Mean payments ($) for each DRG code by individual payers
| BC N Mean (SD) | CHAMPUS N Mean (SD) | COMM INS N Mean (SD) | DPW-WV N Mean (SD) | HMO N Mean (SD) | MC A N Mean (SD) | MC HMO N Mean (SD) | MEDICAID N Mean (SD) | PEIA N Mean (SD) | PMA N Mean (SD) | PVT PAY N Mean (SD) | Total p Value | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CMS-14 | 3 6830 (5958) | 0 | 3 9093 (6866) | 4 5021 (458) | 2 17 714 (13 445) | 39 8202 (831) | 2 10 693 (4844) | 0 | 2 4279 (1809) | 1 10 553 – | 1 0 – | 57 0.0001 |
| MS-61 | 4 34 247 (3758) | 0 | 1 80 553 – | 0 | 0 | 36 22 024 (2335) | 7 23 366 (680) | 5 13 983 (3129) | 1 10 502 – | 0 | 1 0 | 55 <0.0001 |
| MS-23 | 4 67 520 (31 101) | 1 26 260 – | 0 | 0 | 0 | 20 42 034 (15 163) | 6 42 607 (5315) | 2 22 568 (1471) | 1 14 030 – | 0 | 0 | 34 0.02 |
| MS-62 | 0 | 0 | 0 | 0 | 0 | 24 14 806 (1953) | 2 15 484 (244) | 0 | 1 7703 | 0 | 0 | 27 0.004 |
| MS-63 | 2 11 128 (15 738) | 0 | 0 | 0 | 0 | 13 11 522 (1897) | 2 12 108 (544) | 0 | 1 5618 – | 0 | 0 | 20 <0.0001 |
| MS-24 | 6 63 148 (27 317) | 0 | 1 56 316 | 0 | 0 | 7 27 836 (1301) | 2 28 998 (580) | 1 14 859 – | 2 12 481 (3245) | 0 | 1 0 | 20 0.009 |
| CMS-559 | 1 30 822 – | 1 13 169 – | 1 17 581 – | 0 | 2 31 606 (7322) | 12 16 799 (652) | 0 | 0 | 0 | 0 | 0 | 17 <0.0001 |
| CMS-543 | 2 49 968 (437) | 0 | 0 | 0 | 1 63 461 – | 6 30 037 (4706) | 0 | 0 | 0 | 0 | 0 | 9 0.0005 |
| MS-64 | 0 | 0 | 0 | 0 | 0 | 4 19 976 (6028) | 1 14 782 – | 0 | 0 | 0 | 0 | 5 0.5 |
| MS-3 | 0 | 0 | 1 225 360 – | 0 | 0 | 0 | 1 58 633 – | 0 | 0 | 0 | 0 | 2 NA |
| MS-4 | 0 | 0 | 0 | 0 | 0 | 1 87 624 – | 2 86 401 (428) | 0 | 0 | 0 | 0 | 3 0.2 |
| MS-65 | 0 | 0 | 0 | 0 | 0 | 2 4520 (6391) | 1 5571 – | 0 | 0 | 0 | 3 0.9 | |
| MS-66 | 1 33 274 – | 0 | 1 6333 – | 0 | 1 7765 – | 0 | 0 | 0 | 0 | 3 NA | ||
| CMS-7 | 0 | 0 | 0 | 0 | 0 | 1 20 048 – | 0 | 0 | 0 | 0 | 1 0 | 2 NA |
| CMS-524 | 0 | 0 | 0 | 0 | 0 | 2 5348 (102) | 0 | 0 | 0 | 0 | 2 NA | |
| CMS-533 | 0 | 0 | 0 | 0 | 1 23 710 – | 1 11 682 – | 0 | 0 | 0 | 0 | 2 NA | |
| MS-981 | 0 | 0 | 0 | 0 | 0 | 2 39 912 (0) | 0 | 0 | 0 | 0 | 1 0 | 3 NA |
| MS-69 | 0 | 0 | 0 | 0 | 0 | 1 5759 – | 0 | 0 | 0 | 0 | 1 NA |
The DRG codes are listed in the same order as table 1.
BC (ALL), Blue Cross; CHAMPUS, Civilian Health And Medical Program of the Uniformed Services; COMM INS, Commercial Insurance—WV; DPW-WV, Department of Public Works—WV; HMO, Health Maintenance Organization; MC A, Medicare Part A; MC HMO, Medicare-HMO; PEIA, Public Employees Insurance Agency—WV; PMA, Pennsylvania Manufacturers’ Association; PVT-PAY, Private Pay.
*Significance level is set at 0.05.