The added cost of urgent cholecystectomy to health systems.

摘要: Abstract Background The purpose of this study is to assess the cost and reimbursement differential between elective urgent laparoscopic cholecystectomy. Study design All visits for cholecystectomy (ICD-9 Code 51.23) University Michigan Health System were reviewed 1997 2001 (n = 752). Data obtained from Warehouse. Patients grouped into cases, further subgrouped complicated uncomplicated cases based on Diagnostic Related Group (DRG) coding. Total costs determined 13 distinct facility centers with average greater than $10 per case. Reimbursement was also assessed. Results approximately 90% higher in cases. largest contributors increased nursing care pharmacy costs. emergent group experienced a pre-operative delay surgery 1.8 days. similar both patients when stratified by DRGs. Conclusions urgency operation significantly elevates resource consumption associated These differences should be recognized setting premiums under risk-bearing systems, such as Medicare Diagnosis reimbursement. Consideration including comorbidity