3,270
1,146
153,028
112,417
39,756
16,228
31,599
26,328
26,483
23,137
18,632
16,811
17,369
14,149
10,586
4,274
16,460
11,828
8,377
1,252
902
504
4,763
3,329
2,752
3,138
2,261
1,847
1,262
3,386
1,650
673
613
2,781
1,903
1,420
953
458
1,458
788
145
1,072
25,625
24,953
18,525
15,953
10,381
15,942
8,374
14,371
5,639
54,035
44,960
950
228
45,356
35,293
12,900
5,184
9,556
8,380
8,142
7,475
5,913
5,829
5,046
4,444
3,584
1,596
4,593
3,586
2,700
Average Component Cost per DRG ($)
Ward Medical
Direct
Ohead
634
432
220
1,614
1,259
1,083
1,101
867
617
459
1,128
625
183
200
1,079
830
642
452
168
640
365
74
499
13,690
11,561
5,419
7,559
3,370
7,719
3,566
7,083
2,500
22,224
17,034
527
153
13,849
10,148
5,172
2,559
5,431
5,201
4,577
3,896
3,755
4,156
3,247
2,681
2,283
1,152
3,058
2,263
1,796
113
61
31
470
381
322
339
257
126
84
227
165
37
34
247
200
167
83
33
118
77
24
29
361
438
364
486
366
248
322
229
196
820
559
61
26
613
495
333
285
806
663
528
642
826
629
456
482
418
179
435
462
382
Ward Nursing
Direct
Ohead
1,103
655
298
4,215
2,827
2,340
3,023
2,332
847
544
2,046
1,142
128
181
3,191
2,283
1,778
925
347
1,441
753
129
169
9,235
5,069
4,814
5,111
4,239
4,440
3,163
5,847
2,947
7,947
5,363
614
140
6,144
5,836
7,084
2,534
6,968
6,968
6,059
6,525
6,253
7,329
5,249
4,160
3,944
1,700
4,344
3,634
3,385
146
99
41
533
340
283
325
256
120
76
294
146
21
22
375
259
208
99
49
171
94
18
16
582
596
564
398
405
316
255
334
183
493
459
54
15
811
702
672
195
620
608
528
574
508
685
387
390
350
182
383
334
298
Non
Clinical
Salaries
395
249
118
1,191
816
659
824
617
301
216
607
373
74
97
848
600
463
303
122
489
258
64
290
5,129
1,938
1,578
1,480
1,182
1,756
1,011
1,901
793
2,710
2,857
271
114
2,392
2,219
1,905
812
1,914
1,816
1,921
1,582
1,395
1,715
1,356
990
904
481
1,212
808
690
Pathology
Ohead
Direct
157
99
41
452
207
105
297
112
243
128
483
198
82
104
247
101
69
73
99
140
79
25
217
4,724
1,864
982
1,762
723
2,382
931
2,520
573
6,043
5,800
210
88
3,711
2,338
707
327
480
438
544
391
275
98
472
300
155
59
454
276
166
14
9
3
41
20
10
22
10
14
9
41
15
7
11
23
9
6
6
8
12
7
2
33
992
199
111
258
88
337
158
360
71
1,218
787
19
5
332
227
92
43
49
41
48
41
31
8
49
28
16
6
38
25
18
DRG
N60B
N61Z
N62Z
O01A
O01B
O01C
O02A
O02B
O03A
O03B
O04A
O04B
O04C
O05Z
O60A
O60B
O60C
O61Z
O63Z
O66A
O66B
O66C
P01Z
P02Z
P03A
P03B
P04A
P04B
P05A
P05B
P06A
P06B
P07Z
P08Z
P60A
P60B
P61Z
P62Z
P63A
P63B
P64A
P64B
P65A
P65B
P65C
P65D
P66A
P66B
P66C
P66D
P67A
P67B
P67C
NATIONAL HOSPITAL COST DATA COLLECTION
V7.0 Public Sector
ESTIMATED COST WEIGHTS FOR AR-DRG VERSION 7.0, Round 18 (2013-14)
Public Sector - Estimated National
Average Component Cost per DRG ($)
DRG
N60B
N61Z
N62Z
O01A
O01B
O01C
O02A
O02B
O03A
O03B
O04A
O04B
O04C
O05Z
O60A
O60B
O60C
O61Z
O63Z
O66A
O66B
O66C
P01Z
P02Z
P03A
P03B
P04A
P04B
P05A
P05B
P06A
P06B
P07Z
P08Z
P60A
P60B
P61Z
P62Z
P63A
P63B
P64A
P64B
P65A
P65B
P65C
P65D
P66A
P66B
P66C
P66D
P67A
P67B
P67C
Imaging
Direct Ohea
d
176
31
91
20
62
12
128
32
37
9
15
3
38
9
12
2
53
11
31
7
286
57
74
17
29
6
10
2
40
11
11
2
10
2
50
10
45
10
98
26
59
14
14
3
157
40
1,633
447
942
211
604
144
1,043
268
384
107
1,302
297
430
98
1,158
278
383
93
2,422
546
3,106
713
96
21
63
11
1,837
416
1,198
268
392
94
231
61
304
69
208
50
275
57
189
49
90
21
41
6
205
45
97
20
30
6
10
2
180
31
112
20
34
6
Allied
Direct
Ohead
116
31
15
184
92
68
126
88
38
20
167
53
9
11
103
58
47
57
34
66
30
6
56
3,639
689
451
788
334
1,335
499
1,409
307
1,660
1,485
37
12
1,111
915
273
135
276
293
416
211
155
166
379
166
86
35
451
157
61
40
16
8
113
68
50
84
60
23
13
66
26
6
7
74
47
35
21
14
34
17
4
27
642
242
174
261
123
379
360
379
116
589
449
19
5
350
285
173
81
156
189
241
143
116
148
208
101
75
30
182
92
48
Pharmacy
Direct Ohead
310
66
30
246
125
86
147
92
68
48
2,380
71
16
39
125
69
52
43
24
73
35
9
63
1,474
1,594
703
1,254
504
1,924
410
1,496
385
4,779
3,295
49
7
2,826
1,631
707
277
455
349
437
258
199
151
277
150
94
39
337
122
69
25
8
3
20
12
9
12
9
7
6
186
6
3
3
10
6
5
5
2
7
4
1
7
197
180
86
125
53
201
49
147
33
513
364
4
1
272
196
77
43
57
42
41
28
25
20
23
17
11
4
31
15
8
Critical Care
Direct
Ohead
15
26
5
308
54
16
175
13
155
10
1,038
52
3
5
47
11
9
107
3
58
6
0
940
35,062
51,833
37,256
30,919
18,691
32,101
13,433
24,887
8,650
125,597
105,587
954
80
104,903
77,497
19,708
7,539
12,654
8,485
9,467
7,735
4,644
1,485
4,393
4,179
1,708
397
4,851
3,261
1,383
4
7
1
64
11
2
36
2
36
3
223
12
0
1
10
2
1
30
1
13
1
0
234
6,686
13,513
9,960
7,783
4,938
7,355
3,298
5,588
1,987
32,149
25,879
236
15
28,315
21,041
5,063
2,000
3,249
2,179
2,298
1,951
1,193
379
1,035
1,016
420
94
1,125
808
326
Oper Room
Direct
Ohead
231
74
196
2,541
2,173
2,083
1,666
1,100
2,601
1,844
2,465
1,402
1,158
959
388
215
76
60
37
141
59
10
2,244
14,199
237
91
1,153
280
2,473
921
2,696
1,493
2,962
3,235
25
77
176
113
34
100
15
11
55
16
8
7
83
20
447
11
50
17
12
50
18
55
586
524
518
389
269
609
427
593
349
345
271
84
48
15
14
9
30
13
2
242
2,596
46
20
193
49
407
162
450
223
528
642
5
10
32
23
8
23
4
2
9
3
2
2
14
4
104
2
9
3
2
Direct
ED
Ohead
234
633
419
34
15
10
16
12
583
499
431
366
69
111
19
13
8
206
383
100
149
66
11
30
86
55
68
56
88
44
91
144
400
435
62
98
182
117
55
311
28
33
14
23
21
12
30
35
26
40
9
18
12
62
174
111
11
5
3
5
4
152
136
113
94
18
29
6
4
3
55
100
29
44
17
2
8
24
16
20
17
24
14
27
41
124
129
17
29
54
35
16
108
9
10
4
7
7
4
8
9
8
11
3
5
4
Ward Supplies
Direct
Ohead
179
98
47
568
387
314
423
308
141
85
297
137
24
38
411
286
228
116
50
192
104
36
82
2,741
963
653
949
636
876
460
1,159
542
2,163
1,413
239
276
1,219
868
956
338
935
950
992
1,056
854
1,163
651
604
528
230
587
523
417
251
171
77
1,098
730
556
702
499
245
158
516
293
49
64
748
511
367
225
83
397
195
27
103
3,303
2,041
1,463
1,480
965
1,414
864
1,729
750
3,359
2,664
161
47
2,296
2,054
1,851
660
1,298
1,398
1,338
1,258
1,043
1,271
864
731
727
383
731
575
547
Spec Proc Suites
Direct
Ohead
48
6
2
2
0
0
0
0
0
0
9
0
0
0
0
0
0
1
0
1
0
0
1
3
0
0
0
0
0
0
0
0
8
1
1
0
0
0
0
0
0
0
4
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
Prostheses
10
2
7
25
16
18
11
5
21
37
171
11
15
12
1
1
0
2
0
4
3
0
95
1,105
14
16
45
11
238
58
265
60
47
33
4
3
18
12
3
4
2
2
6
2
0
0
4
3
0
0
4
1
1
OnCosts
351
204
110
1,255
856
694
824
581
521
317
929
408
155
157
724
481
361
244
103
365
186
36
327
6,738
9,493
5,739
5,949
3,520
6,223
2,384
5,250
1,847
23,977
19,481
312
54
17,007
11,199
4,421
1,665
3,452
2,924
3,122
2,406
1,951
1,936
2,015
1,468
1,098
483
1,733
1,150
848
Hotel
156
95
51
634
403
321
398
281
178
129
370
176
67
55
364
234
174
116
42
183
88
10
98
1,968
2,513
2,181
1,508
1,172
1,400
867
1,325
623
2,952
3,768
97
14
4,521
3,801
1,312
446
878
987
898
788
579
693
461
445
363
172
392
354
276
Deprec
139
90
50
409
300
267
286
214
198
139
354
167
96
74
236
163
125
97
39
139
78
13
219
4,936
3,234
2,501
2,115
1,369
2,218
1,321
2,094
1,022
6,638
5,584
126
29
5,000
4,490
1,547
634
1,046
860
752
838
592
538
504
497
369
171
421
379
289
No. of
Hosps
160
225
274
132
154
162
135
148
116
132
99
120
127
182
154
166
201
247
226
198
261
267
36
5
27
32
30
34
29
41
37
57
12
17
145
180
26
29
37
62
65
74
60
87
92
121
72
105
128
155
73
101
121
DRG
N60B
N61Z
N62Z
O01A
O01B
O01C
O02A
O02B
O03A
O03B
O04A
O04B
O04C
O05Z
O60A
O60B
O60C
O61Z
O63Z
O66A
O66B
O66C
P01Z
P02Z
P03A
P03B
P04A
P04B
P05A
P05B
P06A
P06B
P07Z
P08Z
P60A
P60B
P61Z
P62Z
P63A
P63B
P64A
P64B
P65A
P65B
P65C
P65D
P66A
P66B
P66C
P66D
P67A
P67B
P67C
NATIONAL HOSPITAL COST DATA COLLECTION
( National
)
ESTIMATED COST WEIGHTS FOR AR-DRG VERSION 7.0, Round 18 (2013-14)
Public Sector - Estimated National
DRG Description
DRG
P67D
P68A
P68B
P68C
P68D
Q01A
Q01B
Q02A
Q02B
Q60A
Q60B
Q60C
Q61A
Q61B
Q61C
Q62A
Q62B
R01A
R01B
R02A
R02B
R02C
R03A
R03B
R03C
R04A
R04B
R60A
R60B
R60C
R61A
R61B
R61C
R62A
R62B
R63Z
S65A
S65B
S65C
S65D
T01A
T01B
T01C
T40Z
T60A
T60B
T61A
T61B
T62A
T62B
T63A
T63B
T64A
Neonate, AdmWt >=2500g W/O Sig OR Proc <37 Comp Wks Gest W/O Problem
Neonate, AdmWt >=2500g W/O Sig OR Proc >=37 Comp Wks Gest W Mult Major Probs
Neonate, AdmWt >=2500g W/O Sig OR Proc >=37 Comp Wks Gest W Major Problem
Neonate, AdmWt >=2500g W/O Sig OR Proc >=37 Comp Wks Gest W Other Problem
Neonate, AdmWt >=2500g W/O Sig OR Proc >=37 Comp Wks Gest W/O Problem
Splenectomy W Catastrophic or Severe CC
Splenectomy W/O Catastrophic or Severe CC
Blood and Immune System Disorders W Other OR Procedures W Cat or Sev CC
Blood and Immune System Disorders W Other OR Procedures W/O Cat or Sev CC
Reticuloendothelial and Immunity Disorders W Catastrophic or Severe CC
Reticuloendothelial and Immunity Disorders W/O Catastrophic or Severe CC
Reticuloendothelial and Immunity Disorders, Sameday
Red Blood Cell Disorders W Catastrophic or Severe CC
Red Blood Cell Disorders W/O Catastrophic or Severe CC
Red Blood Cell Disorders, Sameday
Coagulation Disorders
Coagulation Disorders, Sameday
Lymphoma and Leukaemia W Major OR Procedures W Catastrophic or Severe CC
Lymphoma and Leukaemia W Major OR Procedures W/O Catastrophic or Severe CC
Other Neoplastic Disorders W Major OR Procedures W Catastrophic CC
Other Neoplastic Disorders W Major OR Procedures W Severe or Moderate CC
Other Neoplastic Disorders W Major OR Procedures W/O CC
Lymphoma and Leukaemia W Other OR Procedures W Catastrophic or Severe CC
Lymphoma and Leukaemia W Other OR Procedures W/O Catastrophic or Severe CC
Lymphoma and Leukaemia W Other OR Procedures, Sameday
Other Neoplastic Disorders W Other OR Procedures W CC
Other Neoplastic Disorders W Other OR Procedures W/O CC
Acute Leukaemia W Catastrophic CC
Acute Leukaemia W/O Catastrophic CC
Acute Leukaemia, Sameday
Lymphoma and Non-Acute Leukaemia W Catastrophic CC
Lymphoma and Non-Acute Leukaemia W/O Catastrophic CC
Lymphoma and Non-Acute Leukaemia, Sameday
Other Neoplastic Disorders W CC
Other Neoplastic Disorders W/O CC
Chemotherapy
Human Immunodeficiency Virus W Catastrophic CC
Human Immunodeficiency Virus W Severe CC
Human Immunodeficiency Virus W/O Catastrophic or Severe CC
Human Immunodeficiency Virus, Sameday
Infectious and Parasitic Diseases W OR Procedures W Catastrophic CC
Infectious and Parasitic Diseases W OR Procedures W Severe or Moderate CC
Infectious and Parasitic Diseases W OR Procedures W/O CC
Infectious and Parasitic Diseases W Ventilator Support
Septicaemia W Catastrophic CC
Septicaemia W/O Catastrophic CC
Postoperative and Post-Traumatic Infections W Catastrophic or Severe CC
Postoperative and Post-Traumatic Infections W/O Catastrophic or Severe CC
Fever of Unknown Origin W Catastrophic CC
Fever of Unknown Origin W/O Catastrophic CC
Viral Illnesses W CC
Viral Illnesses W/O CC
Other Infectious and Parasitic Diseases W Catastrophic CC
Cost
Weight
1.01
3.13
1.70
1.00
0.57
5.73
2.96
4.46
0.95
2.54
1.17
0.16
1.52
0.76
0.20
1.23
0.19
10.17
2.25
6.55
3.58
2.36
7.90
2.08
0.62
2.12
1.04
9.27
2.21
0.30
5.13
1.72
0.23
1.65
0.82
0.29
7.02
3.29
2.05
0.31
7.42
3.19
2.11
7.37
3.09
1.48
1.90
0.90
1.34
0.65
1.06
0.52
4.45
Standard
Error
0.03
0.03
0.01
0.01
0.01
0.06
0.05
0.04
0.03
0.02
0.02
0.01
0.01
0.01
0.01
0.02
0.03
0.05
0.06
0.04
0.03
0.02
0.04
0.04
0.02
0.05
0.03
0.02
0.02
0.02
0.02
0.01
0.01
0.03
0.03
0.00
0.06
0.06
0.05
0.06
0.02
0.03
0.03
0.04
0.01
0.01
0.02
0.01
0.02
0.03
0.02
0.01
0.03
Number
of Seps
1,311
1,670
6,807
14,350
19,742
147
156
643
1,624
4,888
4,791
20,101
7,212
10,514
47,794
3,775
4,271
386
267
338
436
1,009
776
578
848
739
1,209
1,826
2,904
5,403
2,144
7,438
19,523
1,660
2,144
140,875
313
201
344
634
2,429
1,262
1,451
314
10,306
7,751
2,514
7,252
4,862
6,029
3,535
16,693
1,303
Number
of Days
4,878
15,135
36,410
44,514
41,826
1,670
763
6,812
2,988
34,088
17,064
20,101
36,146
23,426
47,794
15,224
4,271
8,867
1,123
4,991
3,214
4,477
15,256
2,451
848
3,798
1,684
42,848
16,133
5,403
31,724
34,516
19,523
8,634
3,143
140,888
5,337
1,608
1,618
634
49,017
12,150
9,350
3,710
95,569
38,504
19,115
25,846
20,282
12,005
11,083
25,673
17,816
ALOS
(Days)
3.72
9.06
5.35
3.10
2.12
11.34
4.90
10.59
1.84
6.97
3.56
1.00
5.01
2.23
1.00
4.03
1.00
22.99
4.21
14.75
7.37
4.44
19.66
4.24
1.00
5.14
1.39
23.46
5.56
1.00
14.80
4.64
1.00
5.20
1.47
1.00
17.06
7.98
4.70
1.00
20.18
9.62
6.45
11.80
9.27
4.97
7.60
3.56
4.17
1.99
3.14
1.54
13.68
Average Cost per DRG ($)
Total
Direct
Ohead
5,176
15,961
8,661
5,123
2,893
29,222
15,110
22,724
4,864
12,948
5,989
791
7,739
3,876
999
6,295
971
51,850
11,452
33,418
18,258
12,054
40,266
10,624
3,140
10,833
5,329
47,267
11,293
1,548
26,153
8,763
1,194
8,433
4,182
1,483
35,822
16,754
10,448
1,594
37,867
16,270
10,740
37,585
15,773
7,523
9,689
4,589
6,832
3,323
5,387
2,635
22,709
3,831
12,433
6,614
3,841
2,129
22,780
11,894
17,556
3,786
10,031
4,507
608
5,847
2,917
780
4,737
777
41,294
8,969
26,195
14,320
9,511
31,371
8,282
2,511
8,432
4,258
37,563
8,916
1,194
20,252
6,882
927
6,396
3,218
1,286
28,122
13,211
8,220
1,354
29,525
12,408
8,177
29,969
12,046
5,638
7,318
3,415
5,178
2,488
4,097
1,980
17,863
1,345
3,528
2,047
1,282
764
6,442
3,216
5,168
1,078
2,918
1,483
183
1,892
959
219
1,558
194
10,556
2,484
7,224
3,938
2,543
8,895
2,342
629
2,401
1,070
9,704
2,377
355
5,901
1,881
267
2,037
964
198
7,700
3,543
2,228
241
8,342
3,862
2,562
7,616
3,727
1,885
2,370
1,173
1,655
836
1,290
655
4,846
Average Component Cost per DRG ($)
Ward Medical
Direct
Ohead
1,033
2,144
1,341
855
563
2,395
1,235
2,455
437
1,360
802
95
970
494
94
831
72
4,265
861
3,058
1,728
1,079
3,419
928
154
1,125
656
4,025
1,002
59
2,456
815
60
1,007
318
85
5,064
2,310
1,478
145
4,063
2,200
1,414
2,246
1,736
939
1,471
736
814
430
735
362
2,825
223
245
206
150
92
374
141
235
47
245
117
14
122
61
11
118
9
827
107
371
165
151
758
142
17
130
24
880
168
8
617
160
10
178
36
13
505
269
180
10
479
313
181
256
200
128
209
93
125
63
103
50
424
Ward Nursing
Direct
Ohead
1,602
2,708
2,003
1,399
830
3,977
1,952
4,266
516
3,153
1,306
120
1,698
774
122
1,326
133
9,495
1,610
4,925
2,448
1,550
7,964
1,683
114
1,756
246
11,073
2,830
200
5,988
1,824
150
1,819
307
122
5,939
3,062
1,952
136
7,032
3,399
2,094
2,992
3,235
1,758
2,337
1,089
1,611
700
1,192
530
4,798
173
204
167
124
106
434
217
383
53
284
146
16
205
97
16
147
14
799
153
390
227
155
712
193
17
169
28
811
196
20
570
171
17
183
36
18
508
330
158
15
585
316
220
287
338
216
275
144
174
120
125
59
544
Non
Clinical
Salaries
400
765
521
357
247
1,040
604
1,282
217
926
456
77
562
273
70
454
68
2,720
543
1,665
900
568
2,362
543
84
591
202
3,050
781
109
1,827
586
98
640
157
75
2,656
1,205
785
112
2,136
1,007
670
1,091
1,042
562
802
364
499
238
392
171
1,507
Pathology
Ohead
Direct
56
495
200
141
44
1,398
635
1,036
343
696
289
83
391
190
66
313
91
3,012
849
1,132
547
381
2,649
825
498
497
141
3,259
616
268
1,537
460
196
250
68
19
2,024
846
582
78
1,306
411
230
1,713
616
236
265
91
292
118
216
79
845
5
56
18
15
4
127
63
117
36
91
35
13
39
19
9
41
11
331
94
121
54
37
338
86
52
54
14
373
81
47
180
55
30
28
6
2
227
85
65
7
134
40
23
183
63
21
23
9
32
12
24
8
90
DRG
P67D
P68A
P68B
P68C
P68D
Q01A
Q01B
Q02A
Q02B
Q60A
Q60B
Q60C
Q61A
Q61B
Q61C
Q62A
Q62B
R01A
R01B
R02A
R02B
R02C
R03A
R03B
R03C
R04A
R04B
R60A
R60B
R60C
R61A
R61B
R61C
R62A
R62B
R63Z
S65A
S65B
S65C
S65D
T01A
T01B
T01C
T40Z
T60A
T60B
T61A
T61B
T62A
T62B
T63A
T63B
T64A
NATIONAL HOSPITAL COST DATA COLLECTION
V7.0 Public Sector
ESTIMATED COST WEIGHTS FOR AR-DRG VERSION 7.0, Round 18 (2013-14)
Public Sector - Estimated National
Average Component Cost per DRG ($)
DRG
P67D
P68A
P68B
P68C
P68D
Q01A
Q01B
Q02A
Q02B
Q60A
Q60B
Q60C
Q61A
Q61B
Q61C
Q62A
Q62B
R01A
R01B
R02A
R02B
R02C
R03A
R03B
R03C
R04A
R04B
R60A
R60B
R60C
R61A
R61B
R61C
R62A
R62B
R63Z
S65A
S65B
S65C
S65D
T01A
T01B
T01C
T40Z
T60A
T60B
T61A
T61B
T62A
T62B
T63A
T63B
T64A
Imaging
Direct Ohea
d
9
2
278
58
84
18
31
7
10
2
537
99
136
21
771
137
147
33
247
47
117
23
8
2
173
29
56
10
7
2
125
22
12
3
1,870
307
428
80
662
109
173
35
96
16
1,555
280
443
83
184
39
459
88
155
24
1,018
186
137
26
15
3
780
141
242
45
37
7
340
62
875
172
17
2
820
157
347
75
239
48
17
6
1,085
186
330
55
206
34
936
179
396
68
199
36
259
46
85
16
203
36
71
13
93
18
34
7
615
106
Allied
Direct
Ohead
27
293
108
34
21
451
158
463
40
304
83
10
208
57
10
123
15
1,741
152
786
297
129
1,231
160
15
251
101
1,310
233
17
926
183
8
305
42
15
1,609
476
236
10
974
255
144
970
494
146
197
62
154
36
98
23
626
25
113
56
26
15
172
96
189
18
107
37
6
69
23
8
47
7
494
66
238
115
53
371
66
8
80
33
334
83
14
245
57
9
77
21
7
355
120
68
6
340
107
65
269
156
55
78
28
53
18
35
13
191
Pharmacy
Direct Ohead
38
175
72
39
22
1,287
240
1,117
60
1,565
370
87
403
173
180
337
220
5,606
356
640
221
162
5,429
754
43
224
38
8,912
2,218
322
3,636
1,998
230
621
163
875
4,246
2,450
1,290
597
2,293
569
301
1,017
713
270
379
126
339
62
249
39
2,569
4
19
7
4
2
65
20
85
6
87
22
4
30
13
8
21
14
262
27
36
15
10
241
29
5
15
4
340
108
15
174
101
10
36
12
35
178
103
61
14
141
43
24
53
53
24
29
12
26
6
15
4
116
Critical Care
Direct
Ohead
301
4,196
1,510
581
121
3,883
890
1,631
59
283
80
0
125
20
0
172
0
2,309
174
2,612
643
135
1,546
84
5
279
50
1,345
15
0
808
32
2
165
3
0
2,192
490
160
3,465
292
130
14,962
1,798
293
196
11
100
12
69
9
1,227
70
966
339
121
25
978
195
368
15
62
20
0
31
5
0
39
0
536
39
624
140
27
377
18
1
59
11
276
3
0
185
7
0
39
1
0
458
115
36
795
73
30
3,360
419
75
53
3
26
3
16
2
272
Oper Room
Direct
Ohead
10
108
37
23
14
4,618
4,356
2,124
1,458
86
55
33
133
134
112
83
26
4,929
2,769
7,590
5,775
4,418
1,794
1,817
1,181
2,163
2,079
598
313
122
193
80
60
276
346
11
386
231
226
151
3,160
2,266
1,871
334
115
53
152
119
29
10
68
5
164
2
20
5
4
3
928
900
421
307
17
10
8
30
31
27
17
8
935
546
1,528
1,131
868
347
389
258
429
462
105
56
32
37
18
19
59
77
3
85
52
42
23
636
485
400
61
25
11
31
27
6
3
14
1
34
Direct
ED
Ohead
12
91
146
85
107
773
346
536
102
729
670
28
713
523
30
656
88
570
173
171
49
12
589
206
6
184
11
484
163
22
502
229
10
314
53
0
819
745
646
46
750
476
376
797
968
766
605
470
766
649
718
623
929
3
24
38
22
29
182
87
147
27
189
180
5
188
145
7
180
22
133
48
35
11
4
149
57
1
52
2
112
42
4
127
64
2
81
14
0
188
177
150
8
187
127
103
177
234
203
154
131
195
169
192
170
226
Ward Supplies
Direct
Ohead
230
389
266
165
98
716
309
618
96
392
178
58
229
103
32
180
33
1,720
263
865
403
284
1,139
219
33
269
104
1,529
428
47
859
247
63
290
82
49
1,041
444
272
34
1,422
606
341
465
435
254
393
170
208
94
151
63
809
294
542
381
267
161
771
364
844
132
541
281
34
344
165
34
284
28
1,560
358
953
524
311
1,535
351
41
360
96
1,721
473
61
1,035
357
45
396
84
35
1,414
659
451
44
1,375
690
441
576
620
334
467
226
296
134
229
104
880
Spec Proc Suites
Direct
Ohead
0
0
0
0
5
3
131
43
17
3
3
58
47
27
5
2
55
18
84
22
15
73
12
6
62
103
29
6
1
31
13
2
106
519
1
28
29
22
11
101
21
7
40
22
9
19
13
12
4
2
0
45
0
0
0
0
1
1
21
14
4
1
1
14
12
9
1
0
12
5
20
4
3
12
3
2
19
32
5
2
0
11
2
1
16
232
0
6
9
4
3
17
3
1
8
5
2
4
2
3
1
0
0
9
Prostheses
0
6
2
0
0
428
375
377
43
6
6
2
8
5
4
9
2
1,229
318
419
289
151
423
235
23
111
97
55
24
1
28
10
1
21
9
1
40
10
8
2
298
137
93
39
13
7
13
10
5
3
1
0
27
OnCosts
380
1,310
680
385
209
1,964
916
1,517
323
819
372
50
508
228
65
412
51
3,219
751
2,379
1,249
766
2,602
678
187
762
407
2,760
674
84
1,709
520
72
585
306
63
2,461
1,141
690
70
2,626
1,035
685
2,812
1,094
461
654
277
433
185
339
147
1,689
Hotel
137
321
220
145
87
894
404
791
133
405
178
17
275
120
22
198
21
1,633
310
1,195
628
353
1,361
304
62
347
95
1,578
337
34
897
268
24
288
80
17
1,576
612
355
29
1,309
579
361
905
540
272
357
153
228
89
165
69
675
Deprec
139
435
235
142
81
724
445
660
157
288
152
19
185
98
26
154
21
1,282
354
809
464
320
1,008
319
105
298
115
1,100
278
42
653
217
30
251
164
17
838
361
244
21
969
436
295
857
379
194
223
119
167
80
126
61
467
No. of
Hosps
135
101
138
162
202
56
55
112
162
197
229
219
240
264
277
203
157
75
76
71
78
119
95
103
137
104
123
76
122
117
134
208
197
160
157
134
53
51
70
42
134
146
152
81
220
281
206
274
235
267
204
274
147
DRG
P67D
P68A
P68B
P68C
P68D
Q01A
Q01B
Q02A
Q02B
Q60A
Q60B
Q60C
Q61A
Q61B
Q61C
Q62A
Q62B
R01A
R01B
R02A
R02B
R02C
R03A
R03B
R03C
R04A
R04B
R60A
R60B
R60C
R61A
R61B
R61C
R62A
R62B
R63Z
S65A
S65B
S65C
S65D
T01A
T01B
T01C
T40Z
T60A
T60B
T61A
T61B
T62A
T62B
T63A
T63B
T64A
NATIONAL HOSPITAL COST DATA COLLECTION
( National
)
ESTIMATED COST WEIGHTS FOR AR-DRG VERSION 7.0, Round 18 (2013-14)
Public Sector - Estimated National
DRG Description
DRG
T64B
T64C
U40Z
U60Z
U61A
U61B
U62A
U62B
U63A
U63B
U64Z
U65Z
U66Z
U67Z
U68Z
V60A
V60B
V61Z
V62Z
V63Z
V64Z
V65Z
V66Z
W01A
W01B
W01C
Other Infectious and Parasitic Diseases W Severe or Moderate CC
Other Infectious and Parasitic Diseases W/O CC
Mental Health Treatment W ECT, Sameday
Mental Health Treatment W/O ECT, Sameday
Schizophrenia Disorders, Involuntary Admission
Schizophrenia Disorders
Paranoia & Acute Psyc Disorders, Involuntary Admission W Cat or Sev CC
Paranoia & Acute Psyc Disorders W/O Cat or Sev CC
Major Affective Disorders Age >=70 or W Catastrophic or Severe CC
Major Affective Disorders Age <70 W/O Catastrophic or Severe CC
Other Affective and Somatoform Disorders
Anxiety Disorders
Eating and Obsessive-Compulsive Disorders
Personality Disorders and Acute Reactions
Childhood Mental Disorders
Alcohol Intoxication and Withdrawal W CC
Alcohol Intoxication and Withdrawal W/O CC
Drug Intoxication and Withdrawal
Alcohol Use and Dependence
Opioid Use and Dependence
Other Drug Use and Dependence
Treatment for Alcohol Disorders, Sameday
Treatment for Drug Disorders, Sameday
Tracheostomy for Multiple Significant Trauma
Vent & Cran Procs for Mult Sig Trauma, W/O Trach W (Vent >=96hrs or Cat CC)
Vent & Cran Procs for Mult Sig Trauma, W/O Trach W/O Vent >=96hrs W/O Cat CC
Cost
Weight
1.72
0.97
0.16
0.17
5.16
3.32
4.03
2.38
5.52
3.52
1.91
1.54
5.69
1.59
3.26
1.20
0.65
1.85
1.52
1.09
1.10
0.23
0.20
42.89
19.84
10.31
Standard
Error
0.03
0.03
0.01
0.01
0.01
0.01
0.02
0.02
0.02
0.01
0.02
0.02
0.02
0.01
0.05
0.02
0.01
0.01
0.02
0.03
0.02
0.01
0.02
0.04
0.02
0.04
Number
of Seps
1,436
1,898
13,296
19,932
15,521
10,975
3,098
2,730
3,782
17,502
9,169
5,857
2,761
22,610
783
3,276
6,438
7,320
5,311
926
2,563
7,749
1,845
254
657
197
Number
of Days
9,124
6,686
13,296
19,932
369,788
161,415
52,127
25,756
95,213
248,062
65,992
29,325
53,324
122,996
6,816
13,412
14,263
50,258
31,790
5,226
13,414
7,749
1,845
12,770
16,801
2,716
ALOS
(Days)
6.35
3.52
1.00
1.00
23.83
14.71
16.83
9.43
25.18
14.17
7.20
5.01
19.31
5.44
8.70
4.09
2.22
6.87
5.99
5.64
5.23
1.00
1.00
50.19
25.57
13.78
Average Cost per DRG ($)
Total
Direct
Ohead
8,753
4,956
799
892
26,300
16,912
20,538
12,152
28,127
17,966
9,741
7,856
29,038
8,128
16,626
6,141
3,336
9,455
7,756
5,575
5,618
1,163
1,037
218,757
101,166
52,574
6,666
3,766
579
569
19,189
12,327
15,173
8,836
20,671
13,130
7,052
5,831
21,661
5,892
12,585
4,532
2,388
7,007
5,533
3,890
3,994
894
795
174,409
81,139
42,638
2,087
1,190
220
323
7,111
4,585
5,366
3,316
7,456
4,836
2,689
2,026
7,377
2,237
4,042
1,609
947
2,448
2,223
1,685
1,624
269
242
44,348
20,027
9,935
Average Component Cost per DRG ($)
Ward Medical
Direct
Ohead
1,277
715
88
70
3,420
2,327
2,453
1,624
3,341
2,370
1,251
1,054
4,291
1,017
2,132
745
392
1,150
873
702
730
92
73
9,082
5,285
2,982
178
98
13
25
1,488
530
888
329
1,279
738
273
204
1,161
281
532
220
113
402
180
130
153
33
25
1,377
716
362
Ward Nursing
Direct
Ohead
1,959
1,103
96
80
8,489
5,281
7,053
3,811
9,454
5,983
3,147
2,344
9,990
2,618
6,618
1,489
691
2,927
2,575
1,580
1,626
119
104
10,865
6,333
3,891
231
181
14
16
551
326
417
292
578
394
241
206
593
181
388
140
83
192
203
113
120
17
13
1,039
536
304
Non
Clinical
Salaries
674
363
74
151
2,799
1,869
2,175
1,228
2,618
1,862
1,000
731
2,695
799
1,619
484
277
979
822
726
673
51
61
3,882
2,496
1,266
Pathology
Ohead
Direct
306
153
1
9
264
151
194
100
310
140
82
85
345
82
85
172
48
123
136
154
98
14
14
5,327
2,673
965
35
14
1
1
81
27
55
12
32
21
11
10
48
26
10
13
4
13
13
15
7
1
1
655
311
149
DRG
T64B
T64C
U40Z
U60Z
U61A
U61B
U62A
U62B
U63A
U63B
U64Z
U65Z
U66Z
U67Z
U68Z
V60A
V60B
V61Z
V62Z
V63Z
V64Z
V65Z
V66Z
W01A
W01B
W01C
NATIONAL HOSPITAL COST DATA COLLECTION
V7.0 Public Sector
ESTIMATED COST WEIGHTS FOR AR-DRG VERSION 7.0, Round 18 (2013-14)
Public Sector - Estimated National
Average Component Cost per DRG ($)
DRG
T64B
T64C
U40Z
U60Z
U61A
U61B
U62A
U62B
U63A
U63B
U64Z
U65Z
U66Z
U67Z
U68Z
V60A
V60B
V61Z
V62Z
V63Z
V64Z
V65Z
V66Z
W01A
W01B
W01C
Imaging
Direct Ohea
d
257
46
105
20
1
0
14
3
57
9
46
8
109
16
76
15
195
31
52
9
46
10
99
20
82
17
27
5
43
10
86
17
29
6
47
9
43
8
14
3
18
4
13
3
9
2
4,988
957
2,849
573
1,684
313
Allied
Direct
Ohead
171
57
9
31
664
430
682
358
1,064
498
307
327
1,715
247
692
195
79
222
318
214
184
21
19
7,684
3,483
1,702
57
26
6
5
165
114
159
101
284
127
79
78
448
68
196
56
27
56
80
54
49
7
6
2,094
954
486
Pharmacy
Direct Ohead
577
309
5
9
568
363
324
161
493
254
113
105
361
95
125
103
39
134
107
87
73
7
11
3,070
1,457
477
40
24
1
1
60
41
35
21
72
36
19
14
50
14
17
11
4
17
13
11
8
1
2
181
100
44
Critical Care
Direct
Ohead
135
64
0
1
594
333
445
173
313
280
41
89
149
92
101
202
35
276
33
35
71
6
5
92,563
32,154
14,059
35
17
0
0
194
116
151
51
81
82
11
20
34
25
18
47
8
78
9
10
20
1
1
20,088
6,858
2,677
Oper Room
Direct
Ohead
58
65
224
13
86
46
32
9
486
138
50
19
40
19
49
17
3
15
11
18
5
1
2
13,243
10,887
6,991
12
15
53
3
20
11
7
2
108
33
12
4
12
5
11
5
0
3
3
4
1
0
1
2,414
1,976
1,203
Direct
ED
Ohead
622
500
1
237
379
536
472
707
385
459
481
572
337
466
337
716
629
565
341
182
267
506
456
1,841
1,834
2,231
163
128
0
61
110
169
130
215
112
145
145
160
95
142
96
199
183
165
98
48
76
134
116
411
438
478
Ward Supplies
Direct
Ohead
332
178
39
20
923
559
663
390
988
600
338
239
865
246
462
152
95
288
263
247
232
21
17
2,098
1,259
539
416
207
39
45
1,333
1,074
1,051
708
1,520
1,025
577
398
1,543
454
831
288
156
458
499
377
356
17
17
2,428
1,496
813
Spec Proc Suites
Direct
Ohead
49
24
28
1
10
4
5
1
98
17
6
4
3
4
3
2
1
3
2
1
1
0
0
63
56
7
12
6
6
0
2
1
1
0
22
3
1
1
1
1
1
1
0
1
0
0
0
0
0
18
18
4
Prostheses
20
11
3
1
4
1
1
3
17
3
2
1
22
2
14
7
2
1
1
0
0
0
0
4,597
4,123
2,681
OnCosts
618
302
59
55
2,191
1,408
1,655
959
2,242
1,455
789
568
2,307
633
1,184
435
237
731
541
425
446
55
45
15,318
6,699
3,503
Hotel
270
144
18
20
1,094
680
836
477
1,270
728
395
284
1,039
327
570
184
97
353
328
233
228
22
19
5,878
2,703
1,426
Deprec
205
127
22
21
744
459
529
327
731
513
314
221
796
253
483
156
97
248
257
192
174
19
17
6,595
2,897
1,335
No. of
Hosps
173
216
74
263
110
219
124
208
185
232
274
273
150
262
108
205
254
221
227
111
164
237
172
34
60
36
DRG
T64B
T64C
U40Z
U60Z
U61A
U61B
U62A
U62B
U63A
U63B
U64Z
U65Z
U66Z
U67Z
U68Z
V60A
V60B
V61Z
V62Z
V63Z
V64Z
V65Z
V66Z
W01A
W01B
W01C
NATIONAL HOSPITAL COST DATA COLLECTION
( National
)
ESTIMATED COST WEIGHTS FOR AR-DRG VERSION 7.0, Round 18 (2013-14)
Public Sector - Estimated National
DRG Description
DRG
W02A
W02B
W03Z
W04A
W04B
W60Z
W61A
W61B
X02A
X02B
X04A
X04B
X05A
X05B
X06A
X06B
X07A
X07B
X40Z
X60A
X60B
X61Z
X62A
X62B
X63A
X63B
X64A
X64B
Y01Z
Y02A
Y02B
Y02C
Y03Z
Y60Z
Y61Z
Y62A
Y62B
Y62C
Z01A
Z01B
Z40Z
Z60Z
Z61A
Z61B
Z63A
Z63B
Z64A
Z64B
Z65Z
Z66Z
801A
801B
801C
Hip, Femur & Lower Limb Procs for Mult Significant Trauma W Cat or Sev CC
Hip, Femur & Lower Limb Procs for Mult Significant Trauma W/O Cat or Sev CC
Abdominal Procedures for Multiple Significant Trauma
Multiple Significant Trauma W Other OR Procs W Catastrophic or Severe CC
Multiple Significant Trauma W Other OR Procs W/O Catastrophic or Severe CC
Multiple Trauma, Died or Transferred to Acute Facility <5 Days
Multiple Trauma W/O OR Procedures W Catastrophic or Severe CC
Multiple Trauma W/O OR Procedures W/O Catastrophic or Severe CC
Microvascular Tiss Transfer or (Skin Graft W Cat/Sev CC) for Injuries to Hand
Skin Graft for Injuries to Hand W/O Catastrophic or Severe CC
Other Procedures for Injuries to Lower Limb W Catastrophic or Severe CC
Other Procedures for Injuries to Lower Limb W/O Catastrophic or Severe CC
Other Procedures for Injuries to Hand W CC
Other Procedures for Injuries to Hand W/O CC
Other Procedures for Other Injuries W Catastrophic or Severe CC
Other Procedures for Other Injuries W/O Catastrophic or Severe CC
Skin Graft for Injuries Excl Hand W Microvascular Tiss Trans or W Cat/Sev CC
Skin Graft for Injuries Excl Hand W/O Microvascular Tiss Trans W/O Cat/Sev CC
Injuries, Poisoning and Toxic Effects of Drugs W Ventilator Support
Injuries W Catastrophic or Severe CC
Injuries W/O Catastrophic or Severe CC
Allergic Reactions
Poisoning/Toxic Effects of Drugs and Other Substances W Cat or Sev CC
Poisoning/Toxic Effects of Drugs and Other Substances W/O Cat or Sev CC
Sequelae of Treatment W Catastrophic or Severe CC
Sequelae of Treatment W/O Catastrophic or Severe CC
Other Injuries, Poisonings and Toxic Effects W Catastrophic or Severe CC
Other Injuries, Poisonings and Toxic Effects W/O Catastrophic or Severe CC
Vent >=96hrs or Trach for Burns or OR Procs for Severe Full Thickness Burns
Skin Grafts for Other Burns W Catastrophic or Severe CC
Skin Grafts for Other Burns W/O Catastrophic or Severe CC, Emergency
Skin Grafts for Other Burns W/O Catastrophic or Severe CC, Non Emergency
Other OR Procedures for Other Burns
Burns, Transferred to Acute Facility <5 Days
Severe Burns
Other Burns W CC
Other Burns W/O CC
Other Burns, Sameday
Other Contacts W Health Services W OR Procedures
Other Contacts W Health Services W OR Procedures, Sameday
Other Contacts W Health Services W Endoscopy, Sameday
Rehabilitation
Signs and Symptoms
Signs and Symptoms, Sameday
Other Follow Up After Surgery or Medical Care W Catastrophic CC
Other Follow Up After Surgery or Medical Care W/O Catastrophic CC
Other Factors Influencing Health Status
Other Factors Influencing Health Status, Sameday
Congenital Anomalies and Problems Arising from Neonatal Period
Sleep Disorders
OR Procedures Unrelated to Principal Diagnosis W Catastrophic CC
OR Procedures Unrelated to Principal Diagnosis W Severe or Moderate CC
OR Procedures Unrelated to Principal Diagnosis W/O CC
Cost
Weight
8.51
6.11
6.04
9.85
5.43
1.99
4.15
2.21
2.34
0.84
3.10
1.05
1.59
0.73
2.89
1.06
4.65
1.92
4.52
1.34
0.45
0.36
1.70
0.61
1.50
0.61
1.55
0.44
39.40
6.91
2.83
1.30
1.58
0.59
1.41
1.69
0.80
0.22
1.75
0.46
0.25
1.68
1.11
0.23
2.52
1.03
1.00
0.25
1.17
0.56
7.53
3.05
1.48
Standard
Error
0.04
0.04
0.04
0.04
0.04
0.05
0.03
0.03
0.04
0.02
0.04
0.02
0.03
0.01
0.02
0.01
0.03
0.03
0.02
0.01
0.01
0.02
0.01
0.01
0.02
0.01
0.03
0.03
0.09
0.04
0.03
0.04
0.04
0.10
0.18
0.05
0.04
0.02
0.04
0.01
0.00
0.08
0.01
0.01
0.03
0.02
0.02
0.01
0.29
0.08
0.02
0.03
0.05
Number
of Seps
578
267
276
347
263
621
746
929
1,008
1,417
674
2,688
1,259
7,057
4,214
9,801
1,069
863
977
8,301
44,117
7,649
7,227
28,958
4,030
13,829
1,354
5,436
121
647
886
1,116
1,169
523
422
530
1,444
1,152
1,537
3,195
41,039
494
8,158
7,474
1,824
6,669
9,923
40,886
282
1,824
2,123
886
1,773
Number
of Days
9,622
2,865
3,101
6,194
2,384
1,127
8,279
5,349
3,814
2,185
5,699
5,353
4,781
9,369
32,092
20,709
14,682
4,796
6,790
40,937
65,134
9,074
34,044
55,391
20,567
29,569
7,075
7,833
4,997
9,372
4,975
2,902
4,131
635
1,467
2,672
3,095
1,152
5,984
3,195
41,039
4,077
32,379
7,474
19,606
32,406
38,205
40,886
816
5,979
40,110
6,165
4,479
ALOS
(Days)
16.65
10.74
11.25
17.85
9.05
1.81
11.09
5.76
3.78
1.54
8.46
1.99
3.80
1.33
7.61
2.11
13.74
5.56
6.95
4.93
1.48
1.19
4.71
1.91
5.10
2.14
5.22
1.44
41.17
14.48
5.62
2.60
3.53
1.21
3.47
5.05
2.14
1.00
3.89
1.00
1.00
8.25
3.97
1.00
10.75
4.86
3.85
1.00
2.89
3.28
18.89
6.96
2.53
Average Cost per DRG ($)
Total
Direct
Ohead
43,414
31,140
30,793
50,241
27,677
10,154
21,156
11,280
11,956
4,282
15,814
5,377
8,087
3,732
14,724
5,393
23,715
9,817
23,049
6,823
2,312
1,814
8,652
3,121
7,658
3,095
7,928
2,247
200,933
35,230
14,447
6,638
8,065
3,023
7,194
8,601
4,067
1,124
8,936
2,361
1,258
8,588
5,636
1,187
12,848
5,231
5,098
1,284
5,975
2,850
38,380
15,554
7,543
34,210
24,318
24,352
39,853
21,923
8,184
16,067
8,402
9,442
3,299
12,008
4,096
6,123
2,848
11,330
4,148
18,209
7,457
18,202
4,994
1,728
1,379
6,621
2,322
5,784
2,314
5,808
1,677
160,274
27,440
10,912
5,169
6,098
2,304
5,176
6,536
3,108
858
6,779
1,825
952
6,265
4,183
930
9,190
3,694
3,792
993
4,477
2,305
29,700
12,076
5,905
9,203
6,821
6,440
10,388
5,754
1,970
5,089
2,878
2,514
983
3,805
1,280
1,964
883
3,394
1,245
5,506
2,360
4,847
1,828
585
435
2,031
798
1,874
781
2,120
569
40,659
7,790
3,535
1,468
1,968
719
2,018
2,064
959
266
2,157
536
306
2,323
1,453
257
3,657
1,537
1,306
291
1,498
545
8,680
3,478
1,638
Average Component Cost per DRG ($)
Ward Medical
Direct
Ohead
3,408
2,408
2,673
3,541
2,182
398
2,023
1,171
1,112
384
1,738
475
863
303
1,613
544
2,982
1,334
1,347
868
224
164
912
332
1,042
438
879
211
8,520
2,844
865
526
735
188
633
1,012
475
73
955
157
162
959
741
108
1,838
839
663
147
967
167
3,890
1,562
667
514
361
270
818
310
45
263
185
93
30
335
60
131
34
179
65
356
165
207
94
34
23
206
90
141
49
95
45
1,292
374
46
150
92
26
103
142
75
13
102
18
12
94
81
16
232
93
110
16
91
9
450
225
92
Ward Nursing
Direct
Ohead
5,881
3,732
3,897
6,536
3,355
390
4,080
2,123
1,369
407
2,943
697
1,286
330
2,585
684
4,750
1,962
1,404
1,522
306
207
1,494
544
1,677
600
1,665
371
17,213
8,070
3,536
1,220
1,452
290
1,742
2,200
908
97
1,418
96
57
2,566
1,259
104
3,372
1,225
1,339
100
1,376
1,115
7,358
2,623
872
422
312
416
498
283
47
399
256
101
37
256
64
109
34
255
74
364
175
180
190
47
32
146
57
193
71
177
50
889
377
194
64
94
63
603
178
73
17
166
15
9
494
148
15
702
263
187
14
139
28
643
240
143
Non
Clinical
Salaries
1,862
1,200
1,200
2,200
1,044
960
1,294
627
537
184
1,015
253
485
160
848
258
1,544
630
616
518
143
96
512
218
567
221
547
158
4,488
1,854
680
320
495
788
532
636
311
55
559
79
59
1,029
468
80
1,200
520
465
77
827
341
2,167
834
362
Pathology
Ohead
Direct
816
386
730
864
354
456
519
182
100
11
320
32
113
12
356
55
419
84
724
153
25
31
231
53
237
61
202
32
5,775
700
155
95
92
33
103
165
49
11
204
72
27
80
171
96
278
88
73
34
116
7
1,241
398
134
88
48
69
119
37
25
60
19
12
1
38
4
12
2
35
5
45
10
66
15
2
3
23
5
23
6
23
4
620
82
23
10
15
3
16
20
4
1
21
6
2
14
23
6
26
8
9
4
19
1
135
39
12
DRG
W02A
W02B
W03Z
W04A
W04B
W60Z
W61A
W61B
X02A
X02B
X04A
X04B
X05A
X05B
X06A
X06B
X07A
X07B
X40Z
X60A
X60B
X61Z
X62A
X62B
X63A
X63B
X64A
X64B
Y01Z
Y02A
Y02B
Y02C
Y03Z
Y60Z
Y61Z
Y62A
Y62B
Y62C
Z01A
Z01B
Z40Z
Z60Z
Z61A
Z61B
Z63A
Z63B
Z64A
Z64B
Z65Z
Z66Z
801A
801B
801C
NATIONAL HOSPITAL COST DATA COLLECTION
V7.0 Public Sector
ESTIMATED COST WEIGHTS FOR AR-DRG VERSION 7.0, Round 18 (2013-14)
Public Sector - Estimated National
Average Component Cost per DRG ($)
DRG
W02A
W02B
W03Z
W04A
W04B
W60Z
W61A
W61B
X02A
X02B
X04A
X04B
X05A
X05B
X06A
X06B
X07A
X07B
X40Z
X60A
X60B
X61Z
X62A
X62B
X63A
X63B
X64A
X64B
Y01Z
Y02A
Y02B
Y02C
Y03Z
Y60Z
Y61Z
Y62A
Y62B
Y62C
Z01A
Z01B
Z40Z
Z60Z
Z61A
Z61B
Z63A
Z63B
Z64A
Z64B
Z65Z
Z66Z
801A
801B
801C
Imaging
Direct Ohea
d
970
216
840
201
882
200
1,274
284
816
189
453
113
709
150
457
107
47
10
10
2
234
47
38
8
49
9
13
3
276
49
47
10
218
43
32
6
349
65
166
33
70
15
13
2
109
20
16
3
203
37
62
11
152
27
52
11
1,785
382
210
55
17
5
7
1
20
4
24
7
52
7
64
12
11
3
4
1
161
29
54
9
7
1
74
19
157
27
65
10
180
31
83
15
69
14
79
14
204
34
7
1
1,331
239
473
91
185
33
Allied
Direct
Ohead
1,474
926
986
1,829
890
208
987
476
133
24
307
71
102
21
255
49
630
187
637
301
49
22
203
61
185
41
378
53
13,039
1,811
617
352
253
33
287
441
283
27
141
11
3
662
221
11
514
149
167
29
244
88
1,350
364
115
565
373
305
574
305
63
270
142
64
16
122
31
44
14
104
26
219
81
140
92
17
8
58
17
66
19
117
16
3,131
489
187
88
76
12
87
89
45
8
66
9
4
174
63
5
187
52
45
6
72
6
425
114
42
Pharmacy
Direct Ohead
663
334
583
697
246
58
348
153
122
32
345
53
132
28
385
62
539
139
166
133
21
52
150
30
285
64
137
18
3,801
697
240
94
103
22
105
170
46
5
163
30
22
277
126
27
413
128
116
91
131
13
1,358
317
104
48
34
48
45
21
4
35
16
10
4
27
6
13
3
29
6
35
14
17
15
2
4
15
4
23
6
15
2
285
52
16
11
8
3
9
15
5
1
16
3
1
23
12
1
49
17
10
5
7
2
82
28
11
Critical Care
Direct
Ohead
3,448
1,668
3,511
5,645
2,279
1,502
3,117
1,073
63
1
337
16
86
5
823
47
267
17
10,086
86
8
154
1,503
210
226
31
530
62
56,137
1,495
189
120
100
187
210
357
79
14
154
1
0
19
75
1
378
88
24
5
28
0
3,685
888
283
747
386
731
1,158
498
332
643
250
16
0
82
3
19
1
180
11
64
4
2,255
22
2
38
325
47
54
7
120
14
13,042
264
44
26
32
41
53
78
18
3
38
0
0
5
18
0
103
25
6
1
6
0
860
209
58
Oper Room
Direct
Ohead
7,503
6,647
5,568
7,698
5,009
1,426
169
88
4,615
1,678
2,738
1,604
2,012
1,437
2,444
1,599
4,452
2,091
202
66
135
9
41
12
243
151
16
8
22,996
4,726
1,814
1,791
1,890
121
299
213
88
171
2,107
1,084
452
22
30
172
83
73
224
232
178
2
2,643
2,308
2,082
1,481
1,415
987
1,511
968
289
36
24
905
360
577
346
435
318
504
341
909
430
36
15
30
2
10
2
52
34
4
2
4,112
937
463
364
403
31
57
30
19
47
464
262
115
4
6
43
22
17
50
53
36
1
533
504
454
Direct
ED
Ohead
1,555
1,568
1,418
1,774
1,704
1,287
1,470
1,387
383
295
677
509
489
310
553
404
493
313
919
865
639
545
923
688
557
440
980
565
738
452
326
32
237
532
456
486
466
338
44
2
1
49
612
172
82
52
250
29
144
42
929
610
204
383
385
315
410
436
308
365
347
91
76
192
148
137
89
146
109
121
83
205
236
171
148
236
192
147
124
256
154
171
117
116
7
72
152
130
138
131
90
12
1
0
13
162
43
26
16
75
8
41
13
230
150
53
Ward Supplies
Direct
Ohead
1,051
558
622
1,159
493
126
555
269
217
65
523
94
206
52
440
112
821
332
234
192
51
34
187
75
277
100
164
48
12,208
3,128
1,889
310
411
112
498
524
232
29
211
27
24
396
176
34
504
226
186
32
174
123
1,191
418
155
1,238
828
798
1,346
696
117
819
426
307
105
651
158
299
89
551
158
975
405
347
334
76
47
287
115
358
142
367
78
3,369
1,395
749
194
360
81
304
422
173
22
351
40
29
493
283
32
732
333
263
41
385
190
1,411
528
190
Spec Proc Suites
Direct
Ohead
37
10
14
40
7
7
6
1
18
7
7
4
12
6
29
10
27
15
13
4
2
3
9
4
57
34
11
54
28
15
0
4
4
0
1
9
0
0
41
35
74
1
12
17
9
76
33
59
6
297
248
123
23
13
2
3
15
3
3
2
0
2
1
1
1
1
1
5
2
5
3
2
1
0
1
2
1
14
8
2
11
8
3
0
1
1
0
0
3
0
0
9
4
22
0
3
3
1
17
9
17
2
49
49
23
4
Prostheses
3,772
2,744
753
4,210
2,265
557
52
38
148
15
347
76
30
23
173
64
180
42
10
3
3
0
3
0
25
10
2
0
3,053
169
34
70
50
2
9
10
4
2
365
65
11
3
5
6
41
78
33
34
5
0
917
543
395
OnCosts
2,700
1,873
1,981
3,172
1,666
503
1,417
693
865
294
1,022
312
531
227
1,030
343
1,696
628
1,748
449
121
95
603
189
524
193
535
117
12,327
2,324
1,015
399
565
121
443
573
250
50
610
145
75
727
413
66
873
368
394
81
436
210
2,641
1,033
453
Hotel
1,448
1,055
1,020
1,564
862
204
804
461
321
120
513
153
242
99
493
158
961
348
512
264
58
43
241
75
265
96
290
55
6,145
1,630
762
182
241
56
213
296
131
21
261
53
32
265
204
23
585
205
153
27
121
94
1,379
496
199
Deprec
1,113
845
815
1,260
760
275
565
309
294
122
419
163
239
117
381
152
602
286
558
186
61
37
205
81
180
76
235
57
5,377
958
464
202
261
96
241
317
187
27
268
81
57
123
139
30
386
175
131
48
186
45
995
414
218
No. of
Hosps
81
66
63
51
49
146
117
130
65
104
114
156
108
146
174
199
93
112
91
258
301
252
226
279
212
263
174
275
14
42
32
44
107
171
114
141
187
153
162
184
216
45
262
207
210
272
291
274
71
110
135
133
178
DRG
W02A
W02B
W03Z
W04A
W04B
W60Z
W61A
W61B
X02A
X02B
X04A
X04B
X05A
X05B
X06A
X06B
X07A
X07B
X40Z
X60A
X60B
X61Z
X62A
X62B
X63A
X63B
X64A
X64B
Y01Z
Y02A
Y02B
Y02C
Y03Z
Y60Z
Y61Z
Y62A
Y62B
Y62C
Z01A
Z01B
Z40Z
Z60Z
Z61A
Z61B
Z63A
Z63B
Z64A
Z64B
Z65Z
Z66Z
801A
801B
801C
NATIONAL HOSPITAL COST DATA COLLECTION
( National
)
ESTIMATED COST WEIGHTS FOR AR-DRG VERSION 7.0, Round 18 (2013-14)
Public Sector - Estimated National
DRG Description
DRG
960Z
961Z
963Z
Total
Ungroupable
Unacceptable Principal Diagnosis
Neonatal Diagnosis Not Consistent W Age/Weight
Cost
Weight
Standard
Error
Number
of Seps
Number
of Days
ALOS
(Days)
Average Cost per DRG ($)
Total
Direct
Ohead
Average Component Cost per DRG ($)
1.23
0.28
0.90
0.08
.
0.63
786
**
**
3,511
**
**
4.47
1.00
4.48
6,262
1,423
4,575
4,377
1,069
3,189
1,885
354
1,386
961
95
590
40
6
114
1,025
62
1,784
99
6
123
Non
Clinical
Salaries
556
36
304
1.00
0.00
5,415,842
15,048,763
2.78
5,100
3,903
1,197
535
87
898
96
310
Ward Medical
Direct
Ohead
Ward Nursing
Direct
Ohead
Pathology
Ohead
Direct
DRG
124
10
13 960Z
0 961Z
3 963Z
122
13 Total
NATIONAL HOSPITAL COST DATA COLLECTION
V7.0 Public Sector
ESTIMATED COST WEIGHTS FOR AR-DRG VERSION 7.0, Round 18 (2013-14)
Public Sector - Estimated National
Average Component Cost per DRG ($)
DRG
960Z
961Z
963Z
Total
Imaging
Direct Ohea
d
122
26
0
33
8
97
18
Allied
Direct
Ohead
Pharmacy
Direct Ohead
Critical Care
Direct
Ohead
Oper Room
Direct
Ohead
Direct
ED
Ohead
Ward Supplies
Direct
Ohead
Spec Proc Suites
Direct
Ohead
Prostheses
OnCosts
Hotel
Deprec
No. of
Hosps
DRG
166
6
98
101
0
32
139
78
18
0
2
263
-
77
-
483
796
-
149
209
-
284
0
10
94
0
4
150
2
211
388
49
387
25
-
4
-
99
0
392
89
387
239
5
160
227
60
236
55 960Z
** 961Z
** 963Z
114
41
162
11
307
72
557
122
299
80
155
190
40
8
146
332
154
136
349 Total
Appendix 5. NHCDC Round 17 and 18 admitted acute summary, actual, by jurisdiction
NSW
Round 17
Round 18
Number of hospitals
Separations
Total Expenditure ($ Million)
Average length of stay (days)
Average cost per day ($)
Average cost per separation ($)
Average cost per weighted
separation incl dep($)
Average cost per weighted
separation excl dep($)
Number of hospitals
Separations
Total Expenditure ($ Million)
Average length of stay (days)
Average cost per day ($)
Average cost per separation ($)
Average cost per weighted
separation
inclper
dep($)
Average
cost
weighted
separation excl dep($)
Round 17
Vic
Round 18
Qld
Round 17 Round 18
SA
Round 17 Round 18
Jurisdiction
WA
Round 18
Round 17
Tas
Round 17 Round 18
Round 17
NT
Round 18
ACT
Round 17 Round 18
National
Round 17
Round 18
75
1,365,084
7,215
3.23
1,637
5,286
89
1,482,917
7,779
3.10
1,694
5,246
63
1,258,612
5,246
2.57
1,620
4,168
63
1,321,664
5,531
2.47
1,694
4,185
140
989,758
4,769
2.47
1,951
4,818
138
1,040,374
4,929
2.40
1,974
4,738
16
338,929
1,958
3.15
1,837
5,778
16
339,867
2,077
3.13
1,955
6,111
34
491,104
2,595
2.56
2,063
5,285
35
491,817
2,770
2.55
2,209
5,633
22
103,345
547
2.89
1,834
5,295
4
106,101
551
2.65
1,959
5,197
5
116,915
445
2.31
1,650
3,809
5
122,377
548
2.26
1,983
4,481
2
89,591
582
2.88
2,257
6,494
2
93,291
636
2.88
2,363
6,814
357
4,753,338
23,358
2.79
1,764
4,914
352
4,998,408
24,822
2.70
1,839
4,966
4,983
4,964
4,251
4,268
4,871
4,858
5,335
5,596
5,695
5,879
5,226
5,106
5,972
7,054
6,442
6,872
4,914
4,966
4814
4788
4211
4228
4800
4783
5114
5402
5413
5624
5107
4942
5803
6840
6257
6664
4784
4836
NSW
Vic
(%)
18.7
8.6
7.8
-4.1
3.5
-0.8
-0.4
-0.5
(%)
QLD
0.0
5.0
5.4
-4.0
4.6
0.4
0.4
0.4
(%)
-1.4
5.1
3.4
-2.8
1.2
-1.7
-0.3
-0.3
Change
WA
Round 17 to 18
(%)
(%)
0.0
2.9
0.3
0.1
6.1
6.7
-0.6
-0.5
6.4
7.1
5.8
6.6
4.9
3.2
5.6
3.9
SA
Tas
NT
ACT
(%)
-81.8
2.7
0.8
-8.1
6.8
-1.9
-2.3
-3.2
(%)
(%)
0.0
4.7
23.1
-2.1
20.1
17.6
18.1
17.9
National
0.0
4.1
9.3
0.2
4.7
4.9
6.7
6.5
(%)
-1.4
5.2
6.3
-3.1
4.2
1.1
1.1
1.1
Appendix 6. NHCDC Round 17 and 18 admitted acute summary, actual, by peer group
Peer Group
A1
Round 17
Number of hospitals
Separations
Length of stay (days)
Total Expenditure ($ Million)
Average length of stay (days)
Average cost per day ($)
Average cost per separation ($)
Average cost per weighted separation ($)
Number of hospitals
Separations
Length of stay (days)
Total Expenditure ($ Million)
Average length of stay (days)
Average cost per day ($)
Average cost per separation ($)
Average cost per weighted separation ($)
77
3,354,880
9,781,503
17,293
2.92
1,768
5,155
4,881
A2
Round 18
77
3,462,126
9,809,684
18,093
2.83
1,844
5,226
4,946
B1
Round 17
Round 18
Round 17
11
239,183
696,574
1,618
2.91
2,323
6,764
5,553
11
249,766
694,742
1,654
2.78
2,380
6,621
5,442
23
404,611
1,038,152
1,678
2.57
1,616
4,146
4,699
A1
A2
B1
B2
(%)
(%)
(%)
(%)
0.0
3.2
0.3
4.6
-2.8
4.3
1.4
1.3
0.0
4.4
-0.3
2.2
-4.5
2.5
-2.1
-2.0
0.0
3.0
0.5
8.0
-2.5
7.5
4.8
3.8
23
416,916
1,042,883
1,812
2.50
1,737
4,346
4,879
Change
C2
Round 17 to 18
(%)
(%)
0.0
45.8
0.0
34.5
-1.1
39.7
5.7
35.5
-1.1
3.9
6.9
-3.0
5.7
0.8
2.9
-0.8
C1
0.0
6.4
3.5
8.8
-2.7
5.1
2.3
1.2
B2
Round 18
C1
C2
D1
D2
D3
OT
National
Round 17
Round 18
Round 17
Round 18
Round 17
Round 18
Round 17
Round 18
Round 17
Round 18
Round 17
Round 18
Round 17
Round 18
14
170,783
399,059
696
2.34
1,745
4,078
5,048
14
181,648
413,108
758
2.27
1,834
4,172
5,108
28
261,333
531,832
854
2.04
1,606
3,269
4,612
28
261,302
525,729
903
2.01
1,717
3,454
4,747
24
121,248
248,261
328
2.05
1,321
2,705
4,133
35
163,032
346,790
444
2.13
1,281
2,726
4,098
37
37,249
93,900
125
2.52
1,336
3,367
4,369
32
40,140
88,463
113
2.20
1,277
2,814
3,873
31
25,658
81,831
81
3.19
993
3,166
4,002
31
25,615
78,308
79
3.06
1,012
3,093
4,063
29
64,418
130,521
345
2.03
2,641
5,351
7,855
28
66,716
127,230
327
1.91
2,568
4,897
7,397
83
73,975
238,185
339
3.22
1,424
4,585
5,066
73
131,147
370,736
640
2.83
1,725
4,878
5,102
D1
D2
D3
OT
(%)
-13.5
7.8
-5.8
-9.9
-12.6
-4.4
-16.4
-11.4
(%)
(%)
(%)
-12.0
77.3
55.7
88.6
-12.2
21.2
6.4
0.7
0.0
-0.2
-4.3
-2.5
-4.1
1.9
-2.3
1.5
-3.4
3.6
-2.5
-5.2
-5.9
-2.8
-8.5
-5.8
National
(%)
-1.4
5.2
1.9
6.3
-3.1
4.2
1.1
1.1
Round 17
357
4,753,338
13,239,818
23,358
2.79
1,764
4,914
4,914
Round 18
352
4,998,408
13,497,673
24,822
2.70
1,839
4,966
4,966
Appendix 7. NHCDC Round 17 and 18 admitted acute cost bucket average cost per separation, actual, by jurisdiction
Cost Bucket
Ward Medical
Ward Nursing
Allied Health
Non Clinical
On-costs
Pathology
Imaging
Prosthesis
Ward Supplies
Pharmacy
Critical Care
Operating Room
Special Procedure Suite
Emergency Department
Hotel
Depreciation
Total Bucket
NSW
Qld
Jurisdiction
WA
SA
Tas
NT
ACT
National
Round 18
Round 17
Round 18
Round 17
Round 18
Round 17
Round 18
Round 17
Round 18
Round 17
Round 18
Round 17
Round 18
Round 17
Round 18
Round 17
Round 18
($)
($)
($)
($)
($)
($)
($)
($)
($)
($)
($)
($)
($)
($)
($)
($)
($)
($)
616
1,067
182
320
287
151
146
182
352
154
398
624
36
410
181
180
5,286
(%)
Ward Medical
Ward Nursing
Allied Health
Non Clinical
On-costs
Pathology
Imaging
Prosthesis
Ward Supplies
Pharmacy
Critical Care
Operating Room
Special Procedure Suite
Emergency Department
Hotel
Depreciation
Vic
Round 17
617
1,040
168
336
292
153
114
170
351
135
390
639
42
428
184
186
5,246
(%)
11.7
20.2
3.4
6.0
5.4
2.9
2.8
3.4
6.7
2.9
7.5
11.8
0.7
7.8
3.4
3.4
432
742
130
263
341
92
88
128
269
225
300
686
50
295
90
37
4,168
(%)
11.8
19.8
3.2
6.4
5.6
2.9
2.2
3.2
6.7
2.6
7.4
12.2
0.8
8.2
3.5
3.6
439
743
135
275
338
96
88
138
275
209
295
673
51
304
90
38
4,185
(%)
10.4
17.8
3.1
6.3
8.2
2.2
2.1
3.1
6.4
5.4
7.2
16.5
1.2
7.1
2.2
0.9
731
1,065
148
270
232
132
110
116
225
160
391
765
46
296
59
71
4,818
(%)
10.5
17.7
3.2
6.6
8.1
2.3
2.1
3.3
6.6
5.0
7.0
16.1
1.2
7.3
2.1
0.9
763
1,058
145
262
206
125
105
119
195
151
385
688
45
363
59
72
4,738
(%)
15.2
22.1
3.1
5.6
4.8
2.7
2.3
2.4
4.7
3.3
8.1
15.9
1.0
6.2
1.2
1.5
679
1,198
192
298
490
144
124
167
566
141
405
637
75
290
128
241
5,778
(%)
16.1
22.3
3.1
5.5
4.3
2.6
2.2
2.5
4.1
3.2
8.1
14.5
0.9
7.7
1.2
1.5
594
1,200
145
278
486
146
135
171
497
152
390
876
80
555
194
213
6,111
(%)
11.8
20.7
3.3
5.2
8.5
2.5
2.1
2.9
9.8
2.4
7.0
11.0
1.3
5.0
2.2
4.2
9.7
19.6
2.4
4.5
7.9
2.4
2.2
2.8
8.1
2.5
6.4
14.3
1.3
9.1
3.2
3.5
678
943
159
266
353
107
131
154
474
215
292
595
43
266
344
264
5,285
775
1,023
174
281
385
120
149
163
475
214
290
631
52
272
383
246
5,633
Percentage of total
(%)
(%)
12.8
13.8
17.8
18.2
3.0
3.1
5.0
5.0
6.7
6.8
2.0
2.1
2.5
2.7
2.9
2.9
9.0
8.4
4.1
3.8
5.5
5.1
11.3
11.2
0.8
0.9
5.0
4.8
6.5
6.8
5.0
4.4
443
974
122
402
426
215
132
170
394
217
457
753
36
344
87
122
5,295
(%)
411
903
136
358
396
228
156
169
419
215
377
718
51
407
85
168
5,197
(%)
8.4
18.4
2.3
7.6
8.0
4.1
2.5
3.2
7.4
4.1
8.6
14.2
0.7
6.5
1.7
2.3
391
875
138
313
73
127
85
35
613
123
348
371
180
29
109
3,809
(%)
7.9
17.4
2.6
6.9
7.6
4.4
3.0
3.3
8.1
4.1
7.3
13.8
1.0
7.8
1.6
3.2
408
768
58
631
365
122
86
16
689
84
246
380
11
442
37
137
4,481
(%)
10.3
23.0
3.6
8.2
1.9
3.3
2.2
0.9
16.1
3.2
9.1
9.7
0.0
4.7
0.8
2.8
485
1,046
125
338
556
334
158
168
451
222
642
1,022
79
499
184
187
6,494
(%)
9.1
17.1
1.3
14.1
8.1
2.7
1.9
0.4
15.4
1.9
5.5
8.5
0.2
9.9
0.8
3.1
595
1,113
151
380
737
306
162
96
539
202
637
924
72
534
160
207
6,814
(%)
7.5
16.1
1.9
5.2
8.6
5.1
2.4
2.6
6.9
3.4
9.9
15.7
1.2
7.7
2.8
2.9
590
970
156
289
314
131
119
146
341
181
365
672
45
327
139
130
4,914
(%)
8.7
16.3
2.2
5.6
10.8
4.5
2.4
1.4
7.9
3.0
9.3
13.6
1.1
7.8
2.3
3.0
604
966
150
303
321
132
111
145
334
168
355
674
48
377
147
130
4,966
(%)
12.0
19.7
3.2
5.9
6.4
2.7
2.4
3.0
6.9
3.7
7.4
13.7
0.9
6.7
2.8
2.6
12.2
19.5
3.0
6.1
6.5
2.7
2.2
2.9
6.7
3.4
7.1
13.6
1.0
7.6
3.0
2.6
Appendix 7. NHCDC Round 17 and 18 admitted acute cost bucket average cost per separation, actual, by jurisdiction
Cost Bucket
NSW
Ward Medical
Ward Nursing
Allied Health
Non Clinical
On-costs
Pathology
Imaging
Prosthesis
Ward Supplies
Pharmacy
Critical Care
Operating Room
Special Procedure Suite
Emergency Department
Hotel
Depreciation
QLD
Change
WA
SA
Tas
NT
ACT
National
Round 17 to 18
($)
Ward Medical
Ward Nursing
Allied Health
Non Clinical
On-costs
Pathology
Imaging
Prosthesis
Ward Supplies
Pharmacy
Critical Care
Operating Room
Special Procedure Suite
Emergency Department
Hotel
Depreciation
Total Bucket
Vic
($)
1.3
-27.8
-14.0
16.4
4.9
2.1
-31.9
-12.4
-0.5
-19.0
-8.0
15.1
6.4
18.4
3.1
6.1
0.1
-0.4
-0.2
0.4
0.1
0.1
-0.6
-0.2
0.0
-0.3
-0.1
0.4
0.1
0.4
0.1
0.1
7.0
0.4
5.4
11.9
-2.9
3.3
-0.3
9.4
6.1
-16.1
-4.8
-12.8
1.0
9.1
-0.6
0.9
0.1
-0.1
0.1
0.3
-0.1
0.1
0.0
0.2
0.1
-0.4
-0.1
-0.4
0.0
0.2
0.0
0.0
($)
31.4
-6.5
-3.3
-8.7
-26.9
-6.7
-5.0
2.7
-30.2
-9.5
-6.2
-77.2
-1.8
66.6
-0.4
1.4
0.9
0.2
0.0
-0.1
-0.5
-0.1
-0.1
0.1
-0.6
-0.1
0.0
-1.4
0.0
1.5
0.0
0.1
($)
-85.2
1.5
-47.0
-19.8
-4.5
2.1
10.8
3.8
-69.4
10.2
-15.3
238.5
4.9
264.4
66.4
-27.8
($)
97.8
79.5
14.6
14.8
32.5
13.0
18.1
8.4
1.2
-1.3
-1.6
35.9
8.7
5.7
39.1
-18.1
($)
-31.2
-71.7
14.5
-44.4
-30.2
13.2
23.1
-0.5
25.1
-1.9
-80.6
-35.2
14.3
63.1
-2.6
46.6
($)
16.6
-106.8
-79.4
317.4
292.0
-4.8
1.0
-19.3
75.4
-38.3
-101.4
9.4
10.9
262.3
8.4
28.8
($)
109.3
66.8
26.3
42.7
180.8
-28.1
3.5
-71.9
88.1
-20.3
-4.8
-97.6
-6.6
34.9
-23.9
20.2
($)
14.1
-4.1
-6.2
14.2
6.8
1.4
-7.3
-1.1
-6.7
-13.0
-9.9
2.4
3.3
49.9
8.2
0.2
Change in percentage of total
percentage point
-2.0
0.9
-0.4
-1.1
0.3
-1.0
-1.0
0.1
0.3
-0.6
0.0
-0.7
-0.5
0.2
-0.4
-0.1
0.1
0.3
0.1
0.2
0.5
-0.1
0.0
0.1
-1.7
-0.5
0.6
0.0
-0.3
0.0
-0.6
-0.4
-1.4
3.3
-0.1
-0.4
0.0
0.1
0.3
4.1
-0.2
1.3
1.0
0.3
0.0
-0.7
-0.6
0.9
-1.2
-5.8
-2.3
5.8
6.2
-0.6
-0.3
-0.6
-0.7
-1.3
-3.6
-1.3
0.2
5.1
0.1
0.2
1.3
0.2
0.3
0.4
2.3
-0.7
-0.1
-1.2
1.0
-0.5
-0.5
-2.2
-0.2
0.2
-0.5
0.2
0.2
-0.3
-0.2
0.2
0.1
0.0
-0.2
-0.1
-0.2
-0.3
-0.3
-0.1
0.1
0.9
0.1
0.0
Appendix 8. NHCDC Round 16, 17 and 18 admitted acute line item average cost per separation, actual, by jurisdiction
Jurisdiction
Vic
NSW
Line item
Salary & Wages Nursing
Salary & Wages Medical (nonVMO)
Salary & Wages Medical (VMO)
Salary & Wages Allied Health
Salary & Wages Other
Oncosts
Pathology
Imaging
Prostheses
Medical supplies
Goods and services
Pharmaceuticals PBS
Pharmaceuticals nonPBS
Blood
Depreciation building
Depreciation equipment
Hotel
Corporate
Lease
Salary & Wages Nursing
Salary & Wages Medical (nonVMO)
Salary & Wages Medical (VMO)
Salary & Wages Allied Health
Salary & Wages Other
Oncosts
Pathology
Imaging
Prostheses
Medical supplies
Goods and services
Pharmaceuticals PBS
Pharmaceuticals nonPBS
Blood
Depreciation building
Depreciation equipment
Hotel
Corporate
Lease
QLD
WA
SA
Tas
NT
ACT
National
Round 16
Round 17
Round 18
Round 16
Round 17
Round 18
Round 16
Round 17
Round 18
Round 16
Round 17
Round 18
Round 16
Round 17
Round 18
Round 16
Round 17
Round 18
Round 16
Round 17
Round 18
Round 16
Round 17
Round 18
Round 16
Round 17
($)
($)
($)
($)
($)
($)
($)
($)
($)
($)
($)
($)
($)
($)
($)
($)
($)
($)
($)
($)
($)
($)
($)
($)
($)
($)
($)
1,452
544
295
197
497
265
128
52
148
268
447
0
139
41
127
43
184
0
21
1,484
583
284
233
454
287
133
47
182
257
432
1,453
568
290
228
458
292
133
33
170
249
444
1,088
487
266
226
429
338
41
25
138
234
297
67
129
1
0
0
90
0
38
1,538
1,090
72
205
195
255
125
25
124
226
332
7
166
45
12
52
53
24
0
1,498
1,023
54
203
327
208
102
28
120
238
268
0
149
13
13
62
62
7
1
1,602
1,052
57
163
361
469
0
0
212
390
587
260
0
0
119
52
220
129
6
1,682
853
134
164
409
490
121
7
167
300
552
43
118
1,709
980
136
179
420
486
133
9
171
295
598
43
126
0
157
49
194
79
7
1,003
670
112
206
573
188
136
2
170
214
496
0
295
0
0
80
322
105
2
1,294
858
182
246
403
352
108
1
155
238
457
1,382
947
210
254
426
385
128
15
163
255
428
0
212
0
150
55
382
133
42
1,491
815
3
205
644
458
83
0
174
322
375
137
98
14
80
42
78
201
8
1,398
700
5
170
584
407
37
168
301
402
88
135
53
57
45
85
134
22
1,364
663
3
185
547
395
38
0
169
317
568
85
120
57
97
50
85
25
22
1,011
408
0
96
526
489
40
39
19
269
495
0
124
0
0
41
35
0
0
1,168
563
130
0
143
44
184
0
0
1,103
463
280
223
429
341
39
25
128
234
295
82
127
0
1,537
1,007
60
193
351
233
104
29
116
233
347
139
1,056
459
255
210
436
329
46
27
129
219
248
61
134
0
0
0
86
0
28
1,499
727
292
256
484
591
74
4
153
319
620
96
174
66
57
84
183
0
28
1,601
776
302
246
548
556
77
2
168
322
683
90
182
71
79
84
184
13
1,025
596
0
98
623
362
41
55
16
287
682
0
122
0
10
140
45
176
6
24
1,642
796
400
262
590
737
45
1
96
238
832
89
106
78
63
86
160
0
59
1,324
683
194
200
419
302
94
30
141
251
385
39
148
24
52
38
138
26
15
1,381
693
202
214
422
314
93
28
146
248
399
28
146
5
65
47
139
23
17
1,367
713
205
218
426
321
96
26
145
249
393
24
140
5
74
41
148
25
16
Percentage of total
(%)
(%)
(%)
21.9
24.7
24.8
14.6
16.4
17.0
2.4
3.5
3.8
4.5
4.7
4.6
12.5
7.7
7.7
4.1
6.7
6.9
3.0
2.1
2.3
0.0
0.0
0.3
3.7
3.0
2.9
4.7
4.6
4.6
10.8
8.7
7.7
0.0
0.0
0.0
6.4
4.1
3.8
0.0
0.0
0.0
0.0
1.9
2.7
1.7
2.4
1.0
7.0
6.5
6.9
2.3
2.1
2.4
0.0
0.8
0.7
(%)
28.5
15.6
0.1
3.9
12.3
8.8
1.6
0.0
3.3
6.2
7.2
2.6
1.9
0.3
1.5
0.8
1.5
3.8
0.2
(%)
29.2
14.6
0.1
3.5
12.2
8.5
0.8
0.0
3.5
6.3
8.4
1.8
2.8
1.1
1.2
0.9
1.8
2.8
0.5
(%)
28.5
13.8
0.1
3.9
11.4
8.3
0.8
0.0
3.5
6.6
11.9
1.8
2.5
1.2
2.0
1.0
1.8
0.5
0.5
(%)
28.1
11.4
0.0
2.7
14.6
13.6
1.1
1.1
0.5
7.5
13.8
0.0
3.5
0.0
0.0
1.1
1.0
0.0
0.0
(%)
32.2
15.5
0.0
3.1
12.1
2.0
1.3
0.9
1.0
6.1
18.7
0.0
3.3
0.0
0.0
2.6
0.8
0.0
0.4
(%)
23.9
13.9
0.0
2.3
14.5
8.4
1.0
1.3
0.4
6.7
15.9
0.0
2.9
0.0
0.2
3.3
1.0
4.1
0.1
(%)
26.3
12.7
5.1
4.5
8.5
10.4
1.3
0.1
2.7
5.6
10.9
1.7
3.0
1.2
1.0
1.5
3.2
0.0
0.5
(%)
26.7
12.9
5.0
4.1
9.1
9.3
1.3
0.0
2.8
5.4
11.4
1.5
3.0
1.2
1.3
1.4
3.1
0.0
0.4
(%)
26.1
12.7
6.4
4.2
9.4
11.7
0.7
0.0
1.5
3.8
13.2
1.4
1.7
1.2
1.0
1.4
2.5
0.0
0.9
(%)
29.4
15.2
4.3
4.4
9.3
6.7
2.1
0.7
3.1
5.6
8.5
0.9
3.3
0.5
1.2
0.8
3.1
0.6
0.3
(%)
30.0
15.0
4.4
4.6
9.2
6.8
2.0
0.6
3.2
5.4
8.7
0.6
3.2
0.1
1.4
1.0
3.0
0.5
0.4
(%)
29.5
15.4
4.4
4.7
9.2
6.9
2.1
0.6
3.1
5.4
8.5
0.5
3.0
0.1
1.6
0.9
3.2
0.5
0.4
(%)
30.0
11.2
6.1
4.1
10.3
5.5
2.6
1.1
3.1
5.5
9.2
0.0
2.9
0.8
2.6
0.9
3.8
0.0
0.4
136
44
181
(%)
30.4
12.0
5.8
4.8
9.3
5.9
2.7
1.0
3.7
5.3
8.9
0.0
2.9
0.0
2.8
0.9
3.7
0.0
0.0
(%)
30.2
11.8
6.0
4.7
9.5
6.1
2.8
0.7
3.5
5.2
9.2
0.0
2.7
0.0
3.0
0.9
3.8
0.0
0.0
(%)
28.4
12.3
6.8
5.6
11.7
8.8
1.2
0.7
3.5
5.9
6.7
1.6
3.6
0.0
0.0
0.0
2.3
0.0
0.8
90
37
(%)
28.3
11.9
7.2
5.7
11.0
8.8
1.0
0.6
3.3
6.0
7.6
2.1
3.3
0.0
0.0
0.0
2.3
0.0
0.9
(%)
28.0
12.5
6.8
5.8
11.0
8.7
1.1
0.6
3.5
6.0
7.6
1.7
3.3
0.0
0.0
0.0
2.3
0.0
1.0
(%)
33.8
24.0
1.6
4.5
4.3
5.6
2.7
0.5
2.7
5.0
7.3
0.2
3.7
1.0
0.3
1.1
1.2
0.5
0.0
156
10
13
58
59
15
(%)
34.0
22.3
1.3
4.3
7.8
5.2
2.3
0.6
2.6
5.2
7.7
0.0
3.5
0.2
0.3
1.3
1.3
0.3
0.0
(%)
34.2
23.4
1.2
4.6
7.5
4.8
2.3
0.6
2.7
5.4
6.1
0.0
3.4
0.3
0.3
1.4
1.4
0.2
0.0
(%)
28.2
18.5
1.0
2.9
6.4
8.3
0.0
0.0
3.7
6.9
10.3
4.6
0.0
0.0
2.1
0.9
3.9
2.3
0.1
152
59
128
76
30
(%)
30.7
15.6
2.4
3.0
7.5
8.9
2.2
0.1
3.0
5.5
10.1
0.8
2.2
0.0
2.8
1.1
2.3
1.4
0.5
(%)
29.6
17.0
2.4
3.1
7.3
8.4
2.3
0.2
3.0
5.1
10.4
0.7
2.2
0.0
2.7
0.8
3.4
1.4
0.1
217
97
126
342
112
42
113
441
73
46
34
35
221
677
1
120
96
29
Round 18
Appendix 8. NHCDC Round 16, 17 and 18 admitted acute line item average cost per separation, actual, by jurisdiction
NSW
Vic
QLD
SA
Change Difference
WA
Tas
Line item
($)
Salary & Wages Nursing
Salary & Wages Medical (nonVMO)
Salary & Wages Medical (VMO)
Salary & Wages Allied Health
Salary & Wages Other
Oncosts
Pathology
Imaging
Prostheses
Medical supplies
Goods and services
Pharmaceuticals PBS
Pharmaceuticals nonPBS
Blood
Depreciation building
Depreciation equipment
Hotel
Corporate
Lease
Salary & Wages Nursing
Salary & Wages Medical (nonVMO)
Salary & Wages Medical (VMO)
Salary & Wages Allied Health
Salary & Wages Other
Oncosts
Pathology
Imaging
Prostheses
Medical supplies
Goods and services
Pharmaceuticals PBS
Pharmaceuticals nonPBS
Blood
Depreciation building
Depreciation equipment
Hotel
Corporate
Lease
NT
ACT
National
($)
($)
($)
Round 17 to 18
($)
($)
($)
($)
30.9
15.1
5.6
4.8
4.4
5.1
0.1
14.2
12.4
8.2
12.1
0.0
9.3
0.0
6.5
0.0
3.1
0.0
0.0
14.9
23.5
14.3
3.0
0.3
3.1
2.1
0.4
9.7
0.3
1.9
14.6
1.8
0.8
0.0
0.0
0.3
0.0
1.1
39.4
15.9
5.9
10.1
24.5
25.0
2.0
0.8
3.5
5.3
78.8
0.0
7.3
2.6
0.0
4.5
2.9
7.6
0.0
26.9
127.2
2.0
14.6
11.5
4.4
11.7
2.5
4.2
5.1
46.3
0.2
7.7
0.0
5.1
10.1
66.4
2.8
22.6
0.3
0.2
0.2
0.0
0.2
0.2
0.0
0.3
0.2
0.1
0.4
0.0
0.2
0.0
0.2
0.0
0.1
0.0
0.0
0.4
0.6
0.4
0.1
0.0
0.1
0.1
0.0
0.3
0.0
0.1
0.4
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.2
1.1
0.1
0.4
0.3
0.4
0.0
0.0
0.2
0.3
1.5
0.0
0.1
0.1
0.0
0.1
0.1
0.2
0.0
1.1
1.4
0.1
0.1
0.2
0.5
0.1
0.0
0.1
0.4
0.3
0.0
0.0
0.0
0.0
0.2
1.0
0.0
0.4
87.5
88.9
28.0
8.3
23.3
32.7
20.4
14.4
8.1
17.2
28.7
0.0
5.0
0.0
52.9
71.1
39.5
20.6
0.4
($)
34.1
37.4
1.5
15.3
36.7
11.5
1.4
0.0
1.5
16.2
166.0
2.6
14.6
4.3
39.7
4.6
0.3
108.6
0.3
Change in % of total
percentage point
0.1
0.6
0.3
0.1
0.0
0.2
0.2
0.3
0.0
0.0
1.0
0.0
0.3
0.0
0.8
1.4
0.3
0.2
0.1
0.7
0.8
0.0
0.3
0.8
0.2
0.0
0.0
0.0
0.3
3.5
0.1
0.3
0.1
0.8
0.1
0.0
2.3
0.0
143.2
32.8
0.0
15.3
181.7
288.9
4.8
20.8
18.8
66.1
5.1
1.0
2.2
0.0
0.0
44.4
15.5
0.0
7.5
41.0
19.9
97.9
16.3
41.9
181.1
31.6
0.5
72.2
83.8
148.6
0.6
76.4
7.2
16.2
1.5
24.0
0.0
35.1
13.7
20.3
2.9
4.1
3.9
7.2
2.9
2.4
0.9
0.8
5.8
3.8
5.6
0.5
8.9
6.1
8.8
1.8
0.5
8.3
1.6
0.0
0.8
2.4
6.4
0.3
0.3
0.6
0.6
2.7
0.0
0.5
0.0
0.2
0.6
0.2
4.1
0.2
0.6
0.3
1.3
0.1
0.3
2.5
0.6
0.0
1.3
1.6
1.8
0.1
1.4
0.1
0.3
0.0
0.5
0.0
0.5
0.4
0.4
0.0
0.1
0.0
0.1
0.1
0.1
0.0
0.0
0.2
0.1
0.1
0.0
0.2
0.1
0.2
0.0
0.0
Appendix 9. NHCDC Round 17 and 18 admitted acute overnight and sameday, actual, by jurisdiction
Jurisdiction
NSW
Round 17
Overnight
Sameday
Total
Separations
ALOS
Average cost
Average cost per day
Separations
Average cost
Separations
ALOS
Average cost
Average cost per day
741,265
5.1
8,864
1,737
623,819
1,034
1,365,084
3.2
5,286
1,652
Vic
Round 18
790,244
4.9
8,885
1,801
692,673
1,095
1,482,917
3.1
5,246
1,694
Round 17
538,407
4.7
8,148
1,742
720,205
1,192
1,258,612
2.6
4,168
1,603
QLD
Round 18
535,592
4.6
8,557
1,848
786,072
1,206
1,321,664
2.5
4,185
1,694
Round 17
480,830
4.0
8,636
2,146
508,928
1,212
989,758
2.5
4,818
1,927
SA
Round 18
501,788
3.9
8,561
2,193
538,586
1,177
1,040,374
2.4
4,738
1,974
Round 17
179,876
5.0
9,628
1,909
159,053
1,423
338,929
3.1
5,778
1,864
WA
Round 18
178,147
5.1
10,346
2,046
161,720
1,446
339,867
3.1
6,111
1,955
Round 17
217,159
4.5
10,182
2,247
273,945
1,402
491,104
2.6
5,285
2,033
Tas
Round 18
222,733
4.4
10,643
2,407
269,084
1,485
491,817
2.5
5,633
2,209
NT
ACT
National
Round 17
Round 18
Round 17
Round 18
Round 17
Round 18
47,485
5.1
9,876
1,934
55,860
1,401
103,345
2.9
5,295
1,826
47,154
4.7
9,852
2,087
58,947
1,473
106,101
2.7
5,197
1,959
37,480
5.1
10,122
1,993
79,435
829
116,915
2.3
3,809
1,656
38,748
5.0
12,076
2,426
83,629
962
122,377
2.3
4,481
1,983
40,297
5.2
12,469
2,409
49,294
1,610
89,591
2.9
6,494
2,239
41,755
5.2
13,302
2,555
51,536
1,557
93,291
2.9
6,814
2,363
Round 17
2,282,799
4.7
8,938
1,895
2,470,539
1,196
4,753,338
2.8
4,914
1,755
Round 18
2,356,161
4.6
9,168
1,990
2,642,247
1,219
4,998,408
2.7
4,966
1,839
Appendix 10. NHCDC Round 17 and 18 admitted acute urgency of admission, actual, by jurisdiction
Jurisdiction
NSW
Round 17
Separations
Emergency
ALOS
Average cost
Average cost per day
Separations
Elective
ALOS
Average cost
Average cost per day
Separations
Not Assigned
ALOS
Average cost
Average cost per day
Separations
Total
Vic
Round 18
Round 17
QLD
Round 18
Round 17
SA
Round 18
Round 17
WA
Round 18
Round 17
Tas
Round 18
Round 17
NT
Round 18
Round 17
ACT
Round 18
Round 17
National
Round 18
Round 17
Round 18
564,477
632,155
418,767
458,242
498,674
543,051
149,623
149,072
207,493
193,961
36,225
39,023
37,303
38,846
39,702
40,484
1,952,264
5.0
4.6
4.0
3.6
3.1
2.9
4.6
4.6
3.7
3.9
4.9
4.2
3.9
3.9
4.4
4.4
4.1
3.9
7,732
7,413
6,127
5,886
5,640
5,514
8,048
8,542
7,636
8,637
8,705
7,970
7,134
8,914
9,835
10,280
6,917
6,874
2,094,834
1,560
1,615
1,535
1,626
1,832
1,882
1,766
1,874
2,060
2,226
1,780
1,889
1,817
2,315
2,243
2,357
1,698
1,785
665,481
710,839
762,956
785,490
218,711
222,082
103,820
104,612
146,974
153,229
54,574
55,508
34,817
35,013
22,086
23,334
2,009,419
2,090,107
1.6
1.6
1.7
1.7
2.1
2.1
2.1
2.1
1.9
1.8
1.5
1.5
1.2
1.2
2.0
2.0
1.7
1.7
2,846
2,907
2,824
2,908
6,157
5,998
5,360
5,793
4,690
4,975
3,114
3,243
1,826
1,956
6,697
6,756
3,495
3,568
1,804
1,859
1,679
1,726
2,907
2,885
2,508
2,729
2,503
2,698
2,087
2,188
1,579
1,661
3,367
3,461
2,030
2,087
135,126
139,923
76,889
77,932
272,373
275,241
85,486
86,183
136,637
144,627
12,546
11,570
44,795
48,518
27,803
29,473
791,655
813,467
4.13
4.1
3.7
3.6
1.6
1.6
1.9
1.9
1.6
1.5
3.2
3.0
1.9
1.8
1.4
1.6
2.3
2.3
7,079
7,336
6,832
7,059
2,238
2,190
2,312
2,293
2,354
2,300
4,937
5,217
2,580
2,753
1,563
2,098
3,577
3,645
1,713
1,773
1,847
1,937
1,368
1,356
1,217
1,229
1,507
1,518
1,557
1,746
1,391
1,558
1,091
1,320
1,550
1,599
1,365,084
1,482,917
1,258,612
1,321,664
989,758
1,040,374
338,929
339,867
491,104
491,817
103,345
106,101
116,915
122,377
89,591
93,291
4,753,338
4,998,408
3.2
3.1
2.6
2.5
2.5
2.4
3.1
3.1
2.6
2.5
2.9
2.7
2.3
2.3
2.9
2.9
2.8
2.7
Average cost
5,286
5,246
4,168
4,185
4,818
4,738
5,778
6,111
5,285
5,633
5,295
5,197
3,809
4,481
6,494
6,814
4,914
4,966
Average cost per day
1,637
1,694
1,620
1,694
1,951
1,974
1,837
1,955
2,063
2,209
1,834
1,959
1,650
1,983
2,257
2,363
1,764
1,839
ALOS
Appendix 11. NHCDC Round 17 and 18 admitted acute same day and overnight, Indigenous and nonIndigneous, actual, by jurisdiction
Jurisdiction
NSW
Round 17
Same Day
Separations
Average cost
Indigenous
Overnight
Separations
ALOS
Average cost
Same Day
Separations
Average cost
Non-Indigenous Overnight
Separations
ALOS
Same Day
Not Assigned
Overnight
Round 18
Round 17
Round 18
Round 17
WA
Round 18
Round 17
Tas
Round 18
Round 17
Round 18
27,778
33,199
9,524
10,336
53,682
56,756
12,702
12,376
30,491
33,878
1,598
1,647
944
971
982
990
1,054
935
905
916
1,058
1,007
1,627
1,838
28,072
31,896
6,044
6,506
34,873
35,176
7,216
7,368
20,859
20,917
1,928
1,788
4.7
4.5
4.5
4.5
3.9
3.9
5.1
5.1
4.0
4.0
4.5
4.3
8,553
8,438
8,022
8,792
8,670
8,960
10,419
11,416
9,737
10,314
8,536
9,536
594,146
657,610
705,148
769,114
451,027
473,340
139,683
142,322
243,452
235,206
53,580
56,492
1,037
1,100
1,192
1,207
1,229
1,211
1,458
1,484
1,445
1,554
1,396
1,463
709,525
755,108
526,800
523,562
440,146
453,127
165,176
163,462
196,300
201,816
44,905
44,859
5.1
4.9
4.7
4.6
4.0
3.9
5.0
5.0
4.6
4.5
5.1
4.7
8,890
8,098
8,504
8,640
8,664
9,496
10,151
10,229
10,678
9,934
9,848
Separations
1,895
1,864
5,533
6,622
4,219
8,490
6,668
7,022
2
0
Average cost
1,363
1,472
1,587
1,435
1,338
863
1,693
1,605
2,961
Separations
3,668
3,240
5,563
5,524
5,811
13,485
7,484
7,317
0
6.2
6.1
5.8
6.0
4.2
3.4
5.9
6.3
5.1
4.9
Average cost
11,334
12,054
13,014
13,279
8,097
4,061
11,762
13,639
9,824
11,359
Separations
55,850
65,095
15,568
16,842
88,555
91,932
19,918
19,744
51,350
54,795
3,526
3,435
2.9
2.7
2.4
2.4
2.2
2.1
2.5
2.5
2.2
2.2
2.9
2.7
4,768
4,629
3,715
4,004
4,053
4,005
4,352
4,834
4,583
4,559
5,405
5,845
1,303,671
1,412,718
1,231,948
1,292,676
891,173
926,467
304,859
305,784
439,752
437,022
98,485
101,351
3.2
3.1
2.6
2.5
2.5
2.4
3.2
3.1
2.6
2.6
2.9
2.7
Average cost
5,297
5,264
4,145
4,162
4,889
4,856
5,813
6,117
5,366
5,767
5,289
5,174
Separations
5,563
5,104
11,096
12,146
10,030
21,975
14,152
14,339
2
0
1,334
1,315
4.4
4.2
3.4
3.3
2.9
2.5
3.6
3.7
1.0
3.0
2.5
7,938
8,189
7,316
6,821
5,254
2,825
7,018
7,746
2,961
5,459
5,259
ALOS
Separations
Total Not Assigned
Round 17
SA
8,863
Average cost
Total Non Indigenous
Round 18
QLD
Average cost
ALOS
Total Indigenous
Vic
ALOS
ALOS
Average cost
0
682
808
1,287
1,431
652
507
Appendix 11. NHCDC Round 17 and 18 admitted acute same day and overnight,
Indigenous and non-Indigneous, actual, by jurisdiction
NT
Round 17
Same Day
Separations
Average cost
Indigenous
Overnight
Separations
Non-Indigenous Overnight
Total Non Indigenous
65,082
872
867
198,633
710
824
1,812
1,790
927
214,141
930
20,522
20,818
1,059
1,149
120,573
125,618
4.9
5.1
4.5
4.4
12,315
13,657
9,157
9,817
Separations
17,447
18,537
46,457
49,522
2,250,940
2,402,143
Average cost
1,252
1,444
1,624
1,562
1,217
1,244
Separations
16,957
17,926
38,224
40,047
2,138,033
2,199,907
Separations
Separations
4.8
4.7
5.2
5.2
4.7
4.6
10,258
11,644
12,461
13,250
8,901
9,131
25,963
2
10
1,965
1,147
20,966
734
1,185
1,187
1,177
1,503
1,285
1
4
1,014
559
24,193
30,636
1.0
4.0
5.5
6.3
5.5
4.9
Average cost
3,946
12,533
12,912
16,301
11,100
9,201
Separations
82,508
85,900
1,931
2,016
319,206
339,759
2.1
2.0
3.1
3.4
2.3
2.3
Average cost
3,024
3,641
7,572
8,554
4,036
4,216
Separations
34,404
36,463
84,681
89,569
4,388,973
4,602,050
2.9
2.8
2.9
2.9
2.8
2.7
5,691
6,458
6,516
6,787
4,960
5,014
56,599
ALOS
ALOS
Average cost
Separations
Total Not Assigned
61,986
5.2
ALOS
Total Indigenous
Round 18
12,448
Average cost
Overnight
Round 17
5.3
Average cost
Not Assigned
National
Round 18
10,011
ALOS
Same Day
Round 17
Average cost
ALOS
Same Day
ACT
Round 18
ALOS
Average cost
3
14
2,979
1,706
45,159
1.0
1.9
2.5
2.7
3.4
3.1
1,805
4,428
5,178
6,133
6,645
5,570
Appendix 12. NHCDC Round 17 and 18 admitted acute paediatric , actual, by jurisdiction
Jurisdiction
NSW
Separations
Paediatric
ALOS
Average cost
Average cost per day
Separations
Non-Paediatric
ALOS
Average cost
Average cost per day
Separations
Total
Vic
QLD
SA
WA
Tas
Round 17
NT
Round 18
Round 17
ACT
Round 17
Round 18
Round 17
Round 18
Round 17
Round 18
Round 17
Round 18
Round 17
Round 18
Round 18
Round 17
53,112
53,848
48,054
54,164
36,987
42,228
21,895
20,794
28,191
26,882
0
0
0
0
3.0
2.7
2.9
2.3
2.3
2.2
3.0
2.2
2.5
2.3
0.0
0.0
0.0
0.0
6,728
6,067
6,827
5,504
6,511
5,931
6,563
5,513
6,686
6,479
0
0
0
0
0
National
Round 18
Round 17
Round 18
0
0
188,239
197,916
0.0
0.0
2.8
2.4
0
6,685
5,882
2,235
2,272
2,327
2,401
2,854
2,758
2,210
2,540
2,696
2,844
0
0
0
0
0
0
2,419
2,503
1,311,972
1,429,069
1,210,558
1,267,500
952,771
998,146
317,034
319,073
462,913
464,935
103,345
106,101
116,915
122,377
89,591
93,291
4,565,099
4,800,492
3.2
3.1
2.6
2.5
2.5
2.4
3.2
3.2
2.6
2.6
2.9
2.7
2.3
2.3
2.9
2.9
2.8
2.7
5,227
5,215
4,062
4,129
4,753
4,687
5,723
6,150
5,199
5,584
5,295
5,197
3,809
4,481
6,494
6,814
4,841
4,928
1,615
1,676
1,587
1,666
1,919
1,944
1,812
1,929
2,026
2,176
1,834
1,959
1,650
1,983
2,257
2,363
1,737
1,815
1,365,084
1,482,917
1,258,612
1,321,664
989,758
1,040,374
338,929
339,867
491,104
491,817
103,345
106,101
116,915
122,377
89,591
93,291
4,753,338
4,998,408
3.2
3.1
2.6
2.5
2.5
2.4
3.2
3.1
2.6
2.5
2.9
2.7
2.3
2.3
2.9
2.9
2.8
2.7
Average cost
5,285
5,246
4,168
4,185
4,819
4,738
5,777
6,111
5,284
5,633
5,295
5,197
3,809
4,481
6,494
6,814
4,914
4,966
Average cost per day
1,656
1,694
1,596
1,694
1,933
1,974
1,813
1,955
2,037
2,209
1,826
1,959
1,656
1,983
2,239
2,363
1,764
1,839
ALOS
Appendix 13. NHCDC Round 17 and 18 admitted acute geographic location, actual, by jurisdiction
Jurisdiction
NSW
Metro and inner
regional
Outer regional,
remote and very
remote
Total
Separations
ALOS
Average cost
Average cost p
Separations
ALOS
Average cost
Average cost p
Separations
ALOS
Average cost
Average cost p
Vic
QLD
Round 17
Round 18
Round 17
Round 18
1,290,165
3.2
5,232
1,616
74,919
3.1
6,218
2,021
1,365,084
3.2
5,286
1,637
1,386,477
3.1
5,224
1,676
96,440
2.8
5,561
1,978
1,482,917
3.1
5,246
1,694
1,185,925
2.6
4,149
1,612
72,687
2.6
4,481
1,747
1,258,612
2.6
4,168
1,620
1,250,274
2.5
4,161
1,686
71,390
2.5
4,606
1,826
1,321,664
2.5
4,185
1,694
Round 17
770,847
2.5
4,821
1,963
218,911
2.5
4,807
1,909
989,758
2.5
4,818
1,951
Round 18
815,964
2.4
4,769
1,999
224,410
2.5
4,624
1,887
1,040,374
2.4
4,738
1,974
SA
WA
Tas
NT
ACT
National
Round 17
Round 18
Round 17
Round 18
Round 17
Round 18
Round 17
Round 18
Round 17
Round 18
273,651
3.2
5,701
1,798
65,278
3.0
6,100
2,004
338,929
3.1
5,778
1,837
273,132
3.2
6,058
1,919
66,735
3.0
6,330
2,111
339,867
3.1
6,111
1,955
406,240
2.6
5,120
2,000
84,864
2.6
6,074
2,365
491,104
2.6
5,285
2,063
388,632
2.6
5,577
2,161
103,185
2.4
5,844
2,403
491,817
2.5
5,633
2,209
64,866
2.8
5,096
1,806
38,479
3.0
5,631
1,880
103,345
2.9
5,295
1,834
68,485
2.7
5,098
1,904
37,616
2.6
5,376
2,061
106,101
2.7
5,197
1,959
1,694
2.8
5,169
1,863
115,221
2.3
3,789
1,647
116,915
2.3
3,809
1,650
1,818
2.5
5,941
2,352
120,559
2.3
4,459
1,977
122,377
2.3
4,481
1,983
87,042
2.8
6,262
2,215
2,549
4.6
14,417
3,125
89,591
2.9
6,494
2,257
90,697
2.8
6,607
2,337
2,594
4.8
14,030
2,902
93,291
2.9
6,814
2,363
Round 17
Round 18
4,080,430
2.8
4,879
1,737
672,908
2.6
5,123
1,940
4,753,338
2.8
4,914
1,764
4,275,479
2.7
4,939
1,811
722,929
2.5
5,124
2,019
4,998,408
2.7
4,966
1,839
Appendix 14. NHCDC Round 17 and 18 admitted acute maternity DRGs summary
Round 17
Round 18
Round 17
Round 18 Round 17 Round 18 Round 17 Round 18
Round 17
Round 18
Round 17
Round 18
Round 17
Round 18
Separations
Patient Days
ALOS
Hospitals
Average cost per DRG
Average cost per DRG:
direct
Average cost per DRG:
overhead
no.
no.
days
no.
$
$
$
O01A - Caesarean Delivery +Ccc
NSW
1,363
1,500
13,165
13,049
10
9
41
43
14,496
14,855
10,615
10,608
3,881
4,247
Vic
1,132
Qld
899
SA
383
WA
562
Tas
82
NT
66
ACT
125
O01B - Caesarean Delivery +Scc
NSW
3,528
Vic
3,252
Qld
2,328
SA
889
WA
1,131
Tas
252
NT
212
ACT
271
O01C - Caesarean Delivery -Cscc
NSW
14,085
Vic
11,190
Qld
8,880
SA
3,029
WA
3,836
Tas
767
NT
555
ACT
941
O02A - Vaginal Delivery +Or Pr +Cscc
NSW
529
Vic
434
Qld
386
SA
115
WA
191
Tas
24
NT
50
ACT
47
1,393
992
426
669
101
99
141
9,596
6,598
3,789
5,008
539
658
985
10,325
6,109
4,216
5,304
700
912
1,232
8
7
10
9
7
10
8
7
6
10
8
7
9
9
28
22
8
18
3
3
2
28
27
8
20
3
3
2
16,198
15,989
17,054
18,716
16,924
27,877
21,828
15,576
16,328
18,893
18,363
16,585
31,658
23,089
11,130
12,788
11,661
13,871
13,166
20,078
12,378
10,866
13,070
12,698
13,030
13,562
21,296
13,625
5,068
3,201
5,393
4,844
3,758
7,799
9,450
4,710
3,257
6,195
5,333
3,022
10,362
9,465
3,972
3,472
2,142
958
1,242
232
237
314
18,732
15,399
10,126
4,931
5,648
1,254
1,319
1,379
19,527
15,465
8,972
4,899
5,983
1,099
1,444
1,529
5
5
4
6
5
5
6
5
5
4
4
5
5
5
6
5
43
30
34
9
20
3
4
2
53
29
35
9
20
4
4
2
9,380
11,519
11,764
11,096
14,678
11,878
19,343
14,883
9,839
11,571
11,993
11,140
14,764
12,186
21,351
14,421
6,839
7,900
9,381
7,647
10,488
9,174
13,973
8,033
7,036
7,998
9,593
7,605
10,421
9,789
14,258
8,343
2,541
3,619
2,383
3,449
4,190
2,704
5,370
6,850
7,036
7,998
9,593
7,605
10,421
9,789
14,258
8,343
14,399
11,111
9,008
3,009
3,924
828
620
962
52,875
41,139
28,943
12,176
13,910
2,887
2,470
3,542
51,990
39,075
28,701
10,976
13,636
2,941
2,571
3,378
4
4
3
4
4
4
4
4
4
4
3
4
3
4
4
4
44
30
37
9
22
3
4
2
55
28
39
9
23
4
4
2
7,916
10,141
10,302
8,822
13,249
8,654
17,666
11,043
8,279
10,241
9,874
8,803
13,458
9,921
15,932
11,425
5,832
6,974
8,203
6,062
9,166
6,666
12,242
6,328
5,972
7,110
7,903
6,034
9,413
7,911
10,543
6,460
2,084
3,168
2,099
2,760
4,083
1,988
5,424
4,715
5,972
7,110
7,903
6,034
9,413
7,911
10,543
6,460
555
525
365
116
217
48
30
40
2,350
1,763
1,429
569
846
107
261
253
2,385
1,949
1,277
464
973
225
152
147
4
4
4
5
4
4
5
5
4
4
3
4
4
5
5
4
42
27
32
5
18
3
4
2
45
27
26
7
21
4
4
2
9,240
10,331
12,056
11,285
14,562
11,346
14,767
13,685
9,827
10,955
11,063
10,055
15,176
12,682
19,148
11,469
6,731
7,267
9,564
7,815
10,418
8,760
10,714
7,962
7,014
7,653
8,814
6,897
10,805
10,187
12,454
7,324
2,509
3,064
2,492
3,471
4,144
2,586
4,054
5,723
2,813
3,303
2,248
3,158
4,370
2,495
6,694
4,145
Appendix 14. NHCDC Round 17 and 18 admitted acute maternity DRGs summary
Round 17
Round 18
Separations
no.
O02B - Vaginal Delivery +Or Pr -Cscc
NSW
1,722
Vic
1,132
Qld
966
SA
258
WA
426
Tas
77
NT
68
ACT
145
O03A - Ectopic Pregnancy
NSW
158
Vic
181
Qld
136
SA
49
WA
102
Tas
14
NT
16
ACT
23
O03B - Ectopic Pregnancy
NSW
793
Vic
746
Qld
545
SA
167
WA
242
Tas
61
NT
38
ACT
59
Round 17
Round 18 Round 17 Round 18 Round 17 Round 18
Round 17
Round 18
Round 17
Round 18
Round 17
Round 18
Patient Days
ALOS
Hospitals
Average cost per DRG
Average cost per DRG:
direct
Average cost per DRG:
overhead
no.
days
no.
$
$
$
1,649
1,127
1,036
300
397
88
49
176
5,453
3,257
2,750
795
1,306
252
224
449
5,201
3,191
2,851
828
1,168
289
179
486
3
3
3
3
3
3
3
3
3
3
3
3
3
3
4
3
43
29
32
9
19
3
4
2
50
27
33
9
21
4
4
2
6,339
7,901
8,443
6,728
10,695
6,240
9,833
8,446
7,082
8,296
8,322
6,244
10,754
7,403
13,371
7,861
4,630
5,465
6,679
4,655
7,527
4,795
6,871
4,822
5,030
5,732
6,593
4,242
7,563
5,944
8,488
4,971
1,709
2,437
1,764
2,072
3,168
1,445
2,963
3,624
2,052
2,564
1,729
2,002
3,192
1,458
4,883
2,890
178
231
151
48
72
13
11
16
384
503
335
122
237
33
59
64
389
469
318
114
172
27
40
37
2
3
2
2
2
2
4
3
2
2
2
2
2
2
4
2
37
24
23
10
14
4
2
2
40
25
21
8
14
4
3
2
6,906
7,531
9,280
7,844
9,684
8,464
10,926
13,850
6,925
6,616
9,599
8,140
9,747
8,042
12,409
10,373
5,221
5,614
7,612
5,556
7,483
6,944
8,119
8,052
5,225
5,137
7,868
5,735
7,096
6,469
8,807
7,133
1,684
1,917
1,668
2,288
2,200
1,520
2,807
5,798
1,700
1,479
1,731
2,405
2,650
1,573
3,602
3,240
790
682
537
174
245
44
40
58
1,434
1,132
888
266
379
113
77
112
1,361
1,084
857
267
378
79
65
85
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
1
44
30
28
12
13
4
3
2
47
26
28
11
13
4
2
2
4,927
4,175
6,900
4,883
6,125
5,177
6,452
8,988
5,094
4,096
7,002
5,030
6,574
5,728
6,292
6,401
3,725
3,106
5,654
3,488
4,811
4,117
4,775
4,881
3,872
3,120
5,769
3,512
4,896
4,580
4,574
4,213
1,202
1,069
1,246
1,395
1,314
1,060
1,676
4,107
1,222
975
1,233
1,518
1,677
1,147
1,718
2,188
Appendix 14. NHCDC Round 17 and 18 admitted acute maternity DRGs summary
Round 17
Round 18
Separations
no.
O04A - Postpartum & Post Abortn+Or Pr
NSW
77
Vic
99
Qld
68
SA
13
WA
34
Tas
..
NT
..
ACT
9
O04B - Postpartum & Post Abortn+Or Pr
NSW
236
Vic
162
Qld
157
SA
56
WA
70
Tas
29
NT
14
ACT
13
O05Z - Abortion+ Or Proc
NSW
5,225
Vic
6,870
Qld
2,907
SA
4,317
WA
1,932
Tas
375
NT
913
ACT
334
Round 17
Round 18 Round 17 Round 18 Round 17 Round 18
Round 17
Round 18
Round 17
Round 18
Round 17
Round 18
Patient Days
ALOS
Hospitals
Average cost per DRG
Average cost per DRG:
direct
Average cost per DRG:
overhead
no.
days
no.
$
$
$
90
93
72
16
42
..
13
..
332
485
397
66
126
..
..
92
497
562
308
109
186
..
60
..
4
5
6
5
4
..
..
10
6
6
4
7
4
..
5
..
27
24
18
5
9
..
..
2
29
24
22
5
13
..
3
..
10,655
10,089
14,126
10,835
12,835
..
..
40,960
21,422
12,460
12,487
16,008
13,295
..
13,249
..
8,023
7,522
11,226
8,030
9,705
..
..
28,651
17,641
9,456
10,118
11,579
9,734
..
9,336
..
2,633
2,567
2,900
2,805
3,131
..
..
12,309
3,781
3,004
2,370
4,428
3,561
..
3,912
..
211
166
157
24
69
24
19
21
573
438
385
186
173
78
44
30
547
448
384
128
197
46
72
52
2
3
2
3
2
3
3
2
3
3
2
5
3
2
4
2
40
26
22
10
16
4
2
2
41
29
24
4
13
4
4
2
5,211
5,487
6,752
5,667
7,764
7,294
6,528
9,366
5,460
5,571
6,678
7,586
8,730
5,150
10,192
7,835
3,881
3,879
5,482
3,851
5,640
5,876
5,025
5,275
4,047
3,979
5,432
5,287
6,315
4,025
7,062
4,813
1,330
1,608
1,270
1,816
2,125
1,418
1,503
4,090
1,413
1,592
1,246
2,299
2,415
1,125
3,130
3,022
5,331
6,691
3,006
4,468
1,871
338
965
351
5,784
7,248
3,212
4,426
2,126
411
1,020
412
5,913
7,064
3,333
4,607
2,034
361
1,065
385
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
48
35
40
14
24
4
4
2
58
35
44
14
23
4
4
2
2,114
2,411
3,400
2,044
3,628
2,301
1,708
4,459
2,230
2,436
3,436
1,693
3,889
3,038
2,127
2,983
1,585
1,721
2,792
1,587
2,533
1,862
1,262
2,571
1,673
1,782
2,843
1,260
2,929
2,316
1,549
1,927
529
690
609
457
1,095
439
446
1,888
557
654
592
433
960
722
579
1,055
Appendix 14. NHCDC Round 17 and 18 admitted acute maternity DRGs summary
Round 17
Round 18
Separations
no.
O60A - Vaginal Delivery +Cscc
NSW
2,103
Vic
1,949
Qld
1,048
SA
533
WA
807
Tas
161
NT
93
ACT
169
O60B - Vaginal Delivery -Cscc
NSW
7,394
Vic
6,055
Qld
3,805
SA
1,333
WA
2,188
Tas
414
NT
232
ACT
633
O60C - Vaginal Delivery + Mod Comp Dx
NSW
37,853
Vic
27,535
Qld
25,476
SA
6,652
WA
9,713
Tas
2,038
NT
1,875
ACT
2,427
Round 17
Round 18 Round 17 Round 18 Round 17 Round 18
Round 17
Round 18
Round 17
Round 18
Round 17
Round 18
Patient Days
ALOS
Hospitals
Average cost per DRG
Average cost per DRG:
direct
Average cost per DRG:
overhead
no.
days
no.
$
$
$
2,334
2,154
1,139
545
918
167
142
210
11,037
8,418
4,318
2,871
4,220
766
559
775
11,594
8,844
4,568
2,804
4,251
773
794
988
5
4
4
5
5
5
6
5
5
4
4
5
5
5
6
5
43
30
29
7
20
3
4
2
54
27
34
9
21
4
5
2
8,217
8,419
8,909
8,790
11,727
10,192
12,309
11,888
8,651
8,660
9,214
9,329
11,542
9,238
18,883
10,620
5,844
5,861
7,013
5,830
8,409
7,884
8,801
7,229
6,024
6,021
7,269
6,070
8,146
7,493
12,188
6,449
2,373
2,557
1,896
2,959
3,317
2,309
3,508
4,660
2,626
2,639
1,946
3,258
3,396
1,745
6,695
4,172
7,314
6,100
4,035
1,351
2,399
490
259
623
22,180
16,568
9,848
3,947
6,165
1,218
816
1,546
21,266
16,513
10,300
3,721
6,510
1,388
986
1,519
3
3
3
3
3
3
4
2
3
3
3
3
3
3
4
2
46
30
43
9
22
4
5
2
56
28
41
9
24
4
4
2
5,585
6,072
6,593
5,408
8,265
5,393
9,224
5,078
5,930
6,512
6,167
5,315
8,291
5,655
12,703
6,214
4,016
4,206
5,209
3,604
5,697
4,155
6,371
3,116
4,138
4,458
4,846
3,467
5,835
4,457
7,916
3,908
1,569
1,866
1,384
1,804
2,568
1,238
2,853
1,962
1,793
2,054
1,321
1,848
2,456
1,198
4,787
2,306
38,436
27,046
25,185
6,579
10,208
2,077
1,772
2,489
88,071
62,617
50,015
15,547
22,446
4,731
5,201
4,673
86,709
60,262
48,056
13,766
22,668
4,873
4,885
4,486
2
2
2
2
2
2
3
2
2
2
2
2
2
2
3
2
46
30
78
10
26
6
5
2
58
28
71
9
26
4
5
2
4,096
4,912
5,052
3,983
6,963
4,029
7,356
3,167
4,288
5,142
4,561
3,844
6,921
4,454
8,770
4,169
2,954
3,411
3,986
2,623
4,669
3,053
5,075
1,967
2,986
3,534
3,604
2,486
4,795
3,508
5,478
2,622
1,143
1,500
1,066
1,360
2,294
976
2,282
1,200
1,302
1,608
958
1,358
2,126
945
3,293
1,548
Appendix 14. NHCDC Round 17 and 18 admitted acute maternity DRGs summary
Change
Separations
Patient Days
ALOS
Hospitals
Ave. cost Aver. cost per
per DRG DRG: direct
Ave. cost per
DRG:
overhead
(%)
O01A - Caesarean Delivery +Ccc
10.1
23.1
10.3
11.2
19.0
23.2
50.0
12.8
-0.9
7.6
-7.4
11.3
5.9
29.9
38.6
25.1
-9.9
-12.6
-16.1
0.0
-11.0
5.4
-7.6
10.9
4.9
0.0
22.7
0.0
11.1
0.0
0.0
0.0
2.5
-3.8
2.1
10.8
-1.9
-2.0
13.6
5.8
-0.1
-2.4
2.2
8.9
-6.1
3.0
6.1
10.1
9.4
-7.1
1.8
14.9
10.1
-19.6
32.9
0.2
-7.4
-5.9
-3.7
-7.8
-3.5
-4.8
-2.1
-4.3
23.3
-3.3
2.9
0.0
0.0
33.3
0.0
0.0
4.9
0.4
1.9
0.4
0.6
2.6
10.4
-3.1
2.9
1.2
2.3
-0.6
-0.6
6.7
2.0
3.9
176.9
121.0
302.5
120.5
148.7
262.0
165.5
21.8
-3.8
-4.3
-2.2
-9.3
-4.2
-5.6
-6.8
-6.7
25.0
-6.7
5.4
0.0
4.5
33.3
0.0
0.0
4.6
1.0
-4.2
-0.2
1.6
14.6
-9.8
3.5
2.4
2.0
-3.7
-0.5
2.7
18.7
-13.9
2.1
186.6
124.5
276.5
118.6
130.6
297.9
94.4
37.0
-3.3
-8.6
-5.5
-19.2
1.2
5.1
-2.9
-31.7
7.1
0.0
-18.8
40.0
16.7
33.3
0.0
0.0
6.4
6.0
-8.2
-10.9
4.2
11.8
29.7
-16.2
4.2
5.3
-7.8
-11.7
3.7
16.3
16.2
-8.0
12.1
7.8
-9.8
-9.0
5.5
-3.5
65.1
-27.6
O01B - Caesarean Delivery +Scc
12.6
6.8
-8.0
7.8
9.8
-7.9
11.8
15.9
4.2
0.4
-11.4
-0.6
5.9
-12.4
9.5
10.9
O01C - Caesarean Delivery -Cscc
2.2
-0.7
1.4
-0.7
2.3
8.0
11.7
2.2
-1.7
-5.0
-0.8
-9.9
-2.0
1.9
4.1
-4.6
O02A - Vaginal Delivery +Or Pr +Cscc
4.9
21.0
-5.4
0.9
13.6
100.0
-40.0
-14.9
1.5
10.6
-10.6
-18.5
15.0
110.3
-41.8
-41.9
Appendix 14. NHCDC Round 17 and 18 admitted acute maternity DRGs summary
Change
Separations
Patient Days
ALOS
Hospitals
Ave. cost Aver. cost per
per DRG DRG: direct
Ave. cost per
DRG:
overhead
(%)
O02B - Vaginal Delivery +Or Pr -Cscc
-4.2
-0.4
7.2
16.3
-6.8
14.3
-27.9
21.4
-4.6
-2.0
3.7
4.2
-10.6
14.7
-20.1
8.2
-0.4
-1.6
-3.3
-10.4
-4.0
0.3
10.9
-10.8
16.3
-6.9
3.1
0.0
10.5
33.3
0.0
0.0
11.7
5.0
-1.4
-7.2
0.6
18.6
36.0
-6.9
8.6
4.9
-1.3
-8.9
0.5
24.0
23.5
3.1
20.1
5.2
-2.0
-3.4
0.7
0.9
64.8
-20.3
-10.1
-26.9
-14.5
-4.6
2.8
-11.9
-1.4
-16.9
8.1
4.2
-8.7
-20.0
0.0
0.0
50.0
0.0
0.3
-12.2
3.4
3.8
0.6
-5.0
13.6
-25.1
0.1
-8.5
3.4
3.2
-5.2
-6.8
8.5
-11.4
0.9
-22.8
3.8
5.1
20.4
3.5
28.3
-44.1
-4.7
4.7
-2.1
-3.7
-1.5
-3.1
-19.8
-22.8
6.8
-13.3
0.0
-8.3
0.0
0.0
-33.3
0.0
3.4
-1.9
1.5
3.0
7.3
10.6
-2.5
-28.8
4.0
0.5
2.0
0.7
1.8
11.3
-4.2
-13.7
1.7
-8.8
-1.0
8.8
27.7
8.2
2.5
-46.7
O03A - Ectopic Pregnancy
12.7
27.6
11.0
-2.0
-29.4
-7.1
-31.3
-30.4
1.3
-6.8
-5.1
-6.6
-27.4
-18.2
-32.2
-42.2
O03B - Ectopic Pregnancy
-0.4
-8.6
-1.5
4.2
1.2
-27.9
5.3
-1.7
-5.1
-4.2
-3.5
0.4
-0.3
-30.1
-15.6
-24.1
Appendix 14. NHCDC Round 17 and 18 admitted acute maternity DRGs summary
Change
Separations
Patient Days
ALOS
Hospitals
Ave. cost Aver. cost per
per DRG DRG: direct
Ave. cost per
DRG:
overhead
(%)
O04A - Postpartum & Post Abortn+Or Pr
16.9
-6.1
5.9
23.1
23.5
-
49.7
15.9
-22.4
65.2
47.6
-
28.1
23.4
-26.7
34.2
19.5
-
7.4
0.0
22.2
0.0
44.4
-
101.0
23.5
-11.6
47.7
3.6
-
119.9
25.7
-9.9
44.2
0.3
-
43.6
17.0
-18.3
57.9
13.7
-
O04B - Postpartum & Post Abortn+Or Pr
-10.6
2.5
0.0
-57.1
-1.4
-17.2
35.7
61.5
-4.5
2.3
-0.3
-31.2
13.9
-41.0
63.6
73.3
6.8
-0.2
-0.3
60.6
15.5
-28.7
20.6
7.3
2.5
11.5
9.1
-60.0
-18.8
0.0
100.0
0.0
4.8
1.5
-1.1
33.9
12.4
-29.4
56.1
-16.3
4.3
2.6
-0.9
37.3
12.0
-31.5
40.5
-8.8
6.2
-1.0
-1.9
26.6
13.7
-20.7
108.2
-26.1
0.2
0.1
0.3
0.6
-1.2
-2.6
-1.2
-11.1
20.8
0.0
10.0
0.0
-4.2
0.0
0.0
0.0
5.5
1.0
1.0
-17.2
7.2
32.0
24.6
-33.1
5.5
3.5
1.9
-20.6
15.6
24.4
22.7
-25.1
5.3
-5.2
-2.7
-5.2
-12.3
64.4
29.9
-44.1
O05Z - Abortion+ Or Proc
2.0
-2.6
3.4
3.5
-3.2
-9.9
5.7
5.1
2.2
-2.5
3.8
4.1
-4.3
-12.2
4.4
-6.6
Appendix 14. NHCDC Round 17 and 18 admitted acute maternity DRGs summary
Change
Separations
Patient Days
ALOS
Hospitals
Ave. cost Aver. cost per
per DRG DRG: direct
Ave. cost per
DRG:
overhead
(%)
O60A - Vaginal Delivery +Cscc
11.0
10.5
8.7
2.3
13.8
3.7
52.7
24.3
5.0
5.1
5.8
-2.3
0.7
0.9
42.0
27.5
-5.3
-4.9
-2.7
-4.5
-11.4
-2.7
-7.0
2.6
25.6
-10.0
17.2
28.6
5.0
33.3
25.0
0.0
5.3
2.9
3.4
6.1
-1.6
-9.4
53.4
-10.7
3.1
2.7
3.6
4.1
-3.1
-5.0
38.5
-10.8
10.7
3.2
2.6
10.1
2.4
-24.4
90.8
-10.5
-3.1
-1.1
-1.4
-7.0
-3.7
-3.7
8.2
-0.2
21.7
-6.7
-4.7
0.0
9.1
0.0
-20.0
0.0
6.2
7.2
-6.5
-1.7
0.3
4.9
37.7
22.4
3.0
6.0
-7.0
-3.8
2.4
7.3
24.2
25.4
14.3
10.1
-4.6
2.4
-4.4
-3.3
67.8
17.5
26.1
-6.7
-9.0
-10.0
0.0
-33.3
0.0
0.0
4.7
4.7
-9.7
-3.5
-0.6
10.6
19.2
31.6
1.1
3.6
-9.6
-5.2
2.7
14.9
7.9
33.2
13.9
7.2
-10.2
-0.2
-7.4
-3.1
44.3
29.0
O60B - Vaginal Delivery -Cscc
-1.1
0.7
6.0
1.4
9.6
18.4
11.6
-1.6
-4.1
-0.3
4.6
-5.7
5.6
14.0
20.8
-1.7
O60C - Vaginal Delivery + Mod Comp Dx
1.5
-1.8
-1.1
-1.1
5.1
1.9
-5.5
2.6
-1.5
-3.8
-3.9
-11.5
1.0
3.0
-6.1
-4.0
-3.0
-2.0
-2.8
-10.5
-3.9
1.1
-0.6
-6.4
Appendix 15. NHCDC Round 17 and 18 Emergency Department by jurisdcition
Prodtype
Total
Jurisdiction
Hospitals
Round 17
no.
Admitted (AE)
Non-admitted (NE)
Total ED
Average
Presentations
Round 18
no.
Round 17
no.
Expenditure
Round 18
no.
Round 17
($M)
Round 18
($M)
Cost per
presentation
Cost per
presentation
Round 17
($)
Round 18
($)
NSW
Vic
Qld
SA
WA
Tas
NT
ACT
53
38
106
13
28
4
5
2
59
37
82
13
29
4
5
2
547,838
417,127
316,408
132,298
181,167
30,692
37,687
31,190
565,851
458,830
412,989
134,491
193,389
36,052
39,101
34,191
618
357
296
104
137
32
29
45
636
407
379
116
139
42
24
50
1,128
855
936
783
754
1,048
763
1,430
1,123
887
917
863
719
1,163
624
1,456
Admitted (AE)
249
231
1,694,407
1,874,894
1,617
1,793
954
956
NSW
Vic
Qld
SA
WA
Tas
NT
ACT
59
37
107
13
16
4
5
2
1,406,269
1,052,766
1,259,252
303,964
445,390
116,223
107,759
87,693
1,477,652
1,042,220
1,315,272
311,208
471,703
112,153
105,982
91,647
594
402
602
135
236
46
59
54
570
398
656
158
258
44
41
58
423
382
478
443
531
400
549
619
385
382
499
507
548
396
385
634
Non-Admitted ED
53
38
126
13
15
4
5
2
256
243
4,779,316
4,927,837
2,130
2,183
446
443
NSW
Vic
Qld
SA
WA
Tas
NT
ACT
53
38
126
13
28
4
5
2
59
37
107
13
29
4
5
2
1,954,107
1,469,893
1,575,660
436,262
626,557
146,915
145,446
118,883
2,043,503
1,501,050
1,728,261
445,699
665,092
148,205
145,083
125,838
1,213
759
898
238
373
79
88
99
1,205
805
1,035
274
397
86
65
108
621
516
570
546
595
535
604
831
590
536
599
614
598
582
449
857
National ED
269
256
6,473,723
6,802,731
3,746
3,976
579
584
Appendix 15. NHCDC Round 17 and 18 Emergency Department by jurisdcition
Prodtype
Admitted (AE)
Total ED
Hospitals
Presentations
Total Expenditure
Average cost per
presentation
(%)
(%)
(%)
(%)
11.3
-2.6
-22.6
0.0
3.6
0.0
0.0
0.0
-7.2
3.3
10.0
30.5
1.7
6.7
17.5
3.8
9.6
10.7
2.8
14.1
28.0
12.0
1.7
30.4
-15.2
11.6
10.9
-0.4
3.7
-2.0
10.2
-4.7
11.0
-18.3
1.8
0.2
Non-Admitted ED
11.3
-2.6
-15.1
0.0
6.7
0.0
0.0
0.0
-5.1
5.1
-1.0
4.4
2.4
5.9
-3.5
-1.6
4.5
3.1
-4.2
-1.1
9.0
17.3
9.3
-4.5
-31.0
7.1
2.5
-8.8
-0.1
4.3
14.6
3.2
-1.0
-29.9
2.5
-0.6
NSW
Vic
Qld
SA
WA
Tas
NT
ACT
11.3
-2.6
-15.1
0.0
3.6
0.0
0.0
0.0
4.6
2.1
9.7
2.2
6.2
0.9
-0.2
5.9
-0.6
6.0
15.2
15.0
6.6
9.8
-25.9
9.1
-5.0
3.8
5.1
12.6
0.4
8.8
-25.7
3.1
-4.8
5.1
6.1
1.0
NSW
Vic
Qld
SA
WA
Tas
NT
ACT
Admitted (AE)
Non-admitted (NE)
Round 17 to 18 % Change
Jurisdiction
NSW
Vic
Qld
SA
WA
Tas
NT
ACT
National ED
Appendix 16. NHCDC Round 17 and 18 Emergency Department by Urgency Related Group
URG VERSION 1.3, Round 18 (2013-14)
URG Description
URG
3
4
5
6
7
9
10
11
12
14
15
16
17
19
20
21
22
23
24
25
26
27
29
30
31
32
33
34
35
36
37
38
39
40
42
43
Adm_T1_Injury_Single sites
Adm_T1_Poisoning
Adm_T1_Respiratory system illness
Adm_T1_Circulatory system illness
Adm_T1_All other MDB groups
Adm_T2_Poisoning
Adm_T2_Injury
Adm_T2_Gastrointestinal system illness
Adm_T2_Respiratory system illness
Adm_T2_Neurological illness
Adm_T2_Toxic effects of drugs
Adm_T2_Circulatory system illness
Adm_T2_All other MDB groups
Adm_T3_Blood/Immune system illness
Adm_T3_Injury
Adm_T3_Neurological illness
Adm_T3_Obstetric/Gynaecological illness
Adm_T3_Gastrointestinal system illness
Adm_T3_Circulatory system illness
Adm_T3_Poisoning/Toxic effects of drugs
Adm_T3_Urological illness
Adm_T3_Respiratory system illness
Adm_T3_All other MDB groups
Adm_T4_Poisoning/Toxic effects of drugs
Adm_T4_Respiratory system illness
Adm_T4_Gastrointestinal system illness
Adm_T4_All other MDB groups
Adm_T4_Injury
Adm_T4_Psychiatric/Social problem/Other presentation
Adm_T5_Psychiatric/Social problem/Other presentation
Adm_T5_All other MDB groups
Dead on Arrival w any Triage w any MDB
N-A_T1_All MDB groups
N-A_T2_Alcohol/drug abuse
N-A_T2_Musculoskeletal/connective tissue illness
N-A_T2_Circulatory system/Respiratory system illness
Number
of Pres
6,241
1,752
4,928
6,585
9,802
8,471
37,297
28,736
61,132
29,995
2,492
154,431
65,521
19,042
88,649
87,248
23,671
186,479
113,598
17,828
51,162
103,778
131,655
5,797
25,795
91,483
182,145
60,514
33,187
4,275
22,069
5,355
4,136
4,146
6,317
106,156
Average Cost per URG ($)
Total
Direct
Ohead
2,198
1,695
1,714
1,646
1,821
1,098
1,403
1,279
1,164
1,404
1,090
1,063
1,155
950
995
1,063
642
1,028
982
878
974
967
940
650
777
845
769
738
745
567
622
168
1,374
969
793
790
1,810
1,379
1,389
1,333
1,482
877
1,148
1,036
934
1,147
888
854
931
765
804
853
516
827
789
705
785
774
749
511
616
670
611
587
584
436
479
128
1,121
769
598
624
389
316
325
313
339
221
255
244
230
257
202
209
224
185
191
210
126
201
193
173
189
194
191
139
161
174
158
152
162
130
143
41
254
199
195
165
Average Component Cost per URG ($)
Ward Medical Ward Nursing
Non
Pathology
Clinical
Direct Ohead Direct Ohead
Direct Ohea
Salaries
URG
d
15
1
4
1
14
145
23
3
11
2
1
1
6
155
21
4
9
1
1
1
6
132
19
5
9
1
1
1
7
142
24
6
8
1
1
1
6
136
21
7
11
2
1
2
8
92
10
9
14
1
3
1
10
56
6
10
7
1
1
1
5
104
14
11
7
1
1
1
5
86
11
12
7
1
1
1
6
78
9
14
9
1
4
2
6
67
9
15
8
1
1
1
7
77
9
16
6
1
1
1
6
93
11
17
7
1
0
1
6
114
14
19
13
2
2
1
9
38
4
20
5
1
1
1
5
60
7
21
8
1
1
1
7
72
6
22
7
1
1
1
7
73
8
23
8
1
1
1
6
74
8
24
6
1
2
1
7
62
7
25
7
1
1
1
7
73
8
26
8
1
1
1
6
71
8
27
7
1
2
1
7
64
8
29
5
1
2
1
4
41
4
30
8
1
1
1
3
61
6
31
8
1
1
1
3
58
6
32
6
1
1
1
5
58
6
33
8
1
1
1
7
26
3
34
6
1
2
1
6
43
5
35
14
2
2
2
8
27
3
36
10
1
1
1
4
35
4
37
3
0
3
2
3
4
1
38
6
1
3
2
10
59
8
39
4
1
1
1
14
44
5
40
9
2
1
1
3
34
3
42
7
1
1
1
4
56
5
43
Appendix 16. NHCDC Round 17 and 18 Emergency Department by Urgency Related Group
URG VERSION 1.3, Round 18(2013-14)
Average Component Cost per URG ($)
Imaging
Allied
Pharmacy
Critical Care
Oper Rooms Emerg Depts
Supplies
Spec Proc Suites ProsOntheses
Costs
Direct Ohead Direct Ohead Direct Ohead Direct Ohead Direct Ohead Direct Ohead Direct Ohead Direct
Ohead
URG
3
4
5
6
7
9
10
11
12
14
15
16
17
19
20
21
22
23
24
25
26
27
29
30
31
32
33
34
35
36
37
38
39
40
42
43
542
117
100
183
224
35
316
141
69
227
79
90
96
46
162
143
25
108
94
31
104
65
64
30
62
93
75
98
49
26
50
4
108
40
62
58
89
19
16
32
34
6
52
21
11
34
13
16
15
8
27
21
4
16
15
5
16
11
10
5
9
13
10
15
7
4
8
1
19
7
10
9
9
5
3
4
4
2
4
1
1
5
4
1
2
1
4
3
1
1
1
2
1
1
2
3
1
1
2
4
4
3
2
1
6
3
1
1
1
1
1
1
1
0
1
0
0
1
1
0
0
0
1
1
0
0
0
0
0
0
0
1
0
0
0
1
1
1
0
0
1
0
0
0
3
5
12
12
15
3
3
8
8
21
2
5
12
19
3
5
2
5
6
2
5
8
6
3
6
4
5
3
4
4
4
0
2
1
4
3
0
0
1
1
1
0
0
0
1
1
0
0
1
1
0
0
0
0
0
0
0
1
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
1
1
3
3
0
2
2
0
0
1
0
1
1
2
0
1
2
0
0
0
0
0
0
0
3
0
2
1
2
2
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
1
0
0
0
0
0
889
943
991
823
936
643
609
663
666
677
619
578
622
503
485
544
353
545
520
521
512
539
524
371
414
435
400
378
414
309
325
96
813
582
421
433
173
201
211
180
198
150
131
149
153
148
130
135
142
120
114
131
87
129
124
121
122
130
127
96
107
112
103
96
108
88
93
28
159
135
118
109
3
3
1
4
5
1
3
1
1
4
1
2
2
1
1
1
2
1
2
1
2
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
17
11
9
9
9
7
9
6
5
7
6
7
5
5
7
5
6
6
5
5
6
5
5
3
3
3
3
4
3
3
2
0
6
3
2
3
0
0
0
11
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
1
1
6
2
0
3
1
0
2
0
1
1
0
1
1
0
1
0
0
1
0
0
0
0
1
0
1
0
0
0
0
0
0
0
0
144
129
133
119
138
80
105
97
90
108
95
77
88
66
72
78
44
73
72
69
69
72
70
52
57
61
56
53
55
36
43
13
119
85
60
60
Hotel Deprec No. of
Hosps
29
26
26
25
28
19
23
21
19
22
18
17
19
15
15
18
9
16
16
14
15
16
15
11
13
15
13
13
14
11
12
3
21
19
21
16
86
37
38
45
51
26
50
34
28
43
23
27
30
21
30
32
12
27
26
18
25
24
23
16
21
25
21
23
20
17
22
5
29
22
40
21
138
124
152
155
168
163
174
170
174
167
145
173
176
170
177
175
165
177
176
171
171
176
179
168
175
174
180
175
175
168
175
127
170
162
173
185
URG
3
4
5
6
7
9
10
11
12
14
15
16
17
19
20
21
22
23
24
25
26
27
29
30
31
32
33
34
35
36
37
38
39
40
42
43
Appendix 16. NHCDC Round 17 and 18 Emergency Department by Urgency Related Group
URG VERSION 1.3, Round 18 (2013-14)
URG Description
URG
44
45
46
48
50
51
52
53
55
56
57
58
60
61
62
63
65
66
67
68
69
70
71
72
73
74
75
76
77
78
E1
E2
E3
E4
E5
E6
N-A_T2_Injury
N-A_T2_Poisoning
N-A_T2_All other MDB groups
N-A_T3_Circulatory system illness
N-A_T3_Injury
N-A_T3_Genitourinary illness
N-A_T3_Gastrointestinal system illness
N-A_T3_Neurological illness
N-A_T3_Respiratory system illness
N-A_T3_Musculoskeletal/connective tissue illness
N-A_T3_All other MDB groups
N-A_T4_Injury
N-A_T4_Genitourinary illness
N-A_T4_Circulatory system/Respiratory system illness
N-A_T4_Gastrointestinal system illness
N-A_T4_Musculoskeletal/connective tissue illness
N-A_T4_Illness of the ENT
N-A_T4_Illness of the Eyes
N-A_T4_Other presentation block
N-A_T4_All other MDB groups
N-A_T5_Poisoning/Toxic effects of drugs
N-A_T5_Injury
N-A_T5_Other presentation block
N-A_T5_All other MDB groups
Did Not Wait
Transfer presentation
Died in emergency department
Adm_Return visit, planned w any Triage
N-A Return visit, planned – Triage 1, 2, 3
N-A Return visit, planned – Triage 4,5
Error - Episode End Status not (1, 2, 3, 4, 5, 6 or 7)
Error - Triage not (1, 2, 3, 4 or 5)
Error – Blank diagnosis code
Error – Invalid diagnosis code
Error – Diagnosis code – No MDB map
Error - Type of visit not (1,2, 3, 4 or 5)
Number
of Pres
37,754
5,094
81,331
102,682
219,595
84,786
183,588
93,339
133,851
25,826
309,427
663,236
124,658
197,259
240,562
87,784
103,099
78,102
135,113
393,680
5,582
164,611
92,074
213,095
253,126
69,980
4,146
12,490
5,587
94,634
295,724
473
23,636
114,631
11,546
195,825
Average Cost per URG ($)
Total
Direct
Ohead
785
857
740
620
557
600
597
621
496
588
501
367
418
376
426
419
321
287
342
381
258
265
246
277
159
1,088
1,350
599
535
334
592
247
516
573
493
441
626
685
584
490
438
473
470
487
385
444
388
283
322
288
329
312
237
209
263
290
197
201
183
201
119
898
1,073
477
416
253
480
195
330
419
379
376
159
171
156
130
119
128
127
134
111
144
113
84
95
89
98
108
84
78
80
91
61
65
63
76
41
190
277
122
118
80
112
52
186
154
115
65
Average Component Cost per URG ($)
Ward Medical Ward Nursing
Non
Pathology
Clinical
Direct Ohead Direct Ohead
Direct Ohea
Salaries
URG
d
8
1
2
1
6
15
1
44
7
1
2
1
8
52
4
45
7
1
1
1
6
36
3
46
7
1
1
1
4
45
4
48
8
1
2
2
6
6
1
50
7
1
1
1
5
51
4
51
6
1
1
1
5
39
3
52
6
1
1
1
4
28
3
53
6
1
1
1
5
19
2
55
6
1
1
1
3
19
2
56
7
2
2
1
5
19
2
57
5
1
1
2
5
2
0
58
6
1
1
1
4
41
3
60
5
1
1
1
4
15
1
61
5
1
1
1
3
26
2
62
3
0
1
1
3
9
1
63
8
2
2
2
5
5
0
65
12
5
1
1
4
4
0
66
6
1
2
2
5
10
1
67
5
1
1
1
4
15
1
68
2
0
1
1
9
4
0
69
4
1
1
1
3
1
0
70
7
1
3
3
5
5
1
71
5
1
2
2
3
8
1
72
3
0
0
1
4
2
0
73
12
2
3
2
48
49
4
74
7
1
1
1
3
76
7
75
16
3
3
4
10
33
2
76
16
3
5
6
11
20
1
77
11
2
5
4
7
5
0
78
13
3
5
6
17
24
1
E1
0
0
1
0
2
14
1
E2
0
0
0
0
0
0
0
E3
1
0
0
0
3
26
3
E4
7
1
3
3
9
27
3
E5
65
2
80
25
23
7
0
E6
Appendix 16. NHCDC Round 17 and 18 Emergency Department by Urgency Related Group
URG VERSION 1.3, Round 18(2013-14)
Average Component Cost per URG ($)
Imaging
Allied
Pharmacy
Critical Care
Oper Rooms Emerg Depts
Supplies
Spec Proc Suites ProsOntheses
Costs
Direct Ohead Direct Ohead Direct Ohead Direct Ohead Direct Ohead Direct Ohead Direct Ohead Direct
Ohead
URG
44
45
46
48
50
51
52
53
55
56
57
58
60
61
62
63
65
66
67
68
69
70
71
72
73
74
75
76
77
78
E1
E2
E3
E4
E5
E6
124
17
57
48
71
42
37
64
24
52
15
40
19
20
23
41
6
3
15
16
3
28
8
11
3
93
81
41
32
19
37
17
0
49
42
3
20
3
9
7
12
6
5
9
4
8
3
7
3
3
3
6
1
1
2
2
0
5
2
2
0
12
13
7
6
3
8
1
0
21
6
1
2
3
1
1
2
1
0
1
0
1
2
2
1
0
0
2
0
0
1
1
1
1
1
1
0
2
26
1
1
1
1
0
0
0
0
2
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
5
0
0
0
0
0
0
0
0
0
1
1
3
3
1
2
2
2
2
2
3
1
3
2
2
1
2
2
2
2
1
1
4
2
1
5
2
3
2
6
1
0
0
1
1
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
1
2
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
402
529
413
334
296
321
335
332
290
313
298
197
219
211
237
219
185
161
194
218
158
140
132
150
93
493
762
326
293
175
337
143
294
319
254
120
96
122
103
86
77
85
87
88
77
90
79
55
65
60
67
68
57
53
56
63
45
43
45
52
29
116
181
84
83
57
78
38
104
109
76
22
1
2
1
1
1
1
1
1
1
1
1
1
1
1
1
0
1
1
1
1
0
1
2
1
1
118
1
2
2
3
3
0
0
0
1
25
5
4
3
2
4
3
3
2
3
2
3
3
2
2
2
1
2
1
2
2
2
1
2
1
1
10
3
8
9
4
15
0
0
1
5
16
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
59
68
58
46
40
42
43
46
37
44
38
26
28
27
30
31
23
21
23
28
18
18
14
18
12
77
114
34
29
16
29
17
43
9
32
24
Hotel Deprec No. of
Hosps
14
16
15
11
10
11
11
12
9
15
10
7
8
8
9
11
7
6
7
8
5
5
4
6
4
17
30
7
6
4
4
5
26
11
9
4
24
16
20
16
16
16
15
18
13
27
12
12
12
12
13
21
12
9
9
12
7
10
7
13
5
23
35
12
9
9
9
7
47
20
13
19
182
166
186
186
186
184
186
186
186
182
186
186
184
186
186
184
186
186
185
186
177
185
185
186
188
189
172
167
167
173
108
41
14
132
132
133
URG
44
45
46
48
50
51
52
53
55
56
57
58
60
61
62
63
65
66
67
68
69
70
71
72
73
74
75
76
77
78
E1
E2
E3
E4
E5
E6
Appendix 16. NHCDC Round 17 and 18 Emergency Department by Urgency Related Group
URG VERSION 1.3, Round 18 (2013-14)
URG Description
URG
Total
Total
This table does not include WA virtual presentations .
Number
of Pres
6,649,794
Average Cost per URG ($)
Total
Direct
Ohead
583
459
Average Component Cost per URG ($)
Ward Medical Ward Nursing
Non
Pathology
Clinical
Direct Ohead Direct Ohead
Direct Ohea
Salaries
URG
d
123
8
1
4
2
6
29
3 Total
Appendix 16. NHCDC Round 17 and 18 Emergency Department by Urgency Related Group
URG VERSION 1.3, Round 18(2013-14)
Average Component Cost per URG ($)
Imaging
Allied
Pharmacy
Critical Care
Oper Rooms Emerg Depts
Supplies
Spec Proc Suites ProsOntheses
Costs
Direct Ohead Direct Ohead Direct Ohead Direct Ohead Direct Ohead Direct Ohead Direct Ohead Direct
Ohead
URG
Total
48
8
1
0
3
0
0
0
0
0
312
81
3
4
0
0
0
41
Hotel Deprec No. of
Hosps
10
17
URG
243 Total
Appendix 17. NHCDC Round 17 and 18 Emergency Department cost bucket per presentation, by jurisdiction
Jurisdiction
Cost Bucket
NSW
Vic
Qld
SA
WA
Tas
NT
ACT
National
Round 17
Round 18
Round 17
Round 18
Round 17
Round 18
Round 17
Round 18
Round 17
Round 18
Round 17
Round 18
Round 17
Round 18
Round 17
Round 18
Round 17
Round 18
($)
($)
($)
($)
($)
($)
($)
($)
($)
($)
($)
($)
($)
($)
($)
($)
($)
($)
Ward Medical
0
0
14
15
11
23
0
0
1
1
7
9
0
0
0
0
6
9
Ward Nursing
0
0
1
1
29
22
2
0
1
0
0
1
0
0
0
0
8
6
Allied Health
2
1
2
2
2
1
1
1
4
4
3
1
6
0
1
0
2
2
Non clinical
2
4
1
1
18
17
0
7
0
0
1
4
6
11
0
0
5
6
On-costs
38
38
47
50
29
28
36
46
33
35
51
58
17
48
81
104
38
40
Pathology
49
41
30
29
21
24
59
56
12
14
19
14
32
45
20
21
34
32
Imaging
63
68
57
58
42
43
47
53
25
31
37
31
29
38
90
101
51
54
Prosthesis
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Ward Supplies
0
0
8
8
35
20
6
0
1
0
1
2
2
0
0
0
11
7
Pharmacy
1
1
7
7
1
1
8
7
3
3
6
7
3
1
2
1
3
3
Critical Care
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Operating Room
0
0
0
1
1
1
0
0
0
0
3
0
0
0
2
0
0
0
Special Procedure Suite
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Emergency Department
428
402
335
351
366
402
360
413
462
462
392
429
490
289
591
583
394
399
Hotels
14
13
7
7
4
5
9
14
21
20
5
7
4
1
17
15
10
10
Depreciation
22
22
7
7
10
12
18
17
32
27
11
20
16
15
27
32
16
16
621
590
516
536
570
599
546
614
595
598
535
582
604
449
831
857
579
584
Total Bucket
Percentage of total
(%)
(%)
(%)
(%)
(%)
(%)
(%)
(%)
(%)
(%)
(%)
(%)
(%)
(%)
(%)
(%)
(%)
(%)
Ward Medical
0.0
0.0
2.8
2.8
1.9
3.8
0.1
0.0
0.2
0.1
1.2
1.6
0.0
0.0
0.0
0.0
1.1
1.6
Ward Nursing
0.0
0.0
0.1
0.1
5.1
3.7
0.4
0.0
0.1
0.1
0.1
0.2
0.0
0.0
0.0
0.0
1.3
1.0
Allied Health
0.3
0.1
0.4
0.4
0.4
0.2
0.1
0.1
0.6
0.7
0.6
0.2
1.1
0.0
0.2
0.0
0.4
0.3
Non clinical
0.4
0.6
0.1
0.2
3.1
2.8
0.0
1.1
0.1
0.0
0.2
0.7
1.0
2.5
0.0
0.0
0.9
1.1
On-costs
6.1
6.4
9.1
9.3
5.0
4.6
6.6
7.5
5.6
5.8
9.6
9.9
2.7
10.6
9.7
12.1
6.5
6.8
Pathology
7.9
7.0
5.9
5.5
3.7
4.0
10.8
9.2
2.1
2.3
3.5
2.5
5.3
10.1
2.4
2.4
5.8
5.4
10.2
11.6
11.0
10.8
7.4
7.2
8.6
8.7
4.2
5.3
7.0
5.3
4.8
8.5
10.8
11.8
8.8
9.3
Prosthesis
0.1
0.1
0.1
0.1
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
Ward Supplies
0.0
0.0
1.5
1.5
6.2
3.3
1.0
0.0
0.1
0.0
0.2
0.3
0.3
0.1
0.0
0.0
1.9
1.2
Pharmacy
0.2
0.1
1.4
1.3
0.2
0.2
1.4
1.2
0.5
0.6
1.2
1.1
0.5
0.1
0.3
0.1
0.6
0.5
Critical Care
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
Operating Room
0.0
0.0
0.1
0.2
0.1
0.1
0.0
0.0
0.0
0.0
0.5
0.1
0.0
0.0
0.2
0.0
0.1
0.1
Special Procedure Suite
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
Emergency Department
69.0
68.1
64.9
65.4
64.3
67.0
66.0
67.2
77.6
77.2
73.2
73.6
81.1
64.3
71.0
68.0
68.1
68.2
Hotels
2.3
2.2
1.3
1.2
0.7
0.8
1.6
2.3
3.5
3.3
0.9
1.2
0.6
0.3
2.0
1.8
1.7
1.7
Depreciation
3.5
3.7
1.3
1.3
1.8
2.0
3.3
2.8
5.3
4.5
2.0
3.4
2.7
3.4
3.2
3.7
2.8
2.8
Imaging
Appendix 17. NHCDC Round 17 and 18 Emergency Department cost bucket per presentation, by jurisdiction
Cost Bucket
NSW
Vic
QLD
Change
WA
SA
Tas
NT
ACT
National
Round 17 to 18
($)
($)
($)
($)
($)
($)
($)
($)
($)
Ward Medical
0.0
0.7
12.2
-0.4
-0.3
2.8
0.0
-0.1
3.3
Ward Nursing
0.1
0.2
-6.9
-2.3
-0.5
0.7
-0.1
-0.2
-1.6
Allied Health
-1.1
0.4
-1.0
-0.1
0.9
-2.0
-6.2
-1.3
-0.6
Non clinical
1.5
0.1
-1.0
6.5
-0.2
3.1
5.4
-0.1
1.0
On-costs
-0.5
2.6
-0.9
10.1
1.2
6.3
31.0
22.8
2.0
Pathology
-7.9
-1.1
3.0
-2.7
1.4
-4.2
13.5
0.4
-1.9
3.3
Imaging
5.4
1.0
1.1
6.4
6.2
-6.6
9.6
11.4
Prosthesis
0.0
-0.1
0.0
0.0
0.0
0.0
0.0
0.0
0.0
Ward Supplies
0.0
0.3
-15.4
-5.5
-0.4
0.8
-1.4
-0.2
-4.0
Pharmacy
-0.7
-0.4
0.2
-0.4
0.6
0.3
-2.6
-1.3
-0.3
Critical Care
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
Operating Room
0.1
0.5
0.0
0.0
-0.1
-2.3
0.0
-1.8
0.1
Special Procedure Suite
0.0
0.0
0.0
0.0
0.0
0.0
0.1
0.0
0.0
Emergency Department
-26.7
16.0
35.1
52.4
-0.7
37.2
-201.3
-8.0
4.2
-1.1
-0.4
0.9
5.7
-1.1
2.0
-2.2
-1.2
0.1
0.2
0.0
1.4
-1.0
-4.8
9.2
-1.0
5.3
0.2
Hotels
Depreciation
Total Bucket
Change in % of total
percentage point
Ward Medical
0.0
0.0
1.9
-0.1
-0.1
0.4
0.0
0.0
0.6
Ward Nursing
0.0
0.0
-1.4
-0.4
-0.1
0.1
0.0
0.0
-0.3
Allied Health
-0.2
0.1
-0.2
0.0
0.2
-0.4
-1.0
-0.2
-0.1
Non clinical
0.3
0.0
-0.3
1.1
0.0
0.5
1.5
0.0
0.2
On-costs
0.2
0.1
-0.4
0.9
0.2
0.3
7.9
2.4
0.3
Pathology
-0.9
-0.4
0.3
-1.6
0.2
-1.0
4.8
0.0
-0.4
Imaging
1.4
-0.2
-0.2
0.1
1.0
-1.7
3.8
1.0
0.5
Prosthesis
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
Ward Supplies
0.0
0.0
-2.9
-1.0
-0.1
0.1
-0.2
0.0
-0.7
Pharmacy
-0.1
-0.1
0.0
-0.2
0.1
0.0
-0.4
-0.2
-0.1
Critical Care
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
Operating Room
0.0
0.1
0.0
0.0
0.0
-0.4
0.0
-0.2
0.0
Special Procedure Suite
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
Emergency Department
-0.9
0.6
2.8
1.1
-0.4
0.5
-16.8
-3.1
0.1
Hotels
-0.1
-0.1
0.1
0.7
-0.2
0.3
-0.3
-0.2
0.0
0.2
0.0
0.1
-0.5
-0.8
1.4
0.7
0.5
0.0
Depreciation
Appendix 18. NHCDC Round 16, 17 and 18 Emergency Department line item per presentation, by jurisdiction
Jurisdiction
Line item
Vic
NSW
QLD
WA
SA
Round 16
($)
Round 17
($)
Round 18
($)
Round 16
($)
Round 17
($)
Round 18
($)
Round 16
($)
Round 17
($)
Round 18
($)
Round 16
($)
Round 17 Round 18
($)
($)
Salary & Wages - Nursing
133
130
131
117
119
130
137
134
149
156
113
Salary & Wages - Medical (non-VMO)
136
138
137
105
115
120
241
199
242
179
127
Tas
NT
ACT
National
Round 16
($)
Round 17
($)
Round 18
($)
Round 16
($)
Round 17
($)
Round 18
($)
Round 16
($)
Round 17
($)
Round 18
($)
Round 16
($)
Round 17
($)
Round 18
($)
Round 16
($)
Round 17
($)
Round 18
($)
135
94
115
90
147
137
158
121
132
96
153
160
168
130
127
132
164
123
144
119
132
121
134
92
136
84
242
242
236
158
149
160
Salary & Wages - Medical (VMO)
23
19
19
22
17
21
8
2
2
1
20
26
13
10
13
0
0
0
0
0
0
28
32
42
16
13
15
Salary & Wages - Allied Health
20
25
25
38
29
32
18
16
17
17
13
15
18
23
18
5
12
10
17
16
24
37
36
28
23
22
23
Salary & Wages - Other
67
58
59
68
58
59
21
36
41
58
37
43
64
46
38
78
73
88
60
73
42
82
80
89
56
52
52
On-costs
34
36
38
50
46
50
29
27
28
60
34
46
24
43
35
52
49
58
84
15
48
91
81
104
40
37
40
Pathology
40
45
38
13
14
15
26
21
24
0
53
54
19
22
19
0
4
3
10
9
13
8
9
3
25
28
27
Imaging
21
22
23
15
21
22
13
13
15
0
6
5
0
0
5
0
0
0
4
11
13
5
1
1
14
16
17
Prostheses
2
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
Medical supplies
18
17
17
18
18
19
16
16
16
57
13
14
9
11
10
21
18
21
28
18
14
27
28
20
20
16
16
Goods and services
58
55
59
41
46
46
27
29
26
75
60
64
52
51
34
40
57
70
64
113
75
106
105
111
48
49
47
Pharmaceuticals - PBS
0
0
0
1
1
1
0
0
0
4
2
2
0
0
0
6
3
3
0
0
0
1
0
1
1
0
0
Pharmaceuticals - non-PBS
7
7
9
10
8
8
9
7
8
0
8
8
5
10
8
10
10
10
19
10
6
12
12
6
8
8
8
Blood
5
0
0
0
0
0
12
1
1
0
0
0
0
0
0
2
1
1
0
0
0
0
1
1
5
0
0
14
15
Depreciation - building
Depreciation - equipment
Hotel
16
0
0
0
3
2
3
12
11
12
0
15
14
7
5
11
0
0
0
6
7
7
5
6
6
0
0
0
8
8
9
9
4
5
12
14
4
4
5
7
5
14
15
15
16
13
5
6
5
14
14
13
8
7
7
5
4
5
25
8
14
27
27
20
7
5
7
3
3
1
17
17
15
11
7
10
7
10
8
Corporate
0
0
0
0
0
0
51
28
14
11
6
7
10
9
9
16
13
1
0
0
18
0
0
0
14
8
5
Lease
3
0
0
7
7
7
0
0
0
1
2
1
0
12
9
0
1
1
0
1
0
6
4
12
3
3
3
Appendix 18. NHCDC Round 16, 17 and 18 Emergency Department line item per presentation, by jurisdiction
Jurisdiction
Line item
Vic
NSW
QLD
WA
SA
Round 16
Round 17
Round 18
Round 16
Round 17
Round 18
Round 16
Round 17
Round 18
Round 16
(%)
(%)
(%)
(%)
(%)
(%)
(%)
(%)
(%)
(%)
Round 17 Round 18
Round 16
Tas
Round 17
Round 18
NT
ACT
National
Round 16
Round 17
Round 18
Round 16
Round 17
Round 18
Round 16
Round 17
Round 18
Round 16
Round 17
Round 18
(%)
(%)
(%)
(%)
(%)
(%)
(%)
(%)
(%)
(%)
(%)
(%)
Percentage of total
(%)
(%)
(%)
(%)
(%)
Salary & Wages - Nursing
22.2
22.1
22.1
22.8
23.5
24.3
22.0
24.7
24.9
23.5
21.9
22.0
20.0
20.8
20.4
27.9
26.7
27.1
23.9
24.0
21.4
18.3
19.3
19.6
22.2
23.0
23.2
Salary & Wages - Medical (non-VMO)
22.7
23.5
23.2
20.4
22.7
22.3
38.6
36.6
40.4
26.9
24.6
26.7
26.2
26.1
26.7
25.0
23.5
23.0
18.1
24.7
18.6
28.9
29.1
27.5
27.0
27.0
28.2
Salary & Wages - Medical (VMO)
3.8
3.2
3.2
4.3
3.4
3.9
1.3
0.4
0.3
0.2
3.9
4.2
2.8
1.8
2.9
0.0
0.0
0.0
0.0
0.0
0.0
3.3
3.9
4.9
2.7
2.4
2.6
Salary & Wages - Allied Health
3.3
4.3
4.3
7.4
5.7
5.9
2.9
2.9
2.9
2.6
2.5
2.4
3.8
4.2
4.0
0.9
2.3
1.7
3.4
2.9
5.4
4.4
4.3
3.3
3.9
4.0
Salary & Wages - Other
4.0
11.2
9.9
10.0
13.2
11.5
11.1
3.4
6.6
6.8
8.7
7.2
6.9
13.6
8.3
8.6
14.8
14.2
15.1
11.8
13.2
9.4
9.8
9.6
10.3
9.6
9.4
9.2
On-costs
5.7
6.1
6.4
9.7
9.1
9.3
4.6
5.0
4.6
9.0
6.6
7.5
5.1
7.8
7.8
9.9
9.5
9.9
16.6
2.7
10.6
10.9
9.7
12.1
6.8
6.7
7.0
Pathology
6.7
7.7
6.5
2.5
2.8
2.8
4.2
3.9
4.0
0.0
10.3
8.8
4.0
4.0
4.4
0.0
0.8
0.5
2.0
1.6
2.8
1.0
1.1
0.4
4.3
5.1
4.7
0.0
0.0
0.8
2.0
2.9
0.6
0.1
0.1
2.4
2.9
2.9
Imaging
3.5
3.7
4.0
2.9
4.2
4.0
2.1
2.4
2.5
0.0
1.2
0.8
0.0
0.0
1.1
0.0
Prostheses
0.3
0.0
0.1
0.2
0.0
0.1
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.2
0.0
0.0
Medical supplies
3.0
2.9
2.9
3.5
3.6
3.5
2.6
2.9
2.7
8.6
2.5
2.4
1.9
2.0
2.2
4.0
3.5
3.7
5.5
3.3
3.2
3.2
3.4
2.3
3.4
2.9
2.9
4.3
11.3
11.6
10.4
11.1
7.6
11.1
12.0
12.6
20.5
16.7
12.7
12.6
13.0
Goods and services
9.7
9.4
9.9
8.0
9.1
8.5
4.3
5.3
9.2
7.6
8.2
8.9
8.2
Pharmaceuticals - PBS
0.0
0.0
0.0
0.2
0.2
0.2
0.0
0.0
0.0
0.6
0.4
0.3
0.0
0.0
0.0
1.1
0.6
0.5
0.0
0.0
0.0
0.1
0.0
0.2
0.2
0.0
0.1
Pharmaceuticals - non-PBS
1.2
1.2
1.5
1.9
1.6
1.6
1.4
1.3
1.3
0.0
1.5
1.4
1.1
1.8
1.9
1.9
1.9
1.7
3.7
1.8
1.4
1.4
1.4
0.6
1.4
1.5
1.5
Blood
0.8
0.0
0.0
0.0
0.0
0.0
1.9
0.2
0.1
0.0
0.0
0.0
0.0
0.0
0.0
0.4
0.2
0.1
0.0
0.0
0.0
0.0
0.1
0.1
0.9
0.0
0.0
Depreciation - building
2.3
2.6
2.7
0.0
0.0
0.0
0.5
0.4
0.5
1.8
2.1
1.9
0.0
2.7
3.1
1.3
1.0
1.9
0.0
0.0
0.0
0.7
0.8
0.8
1.2
1.3
1.4
Depreciation - equipment
0.8
1.0
1.0
0.0
0.0
0.0
1.3
1.5
1.5
1.4
0.8
0.8
2.6
2.5
1.0
0.8
1.0
1.3
1.0
2.5
3.3
1.8
1.9
1.6
0.9
1.1
1.0
1.6
1.4
1.2
0.8
0.7
0.8
3.8
1.5
2.3
5.7
4.9
4.5
1.3
1.0
1.2
0.6
0.5
0.3
2.0
2.0
1.8
1.9
1.8
1.8
Corporate
0.0
0.0
0.0
0.0
0.0
0.0
8.2
5.2
2.3
1.7
1.2
1.1
2.1
1.6
2.0
3.0
2.5
0.2
0.0
0.0
4.0
0.0
0.0
0.0
2.4
1.5
0.9
Lease
Hotel
0.5
2.3
0.0
2.4
0.0
2.2
1.4
1.4
1.3
0.0
0.0
0.0
0.2
0.4
0.1
0.0
2.2
1.9
0.0
0.2
0.2
0.0
0.2
0.0
0.7
0.5
1.3
0.5
0.5
0.5
Appendix 18. NHCDC Round 16, 17 and 18 Emergency Department line item per presentation, by jurisdiction
Line item
Change
WA
Tas
NSW
Vic
QLD
SA
($)
($)
($)
($)
($)
($)
NT
ACT
National
($)
($)
($)
Round 17 to 18
0.4
9.4
11.4
19.4
-21.3
15.2
-27.2
4.9
-0.9
4.2
21.6
29.3
-17.6
10.9
-38.4
-2.4
7.7
Salary & Wages - Medical (VMO)
0.1
23.3
-2.9
30.1
29.8
32.3
12.2
Salary & Wages - Allied Health
1.4
9.3
7.3
12.4
-22.4
-19.8
52.3
-22.4
4.2
Salary & Wages - Other
2.0
2.4
12.6
15.0
-17.0
20.5
-42.0
10.7
On-costs
4.3
8.0
2.4
35.4
-19.5
Pathology
-15.1
8.4
13.3
2.3
-11.6
6.7
3.2
13.8
-15.1
-0.6
3.0
2.1
11.4
-12.6
6.4
-0.4
-11.1
6.8
-34.2
Salary & Wages - Nursing
Salary & Wages - Medical (non-VMO)
Imaging
17.5 216.8
4.1
0.3
28.2
7.8
39.3
-63.7
-4.6
17.1
-29.4
4.2
19.4
-21.2
-28.7
2.2
22.4
-33.8
6.0
-4.3
-38.2
-54.0
3.8
-32.7
Prostheses
Medical supplies
Goods and services
-5.2
Pharmaceuticals - PBS
Pharmaceuticals - non-PBS
23.5
5.1
Depreciation - building
7.7
Depreciation - equipment
-1.4
Hotel
-5.5
-6.3
Corporate
Lease
-14.6
14.0
4.9
-6.4
-16.4
-19.1
Blood
1.1
47.3
6.3
-6.8
123.4
1.7
15.9
11.4
16.0
-69.3
48.5
6.9
-16.2
-8.4
20.9
78.2
-26.2
36.0
-54.5
-9.4
0.0
12.6
0.5
-91.0
-66.0
-29.1
22.1
-99.9
189.2
-12.4
-50.4
-2.3
0.4
-37.7
-34.2
Appendix 18. NHCDC Round 16, 17 and 18 Emergency Department line item per presentation, by jurisdiction
Line item
NSW
Vic
QLD
SA
Change
WA
Tas
NT
ACT
National
Round 17 to 18
Change in % of total
percentage point
Salary & Wages - Nursing
-0.5
0.5
-2.5
0.3
-0.3
-0.4
3.8
2.2
0.6
-0.5
-6.0
-1.6
1.1
Salary & Wages - Medical (VMO)
0.0
0.6
0.0
0.4
1.1
0.0
0.0
1.1
0.2
Salary & Wages - Allied Health
0.0
0.2
-0.1
-0.1
-0.1
-0.7
2.5
-1.1
0.0
0.2
-0.2
0.3
Salary & Wages - Medical (non-VMO)
Salary & Wages - Other
0.0
0.8
0.3
0.1
-0.4
0.1
0.9
-3.8
On-costs
0.2
0.2
-0.4
0.9
0.0
0.4
7.9
2.4
0.3
Pathology
-1.2
0.1
0.1
-1.4
0.4
-0.3
1.2
-0.7
-0.4
Imaging
0.2
-0.1
0.1
-0.3
1.1
0.0
0.9
0.7
0.2
0.0
-0.3
0.0
Prostheses
0.1
0.1
0.0
0.0
0.0
0.0
0.0
0.0
0.0
Medical supplies
0.0
-0.1
-0.2
-0.2
0.2
0.2
-0.1
-1.0
0.0
Goods and services
0.6
-0.5
-1.0
-1.2
-1.7
0.9
-3.8
0.3
-0.7
Pharmaceuticals - PBS
0.0
0.0
0.0
-0.1
0.0
-0.1
0.0
0.2
0.1
Pharmaceuticals - non-PBS
0.3
0.0
0.0
-0.2
0.1
-0.2
-0.4
-0.8
0.0
0.0
Blood
0.0
0.0
0.0
0.0
0.0
-0.1
0.0
0.0
Depreciation - building
0.2
0.0
0.1
-0.2
0.4
0.9
0.0
0.0
0.2
Depreciation - equipment
0.0
0.0
0.0
0.0
-1.6
0.3
0.8
-0.4
-0.1
-0.1
-0.2
0.1
0.8
-0.4
0.2
-0.2
-0.2
-0.1
Corporate
0.0
0.0
-2.8
-0.1
0.4
-2.3
4.0
0.0
-0.5
Lease
0.0
-0.1
0.0
-0.3
-0.3
0.0
-0.2
0.9
-0.1
Hotel
Appendix 19. NHCDC Roudn 18 Non-admitted Tier 2 class version 2.1
Description
Tier2
10.01
10.02
10.03
10.04
10.05
10.06
10.07
10.08
10.09
10.10
10.11
10.12
10.13
10.14
10.15
10.16
10.17
10.18
20.01
20.02
20.03
20.04
20.05
20.06
20.07
20.08
20.09
20.10
20.11
20.12
20.13
20.14
20.15
20.16
20.17
20.18
20.19
20.20
20.21
20.22
20.23
20.24
20.25
20.26
20.27
20.28
20.29
20.30
20.31
20.32
Hyperbaric Medicine
Interventional Imaging
Minor Surgical
Dental
Angioplasty/Angiography
Endoscopy - Gastrointestinal
Endoscopy- Urological/Gynaecological
Endoscopy- Orthopaedic
Endoscopy - Respiratory/ENT
Renal Dialysis - Hospital Delivered
Medical Oncology (Treatment)
Radiation Oncology (Treatment)
Minor Medical Procedures
Pain Management Interventions
Renal Dialysis - Haemodialysis - Home Delivered
Renal Dialysis - Peritoneal Dialysis - Home Deliver
Total Parenteral Nutrition - Home Delivered
Enteral Nutrition - Home Delivered
Transplants
Anaesthetics
Pain Management
Developmental Disabilities
General Medicine
General Practice and Primary Care
General Surgery
Genetics
Geriatric Medicine
Haematology
Paediatric Medicine
Paediatric Surgery
Palliative Care
Epilepsy
Neurology
Neurosurgery
Ophthalmology
Ear, Nose and Throat (ENT)
Respiratory
Respiratory - Cystic Fibrosis
Anti coagulant Screening and Management
Cardiology
Cardiothoracic
Vascular Surgery
Gastroenterology
Hepatobiliary
Craniofacial
Metabolic Bone
Orthopaedics
Rheumatology
Spinal
Breast
Number
of Service
Events
12,793
36
11,202
196,260
17,790
89,676
29,579
133
2,583
30,202
168,825
288,283
39,097
6,846
51,958
249,612
5,636
5,210
82,481
211,991
53,465
99,290
306,453
75,747
348,964
18,016
46,049
168,524
145,432
19,084
44,739
12,399
131,751
63,132
391,468
161,279
163,729
12,309
3,684
257,539
22,771
61,839
187,750
54,549
26,216
13,934
903,704
79,727
9,667
60,085
Average Cost per clinic ($)
Total
Direct
Ohead
478
2,664
407
263
1,310
933
397
233
948
250
713
283
591
504
131
87
199
381
515
395
423
314
329
321
284
643
310
519
332
312
473
357
355
431
204
251
300
687
248
290
415
309
490
599
329
300
232
346
303
413
409
2,369
318
194
1,075
745
321
182
805
201
572
210
474
394
116
73
146
308
441
317
341
257
261
240
226
543
244
445
246
228
392
286
281
351
154
195
241
563
214
234
347
255
410
511
262
248
182
269
215
328
69
296
89
69
236
188
76
50
143
50
141
74
117
110
15
13
54
73
74
78
82
57
68
81
58
99
66
74
86
84
81
71
74
80
51
56
59
124
34
56
67
54
80
88
68
52
51
77
88
85
Ward Medical
Direct
60
717
90
10
64
91
83
78
142
4
56
23
49
117
1
2
68
47
80
89
124
108
66
44
104
145
93
49
110
125
80
131
120
141
66
87
70
138
55
86
118
78
110
74
133
89
59
121
113
83
Ohead
2
74
12
0
10
12
4
2
17
0
62
37
41
22
0
0
4
47
11
6
13
18
9
0
8
5
10
11
3
7
10
5
6
7
11
10
5
6
1
9
13
9
12
9
16
6
6
8
15
5
Average Component Cost per clinic ($)
Ward Nursing
Non
Pathology
Clinical
Direct
Ohead
Direct
Ohead
38
2
28
1
0
631
4
82
120
0
47
8
38
20
3
3
2
31
2
0
81
5
89
9
1
46
5
39
39
2
40
6
23
37
1
26
2
17
0
0
74
5
40
120
0
53
2
15
19
3
84
10
42
33
1
10
2
30
1
0
91
5
49
15
4
67
5
58
1
0
14
1
4
2
0
8
1
6
1
0
32
3
13
0
0
73
0
9
1
0
37
2
34
43
5
43
4
37
25
2
41
3
49
2
0
33
4
34
5
0
37
5
31
16
1
60
2
45
3
0
24
4
28
7
0
18
3
101
86
9
32
4
34
5
0
23
2
27
71
14
40
4
42
6
1
20
2
34
1
0
124
3
55
2
0
13
3
41
6
0
21
3
37
8
1
18
3
35
3
0
16
4
20
3
0
18
5
25
5
0
31
2
33
8
1
40
4
60
16
0
17
2
73
13
2
22
2
33
5
0
33
2
51
20
1
19
2
30
5
0
33
4
32
27
2
79
4
38
35
2
18
3
34
6
1
28
2
27
26
3
18
3
29
1
0
17
4
33
20
2
16
6
40
3
0
30
4
42
14
1
Imaging
Direct
3
504
12
5
50
14
8
0
79
6
18
2
22
32
0
0
0
0
18
19
13
6
14
3
23
7
9
19
5
14
5
18
23
83
5
17
23
8
22
18
47
41
18
30
25
19
42
23
19
86
Ohead
1
85
2
2
3
2
1
0
13
1
3
0
4
13
0
0
0
0
3
3
3
1
3
0
4
1
2
4
1
3
1
3
4
15
1
3
4
1
3
3
8
7
4
4
5
3
8
5
2
24
Tier2
10.01
10.02
10.03
10.04
10.05
10.06
10.07
10.08
10.09
10.10
10.11
10.12
10.13
10.14
10.15
10.16
10.17
10.18
20.01
20.02
20.03
20.04
20.05
20.06
20.07
20.08
20.09
20.10
20.11
20.12
20.13
20.14
20.15
20.16
20.17
20.18
20.19
20.20
20.21
20.22
20.23
20.24
20.25
20.26
20.27
20.28
20.29
20.30
20.31
20.32
Appendix 19. NHCDC Roudn 18 Non-admitted Tier 2 class version 2.1
Allied
Tier2
10.01
10.02
10.03
10.04
10.05
10.06
10.07
10.08
10.09
10.10
10.11
10.12
10.13
10.14
10.15
10.16
10.17
10.18
20.01
20.02
20.03
20.04
20.05
20.06
20.07
20.08
20.09
20.10
20.11
20.12
20.13
20.14
20.15
20.16
20.17
20.18
20.19
20.20
20.21
20.22
20.23
20.24
20.25
20.26
20.27
20.28
20.29
20.30
20.31
20.32
Direct
32
4
6
103
14
2
3
0
18
4
11
84
5
24
3
3
1
99
7
7
38
22
10
1
5
109
46
6
15
10
20
41
26
7
10
10
18
50
8
16
10
23
5
8
8
9
8
7
4
15
Ohead
2
1
2
7
4
2
1
0
3
1
1
1
1
2
1
0
2
4
1
2
2
3
2
0
1
4
4
1
3
3
2
2
2
2
3
2
1
5
1
1
2
3
2
3
1
1
1
2
2
2
Pharmacy
Direct
1
43
27
4
10
14
28
4
8
60
285
4
195
22
52
13
13
47
195
12
17
13
50
6
12
16
6
211
8
7
27
20
28
8
18
9
27
208
15
15
12
15
132
211
8
29
4
31
10
17
Ohead
0
3
3
0
1
0
2
0
1
11
10
0
15
2
0
0
2
8
8
1
1
1
2
0
1
2
0
7
1
1
2
1
1
0
1
1
2
14
0
1
1
1
3
10
1
1
0
2
1
1
Critical Care
Direct
0
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
4
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Ohead
0
0
0
0
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Average Component Cost per clinic ($)
Oper Rooms
Emerg Depts
Direct
0
0
37
1
11
206
43
0
48
0
0
0
5
6
0
0
0
0
1
55
9
0
0
0
2
4
1
0
1
0
0
0
0
0
1
1
0
0
0
0
7
3
7
0
3
0
1
0
0
1
Ohead
0
0
7
0
2
48
11
0
9
0
0
0
1
1
0
0
0
0
0
19
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
2
0
0
0
0
0
0
0
Direct
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
Ohead
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Supplies
Direct
12
91
19
38
221
36
17
23
29
36
28
29
27
48
41
42
19
8
13
9
30
17
20
53
11
33
12
24
14
12
56
8
8
24
9
13
14
23
3
17
20
20
17
17
9
8
10
9
10
16
Ohead
12
99
26
23
55
23
22
32
30
14
25
13
19
32
5
4
18
12
20
18
30
23
22
73
20
33
20
14
26
24
33
20
24
23
12
15
16
39
8
20
17
14
21
19
21
15
14
20
22
19
Spec Proc Suites
Direct
177
0
0
0
378
187
22
2
183
0
0
0
1
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
7
5
2
4
5
0
7
0
0
0
0
0
1
0
Ohead
35
0
0
0
70
49
5
0
34
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
1
0
1
1
0
2
0
0
0
0
0
0
0
Prostheses
0
3
1
0
71
8
2
0
4
0
0
0
1
0
0
0
0
0
0
1
1
0
0
0
1
0
0
0
0
0
0
0
0
3
2
1
0
0
0
3
1
4
1
2
1
0
2
0
1
1
OnCosts
30
92
23
19
48
48
23
37
40
12
24
16
22
29
3
2
12
25
22
30
31
20
21
6
19
54
22
21
25
22
34
27
24
39
14
18
20
35
16
19
32
22
27
28
26
24
16
25
21
31
Hotel
3
19
6
4
13
18
6
0
9
3
3
3
5
3
1
1
2
0
3
4
4
2
6
5
4
3
4
4
7
6
6
3
4
4
2
3
4
8
2
3
3
3
8
11
2
2
3
4
3
5
Deprec
40
91
16
10
94
42
10
7
42
8
17
28
13
21
3
3
11
1
10
9
12
4
12
19
7
10
8
10
16
20
13
14
14
15
6
7
12
28
6
11
10
8
14
15
8
8
8
15
12
17
No. of
Hosps
6
3
60
24
20
57
43
2
20
17
51
19
84
12
14
21
5
7
39
118
52
68
175
54
139
34
69
65
114
35
70
23
80
43
80
77
97
23
9
127
36
44
89
33
25
28
146
69
15
34
Tier2
10.01
10.02
10.03
10.04
10.05
10.06
10.07
10.08
10.09
10.10
10.11
10.12
10.13
10.14
10.15
10.16
10.17
10.18
20.01
20.02
20.03
20.04
20.05
20.06
20.07
20.08
20.09
20.10
20.11
20.12
20.13
20.14
20.15
20.16
20.17
20.18
20.19
20.20
20.21
20.22
20.23
20.24
20.25
20.26
20.27
20.28
20.29
20.30
20.31
20.32
Appendix 19. NHCDC Roudn 18 Non-admitted Tier 2 class version 2.1
Description
Tier2
20.33
20.34
20.35
20.36
20.37
20.38
20.39
20.40
20.41
20.42
20.43
20.44
20.45
20.46
20.47
20.48
20.49
20.50
20.51
30.01
30.02
30.03
30.04
30.05
30.07
30.08
40.01
40.02
40.03
40.04
40.05
40.06
40.07
40.08
40.09
40.10
40.11
40.12
40.13
Dermatology
Endocrinology
Nephrology
Urology
Assisted Reproductive Technology
Gynaecology
Gynaecology Oncology
Obstetrics
Immunology
Medical Oncology (Consultation)
Radiation Oncology (Consultation)
Infectious Diseases
Psychiatry
Plastic and Reconstructive Surgery
Rehabilitation
Multidisciplinary Burns Clinic
Geriatric Evaluation and Management (GEM)
Psychogeriatric
Sleep Disorders
General Imaging
Medical Resonance Imaging (MRI)
Computerised Tomography (CT)
Nuclear Medicine
Pathology (Microbiology, Haematology, Biochemistry)
Mammography Screening
Clinical Measurement
Aboriginal and Torres Strait Islander Health Clinic
Aged Care Assessment
Aids and Appliances
Clinical Pharmacy
Hydrotherapy
Occupational Therapy
Pre-Admission and Pre-Anaesthesia
Primary Health Care
Physiotherapy
Sexual Health
Social Work
Rehabilitation
Wound Management
Number
of Service
Events
141,142
250,432
208,566
145,210
16,516
235,813
28,045
920,995
99,596
372,569
152,483
142,783
66,273
211,096
86,180
21,907
6,801
76
47,580
101,148
11
**
318
112,094
**
276,806
19,020
49,387
59,157
116,927
93,611
262,612
329,835
1,006,010
822,740
80,132
140,060
89,842
195,392
Average Cost per clinic ($)
Total
Direct
Ohead
251
318
444
295
317
252
394
200
342
449
344
479
1,280
204
389
199
310
534
369
296
658
159
871
118
343
277
307
346
184
546
90
211
281
236
158
228
295
232
177
197
255
373
241
253
198
323
155
294
366
267
414
1,036
161
314
151
244
429
293
240
455
127
715
106
207
219
228
267
141
501
73
155
216
181
118
180
228
171
137
55
63
71
54
65
54
71
45
48
83
76
65
244
43
75
48
66
105
76
56
203
32
156
12
136
57
79
79
44
45
17
56
65
56
40
48
66
60
40
Ward Medical
Direct
73
106
89
80
43
80
125
47
63
64
41
93
311
77
62
37
67
329
44
2
352
27
0
14
60
44
1
14
13
2
2
4
33
9
4
37
4
20
13
Ohead
7
6
13
6
2
9
7
7
2
15
17
7
124
3
5
1
5
67
3
1
26
2
0
0
1
15
3
1
4
1
0
1
7
1
1
2
7
3
1
Average Component Cost per clinic ($)
Ward Nursing
Non
Pathology
Clinical
Direct
Ohead
Direct
Ohead
19
3
33
18
1
34
3
34
19
2
56
3
39
28
2
27
3
29
11
1
50
4
31
38
2
32
3
26
18
1
29
3
57
26
1
43
5
23
10
1
24
2
25
47
6
37
4
32
15
1
16
2
42
3
0
31
3
33
35
4
177
2
124
4
0
13
2
26
3
0
41
2
44
1
0
47
2
23
4
0
44
3
60
4
0
23
2
16
0
0
23
2
45
3
0
3
0
3
0
0
5
8
77
0
0
5
1
5
2
0
0
0
0
29
0
0
0
2
70
1
14
3
56
1
0
16
2
32
4
0
44
5
67
1
0
64
5
61
1
0
20
2
35
1
0
3
0
4
0
0
2
0
8
0
0
6
1
18
1
0
47
5
28
15
1
69
5
37
1
0
5
1
16
1
0
33
4
30
4
0
12
1
22
2
0
17
3
23
0
0
46
5
29
1
0
Imaging
Direct
4
11
10
40
12
9
29
11
4
38
21
10
2
14
4
0
6
0
4
186
21
65
592
2
1
22
2
1
9
0
1
2
6
1
3
0
5
2
2
Ohead
1
2
2
7
2
2
5
2
1
7
4
2
0
3
1
0
1
0
1
37
4
13
123
0
0
4
0
0
2
0
0
0
1
0
1
0
1
0
0
Tier2
20.33
20.34
20.35
20.36
20.37
20.38
20.39
20.40
20.41
20.42
20.43
20.44
20.45
20.46
20.47
20.48
20.49
20.50
20.51
30.01
30.02
30.03
30.04
30.05
30.07
30.08
40.01
40.02
40.03
40.04
40.05
40.06
40.07
40.08
40.09
40.10
40.11
40.12
40.13
Appendix 19. NHCDC Roudn 18 Non-admitted Tier 2 class version 2.1
Allied
Tier2
20.33
20.34
20.35
20.36
20.37
20.38
20.39
20.40
20.41
20.42
20.43
20.44
20.45
20.46
20.47
20.48
20.49
20.50
20.51
30.01
30.02
30.03
30.04
30.05
30.07
30.08
40.01
40.02
40.03
40.04
40.05
40.06
40.07
40.08
40.09
40.10
40.11
40.12
40.13
Direct
4
17
10
5
13
4
7
4
8
12
66
18
232
9
116
14
44
0
38
0
7
6
1
0
37
34
99
92
28
4
44
100
7
22
71
16
134
86
7
Ohead
1
2
2
1
1
1
2
1
2
2
2
2
3
2
9
3
2
0
2
0
1
0
0
0
4
1
20
8
5
0
7
29
1
2
20
3
28
8
1
Pharmacy
Direct
34
16
74
17
22
9
9
3
106
142
17
168
36
7
7
4
6
1
10
1
0
0
12
16
1
10
2
2
2
478
10
4
6
3
4
53
12
4
8
Ohead
2
1
4
1
2
1
1
0
2
6
1
5
4
0
1
0
0
0
0
0
0
0
1
2
0
1
0
0
0
23
1
0
0
0
0
1
1
0
1
Critical Care
Direct
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
Ohead
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Average Component Cost per clinic ($)
Oper Rooms
Emerg Depts
Direct
0
0
0
2
0
1
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
38
0
0
0
0
0
0
Ohead
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
7
0
0
0
0
0
0
Direct
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
4
0
0
0
0
1
0
0
0
0
1
Ohead
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
Supplies
Direct
8
10
51
15
40
9
16
7
8
13
29
12
52
9
22
26
14
22
14
5
20
6
0
1
21
22
11
23
15
2
2
6
10
25
4
8
12
17
22
Ohead
16
19
21
17
20
22
29
15
12
19
18
18
93
11
26
17
17
36
18
17
52
7
0
6
74
16
16
21
24
20
2
11
16
28
8
15
14
16
17
Spec Proc Suites
Direct
0
0
0
0
0
0
0
0
0
0
9
1
0
0
0
0
0
0
93
0
0
0
0
0
0
12
0
0
0
0
0
0
14
0
0
0
0
0
0
Ohead
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
22
0
0
0
0
0
0
3
0
0
0
0
0
0
4
0
0
0
0
0
0
Prostheses
0
1
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
1
0
0
1
0
0
2
0
1
1
0
0
0
3
0
1
0
1
0
0
OnCosts
17
24
28
21
21
16
34
14
19
24
22
27
107
15
30
11
27
26
28
11
58
10
46
3
31
18
25
33
11
7
7
17
17
17
12
15
24
19
10
Hotel
3
3
3
3
3
3
2
3
3
4
3
3
2
2
3
2
3
2
6
1
14
2
6
0
3
3
3
5
2
0
1
3
5
3
2
3
3
5
4
Deprec
6
10
9
9
12
5
12
5
8
13
29
8
6
6
12
9
7
11
13
28
10
8
60
2
35
14
7
12
5
1
2
6
9
11
4
5
12
10
9
No. of
Hosps
55
116
105
84
11
147
24
157
45
114
50
79
62
60
75
9
23
4
35
77
2
**
2
103
**
104
47
54
49
77
39
186
158
205
219
30
177
47
155
Tier2
20.33
20.34
20.35
20.36
20.37
20.38
20.39
20.40
20.41
20.42
20.43
20.44
20.45
20.46
20.47
20.48
20.49
20.50
20.51
30.01
30.02
30.03
30.04
30.05
30.07
30.08
40.01
40.02
40.03
40.04
40.05
40.06
40.07
40.08
40.09
40.10
40.11
40.12
40.13
Appendix 19. NHCDC Roudn 18 Non-admitted Tier 2 class version 2.1
Description
Tier2
40.14
40.15
40.16
40.17
40.18
40.21
40.22
40.23
40.24
40.25
40.27
40.28
40.29
40.30
40.31
40.32
40.33
40.34
40.35
40.36
40.37
40.38
40.39
40.40
40.41
40.42
40.43
40.44
40.45
40.46
40.47
40.48
40.49
40.50
40.51
40.52
40.53
40.54
40.55
40.56
40.57
40.58
40.59
Total
Note:
Neuropsychology
Optometry
Orthoptics
Audiology
Speech Pathology
Cardiac Rehabilitation
Stomal Therapy
Nutrition/Dietetics
Orthotics
Podiatry
Family Planning
Midwifery and Maternity
Psychology
Alcohol and Other Drugs
Burns
Continence
General Counselling
Specialist Mental Health
Palliative Care
Geriatric Evaluation and Management (GEM)
Psychogeriatric
Infectious Diseases
Neurology
Respiratory
Gastroenterology
Circulatory
Hepatobiliary
Orthopaedics
Dermatology
Endocrinology
Nephrology
Haematology and Immunology
Gynaecology
Urology
Breast
Oncology
General Medicine
General Surgery
Paediatrics
Falls Prevention
Memory and Cognition
Hospital Avoidance Programs
Post Acute Care
Total
Service events without a Tier 2 version 2 class have been
excluded from this table.
Number
of Service
Events
6,445
14,078
43,486
53,030
146,725
127,546
17,526
161,225
41,814
94,255
1,073
1,255,420
46,858
123,148
18,894
32,366
14,070
316,602
27,963
19,865
13
20,299
24,722
64,220
16,938
12,936
2,387
58,099
2,291
363,931
27,802
12,381
3,813
1,463
10,980
83,071
37,589
5,708
121,643
9,209
13,064
29,596
88,023
15,942,351
Average Cost per clinic ($)
Total
Direct
Ohead
545
174
133
274
223
220
247
220
291
165
453
183
408
215
300
218
357
265
281
338
739
328
297
214
295
200
1,304
116
68
329
281
444
188
253
204
184
360
211
208
250
173
217
215
282
443
133
100
199
162
173
196
172
225
127
349
136
321
156
239
160
257
198
202
238
631
277
220
170
245
158
1,068
91
58
263
206
342
152
209
147
149
227
150
155
183
133
163
169
223
102
40
33
75
61
47
51
48
66
38
104
47
87
59
60
58
100
67
79
100
108
51
77
44
50
42
236
26
10
66
75
103
36
44
57
35
132
61
53
66
40
54
47
60
Ward Medical
Direct
120
25
19
5
5
23
45
6
4
1
8
15
25
16
66
17
2
25
28
37
7
61
63
21
47
17
23
7
8
38
37
45
27
66
26
10
45
52
9
24
7
5
12
46
Ohead
4
8
2
1
1
2
4
1
0
0
0
3
6
6
6
1
6
5
1
3
47
3
3
1
4
3
7
1
2
5
2
1
1
1
1
2
1
2
0
2
1
1
1
7
Average Component Cost per clinic ($)
Ward Nursing
Non
Pathology
Clinical
Direct
Ohead
Direct
Ohead
22
2
56
4
0
18
2
22
1
0
8
2
15
2
0
10
1
16
1
0
9
1
21
0
0
50
3
22
1
0
73
7
22
3
0
9
2
18
3
0
7
1
9
2
0
6
1
9
2
0
151
9
62
5
0
67
5
23
8
1
38
3
54
1
0
50
4
31
1
0
45
3
35
1
0
59
5
35
4
0
61
4
46
1
0
38
2
46
0
0
67
4
28
0
0
25
4
43
1
0
292
4
110
1
0
50
2
39
12
2
22
3
39
2
0
47
3
25
2
0
37
2
19
20
2
43
2
29
6
1
92
6
100
23
1
7
1
10
0
0
24
0
10
0
0
65
3
40
5
0
46
4
34
10
0
63
3
50
19
6
51
2
26
19
2
36
2
34
7
1
20
3
60
4
1
51
3
21
3
0
30
4
42
0
0
19
1
40
0
0
61
4
32
1
0
13
1
19
0
0
54
2
29
0
0
36
3
32
0
0
71
3
24
2
0
35
3
29
9
1
Imaging
Direct
11
7
6
2
3
2
5
4
3
3
3
4
3
0
1
3
4
0
1
1
0
2
2
3
4
8
26
4
1
5
4
4
2
9
12
4
4
2
0
1
0
1
1
13
Ohead
2
1
2
0
1
1
1
1
1
1
1
1
1
0
0
1
1
0
0
0
0
0
0
0
1
1
4
0
0
1
1
1
0
1
3
1
1
0
0
0
0
0
0
2
Tier2
40.14
40.15
40.16
40.17
40.18
40.21
40.22
40.23
40.24
40.25
40.27
40.28
40.29
40.30
40.31
40.32
40.33
40.34
40.35
40.36
40.37
40.38
40.39
40.40
40.41
40.42
40.43
40.44
40.45
40.46
40.47
40.48
40.49
40.50
40.51
40.52
40.53
40.54
40.55
40.56
40.57
40.58
40.59
Total
Appendix 19. NHCDC Roudn 18 Non-admitted Tier 2 class version 2.1
Allied
Tier2
40.14
40.15
40.16
40.17
40.18
40.21
40.22
40.23
40.24
40.25
40.27
40.28
40.29
40.30
40.31
40.32
40.33
40.34
40.35
40.36
40.37
40.38
40.39
40.40
40.41
40.42
40.43
40.44
40.45
40.46
40.47
40.48
40.49
40.50
40.51
40.52
40.53
40.54
40.55
40.56
40.57
40.58
40.59
Total
Direct
174
25
34
133
105
25
6
83
171
80
6
5
139
30
33
14
105
53
38
112
1
30
72
34
13
17
6
52
0
46
18
8
9
6
17
23
73
23
30
112
29
76
32
29
Ohead
15
3
7
44
26
1
1
21
41
19
0
1
24
2
6
3
3
5
3
4
0
3
3
4
2
1
5
3
0
3
2
1
1
2
1
1
9
1
1
17
3
1
2
4
Pharmacy
Direct
7
13
6
3
3
13
14
27
4
7
5
2
22
3
5
14
4
2
5
2
6
53
3
13
86
9
781
0
2
23
36
103
3
8
10
16
4
3
3
4
1
3
9
29
Ohead
1
0
0
0
0
0
1
2
0
1
0
0
1
1
0
1
0
0
1
0
0
3
0
1
5
0
100
0
0
1
2
11
0
0
1
0
0
0
0
1
0
0
0
1
Critical Care
Direct
0
0
0
0
0
4
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Ohead
0
0
0
0
0
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Average Component Cost per clinic ($)
Oper Rooms
Emerg Depts
Direct
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
3
Ohead
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
Direct
0
0
0
0
0
0
0
0
0
0
15
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Ohead
0
0
0
0
0
0
0
0
0
0
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Supplies
Direct
23
12
3
5
5
19
21
5
2
6
45
9
11
21
45
13
27
18
34
7
137
18
10
13
11
12
22
5
7
21
25
32
8
37
7
16
7
7
14
6
12
9
15
16
Ohead
46
21
8
9
15
21
15
9
4
6
90
17
36
20
23
19
43
30
24
31
57
15
23
14
11
17
21
8
5
41
23
43
11
11
11
9
48
34
16
13
13
19
14
19
Spec Proc Suites
Direct
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
10
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
Ohead
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
Prostheses
0
1
0
2
0
1
0
0
8
0
0
0
0
0
1
0
1
0
0
0
0
0
0
0
0
0
0
0
0
1
0
1
0
0
0
0
1
0
0
0
0
0
0
1
OnCosts
40
11
11
22
17
16
18
16
21
14
36
14
34
20
19
17
34
31
20
37
5
25
27
18
15
10
46
9
5
21
17
13
15
20
15
13
44
9
22
21
17
19
17
19
Hotel
3
1
2
3
3
3
4
6
3
2
2
4
2
2
4
4
4
1
7
9
1
2
6
3
3
2
10
3
1
2
10
7
1
2
4
3
10
6
3
5
1
4
5
3
Deprec
14
5
5
14
7
10
5
7
11
6
13
6
7
9
8
8
13
8
18
20
73
8
17
10
12
9
30
4
1
7
9
33
7
10
9
7
35
10
10
11
4
9
6
9
No. of
Hosps
25
26
31
92
172
89
54
193
32
133
18
219
95
54
18
60
20
24
33
19
4
28
32
70
25
34
6
57
5
188
53
43
18
8
19
51
48
31
60
24
12
25
40
349
Tier2
40.14
40.15
40.16
40.17
40.18
40.21
40.22
40.23
40.24
40.25
40.27
40.28
40.29
40.30
40.31
40.32
40.33
40.34
40.35
40.36
40.37
40.38
40.39
40.40
40.41
40.42
40.43
40.44
40.45
40.46
40.47
40.48
40.49
40.50
40.51
40.52
40.53
40.54
40.55
40.56
40.57
40.58
40.59
Total
Appendix 20. NHCDC Round 17 and 18 Non-admitted summary by Tier 2 class
Service events
Tier 2
10.01
Description
Hyperbaric Medicine
Round 17
Average cost
Round 18
Round 17
Round 17 and Round 18 Change
Round 18
Service events
Average cost
no.
no.
$
$
%
%
12,503
12,793
479
478
2.3
-0.2
-30.6
10.02
Interventional Imaging
10.03
Minor Surgical
62
36
3,840
2,664
-41.9
9,902
11,202
319
407
13.1
10.04
Dental
27.6
10,358
196,260
439
263
1794.8
-40.1
10.05
Angioplasty/Angiography
10.06
Endoscopy - Gastrointestinal
9,332
17,790
1,677
1,310
90.6
-21.9
77,195
89,676
909
933
16.2
10.07
Endoscopy- Urological/Gynaecological
20,900
2.6
29,579
410
397
41.5
-3.2
10.08
Endoscopy- Orthopaedic
10.09
Endoscopy - Respiratory/ENT
1,104
133
313
233
-88.0
-25.6
1,808
2,583
851
948
42.9
10.10
Renal Dialysis - Hospital Delivered
11.4
22,556
30,202
673
250
33.9
-62.9
10.11
Medical Oncology (Treatment)
112,616
168,825
831
713
49.9
-14.2
10.12
Radiation Oncology (Treatment)
158,522
288,283
411
283
81.9
-31.1
10.13
Minor Medical Procedures
28,789
39,097
594
591
35.8
-0.5
10.14
Pain Management Interventions
1,961
6,846
439
504
249.1
14.8
10.15
Renal Dialysis - Haemodialysis - Home Delivered
10.16
Renal Dialysis - Peritoneal Dialysis - Home Deliver
23
249,612
868
87
10.17
Total Parenteral Nutrition - Home Delivered
8
5,636
1,991
199
10.18
Enteral Nutrition - Home Delivered
20.01
Transplants
66,838
82,481
692
20.02
Anaesthetics
175,698
211,991
397
20.03
Pain Management
46,726
53,465
495
423
51,958
131
5,210
1,085,169.6
-90.0
70350.0
-90.0
515
23.4
-25.6
395
20.7
-0.5
14.4
-14.5
-16.9
381
20.04
Developmental Disabilities
81,240
99,290
378
314
22.2
20.05
General Medicine
236,535
306,453
325
329
29.6
1.2
20.06
General Practice and Primary Care
146,695
75,747
469
321
-48.4
-31.6
20.07
General Surgery
331,427
348,964
297
284
5.3
-4.4
20.08
Genetics
18,837
18,016
642
643
-4.4
0.2
20.09
Geriatric Medicine
41,538
46,049
501
310
10.9
-38.1
20.10
Haematology
155,756
168,524
587
519
8.2
-11.6
20.11
Paediatric Medicine
125,349
145,432
330
332
16.0
0.6
20.12
Paediatric Surgery
30,264
19,084
305
312
-36.9
2.3
20.13
Palliative Care
28,620
44,739
299
473
56.3
58.2
20.14
Epilepsy
11,432
12,399
310
357
8.5
15.2
20.15
Neurology
113,061
131,751
396
355
16.5
-10.4
20.16
Neurosurgery
64,565
63,132
448
431
-2.2
-3.8
20.17
Ophthalmology
363,209
391,468
222
204
7.8
-8.1
20.18
Ear, Nose and Throat (ENT)
159,088
161,279
254
251
1.4
-1.2
20.19
Respiratory
141,670
163,729
338
300
15.6
-11.2
20.20
Respiratory - Cystic Fibrosis
13,917
12,309
708
687
-11.6
-3.0
20.21
Anti coagulant Screening and Management
3,330
3,684
407
248
10.6
-39.1
20.22
Cardiology
239,813
257,539
359
290
7.4
-19.2
20.23
Cardiothoracic
23,271
22,771
495
415
-2.1
-16.2
20.24
Vascular Surgery
59,170
61,839
304
309
4.5
1.6
20.25
Gastroenterology
171,274
187,750
531
490
9.6
-7.7
-10.5
20.26
Hepatobiliary
43,831
54,549
669
599
24.5
20.27
Craniofacial
19,864
26,216
328
329
32.0
0.3
20.28
Metabolic Bone
8,972
13,934
387
300
55.3
-22.5
20.29
Orthopaedics
804,873
903,704
233
232
12.3
-0.4
20.30
Rheumatology
82,606
79,727
365
346
-3.5
-5.2
20.31
Spinal
8,330
9,667
326
303
16.1
-7.1
20.32
Breast
41,981
60,085
461
413
43.1
-10.4
20.33
Dermatology
128,787
141,142
272
251
9.6
-7.7
20.34
Endocrinology
206,591
250,432
350
318
21.2
-9.1
20.35
Nephrology
215,874
208,566
464
444
-3.4
-4.3
20.36
Urology
145,337
145,210
287
295
-0.1
2.8
20.37
Assisted Reproductive Technology
16,967
16,516
432
317
-2.7
-26.6
20.38
Gynaecology
224,394
235,813
254
252
5.1
-0.8
20.39
Gynaecology Oncology
28,764
28,045
351
394
-2.5
12.3
20.40
Obstetrics
826,182
920,995
221
200
11.5
-9.5
20.41
Immunology
80,961
99,596
458
342
23.0
-25.3
-20.1
20.42
Medical Oncology (Consultation)
291,248
372,569
562
449
27.9
20.43
Radiation Oncology (Consultation)
83,604
152,483
374
344
82.4
-8.0
20.44
Infectious Diseases
80,792
142,783
717
479
76.7
-33.2
-12.9
20.45
Psychiatry
20.46
Plastic and Reconstructive Surgery
20.47
Rehabilitation
71,899
66,273
1,470
1,280
-7.8
189,543
211,096
187
204
11.4
9.1
70,007
86,180
433
389
23.1
-10.2
Appendix 20. NHCDC Round 17 and 18 Non-admitted summary by Tier 2 class
Service events
Tier 2
20.48
Description
Multidisciplinary Burns Clinic
Round 17
Average cost
Round 18
Round 17
Round 17 and Round 18 Change
Round 18
Service events
Average cost
no.
no.
$
$
%
%
13,620
21,907
166
199
60.8
19.9
5,674
6,801
514
310
19.9
-39.7
273
76
524
534
-72.2
1.9
28,145
47,580
472
369
69.1
-21.8
210,847
101,148
289
296
-52.0
2.4
11
675
658
-99.7
-2.5
20.49
Geriatric Evaluation and Management (GEM)
20.50
Psychogeriatric
20.51
Sleep Disorders
20.52
Addiction medicine
30.01
General Imaging
30.02
Medical Resonance Imaging (MRI)
4,196
30.03
Computerised Tomography (CT)
5,257
**
315
159
**
-49.5
30.04
Nuclear Medicine
1,366
318
1,283
871
-76.7
-32.1
30.05
Pathology (Microbiology, Haematology, Biochemistry)
73,468
112,094
127
118
52.6
-7.1
30.06
Positron Emission Tomography (PET)
30.07
Mammography Screening
30.08
Clinical Measurement
40.01
40.02
1,708
1,207
804
2,490
14,221
**
405
343
**
-15.3
205,928
276,806
313
277
34.4
-11.5
Aboriginal and Torres Strait Islander Health Clinic
17,928
19,020
348
307
6.1
-11.8
Aged Care Assessment
41,140
49,387
228
346
20.0
51.8
40.03
Aids and Appliances
59,817
59,157
241
184
-1.1
-23.7
40.04
Clinical Pharmacy
194,056
116,927
410
546
-39.7
33.2
40.05
Hydrotherapy
56,728
93,611
81
90
65.0
11.1
40.06
Occupational Therapy
251,480
262,612
213
211
4.4
-0.9
40.07
Pre-Admission and Pre-Anaesthesia
267,407
329,835
304
281
23.3
-7.6
40.08
Primary Health Care
865,509
1,006,010
251
236
16.2
-6.0
40.09
Physiotherapy
747,291
822,740
178
158
10.1
-11.2
40.10
Sexual Health
40.11
Social Work
24,930
80,132
299
228
221.4
-23.7
132,933
140,060
299
295
5.4
40.12
Rehabilitation
-1.3
34,142
89,842
233
232
163.1
40.13
Wound Management
-0.4
162,928
195,392
176
177
19.9
40.14
Neuropsychology
0.6
5,408
6,445
495
545
19.2
10.1
40.15
40.16
Optometry
13,345
14,078
218
174
5.5
-20.2
Orthoptics
34,613
43,486
121
133
25.6
40.17
9.9
Audiology
50,303
53,030
299
274
5.4
-8.4
109,398
146,725
340
223
34.1
-34.4
40.18
Speech Pathology
40.19
Asthma
40.20
Chronic Obstructive Pulmonary (Disease)
40.21
Cardiac Rehabilitation
74,988
127,546
229
220
70.1
-3.9
40.22
Stomal Therapy
17,015
17,526
288
247
3.0
-14.2
-20.9
4,886
443
4,155
256
40.23
Nutrition/Dietetics
144,441
161,225
278
220
11.6
40.24
Orthotics
38,240
41,814
249
291
9.3
16.9
40.25
Podiatry
79,277
94,255
195
165
18.9
-15.4
213,840
146.2
40.26
Diabetes
40.27
Family Planning
40.28
Midwifery and Maternity
40.29
339
842
1,073
184
453
27.4
891,518
1,255,420
171
183
40.8
7.0
Psychology
65,000
46,858
345
408
-27.9
18.3
40.30
Alcohol and Other Drugs
68,386
123,148
352
215
80.1
-38.9
40.31
Burns
16,022
18,894
301
300
17.9
-0.3
40.32
Continence
27,753
32,366
214
218
16.6
1.9
40.33
General Counselling
5,063
14,070
188
357
177.9
89.9
40.34
Specialist Mental Health
40.35
Palliative Care
40.36
Geriatric Evaluation and Management (GEM)
40.37
Psychogeriatric
40.38
Infectious Diseases
3,540
20,299
507
40.39
Neurology
8,058
24,722
407
40.40
Respiratory
11,080
64,220
40.41
Gastroenterology
10,991
40.42
Circulatory
40.43
Hepatobiliary
8,219
316,602
504
265
3752.1
-47.4
13,396
27,963
580
281
108.7
-51.6
3,902
19,865
306
338
409.1
10.5
328
473.4
-35.3
297
206.8
-27.0
222
214
479.6
-3.6
16,938
475
295
54.1
-37.9
3,168
12,936
358
200
308.3
-44.1
64
2,387
86
1,304
3629.7
1416.3
13
739
40.44
Orthopaedics
19,684
58,099
228
116
195.2
-49.1
40.45
Dermatology
947
2,291
201
68
141.9
-66.2
40.46
Endocrinology
80,704
363,931
193
329
350.9
70.5
40.47
Nephrology
3,376
27,802
240
281
723.5
17.1
40.48
Haematology and Immunology
3,667
12,381
353
444
237.6
25.8
40.49
Gynaecology
2,678
3,813
252
188
42.4
-25.4
-26.2
40.50
Urology
1,265
1,463
343
253
15.7
40.51
Breast
10,121
57,230
255
373
465.5
46.3
40.52
Oncology
15,448
83,071
272
184
437.7
-32.4
Appendix 20. NHCDC Round 17 and 18 Non-admitted summary by Tier 2 class
Service events
Tier 2
40.53
Description
General Medicine
40.54
General Surgery
40.55
Paediatrics
40.56
Round 17
Average cost
Round 18
Round 17
Round 17 and Round 18 Change
Round 18
Service events
Average cost
no.
no.
$
$
%
%
2,497
24,655
191
103
887.4
-46.1
5,736
5,708
242
211
-0.5
-12.8
71,133
88,655
144
194
24.6
34.7
Falls Prevention
1,795
8,881
181
249
394.8
37.6
40.57
Memory and Cognition
3,968
13,064
237
173
229.2
-27.0
40.58
Hospital Avoidance Programs
40.59
Post Acute Care
40.60
Pulmonary rehabilitation
99.96
7,137
29,596
254
217
314.7
-14.6
37,456
88,023
385
215
135.0
-44.2
Error
7,354
22,545
204
206.6
-74.3
99.97
Error
34
Missing
Missing
Total
124
130
793
226
1,294
2,444
2,384
755
88.9
-68.3
12,612,065
15,969,172
316
282
26.6
-10.8
Appendix 21. NHCDC Round 17 and 18 Non-admitted summary by jurisdiction
Hospitals
NSW
Vic
Qld
SA
WA
Tas
NT
ACT
National
Service Events
Total Cost
Round 17
no.
57
36
144
Round 18
no.
91
38
182
Round 17
no.
3,318,642
2,140,149
4,628,166
Round 18
no.
5,962,346
2,183,997
4,773,114
Round 17
($)
875,564,823
578,895,458
1,735,398,488
33
4
5
4
283
34
4
5
2
356
1,229,279
363,020
256,656
676,153
12,612,065
1,618,883
261,516
215,080
954,236
15,969,172
402,257,225
101,765,740
106,626,208
190,607,279
3,991,115,222
Average Cost
Round 18
Round 17 to Round 18 % Change
($)
1,246,219,781
603,457,373
1,702,040,391
Round 17
($)
264
270
375
Round 18
($)
209
276
357
534,373,831
82,544,440
104,338,947
236,973,503
4,509,948,265
327
280
415
282
316
330
316
485
248
282
Average
Service
Total
Cost
Events
Cost
(%)
(%)
(%)
(%)
59.6
79.7
42.3
-20.8
5.6
2.0
4.2
2.2
26.4
3.1
-1.9
-4.9
Hospitals
3.0
0.0
0.0
-50.0
25.8
31.7
-28.0
-16.2
41.1
26.6
32.8
-18.9
-2.1
24.3
13.0
0.9
12.6
16.8
-11.9
-10.8
Appendix 22. NHCDC Round 17 and 18 Non-admitted cost bucket per service event by jurisdiction
Jurisdiction
NSW
Cost Bucket
Ward Medical
Ward Nursing
Allied Health
Non clinical
Oncosts
Pathology
Imaging
Prosthesis
Ward Supplies
Pharmacy
Critical Care
Operating Room
Special Procedure Suite
Emergency Department
Hotel
Depreciation
Total Bucket
Round
17
($)
50
43
29
30
17
14
14
1
28
14
0
4
6
0
5
10
264
Vic
Round
18
($)
36
38
30
27
14
8
5
1
27
5
0
3
3
0
3
9
209
Round
17
($)
67
23
24
27
24
14
24
0
18
39
0
3
1
0
2
4
270
Qld
Round
18
($)
70
25
27
24
13
25
0
17
39
0
1
1
0
2
5
276
Round
17
($)
70
51
38
32
18
11
21
1
63
44
1
6
8
1
1
8
375
SA
Round
18
($)
64
48
37
32
17
10
21
1
50
48
0
8
7
1
2
9
357
Round
17
($)
WA
Round
18
($)
Round
17
($)
65
28
32
22
19
17
21
2
28
67
0
1
1
0
9
16
327
Tas
Round
18
($)
64
24
37
25
20
12
21
0
30
67
0
1
1
0
12
16
330
NT
ACT
National
Round
17
($)
59
35
26
20
26
11
17
0
24
35
0
10
8
0
1
6
280
Round
18
($)
63
45
40
29
29
12
20
0
29
30
0
5
1
0
2
11
316
Round
17
($)
92
66
26
35
8
11
42
0
98
20
0
0
1
0
2
14
415
Round
18
($)
76
50
17
81
39
18
25
2
88
54
0
15
4
0
1
16
485
Round
17
($)
34
49
47
24
34
14
9
0
37
13
0
0
0
0
5
15
282
Round
18
($)
32
43
42
22
33
8
9
3
34
5
0
0
0
0
4
13
248
Round
17
($)
62
42
32
29
20
13
19
1
41
35
0
4
5
0
3
9
316
Round
18
($)
53
38
33
29
19
10
15
1
34
30
0
4
4
0
3
9
282
(%)
21.2
12.5
9.2
7.3
9.2
4.0
5.9
0.0
8.7
12.7
0.0
3.6
2.9
0.0
0.5
2.2
(%)
19.9
14.4
12.8
9.3
9.1
3.8
6.4
0.0
9.1
9.4
0.1
1.5
0.2
0.0
0.6
3.6
(%)
22.1
15.9
6.3
8.4
1.9
2.6
10.1
0.0
23.5
4.9
0.0
0.0
0.3
0.0
0.5
3.4
(%)
15.6
10.2
3.5
16.7
8.1
3.8
5.1
0.3
18.2
11.1
0.0
3.0
0.7
0.0
0.3
3.4
(%)
12.0
17.4
16.8
8.7
12.0
5.0
3.1
0.0
13.1
4.6
0.0
0.0
0.0
0.0
1.7
5.5
(%)
12.8
17.5
17.1
8.7
13.2
3.4
3.6
1.1
13.5
2.2
0.0
0.0
0.0
0.0
1.5
5.3
(%)
19.6
13.2
10.3
9.2
6.2
4.0
6.1
0.2
13.0
11.1
0.1
1.3
1.6
0.1
1.1
2.9
(%)
18.7
13.6
11.7
10.3
6.7
3.4
5.3
0.3
12.2
10.6
0.0
1.4
1.2
0.1
1.2
3.4
Percentage of total
Ward Medical
Ward Nursing
Allied Health
Non clinical
Oncosts
Pathology
Imaging
Prosthesis
Ward Supplies
Pharmacy
Critical Care
Operating Room
Special Procedure Suite
Emergency Department
Hotel
Depreciation
(%)
19.0
16.3
10.9
11.4
6.3
5.1
5.3
0.3
10.5
5.3
0.0
1.4
2.1
0.0
2.0
3.9
(%)
17.2
18.2
14.2
13.1
6.9
3.6
2.4
0.3
13.1
2.4
0.0
1.3
1.4
0.0
1.6
4.4
(%)
24.8
8.6
9.0
9.9
8.8
5.1
8.8
0.1
6.7
14.5
0.0
1.0
0.3
0.1
0.7
1.5
(%)
25.5
9.2
0.0
9.8
8.8
4.7
8.9
0.1
6.2
14.0
0.0
0.4
0.4
0.0
0.6
1.7
(%)
18.7
13.7
10.0
8.6
4.8
2.9
5.7
0.2
16.9
11.7
0.2
1.7
2.2
0.2
0.3
2.2
(%)
18.1
13.5
10.4
9.1
4.9
2.7
6.0
0.2
14.1
13.6
0.1
2.3
2.0
0.1
0.4
2.4
(%)
(%)
(%)
19.9
8.5
9.8
6.7
5.7
5.1
6.5
0.5
8.6
20.6
0.0
0.3
0.2
0.0
2.7
4.9
(%)
19.4
7.2
11.3
7.7
5.9
3.5
6.4
0.1
9.0
20.2
0.0
0.3
0.3
0.0
3.6
4.9
Appendix 22. NHCDC Round 17 and 18 Non-admitted cost bucket per service event by jurisdiction
NSW
Vic
QLD
SA
Change
WA
Tas
NT
ACT
National
Round 17 to 18
($)
-14.2
-5.1
1.0
-2.9
-2.3
-5.9
-8.9
-0.1
-0.2
-9.1
0.0
-1.1
-2.7
0.0
-2.1
-1.2
($)
3.2
2.1
-24.4
0.3
0.5
-0.7
0.8
0.1
-1.1
-0.6
0.0
-1.8
0.3
-0.1
-0.2
0.4
($)
-5.7
-3.3
-0.6
0.1
-0.7
-1.0
0.1
0.0
-13.1
4.4
-0.3
2.0
-1.0
-0.1
0.3
0.5
($)
($)
-0.9
-4.1
5.3
3.7
0.8
-5.2
-0.1
-1.3
1.7
-0.7
0.0
0.3
0.2
0.0
3.2
0.2
($)
3.2
10.3
14.6
9.0
2.9
0.6
3.5
0.0
4.5
-5.9
0.1
-5.4
-7.6
0.0
0.5
5.0
($)
-15.9
-16.6
-9.2
46.0
31.5
7.7
-17.6
1.6
-9.6
33.7
0.0
14.6
2.2
-0.2
-0.6
2.1
($)
-1.9
-5.7
-5.0
-2.8
-1.1
-5.8
0.1
2.7
-3.3
-7.4
0.0
0.0
0.0
0.0
-1.1
-2.2
($)
-9.3
-3.4
0.6
0.0
-0.8
-3.1
-4.4
0.0
-6.7
-5.3
-0.2
-0.1
-1.4
-0.1
0.0
0.2
-6.4
-5.7
-2.8
8.3
6.2
1.2
-5.1
0.3
-5.4
6.2
0.0
3.0
0.4
0.0
-0.2
-0.1
0.9
0.0
0.3
0.0
1.2
-1.7
0.5
1.1
0.4
-2.4
0.0
0.0
0.0
0.0
-0.2
-0.2
-0.9
0.4
1.4
1.1
0.5
-0.6
-0.8
0.0
-0.8
-0.5
0.0
0.1
-0.3
0.0
0.1
0.4
Change in % of total
-1.8
1.8
3.3
1.6
0.6
-1.5
-2.9
0.0
2.7
-3.0
0.0
-0.1
-0.8
0.0
-0.5
0.5
0.6
0.6
-9.0
-0.1
0.0
-0.3
0.1
0.0
-0.5
-0.5
0.0
-0.7
0.1
0.0
-0.1
0.1
-0.6
-0.2
0.3
0.5
0.1
-0.1
0.3
0.0
-2.8
1.8
-0.1
0.7
-0.2
0.0
0.1
0.3
percentage point
-0.5
-1.3
1.5
1.1
0.2
-1.6
-0.1
-0.4
0.4
-0.4
0.0
0.1
0.0
0.0
0.9
0.0
-1.4
1.9
3.6
2.1
-0.1
-0.3
0.4
0.0
0.5
-3.3
0.0
-2.1
-2.7
0.0
0.1
1.3
Appendix 23. NHCDC Round 16, 17 and 18 Non-admitted line item cost per service event by jurisdiction
Line item
Round 16
($)
Salary & Wages - Nursing
Salary & Wages - Medical (non-VMO)
Salary & Wages - Medical (VMO)
Salary & Wages - Allied Health
Salary & Wages - Other
On-costs
Pathology
Imaging
Prostheses
Medical supplies
Goods and services
Pharmaceuticals - PBS
Pharmaceuticals - non-PBS
Blood
Depreciation - building
Depreciation - equipment
Hotel
Corporate
Lease
NSW
Round 17
($)
Round 18
($)
Round 16
($)
Vic
Round 17
($)
Round 18
($)
Round 16
($)
QLD
Round 17
($)
Round 18
($)
49
45
11
32
29
17
10
3
1
12
27
0
12
0
7
3
5
0
0
42
32
7
31
25
14
6
1
1
10
23
0
4
0
7
3
3
0
0
26
43
40
31
43
26
5
3
0
8
22
27
12
0
0
0
2
0
4
26
41
37
29
38
24
5
3
0
9
18
30
6
0
0
0
2
0
4
28
42
38
31
39
24
5
3
0
8
18
24
12
0
0
0
2
0
5
56
68
5
61
30
19
10
6
1
12
49
0
33
1
1
4
1
30
0
58
74
4
47
33
18
8
5
1
11
43
0
40
2
2
6
1
22
0
56
69
4
46
31
17
8
5
1
12
42
0
44
1
2
6
2
10
0
Round 16
($)
SA
Round 17
($)
Round 18
($)
Round 16
($)
21
75
4
40
50
13
15
0
3
9
34
0
35
0
0
7
9
7
0
Jurisdiction
WA
Round 17 Round 18
($)
($)
30
70
4
41
28
19
16
0
2
11
23
0
55
0
5
10
9
5
1
25
69
5
46
33
20
11
1
0
8
26
0
53
0
10
5
12
6
1
Round 16
($)
32
43
0
34
30
19
3
0
0
17
21
19
11
5
4
6
2
9
1
Tas
Round 17
($)
39
74
0
31
30
26
2
9
27
18
9
1
3
3
1
7
1
Round 18
($)
Round 16
($)
NT
Round 17
($)
Round 18
($)
Round 16
($)
ACT
Round 17
($)
Round 18
($)
Round 16
($)
National
Round 17
($)
Round 18
($)
49
70
0
40
38
29
3
0
0
8
44
13
8
1
7
3
2
1
1
43
54
0
22
43
45
3
21
0
33
52
0
20
0
0
6
2
0
0
69
98
0
27
46
8
3
17
0
26
90
0
15
0
0
12
2
0
3
52
86
0
29
93
39
5
10
2
25
73
26
8
0
0
16
1
19
0
29
25
4
27
17
22
4
2
0
3
22
5
4
1
3
4
3
0
2
52
35
5
44
28
34
3
0
0
7
41
6
6
0
6
6
5
0
3
45
32
4
40
27
33
2
0
3
5
37
3
2
0
5
5
4
0
3
42
58
11
46
33
21
9
4
1
11
38
6
25
1
1
4
2
17
1
47
59
11
38
32
20
8
4
1
11
33
6
25
1
4
5
3
9
1
43
50
10
38
31
19
7
3
1
10
30
4
22
0
5
4
3
4
1
Appendix 23. NHCDC Round 16, 17 and 18 Non-admitted line item cost per service event by jurisdiction
Line item
Round 16
(%)
Salary & Wages - Nursing
Salary & Wages - Medical (non-VMO)
Salary & Wages - Medical (VMO)
Salary & Wages - Allied Health
Salary & Wages - Other
On-costs
Pathology
Imaging
Prostheses
Medical supplies
Goods and services
Pharmaceuticals - PBS
Pharmaceuticals - non-PBS
Blood
Depreciation - building
Depreciation - equipment
Hotel
Corporate
Lease
NSW
Round 17
Round 18
(%)
18.6
17.1
4.2
12.2
11.0
6.5
3.8
1.1
0.4
4.6
10.3
0.0
4.6
0.0
2.7
1.1
1.9
0.0
0.0
(%)
20.2
15.2
3.5
14.8
11.8
6.9
2.8
0.6
0.3
4.6
11.1
0.0
2.1
0.0
3.2
1.2
1.6
0.0
0.0
Round 16
(%)
8.9
14.7
13.7
10.6
14.7
8.9
1.7
1.0
0.0
2.7
7.5
9.2
4.1
0.0
0.0
0.0
0.7
0.0
1.4
Vic
Round 17
(%)
9.6
15.1
13.6
10.7
14.0
8.8
1.8
1.1
0.0
3.3
6.6
11.0
2.2
0.0
0.0
0.0
0.7
0.0
1.5
Round 18
Round 16
QLD
Round 17
Round 18
(%)
10.0
15.3
13.8
11.1
14.0
8.8
1.7
1.0
0.1
2.8
6.4
8.5
4.2
0.0
0.0
0.0
0.6
0.0
1.7
(%)
14.5
17.6
1.3
15.8
7.8
4.9
2.6
1.6
0.3
3.1
12.7
0.0
8.5
0.3
0.3
1.0
0.3
7.8
0.0
(%)
15.5
19.7
1.1
12.5
8.8
4.8
2.1
1.3
0.3
2.9
11.5
0.0
10.7
0.5
0.5
1.6
0.3
5.9
0.0
(%)
15.6
19.4
1.1
13.0
8.8
4.9
2.3
1.5
0.2
3.2
11.6
0.0
12.3
0.4
0.7
1.7
0.4
2.7
0.0
Round 16
SA
Round 17
Round 18
(%)
(%)
(%)
Round 16
(%)
6.5
23.3
1.2
12.4
15.5
4.0
4.7
0.0
0.9
2.8
10.6
0.0
10.9
0.0
0.0
2.2
2.8
2.2
0.0
Jurisdiction
WA
Round 17 Round 18
Percentage of total
(%)
(%)
9.1
7.7
21.3
20.9
1.2
1.4
12.5
13.8
8.5
9.9
5.8
5.9
4.9
3.3
0.0
0.2
0.6
0.1
3.3
2.6
7.0
7.8
0.0
0.0
16.7
16.1
0.0
0.0
1.5
3.1
3.0
1.4
2.7
3.6
1.5
1.7
0.3
0.4
Round 16
(%)
12.5
16.8
0.0
13.3
11.7
7.4
1.2
0.0
0.0
6.6
8.2
7.4
4.3
2.0
1.6
2.3
0.8
3.5
0.4
Tas
Round 17
(%)
13.9
26.3
0.0
11.0
10.7
9.3
0.7
3.2
9.6
6.4
3.2
0.4
1.1
1.1
0.4
2.5
0.4
Round 18
(%)
15.4
22.1
0.0
12.5
12.2
9.1
0.9
0.0
0.0
2.6
13.8
4.2
2.5
0.3
2.3
1.1
0.6
0.2
0.2
Round 16
NT
Round 17
(%)
12.5
15.7
0.0
6.4
12.5
13.1
0.9
6.1
0.0
9.6
15.1
0.0
5.8
0.0
0.0
1.7
0.6
0.0
0.0
(%)
16.6
23.6
0.0
6.5
11.1
1.9
0.7
4.1
0.0
6.3
21.6
0.0
3.6
0.0
0.0
2.9
0.5
0.0
0.7
Round 18
(%)
10.7
17.8
0.0
6.0
19.2
8.1
1.0
2.0
0.3
5.1
15.1
5.4
1.6
0.0
0.0
3.3
0.3
4.0
0.0
Round 16
ACT
Round 17
Round 18
Round 16
National
Round 17
Round 18
(%)
16.4
14.1
2.3
15.3
9.6
12.4
2.3
1.1
0.0
1.7
12.4
2.8
2.3
0.6
1.7
2.3
1.7
0.0
1.1
(%)
18.5
12.5
1.8
15.7
10.0
12.1
1.1
0.0
0.0
2.5
14.6
2.1
2.1
0.0
2.1
2.1
1.8
0.0
1.1
(%)
18.2
12.7
1.8
16.1
10.7
13.2
0.8
0.0
1.1
1.9
14.8
1.0
0.8
0.0
2.2
1.9
1.5
0.0
1.2
(%)
12.7
17.5
3.3
13.9
10.0
6.3
2.7
1.2
0.3
3.3
11.5
1.8
7.6
0.3
0.3
1.2
0.6
5.1
0.3
(%)
14.8
18.6
3.5
11.9
10.1
6.3
2.5
1.3
0.3
3.5
10.4
1.9
7.9
0.3
1.3
1.6
0.9
2.8
0.3
(%)
15.2
17.5
3.5
13.4
10.9
6.7
2.3
0.9
0.3
3.4
10.6
1.4
7.8
0.2
1.6
1.4
1.2
1.3
0.4
Appendix 23. NHCDC Round 16, 17 and 18 Non-admitted line item cost per service event by jurisdiction
Line item
Salary & Wages - Nursing
Salary & Wages - Medical (non-VMO)
Salary & Wages - Medical (VMO)
Salary & Wages - Allied Health
Salary & Wages - Other
On-costs
Pathology
Imaging
Prostheses
Medical supplies
Goods and services
Pharmaceuticals - PBS
Pharmaceuticals - non-PBS
Blood
Depreciation - building
Depreciation - equipment
Hotel
Corporate
Lease
NSW
Vic
QLD
SA
($)
($)
($)
($)
-13.8
-29.4
-34.0
-3.0
-14.9
-15.4
-40.5
-60.9
-41.1
-19.0
-13.7
-62.7
-5.7
-13.6
-34.5
6.6
3.1
3.1
5.9
2.0
1.2
-6.0
-9.6
-14.8
-2.1
-21.3
92.4
-17.0
15.1
-3.8
-6.6
0.7
-1.2
-4.8
-3.5
1.6
5.0
-13.2
5.1
-3.4
10.0
-27.2
16.7
2.2
56.2
-56.8
Change
WA
Tas
Round 17 to 18
($)
($)
-15.8
-1.3
16.4
11.0
16.4
3.1
-32.3
-87.3
-23.1
12.5
-3.1
107.5
-54.7
32.1
15.3
36.1
NT
ACT
National
($)
($)
($)
25.0
-5.5
-24.5
-11.7
27.5
28.2
10.2
46.2
7.9
102.6
392.8
63.4
-43.5
-13.2
-9.9
-10.0
-9.2
-4.7
-3.7
-35.5
-10.4
61.1
-25.7
-12.6
-13.5
139.0
11.5
89.6
-91.2
-26.6
-4.5
-18.5
-49.6
-33.6
-10.5
-57.9
-65.0
34.7
-31.3
-10.2
-21.4
-24.0
-100.0
2.4
-8.5
-16.1
-10.3
-0.8
-4.1
-5.9
-17.3
-35.4
-27.0
-11.5
-9.0
-34.2
-11.4
-54.5
16.4
-23.7
13.3
-58.9
-0.7
Appendix 23. NHCDC Round 16, 17 and 18 Non-admitted line item cost per service event by jurisdiction
Line item
Salary & Wages - Nursing
Salary & Wages - Medical (non-VMO)
Salary & Wages - Medical (VMO)
Salary & Wages - Allied Health
Salary & Wages - Other
On-costs
Pathology
Imaging
Prostheses
Medical supplies
Goods and services
Pharmaceuticals - PBS
Pharmaceuticals - non-PBS
Blood
Depreciation - building
Depreciation - equipment
Hotel
Corporate
Lease
NSW
1.6
-1.9
-0.7
2.7
0.8
0.4
-1.0
-0.6
-0.1
0.1
0.9
0.0
-2.4
0.0
0.5
0.1
-0.3
0.0
0.0
Vic
0.5
0.2
0.2
0.5
0.1
0.0
-0.1
-0.1
0.1
-0.5
-0.2
-2.5
2.0
0.0
0.0
0.0
-0.1
0.0
0.2
QLD
0.2
-0.3
0.1
0.5
0.0
0.1
0.1
0.1
0.0
0.3
0.2
0.0
1.7
-0.1
0.1
0.1
0.2
-3.2
0.0
SA
Change
WA
Tas
Round 17 to 18
Change in % of total
percentage point
-1.5
-0.3
0.2
1.3
1.4
0.2
-1.6
0.2
-0.5
-0.8
0.8
0.0
-0.6
0.0
1.6
-1.7
0.9
0.2
0.1
NT
1.6
-4.2
0.0
1.5
1.5
-0.2
0.2
-0.6
4.2
-2.2
-0.7
-0.1
1.2
0.0
0.2
-2.3
-0.1
-5.8
-5.7
0.0
-0.5
8.2
6.2
0.3
-2.1
0.3
-1.1
-6.5
5.4
-2.0
0.0
0.0
0.4
-0.2
4.0
-0.7
ACT
-0.3
0.2
0.0
0.4
0.8
1.1
-0.3
0.0
1.1
-0.6
0.2
-1.1
-1.3
0.0
0.0
-0.2
-0.2
0.0
0.2
National
0.4
-1.0
0.0
1.4
0.8
0.4
-0.2
-0.3
-0.1
0.0
0.3
-0.5
0.0
-0.2
0.4
-0.2
0.3
-1.5
0.0
Appendix 24. NHCDC Round 17 and 18 subacute summary care type, by jurisdiction
NSW
Product Type
GEM
Maintenance
Palliative Care
Psychogeriatric
Rehabilitation
Total
Round 17
Number of hospitals
Separations
Total Expenditure ($)
ALOS
Average cost per separation
($/sep)
Number of hospitals
Separations
Total Expenditure ($)
ALOS
Average cost per separation
($/sep)
Number of hospitals
Separations
Total Expenditure ($)
ALOS
Average cost per separation
($/sep)
Number of hospitals
Separations
Total Expenditure ($)
ALOS
Average cost per separation
($/sep)
Number of hospitals
Separations
Total Expenditure ($)
ALOS
Average cost per separation
($/sep)
Number of hospitals
Separations
Total Expenditure ($)
ALOS
Average cost per separation
($/sep)
Vic
Round 18
Qld
Round 17
Round 18
Round 17
SA
Round 18
Round 17
Round 18
Round 17
Jurisdiction
WA
Round 18
Tas
Round 17
NT
Round 18
Round 17
ACT
Round 18
Round 17
National
Round 18
Round 17
Round 18
54
4,447
39,638,060
10
60
5,741
52,566,653
11
43
16,050
226,718,153
20
43
16,320
251,446,026
21
38
4,438
63,470,702
13
40
3,592
64,946,338
17
5
1,405
24,329,606
16
**
**
**
**
13
1,867
22,321,220
10
9
2,727
41,247,055
12
**
**
**
**
**
**
**
**
**
**
**
**
**
**
**
**
2
449
6,274,685
12
2
152
1,835,978
9
159
29,051
390,539,623
16
161
30,063
439,962,869
18
8,913
74
7,099
72,783,316
12
9,156
88
8,399
80,116,253
12
14,126
22
149
4,913,181
43
15,407
16
156
5,848,598
41
14,302
121
7,080
98,196,323
13
18,081
122
6,216
108,121,542
15
17,316
13
1,878
28,068,095
13
19,280
14
2,043
35,080,009
16
11,956
33
899
14,877,467
14
15,125
34
1,174
22,091,712
16
17,752
18
320
4,823,336
16
7,993
4
331
5,308,663
17
26,087
4
155
7,892,771
43
19,024
4
140
7,395,188
32
13,975
2
729
18,244,807
20
12,079
2
578
19,165,546
25
13,443
287
18,309
249,799,297
13
14,635
284
19,037
283,127,511
14
10,253
71
10,802
111,738,208
38
9,539
89
10,660
116,175,785
36
32,974
31
6,266
63,992,735
12
37,491
30
6,315
65,567,765
11
13,870
101
8,224
74,003,706
7
17,394
107
7,871
78,838,319
8
14,946
10
1,129
16,504,259
11
17,171
11
1,516
20,774,362
10
16,549
33
953
11,468,335
9
18,817
32
1,156
13,156,931
9
15,073
11
535
6,569,672
9
16,038
4
493
5,322,754
7
50,921
2
305
6,883,839
10
52,823
4
317
7,468,235
11
25,027
2
580
7,719,317
11
33,158
2
532
9,935,547
11
13,644
261
28,794
298,880,071
20
14,872
279
28,860
317,239,699
19
10,344
28
619
12,371,922
22
10,898
22
405
5,458,501
17
10,213
10,383
8,999
17
445
7,905,139
18
10,016
19
459
7,265,131
14
14,618
3
239
9,796,226
36
13,703
**
**
**
**
12,034
9
633
26,128,090
32
11,381
8
669
27,378,782
31
12,280
**
**
**
**
10,797
**
**
**
**
22,570
**
**
**
**
23,559
**
**
**
**
13,309
2
25
218,502
9
18,676
2
21
175,755
7
10,380
61
1,966
56,422,235
26
10,992
53
1,564
40,404,671
22
19,987
77
29,306
384,429,505
13
13,478
91
33,958
447,892,143
13
36
13,494
198,972,785
20
36
14,108
218,953,812
19
17,764
86
26,180
243,082,098
9
15,828
94
23,336
234,991,054
9
40,988
11
7,265
38,976,988
6
27,991
10
7,783
40,515,139
5
41,277
31
9,747
141,986,519
17
40,925
32
5,826
121,656,173
17
720
7
728
14,474,400
21
6,076
4
739
17,079,320
22
97
3
251
7,472,957
35
77
3
231
10,808,559
30
8,740
2
2,532
31,693,330
10
8,369
2
1,593
28,874,218
13
28,699
253
89,503
1,061,088,582
13
25,834
272
87,574
1,120,770,418
13
13,118
81
52,273
620,961,011
18
13,190
96
59,163
702,209,336
17
14,745
54
35,959
494,596,854
18
15,520
51
36,899
541,816,201
19
9,285
126
46,367
486,657,967
10
10,070
128
41,474
494,162,384
11
5,365
15
11,916
117,675,174
9
5,206
15
12,627
121,170,658
9
14,567
34
14,099
216,781,631
16
20,882
34
11,552
225,530,651
16
19,882
19
1,888
31,230,645
16
23,111
4
1,709
28,864,319
16
29,773
4
806
24,675,884
25
46,790
5
798
27,764,574
21
12,517
2
4,315
64,150,642
12
18,126
2
2,876
59,987,044
15
11,855
335
167,623
2,056,729,808
15
12,798
335
167,098
2,201,505,168
15
11,879
11,869
13,754
14,684
10,496
11,915
9,875
9,596
15,376
19,523
16,542
16,890
30,615
34,793
14,867
20,858
12,270
13,175
Appendix 24. NHCDC Round 17 and 18 subacute summary care type, by jurisdiction
Product Type
GEM
Maintenance
Palliative Care
Psychogeriatric
Rehabilitation
Total
Number of hospitals
Separations
Total Expenditure ($)
ALOS
Average cost per separation
($/sep)
Number of hospitals
Separations
Total Expenditure ($)
ALOS
Average cost per separation
($/sep)
Number of hospitals
Separations
Total Expenditure ($)
ALOS
Average cost per separation
($/sep)
Number of hospitals
Separations
Total Expenditure ($)
ALOS
Average cost per separation
($/sep)
Number of hospitals
Separations
Total Expenditure ($)
ALOS
Average cost per separation
($/sep)
Number of hospitals
Separations
Total Expenditure ($)
ALOS
Average cost per separation
($/sep)
NSW
Vic
Qld
SA
(%)
11.1
29.1
32.6
10.4
(%)
(%)
(%)
0.0
1.7
10.9
7.3
5.3
-19.1
2.3
24.3
Change
WA
Round 17 to 18
(%)
-30.8
46.1
84.8
28.0
Tas
NT
ACT
National
(%)
(%)
(%)
(%)
0.0
-66.1
-70.7
-24.6
1.3
3.5
12.7
8.1
2.7
9.1
26.4
11.3
26.5
-55.0
-27.1
-13.6
8.9
18.9
18.3
10.1
3.3
-27.3
4.7
19.0
-4.3
0.8
-12.2
10.1
12.3
7.7
8.8
25.0
19.6
3.0
30.6
48.5
15.8
-77.8
3.4
10.1
5.4
0.0
-9.7
-6.3
-25.4
0.0
-20.7
5.0
24.4
-1.0
4.0
13.3
7.6
-7.0
13.7
25.4
14.9
13.7
6.4
3.7
32.5
9.0
25.4
-1.3
4.0
-6.6
-3.2
0.8
2.5
-1.5
5.9
-4.3
6.5
10.2
10.0
34.3
25.9
-13.4
-3.0
21.3
14.7
1.7
-63.6
-7.9
-19.0
-18.4
100.0
3.9
8.5
7.5
0.0
-8.3
28.7
0.7
6.9
0.2
6.1
-4.8
5.4
1.7
11.3
-6.3
-5.4
-12.1
4.4
-21.4
-34.6
-55.9
-25.8
11.8
3.1
-8.1
-17.7
-32.6
18.2
15.9
16.5
-3.9
0.0
4.6
10.0
-1.9
-11.1
5.7
4.8
-2.6
40.3
5.9
0.0
-16.0
-19.6
-26.2
-13.1
-20.4
-28.4
-14.7
-10.9
-31.7
-0.9
743.5
-21.1
-4.2
-10.0
9.3
-10.9
-3.3
5.6
-9.1
7.1
3.9
-4.9
3.2
-40.2
-14.3
-0.4
-42.9
1.5
18.0
9.6
0.0
-8.0
44.6
-12.2
0.0
-37.1
-8.9
32.0
7.5
-2.2
5.6
-0.8
0.5
5.3
8.5
-3.0
43.3
16.2
57.2
44.8
8.0
18.5
13.2
13.1
-7.6
-5.6
2.6
9.5
2.6
1.6
-10.6
1.5
8.7
0.0
6.0
3.0
-4.0
0.0
-18.1
4.0
-1.1
-78.9
-9.5
-7.6
-1.3
25.0
-1.0
12.5
-15.9
0.0
-33.3
-6.5
23.8
0.0
-0.3
7.0
0.7
-0.1
6.8
13.5
-2.8
27.0
2.1
13.6
40.3
7.4
Appendix 25. NHCDC Round 18 subacute ANSNAP V3 summary
SNAP
Class
Episode Type
Descriptions
Phases
National
Avg cost / phase
3-101
Overnight Palliative Care
Palliative care, admit for assessment only
3,754
3-102
Overnight Palliative Care
Stable phase, RUG-ADL 4
1,028
3-103
Overnight Palliative Care
Stable phase, RUG-ADL 5-17
3,182
3-104
Overnight Palliative Care
Stable phase, RUG-ADL 18
3-105
Overnight Palliative Care
Unstable phase, RUG-ADL 4-17
3-106
Overnight Palliative Care
Unstable phase, RUG-ADL 18
3-107
Overnight Palliative Care
Deteriorating phase, RUG-ADL 4-14
3-108
Overnight Palliative Care
Deteriorating phase, RUG-ADL 15-18, age <=52
168
3-109
Overnight Palliative Care
Deteriorating phase, RUG-ADL 15-18, age >=53
2,729
3-110
Overnight Palliative Care
Terminal phase, RUG-ADL 4-16
3-111
Overnight Palliative Care
Terminal phase, RUG-ADL 17-18
3-112
Overnight Palliative Care
Bereavement phase
3-201
Overnight Rehabilitation
Rehabilitation, admit for assessment only
3-202
Overnight Rehabilitation
Brain, Neurological, Spinal & Major Multiple Trauma, FIM motor 13
3-203
Overnight Rehabilitation
All other impairments, FIM motor 13
3-204
Overnight Rehabilitation
Stroke, FIM motor 63-91, FIM cognition 20-35
3-205
Overnight Rehabilitation
Stroke, FIM motor 63-91, FIM cognition 5-19
162
3-206
Overnight Rehabilitation
Stroke, FIM motor 47-62, FIM cognition 16-35
857
3-207
Overnight Rehabilitation
Stroke, FIM motor 47-62, FIM cognition 5-15
3-208
Overnight Rehabilitation
Stroke, FIM motor 14-46, age>=75
1,009
3-209
Overnight Rehabilitation
Stroke, FIM motor 14-46, age<=74
891
3-210
Overnight Rehabilitation
Brain Dysfunction, FIM motor 56-91, FIM cognition 32-35
200
3-211
Overnight Rehabilitation
Brain Dysfunction, FIM motor 56-91, FIM cognition 24-31
426
3-212
Overnight Rehabilitation
Brain Dysfunction, FIM motor 56-91, FIM cognition 20-23
138
3-213
Overnight Rehabilitation
Brain Dysfunction, FIM motor 56-91, FIM cognition 5-19
189
3-214
Overnight Rehabilitation
Brain Dysfunction, FIM motor 24-55
540
3-215
Overnight Rehabilitation
Brain Dysfunction, FIM motor 14-23
171
3-216
Overnight Rehabilitation
Neurological, FIM motor 63-91
776
3-217
Overnight Rehabilitation
Neurological, FIM motor 49-62
606
3-218
Overnight Rehabilitation
Neurological, FIM motor 18-48
805
3-219
Overnight Rehabilitation
Neurological, FIM motor 14-17
76
3-220
Overnight Rehabilitation
Spinal Cord Dysfunction, FIM motor 81-91
36
3-221
Overnight Rehabilitation
Spinal Cord Dysfunction, FIM motor 47-80
297
3-222
Overnight Rehabilitation
Spinal Cord Dysfunction, FIM motor 14-46, age>=33
352
3-223
Overnight Rehabilitation
Spinal Cord Dysfunction, FIM motor 14-46, age<=32
3-224
Overnight Rehabilitation
Amputation of limb, FIM motor 72-91
150
3-225
Overnight Rehabilitation
Amputation of limb, FIM motor 14-71
607
3-226
Overnight Rehabilitation
Pain Syndromes
1,355
3-227
Overnight Rehabilitation
Orthopaedic conditions, fractures, FIM motor 58-91
3,119
3-228
Overnight Rehabilitation
Orthopaedic conditions, fractures, FIM motor 48-57
2,314
3-229
Overnight Rehabilitation
Orthopaedic conditions, fractures, FIM motor 14-47, FIM cognition 19
3,345
3-230
Overnight Rehabilitation
Orthopaedic conditions, fractures, FIM motor 14-47, FIM cognition 5-
917
3-231
Overnight Rehabilitation
Orthopaedic conditions, replacement, FIM motor 72-91
887
3-232
Overnight Rehabilitation
Orthopaedic conditions, replacement, FIM motor 49-71
2,873
3-233
Overnight Rehabilitation
Orthopaedic conditions, replacement, FIM motor 14-48
1,056
3-234
Overnight Rehabilitation
Orthopaedic conditions, all other, FIM motor 68-91
312
3-235
Overnight Rehabilitation
Orthopaedic conditions, all other, FIM motor 53-67
486
3-236
Overnight Rehabilitation
Orthopaedic conditions, all other, FIM motor 14-52
549
3-237
Overnight Rehabilitation
Cardiac
961
3-238
Overnight Rehabilitation
Major Multiple Trauma, FIM total 101-126
3-239
Overnight Rehabilitation
Major Multiple Trauma, FIM total 74-100 or Burns
288
3-240
Overnight Rehabilitation
Major Multiple Trauma, FIM total 44-73
118
3-241
Overnight Rehabilitation
Major Multiple Trauma, FIM total 19-43
30
3-242
Overnight Rehabilitation
All other impairments, FIM motor 67-91
2,808
3-243
Overnight Rehabilitation
All other impairments, FIM motor 53-66
3,957
3-244
Overnight Rehabilitation
All other impairments, FIM motor 25-52
4,813
3-245
Overnight Rehabilitation
All other impairments, FIM motor 14-24
3-251
Same Day Rehabilitation
Brain, Major Multiple Trauma & Pulmonary
1,896
3-252
Same Day Rehabilitation
Burns, Cardiac, Pain, Spine, & Neurological
1,908
629
4,680
859
1,435
240
2,501
10,697
288
613
1,153
111
63
77
902
13,409
6,627
7,438
6,649
2,838
2,736
5,759
5,687
4,405
3,751
3,594
19,261
70,546
28,850
14,097
23,429
20,882
26,061
29,720
40,722
12,849
18,162
24,031
30,691
30,394
49,173
14,983
17,517
27,395
28,281
30,039
28,114
53,652
78,692
21,942
29,507
14,011
14,201
17,745
21,771
23,304
9,829
11,636
18,612
10,671
13,345
21,778
15,082
17,545
19,901
36,534
63,188
11,477
14,659
19,155
23,740
816
537
Appendix 25. NHCDC Round 18 subacute ANSNAP V3 summary
SNAP
Class
Episode Type
Descriptions
Phases
National
Avg cost / phase
3-253
Same Day Rehabilitation
All other impairments
3-301
Overnight Psychogeriatric
Psychogeriatric, admit for assessment only
9,003
698
3-302
Overnight Psychogeriatric
HoNOS 65+ Overactive behaviour 3,4
212
3-303
Overnight Psychogeriatric
HoNOS 65+ Overactive behaviour 1,2 HoNOS 65+ ADL 4
3-304
Overnight Psychogeriatric
HoNOS 65+ Overactive behaviour 1,2 HoNOS 65+ ADL 0-3
132
3-305
Overnight Psychogeriatric
HoNOS 65+ Overactive behaviour 0 HoNOS 65+ total>=18
30
3-306
Overnight Psychogeriatric
HoNOS 65+ Overactive behaviour 0 HoNOS 65+ total<=17
99
3-307
Overnight Psychogeriatric
Long term care
44
3-351
Outpatient Psychogeriatric
Outpatient psychogeriatric assessment only
24
3-353
All ambulatory Psychogeriatric
Treatment, Focus of Care=acute
13
3-401
Overnight GEM
GEM admit for assessment only
6,487
3-402
Overnight GEM
FIM cognition <=15, FIM motor 13-43
3,242
3-403
Overnight GEM
FIM cognition <=15, FIM motor 44-91, age>=84
3-404
Overnight GEM
FIM cognition <=15, FIM motor 44-91, age<=83
3-405
Overnight GEM
FIM cognition 16-35, FIM motor 13-50
7,110
3-406
Overnight GEM
FIM cognition 16-35, FIM motor 51-77
8,227
3-407
Overnight GEM
FIM cognition 16-35, FIM motor 78-91
985
3-451
Same Day GEM
Same day GEM, assessment Only
290
3-454
Same Day GEM
All same day admitted GEM
53
3-501
Overnight Maintenance
Respite, RUG-ADL 15-18
26
3-502
Overnight Maintenance
Respite, RUG-ADL 5-14
91
3-503
Overnight Maintenance
Respite, RUG-ADL 4
3-504
Overnight Maintenance
Nursing Home Type, RUG-ADL 11-18
1,237
3-505
Overnight Maintenance
Nursing Home Type, RUG-ADL 4-10
1,254
3-506
Overnight Maintenance
Convalescent care
421
3-507
Overnight Maintenance
Other maintenance, RUG-ADL 14-18
188
3-508
Overnight Maintenance
Other maintenance, RUG-ADL 4-13
907
3-509
Overnight Maintenance
Long term care, RUG-ADL 17-18
9
3-510
Overnight Maintenance
Long term care, RUG-ADL 10-16
16
3-511
Overnight Maintenance
Long term care, RUG-ADL 4-9
3-901
Overnight Palliative Care ungroupData error - ungroupable
645
696
55
26
13,535
3-902
Overnight Rehabilitation ungroup Data error - ungroupable
5,538
3-903
Overnight GEM ungroupable
2,384
3-904
Overnight Psychogeriatric ungrouData error - ungroupable
258
3-905
Overnight Maintenance ungroupaData error - ungroupable
14,165
3-906
All other subacute care ungroupaData error - ungroupable
23,724
Data error - ungroupable
487
13,697
31,637
35,748
31,789
28,205
33,333
144,261
866
8,658
20,352
16,364
19,881
18,540
13,527
11,139
672
929
10,318
8,463
8,103
12,465
15,470
10,054
17,482
10,614
104,840
94,473
107,421
11,064
17,375
16,597
34,606
15,783
1,843
Appendix 26. NHCDC Round 17 and 18 subacute cost bucket average separation by jurisdiction
Cost Bucket
Ward Medical
Ward Nursing
Allied Health
Non clinical
Oncosts
Pathology
Imaging
Prosthesis
Ward Supplies
Pharmacy
Critical Care
Operating Room
Special Procedure Suite
Emergency Department
Hotel
Depreciation
Total Bucket
Ward Medical
Ward Nursing
Allied Health
Non clinical
Oncosts
Pathology
Imaging
Prosthesis
Ward Supplies
Pharmacy
Critical Care
Operating Room
Special Procedure Suite
Emergency Department
Hotel
Depreciation
NSW
Round
Round 17
18
($)
($)
1,361
1,394
3,831
3,886
1,575
1,592
1,162
1,165
781
820
185
167
114
97
7
11
1,311
1,251
441
356
14
13
21
22
4
4
25
9
675
683
372
397
11,879 11,869
(%)
11.45899
32.2
13.3
9.8
6.6
1.6
1.0
0.1
11.0
3.7
0.1
0.2
0.0
0.2
5.7
3.1
(%)
11.7
32.7
13.4
9.8
6.9
1.4
0.8
0.1
10.5
3.0
0.1
0.2
0.0
0.1
5.8
3.3
Vic
Round
17
($)
1,398
4,881
1,707
1,931
1,383
142
111
8
1,093
399
2
13
4
19
540
123
13,754
(%)
10.2
35.5
12.4
14.0
10.1
1.0
0.8
0.1
7.9
2.9
0.0
0.1
0.0
0.1
3.9
0.9
Round
18
($)
1,490
5,044
1,956
2,106
1,486
129
115
9
1,193
389
2
16
4
19
580
144
14,684
(%)
10.1
34.4
13.3
14.3
10.1
0.9
0.8
0.1
8.1
2.6
0.0
0.1
0.0
0.1
4.0
1.0
Qld
Round
Round
17
18
($)
($)
2,220
2,713
4,052
4,598
983
1,120
953
1,060
615
659
125
124
83
86
8
7
754
685
330
390
18
58
41
47
3
9
21
30
184
201
104
128
10,496 11,915
(%)
21.2
38.6
9.4
9.1
5.9
1.2
0.8
0.1
7.2
3.1
0.2
0.4
0.0
0.2
1.8
1.0
(%)
22.8
38.6
9.4
8.9
5.5
1.0
0.7
0.1
5.7
3.3
0.5
0.4
0.1
0.3
1.7
1.1
SA
Round
17
($)
1,299
2,852
1,349
863
1,051
336
83
6
1,171
211
4
29
10
10
192
410
9,875
(%)
13.2
28.9
13.7
8.7
10.6
3.4
0.8
0.1
11.9
2.1
0.0
0.3
0.1
0.1
1.9
4.1
Round
18
($)
1,459
3,064
830
850
1,032
178
88
4
1,173
211
1
36
2
49
286
334
9,596
(%)
15.2
31.9
8.6
8.9
10.8
1.9
0.9
0.0
12.2
2.2
0.0
0.4
0.0
0.5
3.0
3.5
Jurisdiction
WA
Round
Round
17
18
($)
($)
1,869
2,176
4,601
6,167
1,653
2,045
1,227
1,559
1,196
1,542
112
192
114
155
52
50
1,862
2,042
316
389
3
4
17
26
2
2
25
30
1,486
2,192
839
954
15,376 19,523
Percentage of total
(%)
(%)
12.2
11.1
29.9
31.6
10.8
10.5
8.0
8.0
7.8
7.9
0.7
1.0
0.7
0.8
0.3
0.3
12.1
10.5
2.1
2.0
0.0
0.0
0.1
0.1
0.0
0.0
0.2
0.2
9.7
11.2
5.5
4.9
Tas
Round
Round
17
18
($)
($)
1,420
2,265
5,668
5,288
1,292
1,010
2,862
2,234
1,565
1,686
152
173
97
118
3
0
2,083
2,633
337
332
5
16
125
18
1
15
25
62
532
473
375
565
16,542 16,890
(%)
8.6
34.3
7.8
17.3
9.5
0.9
0.6
0.0
12.6
2.0
0.0
0.8
0.0
0.2
3.2
2.3
(%)
13.4
31.3
6.0
13.2
10.0
1.0
0.7
0.0
15.6
2.0
0.1
0.1
0.1
0.4
2.8
3.3
NT
Round
Round
17
18
($)
($)
3,192
2,929
8,672 10,010
2,400
2,368
5,979
7,069
478
2,797
1,141
403
273
191
15
11
6,114
6,670
693
580
31
44
66
157
22
42
50
496
439
1,024
1,054
30,615 34,793
(%)
10.4
28.3
7.8
19.5
1.6
3.7
0.9
0.0
20.0
2.3
0.1
0.2
0.0
0.1
1.6
3.3
(%)
8.4
28.8
6.8
20.3
8.0
1.2
0.5
0.0
19.2
1.7
0.1
0.5
0.1
0.1
1.3
3.0
ACT
Round
Round
17
18
($)
($)
1,783
2,276
5,159
6,507
1,216
1,622
1,434
2,431
1,598
3,190
254
259
144
169
40
41
1,690
2,717
354
233
11
4
13
9
3
3
2
660
650
504
747
14,867 20,858
(%)
12.0
34.7
8.2
9.6
10.7
1.7
1.0
0.3
11.4
2.4
0.1
0.1
0.0
0.0
4.4
3.4
(%)
10.9
31.2
7.8
11.7
15.3
1.2
0.8
0.2
13.0
1.1
0.0
0.0
0.0
0.0
3.1
3.6
National
Round
Round
17
18
($)
($)
1,665
1,833
4,191
4,503
1,422
1,527
1,303
1,411
947
1,052
169
153
104
103
12
12
1,188
1,212
372
362
11
20
26
28
4
5
21
22
541
611
293
319
12,270 13,175
(%)
13.6
34.2
11.6
10.6
7.7
1.4
0.8
0.1
9.7
3.0
0.1
0.2
0.0
0.2
4.4
2.4
(%)
13.9
34.2
11.6
10.7
8.0
1.2
0.8
0.1
9.2
2.7
0.2
0.2
0.0
0.2
4.6
2.4
Appendix 26. NHCDC Round 17 and 18 subacute cost bucket average separation by jurisdiction
NSW
Vic
QLD
Cost Bucket
Ward Medical
Ward Nursing
Allied Health
Non clinical
Oncosts
Pathology
Imaging
Prosthesis
Ward Supplies
Pharmacy
Critical Care
Operating Room
Special Procedure Suite
Emergency Department
Hotel
Depreciation
Total Bucket
Ward Medical
Ward Nursing
Allied Health
Non clinical
Oncosts
Pathology
Imaging
Prosthesis
Ward Supplies
Pharmacy
Critical Care
Operating Room
Special Procedure Suite
Emergency Department
Hotel
Depreciation
Change
WA
SA
Tas
NT
ACT
National
Round 17 to 18
($)
32.7
55.4
17.1
3.4
39.1
-17.3
-16.5
3.7
-59.9
-85.2
-0.9
0.8
-0.1
-16.2
8.7
25.0
0.3
0.5
0.2
0.0
0.3
-0.1
-0.1
0.0
-0.5
-0.7
0.0
0.0
0.0
-0.1
0.1
0.2
($)
91.7
162.9
249.7
174.8
103.4
-12.9
3.2
1.8
99.4
-9.9
0.5
2.4
0.8
0.4
40.2
20.9
0.0
-1.1
0.9
0.3
0.1
-0.2
0.0
0.0
0.2
-0.3
0.0
0.0
0.0
0.0
0.0
0.1
($)
492.6
545.2
136.8
107.6
43.5
-0.8
2.9
-0.1
-69.2
60.2
39.2
5.3
5.8
8.7
16.8
24.8
1.6
0.0
0.0
-0.2
-0.3
-0.1
-0.1
0.0
-1.4
0.1
0.3
0.0
0.0
0.0
-0.1
0.1
($)
159.6
212.5
-519.3
-12.8
-19.0
-157.6
5.1
-2.4
2.4
-0.7
-2.9
7.1
-7.8
39.1
93.4
-75.7
($)
306.9
1565.6
391.5
331.5
345.8
80.6
40.7
-2.0
180.5
72.4
0.5
8.6
0.0
4.2
705.6
115.0
($)
845.2
-379.9
-281.1
-627.8
121.2
20.6
21.0
-2.5
550.6
-4.6
10.8
-107.3
14.0
36.6
-58.2
189.3
($)
-262.8
1337.9
-32.5
1090.1
2318.8
-737.6
-82.4
-3.9
555.5
-113.2
12.9
90.6
22.1
8.2
-56.6
30.2
($)
492.9
1348.5
405.8
996.8
1592.3
4.8
25.4
1.5
1026.8
-120.6
-7.5
-4.1
-3.1
-1.6
-9.9
242.9
($)
167.5
311.9
105.7
108.6
105.4
-16.1
-0.5
0.4
23.5
-10.5
9.3
1.9
1.3
0.3
70.0
26.2
Change in % of total
percentage point
2.0
-1.0
4.8
3.1
1.7
-3.0
-5.0
-0.3
-1.8
0.1
0.0
-4.1
0.1
0.1
0.5
-1.5
0.3
0.1
0.1
0.1
0.1
0.0
-0.1
0.0
0.4
-1.6
3.0
0.1
-0.1
-0.1
0.0
0.0
0.1
0.1
0.0
-0.7
-0.1
0.0
0.1
0.4
0.0
0.2
1.0
1.6
-0.4
-0.7
-0.6
1.1
-2.0
0.4
-1.0
0.8
6.5
-2.6
-0.3
0.0
-0.8
-0.6
0.0
0.2
0.1
0.0
-0.4
-0.3
-1.1
-3.5
-0.4
2.0
4.5
-0.5
-0.2
-0.1
1.7
-1.3
-0.1
0.0
0.0
0.0
-1.3
0.2
0.3
0.0
0.0
0.1
0.3
-0.2
-0.1
0.0
-0.5
-0.3
0.1
0.0
0.0
0.0
0.2
0.0
Appendix 27. NHCDC Round 16, 17 and 18 subacute line item cost per separation by jurisdiction
Line item
Salary & Wages - Nursing
Salary & Wages - Medical (non-VMO)
Salary & Wages - Medical (VMO)
Salary & Wages - Allied Health
Salary & Wages - Other
On-costs
Pathology
Imaging
Prostheses
Medical supplies
Goods and services
Pharmaceuticals - PBS
Pharmaceuticals - non-PBS
Blood
Depreciation - building
Depreciation - equipment
Hotel
Corporate
Lease
Salary & Wages - Nursing
Salary & Wages - Medical (non-VMO)
Salary & Wages - Medical (VMO)
Salary & Wages - Allied Health
Salary & Wages - Other
On-costs
Pathology
Imaging
Prostheses
Medical supplies
Goods and services
Pharmaceuticals - PBS
Pharmaceuticals - non-PBS
Blood
Depreciation - building
Depreciation - equipment
Hotel
Corporate
Lease
Round 16
($)
3560
1031
318
1067
1304
707
145
45
12
184
1239
0
307
30
305
41
659
0
52
(%)
32.3
9.4
2.9
9.7
11.8
6.4
1.3
0.4
0.1
1.7
11.3
0.0
2.8
0.3
2.8
0.4
6.0
0.0
0.5
NSW
Round 17
($)
3869
1138
252
1434
1299
782
168
41
7
212
1335
278
324
49
674
-
(%)
32.6
9.6
2.1
12.1
11.0
6.6
1.4
0.3
0.1
1.8
11.3
0.0
2.3
0.0
2.7
0.4
5.7
0.0
0.0
Round 18
($)
3,922
1,129
287
1,449
1,284
820
148
31
11
202
1,279
217
333
64
683
-
(%)
33.1
9.5
2.4
12.2
10.8
6.9
1.2
0.3
0.1
1.7
10.8
0.0
1.8
0.0
2.8
0.5
5.8
0.0
0.0
Vic
Round 16 Round 17
($)
($)
4822
4919
1082
990
459
448
1375
1489
2405
2184
1451
1383
73
67
49
45
7
8
271
284
1189
977
54
62
295
218
0
0
0 0 563
540
0 93
123
(%)
34.0
7.6
3.2
9.7
17.0
10.2
0.5
0.3
0.0
1.9
8.4
0.4
2.1
0.0
0.0
0.0
4.0
0.0
0.7
(%)
35.8
7.2
3.3
10.8
15.9
10.1
0.5
0.3
0.1
2.1
7.1
0.5
1.6
0.0
0.0
0.0
3.9
0.0
0.9
Round 18
($)
5,077
1,030
502
1,702
2,391
1,486
63
45
9
309
1,061
51
213
1
580
144
(%)
34.6
7.0
3.4
11.6
16.3
10.1
0.4
0.3
0.1
2.1
7.2
0.3
1.5
0.0
0.0
0.0
4.0
0.0
1.0
QLD
Round 16 Round 17
($)
($)
3572
4153
2104
2187
79
61
930
1030
497
947
615
615
103
105
18
24
7
8
197
203
572
612
5 179
196
94
7
46
57
36
46
107
184
50
36
0 -
(%)
38.8
22.8
0.9
10.1
5.4
6.7
1.1
0.2
0.1
2.1
6.2
0.1
1.9
1.0
0.5
0.4
1.2
0.5
0.0
(%)
39.7
20.9
0.6
9.8
9.0
5.9
1.0
0.2
0.1
1.9
5.8
0.0
1.9
0.1
0.5
0.4
1.8
0.3
0.0
Round 18
($)
4,713
2,725
55
1,170
1,082
659
111
29
7
227
525
225
9
70
54
201
19
4
(%)
39.7
22.9
0.5
9.8
9.1
5.5
0.9
0.2
0.1
1.9
4.4
0.0
1.9
0.1
0.6
0.5
1.7
0.2
0.0
SA
Round 16 Round 17
($)
($)
2979
3253
1108
1350
28
44
482
762
1007
1046
968
1051
0
133
0
16
6
6
248
136
758
1145
295
29
0
141
0 177
279
72
81
372
192
171
149
9
49
(%)
34.3
12.8
0.3
5.6
11.6
11.2
0.0
0.0
0.1
2.9
8.7
3.4
0.0
0.0
2.0
0.8
4.3
2.0
0.1
(%)
33.0
13.7
0.4
7.7
10.6
10.7
1.3
0.2
0.1
1.4
11.6
0.3
1.4
0.0
2.8
0.8
1.9
1.5
0.5
Round 18
($)
3,128
1,362
131
715
950
1,032
124
20
4
150
1,018
29
150
289
34
286
142
10
(%)
32.7
14.2
1.4
7.5
9.9
10.8
1.3
0.2
0.0
1.6
10.6
0.3
1.6
0.0
3.0
0.4
3.0
1.5
0.1
Jurisdiction
WA
Round 16 Round 17
($)
($)
3031
4625
1395
1767
83
141
1186
1511
1767
1316
572
1195
123
112
1
3
5
52
143
248
1289
1391
0 242
262
0 0
312
179
371
1327
1485
278
414
17
155
Round 18
($)
6,209
1,967
259
1,818
1,715
1,542
190
32
50
287
1,458
301
685
77
2,192
546
192
Percentage of total
(%)
(%)
(%)
26.0
30.1
31.8
12.0
11.5
10.1
0.7
0.9
1.3
10.2
9.8
9.3
15.2
8.6
8.8
4.9
7.8
7.9
1.1
0.7
1.0
0.0
0.0
0.2
0.0
0.3
0.3
1.2
1.6
1.5
11.1
9.1
7.5
0.0
0.0
0.0
2.1
1.7
1.5
0.0
0.0
0.0
0.0
2.0
3.5
1.5
2.4
0.4
11.4
9.7
11.2
2.4
2.7
2.8
0.1
1.0
1.0
Tas
Round 16 Round 17
($)
($)
2566
5643
1104
1474
0
0
1369
1023
1907
3112
915
1555
79
36
0 11
3
434
375
821
1609
433
99
140
186
11
19
197
258
53
73
172
528
417
372
20
40
(%)
24.1
10.4
0.0
12.9
17.9
8.6
0.7
0.0
0.1
4.1
7.7
4.1
1.3
0.1
1.8
0.5
1.6
3.9
0.2
(%)
34.4
9.0
0.0
6.2
19.0
9.5
0.2
0.0
0.0
2.3
9.8
0.6
1.1
0.1
1.6
0.4
3.2
2.3
0.2
Round 18
($)
5,335
2,322
0
855
2,426
1,686
40
0
664
2,150
114
150
12
430
92
473
39
43
Round 16
($)
1508
495
0
278
826
787
42
10
0
165
870
0
64
0
0
43
49
0
0
(%)
31.7
13.8
0.0
5.1
14.4
10.0
0.2
0.0
0.0
3.9
12.8
0.7
0.9
0.1
2.6
0.5
2.8
0.2
0.3
(%)
29.4
9.6
0.0
5.4
16.1
15.3
0.8
0.2
0.0
3.2
16.9
0.0
1.2
0.0
0.0
0.8
1.0
0.0
0.0
NT
Round 17
($)
8596
3355
152
Round 18
($)
10,090
3,022
2,300
6,881
2,797
138
91
11
868
5,120
531
16
1,038
439
1,427
0
(%)
28.4
11.1
0.0
7.1
21.7
1.6
1.3
0.3
0.0
2.4
19.3
0.0
1.8
0.0
0.0
2.9
1.6
0.0
0.5
(%)
29.0
8.7
0.0
6.6
19.8
8.0
0.4
0.3
0.0
2.5
14.7
0.0
1.5
0.0
0.0
3.0
1.3
4.1
0.0
2139
6582
473
397
104
15
719
5843
550
866
490
-
ACT
Round 16 Round 17
($)
($)
4606
5195
1279
1379
378
499
1368
1028
1482
1573
1619
1598
64
76
5
2
44
40
339
313
1579
1643
67
56
222
269
39
29
578
303
157
150
635
660
0 69
51
(%)
31.7
8.8
2.6
9.4
10.2
11.1
0.4
0.0
0.3
2.3
10.9
0.5
1.5
0.3
4.0
1.1
4.4
0.0
0.5
(%)
35.0
9.3
3.4
6.9
10.6
10.8
0.5
0.0
0.3
2.1
11.1
0.4
1.8
0.2
2.0
1.0
4.4
0.0
0.3
Round 18
($)
6,539
1,824
544
1,176
2,815
3,190
49
1
41
280
2,779
62
141
17
237
215
650
295
Round 16
($)
3615
1370
216
1028
1279
851
100
28
9
210
995
35
226
37
128
50
484
55
36
National
Round 17
($)
4271
1486
219
1282
1428
947
119
31
12
229
1083
18
232
3
174
74
541
60
45
Round 18
($)
4,561
1,612
264
1,399
1,547
1,052
118
32
12
243
1,090
16
218
3
213
53
611
60
52
(%)
31.4
8.7
2.6
5.6
13.5
15.3
0.2
0.0
0.2
1.3
13.3
0.3
0.7
0.1
1.1
1.0
3.1
0.0
1.4
(%)
33.6
12.7
2.0
9.6
11.9
7.9
0.9
0.3
0.1
2.0
9.3
0.3
2.1
0.3
1.2
0.5
4.5
0.5
0.3
(%)
34.9
12.1
1.8
10.5
11.7
7.7
1.0
0.3
0.1
1.9
8.8
0.1
1.9
0.0
1.4
0.6
4.4
0.5
0.4
(%)
34.7
12.3
2.0
10.6
11.8
8.0
0.9
0.2
0.1
1.8
8.3
0.1
1.7
0.0
1.6
0.4
4.6
0.5
0.4
Appendix 27. NHCDC Round 16, 17 and 18 subacute line item cost per separation by jurisdiction
Line item
Salary & Wages - Nursing
Salary & Wages - Medical (non-VMO)
Salary & Wages - Medical (VMO)
Salary & Wages - Allied Health
Salary & Wages - Other
On-costs
Pathology
Imaging
Prostheses
Medical supplies
Goods and services
Pharmaceuticals - PBS
Pharmaceuticals - non-PBS
Blood
Depreciation - building
Depreciation - equipment
Hotel
Corporate
Lease
Salary & Wages - Nursing
Salary & Wages - Medical (non-VMO)
Salary & Wages - Medical (VMO)
Salary & Wages - Allied Health
Salary & Wages - Other
On-costs
Pathology
Imaging
Prostheses
Medical supplies
Goods and services
Pharmaceuticals - PBS
Pharmaceuticals - non-PBS
Blood
Depreciation - building
Depreciation - equipment
Hotel
Corporate
Lease
NSW
Vic
QLD
($)
53.4
-9.2
35.5
15.3
-15.5
38.2
-20.3
-10.2
3.8
-9.7
-55.6
0.0
-61.2
0.0
9.2
15.0
9.2
0.0
0.0
($)
158.2
39.8
53.8
212.8
206.7
103.4
-3.7
0.0
1.5
25.0
84.3
-11.4
-4.9
0.7
0.0
0.0
40.5
0.0
21.0
($)
559.9
537.9
-5.6
139.7
134.6
44.0
5.9
5.0
-0.6
23.8
-87.4
0.0
29.1
2.0
13.5
7.6
17.2
-17.1
0.0
0.5
-0.1
0.3
0.1
-0.1
0.3
-0.2
-0.1
0.0
-0.1
-0.5
0.0
-0.5
0.0
0.1
0.1
0.1
0.0
0.0
-1.2
-0.2
0.2
0.8
0.4
0.1
-0.1
0.0
0.0
0.0
0.1
-0.1
-0.1
0.0
0.0
0.0
0.0
0.0
0.1
0.0
2.0
-0.1
0.0
0.1
-0.3
-0.1
0.0
0.0
0.0
-1.4
0.0
0.0
0.0
0.0
0.0
-0.1
-0.2
0.0
Change
WA
Round 17 to 18
($)
($)
-125.2
1584.0
12.1
200.0
86.7
118.1
-46.7
307.3
-96.4
399.0
-19.3
347.0
-9.0
77.8
4.2
30.5
-2.0
-2.2
13.9
39.0
-126.8
66.7
0.0
0.0
8.8
38.8
0.0
0.0
10.2
372.8
-46.7
-294.3
93.5
707.1
-7.5
132.2
-38.7
37.4
SA
Change in % of total
percentage point
-0.3
1.7
0.5
-1.4
0.9
0.4
-0.3
-0.5
-0.7
0.2
0.1
0.1
-0.1
0.2
0.0
0.2
0.0
-0.1
0.2
-0.1
-1.0
-1.6
0.0
0.0
0.1
-0.2
0.0
0.0
0.2
1.5
-0.5
-2.0
1.0
1.6
0.0
0.1
-0.4
0.0
Tas
NT
ACT
National
($)
-308.1
847.9
0.0
-167.8
-685.5
131.3
4.1
0.0
-2.5
288.7
541.2
14.6
-36.0
-6.6
171.6
18.8
-54.6
-333.2
3.3
($)
1494.2
-333.0
0.0
160.5
299.2
2323.8
-259.4
-12.7
-4.3
149.4
-723.2
0.0
-18.5
0.0
0.0
172.4
-51.0
0.0
-151.9
($)
1344.0
444.6
45.4
147.9
1242.4
1592.1
-27.1
-0.5
1.4
-32.8
1135.6
6.0
-127.9
-11.9
-65.7
65.0
-10.0
0.0
243.5
($)
289.6
125.9
44.5
117.0
119.3
105.2
-0.8
1.2
0.3
14.1
6.6
-2.4
-13.7
-0.2
39.2
-20.5
70.3
0.4
7.5
-2.7
4.8
0.0
-1.2
-4.6
0.5
0.0
0.0
0.0
1.7
3.0
0.1
-0.2
0.0
1.0
0.1
-0.4
-2.0
0.0
0.6
-2.4
0.0
-0.5
-1.9
6.5
-0.9
-0.1
0.0
0.1
-4.6
0.0
-0.3
0.0
0.0
0.1
-0.4
4.1
-0.5
-3.6
-0.5
-0.7
-1.3
2.9
4.5
-0.3
0.0
-0.1
-0.8
2.3
-0.1
-1.1
-0.1
-0.9
0.0
-1.3
0.0
1.1
-0.2
0.1
0.2
0.2
0.1
0.3
-0.1
0.0
0.0
0.0
-0.6
0.0
-0.2
0.0
0.2
-0.2
0.2
0.0
0.0
Appendix 28. NHCDC Round 17 and 18 Other stream summary by jurisdiction
Jurisdiction
NSW
Boarders
Number of hospitals
Separations
Total Expenditure ($M)
Average cost per
separation ($/sep)
Organ Procurement
Number of hospitals
Separations
Total Expenditure ($M)
Average cost per
separation ($/sep)
Other
Number of hospitals
Separations
Total Expenditure ($M)
Average cost per
separation ($/sep)
Total
Number of hospitals
Separations
Total Expenditure ($M)
Average cost per
separation ($/sep)
Vic
Qld
Round 17
SA
Round 17
Round 18
Round 17
Round 18
Round 18
12
66
305113
8
35
98863
0
0
0
0
0
0
**
**
**
110
11271
5007884
4623
2825
0
0
576
16
61
340773
16
52
353453
9
44
399983
13
73
631811
5586
6797
9091
0
0
0
0
0
0
0
Round 17
Round 18
WA
Round 17
Tas
NT
Round 18
Round 17
Round 18
25
9219
2119871
29
11333
3939585
**
**
**
3
26
7965
444
230
348
1158
**
**
**
**
**
**
4
35
568833
4
37
670365
8655
12982
13655
16252
0
0
0
0
0
0
**
**
**
**
**
**
0
0
0
21559
28
127
645887
24
87
452316
9
44
399983
13
73
631811
5086
5199
9091
8655
Round 17
ACT
Round 18
National
Round 18
Round 17
Round 17
Round 18
5
7663
10198682
0
0
0
0
0
0
131
27299
18587389
150
22665
9054298
306
1331
0
0
681
399
**
**
**
**
**
**
2
7
125638
0
0
0
0
0
0
34
152
1546986
37
173
1766825
18118
36406
9754
17948
0
0
10178
10213
0
0
0
0
0
0
**
**
**
**
**
**
4
65
207811
4
69
409033
2
7
61644
32
1679
34881553
32
2420
25535487
10689
0
0
10735
9729
3197
5928
8806
20775
10552
114
11955
40579087
137
13620
30118805
29
9254
2688704
33
11370
4609951
4
8
108493
8
39
134694
11
7735
10532131
4
69
409033
2
7
61644
168
29130
55015928
195
25258
36356610
3394
2211
291
405
13562
3454
1362
5928
8806
1889
1439
Appendix 28. NHCDC Round 17 and 18 Other stream summary by jurisdiction
NSW
Vic
Qld
SA
WA
Tas
NT
ACT
National
Change from Round 17 to 18
(%)
Boarders
Number of hospitals
Separations
Total Expenditure ($M)
Average cost per
separation ($/sep)
Organ Procurement
Number of hospitals
Separations
Total Expenditure ($M)
Average cost per
separation ($/sep)
Other
Number of hospitals
Separations
Total Expenditure ($M)
Average cost per
separation ($/sep)
Total
Number of hospitals
Separations
Total Expenditure ($M)
Average cost per
separation ($/sep)
(%)
(%)
-33
-47
-68
(%)
(%)
(%)
16
23
86
-39
-23
0
-15
4
44
66
58
22
-5
51
11
-50
(%)
(%)
-100
-100
-100
15
-17
-51
-100
-41
-100
-100
-100
9
14
14
-100
0
0
6
97
0
44
-27
-9
85
-49
-74
0
6
18
5
(%)
-73
-14
-31
-30
44
66
58
20
14
-26
14
23
71
100
388
24
-64
-99
-96
16
-13
-34
2
-5
-35
40
-75
335
-24
Cost Bucket
Ward Medical
Ward Nursing
Allied Health
Non clinical
On-costs
Pathology
Imaging
Prosthesis
Ward Supplies
Pharmacy
Critical Care
Operating Room
Special Procedure Suite
Emergency Department
Hotels
Depreciation
Total
Ward Medical
Ward Nursing
Allied Health
Non clinical
On-costs
Pathology
Imaging
Prosthesis
Ward Supplies
Pharmacy
Critical Care
Operating Room
Special Procedure Suite
Emergency Department
Hotels
Depreciation
Appendix 29. NHCDC Round 17 and 18 Organ Procurement cost bucket average per separation by jurisdiction
Jurisdiction
NSW
Vic
Qld
SA
WA
Round 17 Round 18 Round 17 Round 18
Round 17
Round 18
Round 17 Round 18
Round 17
Round 18
($)
($)
($)
($)
($)
($)
($)
($)
($)
($)
175
84
158
124
473
1518
44
82
274
17
7
34
16
35
1
1
147
61
20
35
506
572
94
97
87
29
36
37
73
133
3
6
282
354
665
638
832
0
1042
1262
180
422
295
246
625
0
1183
1183
141
62
134
83
146
0
106
91
85
174
315
359
22
0
567
434
82
20
63
52
66
89
6
8
96
43
3
5
40
16
13
32
839
1046
2514
1991
6537
2599
3737
5230
2577
3983
4598
4670
2789
8008
8023
8050
4
6
53
101
0
0
0
0
164
1
3
0
14
0
0
1
208
161
108
180
231
247
776
998
245
333
119
99
610
438
659
643
5,586
6,797
9,091
8,655
12,982
13,655
16,252
18,118
Percentage of total
(%)
(%)
(%)
(%)
(%)
(%)
(%)
(%)
(%)
(%)
3.1
1.2
1.7
1.4
3.6
11.1
0.3
0.5
4.9
0.3
0.1
0.4
0.1
0.3
0.0
0.0
2.6
0.9
0.2
0.4
3.9
4.2
0.6
0.5
1.6
0.4
0.4
0.4
0.6
1.0
0.0
0.0
5.0
5.2
7.3
7.4
6.4
0.0
6.4
7.0
3.2
6.2
3.2
2.8
4.8
0.0
7.3
6.5
2.5
0.9
1.5
1.0
1.1
0.0
0.6
0.5
1.5
2.6
3.5
4.1
0.2
0.0
3.5
2.4
0.6
0.5
0.6
0.0
0.0
1.5
0.3
0.7
1.7
0.6
0.0
0.1
0.3
0.1
0.1
0.2
15.0
15.4
27.7
23.0
50.4
19.0
23.0
28.9
46.1
58.6
50.6
54.0
21.5
58.6
49.4
44.4
0.1
0.1
0.6
1.2
0.0
0.0
0.0
0.0
2.9
0.0
0.0
0.0
0.1
0.0
0.0
0.0
3.7
2.4
1.2
2.1
1.8
1.8
4.8
5.5
4.4
4.9
1.3
1.1
4.7
3.2
4.1
3.5
Tas
Round 17
Round 18
($)
($)
243
537
855
118
92
78
611
215
3210
779
227
400
331
83
7
3
272
251
7
2
16537
2783
12489
4023
0
2
94
21
477
74
955
387
36,406
9,754
(%)
(%)
0.7
2.3
0.3
1.7
8.8
0.6
0.9
0.0
0.7
0.0
45.4
34.3
0.0
0.3
1.3
2.6
5.5
1.2
0.8
2.2
8.0
4.1
0.8
0.0
2.6
0.0
28.5
41.2
0.0
0.2
0.8
4.0
NT
Round 17
Round 18
($)
($)
156
145
377
89
452
3271
270
18
91
43
5956
6104
0
163
61
752
17,948
(%)
(%)
0.9
0.8
2.1
0.5
2.5
18.2
1.5
0.1
0.5
0.2
33.2
34.0
0.0
0.9
0.3
4.2
ACT
Round 17 Round 18
($)
($)
(%)
(%)
National
Round 17
Round 18
($)
($)
146
135
131
27
115
62
60
39
625
691
596
507
139
78
257
297
61
45
46
22
2546
2449
4713
5168
17
45
76
2
307
343
344
304
10,178
10,213
(%)
(%)
1.4
1.3
1.1
0.6
6.1
5.9
1.4
2.5
0.6
0.4
25.0
46.3
0.2
0.7
3.0
3.4
1.3
0.3
0.6
0.4
6.8
5.0
0.8
2.9
0.4
0.2
24.0
50.6
0.4
0.0
3.4
3.0
Cost Bucket
Appendix 29. NHCDC Round 17 and 18 Organ Procurement cost bucket average per separation by jurisdiction
Change from Round 17 to 18
NSW
Vic
QLD
SA
WA
Tas
NT
ACT
National
Ward Medical
Ward Nursing
Allied Health
Non clinical
On-costs
Pathology
Imaging
Prosthesis
Ward Supplies
Pharmacy
Critical Care
Operating Room
Special Procedure Suite
Emergency Department
Hotels
Depreciation
Total
($)
-91
-257
-86
-58
72
242
-79
89
-61
-53
207
1,406
2
-163
-47
88
($)
-33
26
15
1
-27
-48
-51
44
-10
1
-523
72
48
-3
72
-20
($)
1,045
19
66
61
-832
-625
-146
-22
22
-24
-3,938
5,218
0
-14
16
-173
Ward Medical
Ward Nursing
Allied Health
Non clinical
On-costs
Pathology
Imaging
Prosthesis
Ward Supplies
Pharmacy
Critical Care
Operating Room
Special Procedure Suite
Emergency Department
Hotels
Depreciation
-1.9
-4.7
-1.7
-1.1
0.2
3.0
-1.6
1.0
-1.2
-1.1
0.4
12.5
0.0
-2.9
-1.4
0.5
-0.3
0.3
0.2
0.0
0.1
-0.4
-0.5
0.7
-0.1
0.0
-4.7
3.4
0.6
0.0
0.9
-0.2
7.5
0.1
0.3
0.4
-6.4
-4.8
-1.1
-0.2
0.1
-0.2
-31.3
37.2
0.0
-0.1
0.0
-1.5
($)
($)
38
0
2
3
220
0
-14
-133
3
19
1,494
27
0
1
222
-16
Change in % of total
percentage point
0.2
0.0
0.0
0.0
0.6
-0.7
-0.1
-1.1
0.0
0.1
5.9
-4.9
0.0
0.0
0.7
-0.5
($)
294
-737
-14
-397
-2,431
173
-248
-4
-21
-6
-13,754
-8,466
2
-73
-403
-568
4.8
-1.1
0.5
0.5
-0.8
3.5
-0.1
0.0
1.8
0.0
-16.9
6.9
0.0
0.0
-0.6
1.3
($)
-156
-145
-377
-89
-452
-3,271
-270
-18
-91
-43
-5,956
-6,104
0
-163
-61
-752
($)
($)
-10
-104
-53
-21
66
-89
-61
40
-16
-24
-97
455
28
-74
36
-40
-0.1
-1.0
-0.5
-0.2
0.6
-0.9
-0.6
0.4
-0.2
-0.2
-1.0
4.3
0.3
-0.7
0.3
-0.4