Total U.S. Costs for the Top 10 Most Frequent Principal Diagnoses

$329.2 billion was spent on community hospital stays in 2006, according to the Agency for Healthcare Research and Quality’s Healthcare Cost and Utilization Project (HCUP). Overall, the inflation-adjusted cost of hospitalization in the U.S. grew 52 percent from 1997, when it was $216.3 billion.

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Here are the top 10 inpatient hospital principal diagnoses with the highest aggregate costs, along with their total inflation-adjusted hospital costs in 2006 and percentage of total costs, according to HCUP.

  1. Coronary atherosclerosis (coronary artery disease) — $17.5 billion (5 percent)   
  2. Acute myocardial infarction (heart attack) — $11.8 billion (4 percent)
  3. Congestive heart failure — $11.2 billion (3 percent)   
  4. Liveborn (newborn infant) — $10.8 billion (3 percent)
  5. Osteoarthritis (degenerative joint disease) — $10.3 billion (3 percent)   
  6. Septicemia (blood infection) — $10.2 billion (3 percent)   
  7. Pneumonia — $9.9 billion (3 percent)
  8. Complication of medical device, implant or graft — $9.4 billion (3 percent)
  9. Adult respiratory failure, insufficiency, or arrest — $8.1 billion (2 percent)
  10. Disorders of intervertebral discs and bones in spinal column — $7.6 billion (2 percent)   

Source: Levit K (Thomson Reuters), Stranges E (Thomson Reuters), Ryan K (Thomson Reuters), Elixhauser A (AHRQ). HCUP Facts and Figures, 2006: Statistics on Hospital-based Care in the United States. Rockville, MD: Agency for Healthcare Research and Quality, 2008. http://www.hcup-us.ahrq.gov/reports.jsp

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