Table 2Top 20 most expensive conditions billed to Medicare, 2005

RankPrincipal diagnosisTotal hospital charges (millions)Percentage of Medicare’s hospital billNumber of hospital stays (thousands)
1Coronary artery disease$26,2106.4%617
2Congestive heart failure (CHF)$22,5815.5%840
3Pneumonia$18,8794.6%816
4Acute myocardial infarction (AMI, heart attack)$18,3194.5%391
5Sepsis$16,5974.0%375
6Osteoarthritis$15,3533.7%438
7Complication of device, implant or graft$14,4913.5%352
8Respiratory failure, insufficiency, arrest (adult)$12,5013.0%222
9Cardiac dysrhythmias$11,6692.8%460
10Acute cerebrovascular disease (stroke)$10,0202.4%354
11Rehabilitation care, fitting of prostheses, and adjustment of devices$9,4962.3%378
12Hip fracture$9,1102.2%268
13Chronic obstructive pulmonary disease (COPD)$8,3972.0%452
14Back pain (spondylosis, intervertebral disc disorders, other back problems)$7,0241.7%231
15Complications of surgical procedures or medical care$6,4041.6%202
16Acute and unspecified renal failure$5,8231.4%205
17Diabetes mellitus with complications$5,7451.4%214
18Heart valve disorders$5,7081.4%56
19Urinary tract infections$5,4351.3%323
20Gall bladder disease$5,2131.3%172
Total for top 20 conditions$234,97557.2%7,367
Total for all hospitalizations$410,692100.0%14,557

Source: AHRQ, Center for Delivery, Organization, and Markets, Healthcare Cost and Utilization Project, Nationwide Inpatient Sample, 2005.

From: The National Hospital Bill: Growth Trends and 2005 Update on the Most Expensive Conditions by Payer

Cover of Healthcare Cost and Utilization Project (HCUP) Statistical Briefs
Healthcare Cost and Utilization Project (HCUP) Statistical Briefs [Internet].

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