Average charges for a total hip arthroplasty: geographic variations, 1995.
The total replacement of the hip is the most successful operation for patients with debilitating osteoarthritis of the hip. An estimated 124,000 total hip arthroplasties (THAs) were performed in U.S. nonfederal short-stay hospitals in 1994 and approximately 28,000 THA revisions were also reported for that year. In 1995 the average hospital and physician charges to insurance for a THA totaled $23,260 and $27,760 for a revision of the primary THA. The average THA charges ranged from a high of $25,500 in the New England region (10 percent above the U.S. average) to $19,930 in the East South Central region (14 percent below the U.S. average). Illinois reported the highest average total charge and Michigan the lowest. The hospital THA charges averaged $16,810 and accounted for 72 percent of the total charges. Physician fees differed by 101 percent between the high reported in New York and the low in Michigan. THA patients remained hospitalized for an average of 5.9 days, ranging from 8 days in Virginia to 4.6 in Utah. Average total charges for the revision surgeries were the highest in the Middle Atlantic region ($35,660, 28.5 percent above the U.S. average) and the lowest in the East South Central region, where they were less than half, $14,930 and 46 percent lower than that for the United States as a whole. Physician fees accounted for a little more than one-fourth of the total charge and averaged $7,410. THA revision patients remained in the hospital for an average of 6.6 days.
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D000328:Adult; D000368:Aged; D003365:Costs and Cost Analysis; D005251:Fees, Medical / Q000706:statistics & numerical data*; D005260:Female; D006622:Hip Prosthesis / Q000191:economics*; D017722:Hospital Charges / Q000706:statistics & numerical data*; D006801:Humans; D007342:Insurance Benefits / Q000191:economics; D007902:Length of Stay; D008297:Male; D006278:Medicare; D008875:Middle Aged; D014481:United States