Geographic Variation in Costs of Transsphenoidal Pituitary Surgery in the United States.

World Neurosurgery
Anthony O AsemotaGary L Gallia

Abstract

Geographic variations in health care costs have been reported for many surgical specialties. In this study, we sought to describe national and regional costs associated with transsphenoidal pituitary surgery (TPS). Data from the Truven-MarketScan 2010-2014 were analyzed. We examined overall total, hospital/facility, physician, and out-of-pocket payments in patients undergoing TPS including technique-specific costs. Mean payments were obtained after risk adjustment for patient-level and system-level confounders and estimated differences across regions. The estimated overall annual burden was $43 million/year in our cohort. The average overall total payment associated with TPS was $35,602.30, hospital/facility payment was $26,980.45, physician payment was $4685.95, and out-of-pocket payment was $2330.78. Overall total and hospital/facility costs were highest in the West and lowest in the South (both P < 0.001), whereas physician reimbursements were highest in the North-east and lowest in the South (P < 0.001). There were no differences in out-of-pocket expenses across regions. On a national level, there were significantly higher overall total and hospital/facility payments associated with endoscopic compared with microscopic proc...Continue Reading

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Oct 21, 2020·Journal of Neurointerventional Surgery·Matthews LanRohan V Chitale
Mar 29, 2021·Clinical Endocrinology·Nèle F LendersAnn I McCormack

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