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• W4311593691 abstract "Introduction: Little has been published about costs and charges in the pediatric critical care literature. Due to the Affordable Care Act, hospital charges are required to be publicly available and easily accessible as of January 2021. The goal of this study was to examine the variation in charges associated with Pediatric Intensive Care Units (PICU) in the United States (US) and factors that contribute to this variation. Methods: We used the hospital directory from the Children’s Hospital Association (CHA) which contained 193 US acute hospitals, 190 with a PICU. For the 190 hospitals, we located the chargemaster on their respective website and abstracted charges, which included but was not limited to: PICU and acute care bed charges, mechanical ventilation, current procedural terminology (CPT) pediatric critical care code 99291, and extracorporeal membrane oxygenation (ECMO). We calculated the median daily charges for each hospital and used these medians to calculate an overall US median charge. Results: For the 151 hospitals with available bed data, the median PICU bed charge was $8523 (min $1528.50, max $62690). The median acute care bed charge was $3237 (min $536.50, max $20614). When the PICU bed charge data was analyzed by census regions, the medians of the Midwest and South were similar: $6783 and $6853 respectively. The medians for the East and the West were also similar: $13167 and $12756 respectively. For the 157 hospitals with mechanical ventilation data, the median ventilation hospital charge was $2155.25 (min $298.88, max $14893.50); the median professional ventilation charge based on CPT codes 94002 and 94003 was $2135 (min $214, max $20238.10). For the 132 hospitals with charges for the CPT code 99291, the median charge was $3814.04 (min $341, max $17199.49). The ECMO charges were uninterpretable due to the data being a mixture of professional charges, hospital charges, and procedural charges. Conclusions: Our assessment of public charge data reveals wide variation in what pediatric hospitals are charging for the same services. Further research is needed to examine causes for this variation. The study of this data is an important step towards ensuring charge transparency, as well as understanding differences in the value of care provided by different PICUs." @default.
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• W4311593691 date "2022-12-15" @default.
• W4311593691 modified "2023-09-27" @default.
• W4311593691 title "591: ALL OVER THE MAP: VARIATION IN PEDIATRIC CRITICAL CARE CHARGES" @default.
• W4311593691 doi "https://doi.org/10.1097/01.ccm.0000908092.06595.fd" @default.
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