Revenues, costs, and contribution margins of major inpatient cardiovascular procedures within the Medicare population

Am Heart J. 2024 Dec 3:281:43-48. doi: 10.1016/j.ahj.2024.11.013. Online ahead of print.

Abstract

Introduction: We sought to measure the revenues, costs, and contribution margins (CMs) for major inpatient cardiovascular procedures in the Medicare population in years 2016-2019, evaluate the differences in CMs across procedures, and identify temporal trends in CMs.

Methods: Claim-level costs were calculated using cost-to-charge ratios and subsequently Winsorized to adjust for outliers, and CMs were assessed as the difference between revenue and costs.

Results and discussion: We found that revenues, costs, and CMs vary widely across major inpatient cardiovascular procedures and that rapidly proliferating cardiovascular procedures contribute sizeable net CMs to US hospitals.