With value-based payment programs, accurate measures of cost are necessary for physicians and hospitals to remain financially viable. Administrative databases, such as the National Inpatient Sample, rely on hospital cost-to-charge ratios (CCRs) to convert patient billing charges to estimated hospital costs.1,2 However, using a single conversion factor on all patient charges within a hospital may be an oversimplification, particularly for surgical costs, and may lead to inaccurate estimates. We assessed whether the cost center–specific CCR for operating room services differs from the general hospital-wide CCR and whether this deviation varies by hospital type.
Identify all potential conflicts of interest that might be relevant to your comment.
Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.
Err on the side of full disclosure.
If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.
Not all submitted comments are published. Please see our commenting policy for details.
Childers CP, Dworsky JQ, Russell MM, Maggard-Gibbons M. Comparison of Cost Center–Specific vs Hospital-wide Cost-to-Charge Ratios for Operating Room Services at Various Hospital Types. JAMA Surg. Published online March 20, 2019154(6):557–558. doi:10.1001/jamasurg.2019.0146
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: