Evidence map›Paper›PMID 37678834›Full record

ArticleJournal of the American Academy of Orthopaedic Surgeons. Global research & reviews2023

Large Variation in Listed Chargemaster Price for Total Joint Arthroplasty Among Top Orthopaedic Hospitals in the United States.

Jordan R Pollock, Matthew K Doan, M Lane Moore, Jack M Haglin, Jaymeson R Arthur, David G Deckey, Karan A Patel, Joshua S Bingham

Abstract read
In one paragraph

Article in Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Jordan R PollockFrom the Mayo Clinic Alix School of Medicine, Scottsdale, AZ (Pollock, Doan, Dr. Moore, and Dr. Haglin), and the Department of Orthopedic Surgery, Mayo Clinic, Phoenix, AZ (Dr. Arthur, Dr. Deckey, Dr. Patel, and Dr. Bingham).ORCID 0000-0003-1628-5162
Matthew K Doan
M Lane Moore
Jack M Haglin
Jaymeson R Arthur
David G Deckey
Karan A Patel
Joshua S Bingham

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChargemasters are lists of all services offered by a hospital and their associated cost. This study analyzes chargemaster data to determine price differences among different hospitals for total joint arthroplasty.

methodsIn May 2020, the chargemaster data for highly rated orthopaedic hospitals were accessed, and the diagnostic-related group (DRG) codes related to primary and revision total joint arthroplasty were analyzed (DRGs 466, 467, 468, 469, and 470). The prices listed for each hospital were averaged, and descriptive statistics were calculated. Furthermore, Medicare reimbursement was collected. A subanalysis was performed to determine relationships between geographic and demographic information.

resultsThe median price for a major hip or knee joint arthroplasty without complications was $68,016 (range: $39,927 to $195,264). The median price of a revision of hip or knee arthroplasty without complications was $90,966 (range: $58,967 to $247,715). The cost of living in the city in which the hospitals are located was weakly correlated with procedure pricing, whereas the median income had no notable relationship to chargemaster pricing.

conclusionThe published cost of DRG codes in arthroplasty is widely variable among the top 20 US orthopaedic hospitals, with little correlation to the cost of living or median income of the area.

Indexed as

Arthroplasty, Replacement, KneeOrthopedicsAgedDiagnosis-Related GroupsHospitalsHumansMedicareUnited States

Identifiers

PMID37678834
PMCPMC10489520

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.