Top 10 Commonly Performed Procedures With the Most Rapidly Increasing Hospital Inpatient Costs

Here are the top 10 most commonly performed procedures with the most rapidly increasing hospital inpatient costs from 2000–2004, with total 2004 costs and, in parentheses, the percentage change in total costs from 2000-2004 (with 2000 costs adjusted to 2004 dollars using the overall Consumer Price Index), according to the Agency for Healthcare Research and Quality’s Healthcare Cost and Utilization Project.

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  1. Spinal fusion — $4,824,574,100 (93.6 percent)
  2. Insertion, revision, replacement, removal of cardiac pacemaker or cardioverter/defibrillator — $6,451,133,300 (87.0 percent)
  3. Blood transfusion — $4,390,193,500 (75.2 percent)
  4. Skin graft — $819,062,600 (66.3 percent)
  5. Incision and drainage, skin and subcutaneous tissue — $731,839,200 (65.8 percent)
  6. Arthroplasty knee — $5,263,185,700 (64.0 percent)
  7. Enteral and parenteral nutrition — $1,108,212,800 (60.0 percent)
  8. Hemodialysis — $2,256,351,600 (49.7 percent)
  9. Percutaneous transluminal coronary angioplasty (PTCA) — $9,394,141,100 (44.7 percent)
  10. Abdominal paracentesis — $980,789,500 (41.1 percent)

Source: AHRQ, Center for Delivery, Organization, and Markets, Healthcare Cost and Utilization Project, Nationwide Inpatient Sample, 2000 and 2004.

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