PMID- 18514866
OWN - NLM
STAT- MEDLINE
DCOM- 20080926
LR  - 20080602
IS  - 0883-5403 (Print)
IS  - 0883-5403 (Linking)
VI  - 23
IP  - 4
DP  - 2008 Jun
TI  - Patient out-of-pocket expenses in major orthopedic procedures: total hip 
      arthroplasty as a case study.
PG  - 509-14
LID - 10.1016/j.arth.2007.05.029 [doi]
AB  - Total hip arthroplasty (THA) is a successful procedure for improving quality of 
      life. There are few publications regarding out-of-pocket expenses incurred by 
      individuals undergoing uncomplicated THA. Detailed billing and record reviews and 
      patient phone surveys were conducted on 34 Medicare patients identifying charges 
      and reimbursements recorded by the health care system and all out-of-pocket 
      expenses incurred by patients undergoing uncomplicated THA (diagnostic related 
      group [DRG] 209/current procedural terminology [CPT] 27130). Mean THA total 
      billed charges were $46378, 89% of that from inpatient hospitalization and 5% 
      incurred preoperatively and 7% postoperatively. Medicare reimbursement was 
      $14647, supplemental reimbursement was $744, and patients paid a mean 
      out-of-pocket expense of $758 (95% CI, 614-904; range, 102-1889). Our study 
      supports the policy that THA remains an excellent value to both the patient and 
      society.
FAU - Heiner, Daniel E
AU  - Heiner DE
AD  - Department of Orthopaedic Surgery, Carolinas Medical Center, Charlotte, North 
      Carolina 28232, USA.
FAU - Mauerhan, David R
AU  - Mauerhan DR
FAU - Masonis, John L
AU  - Masonis JL
FAU - Heath, Jessica
AU  - Heath J
LA  - eng
PT  - Journal Article
DEP - 20071107
PL  - United States
TA  - J Arthroplasty
JT  - The Journal of arthroplasty
JID - 8703515
SB  - IM
MH  - Aged
MH  - Arthroplasty, Replacement, Hip/*economics
MH  - Cost-Benefit Analysis
MH  - Diagnosis-Related Groups/economics
MH  - Female
MH  - Femur Head Necrosis/economics/*surgery
MH  - Financing, Personal/*economics
MH  - Hospital Charges/statistics & numerical data
MH  - Humans
MH  - Insurance Coverage/economics
MH  - Male
MH  - Medicare/economics
MH  - Medicare Part B/economics
MH  - Osteoarthritis, Hip/economics/*surgery
MH  - United States
EDAT- 2008/06/03 09:00
MHDA- 2008/09/27 09:00
CRDT- 2008/06/03 09:00
PHST- 2006/09/18 00:00 [received]
PHST- 2007/05/07 00:00 [accepted]
PHST- 2008/06/03 09:00 [pubmed]
PHST- 2008/09/27 09:00 [medline]
PHST- 2008/06/03 09:00 [entrez]
AID - S0883-5403(07)00290-2 [pii]
AID - 10.1016/j.arth.2007.05.029 [doi]
PST - ppublish
SO  - J Arthroplasty. 2008 Jun;23(4):509-14. doi: 10.1016/j.arth.2007.05.029. Epub 2007 
      Nov 7.