| Â | Â | Austria1 | England2 | Estonia3 | Finland4 | France5 | Germany6 | Ireland7 | Poland | Spain8 | Sweden9 |
|---|
Index case | DRG | Mel08.02C | EA14Z | 107 | 107A | 05C051 | F32Z | F06B | E06 | 109 | 107A |
|  | Price (in €) | 8,770 | 12,157 | 7,459 | 11,203 | 10,430 | 10,761 | 20,563 | 4,526 | 14,421 | 13,575 |
Patient 1 | DRG | Mel08.02A | EA15Z | 106 | 107B | 05C041 | F23Z | F05B | E05 | 107 | 107B |
|  | Price (in €) | 11,479 | 17,279 | 11,857 | 11,227 | 12,140 | 13,079 | 28,391 | 4,797 | 19,836 | 18,253 |
| Â | Relative value | 1.31 | 1.42 | 1.59 | 1.00 | 1.16 | 1.22 | 1.38 | 1.06 | 1.38 | 1.34 |
Patient 2 | DRG | Mel08.03A | EA20Z | 106 | 104A | 05C022 | F11A | F03Z (Outlier) | E22 | 104 | 104A |
|  | Price (in €) | 14,908 | 15,041 | 11,857 | 15,109 | 16,445 | 17,867 | 36,184 | 5,575 | 22,070 | 17,798 |
| Â | Relative value | 1.70 | 1.24 | 1.59 | 1.35 | 1.58 | 1.66 | 1.76 | 1.23 | 1.53 | 1.31 |
Patient 3 | DRG | Mel08.02C | EA15Z | 106 | 107C | 05C042 | F23Z | F05A | E05 | 546 | 107C |
|  | Price (in €) | 9,396 | 17,279 | 11,857 | 16,531 | 14,337 | 13,079 | 41,648 | 4,797 | 25,060 | 16,570 |
| Â | Relative value | 1.07 | 1.42 | 1.59 | 1.48 | 1.37 | 1.22 | 2.03 | 1.06 | 1.74 | 1.22 |
Patient 4 | DRG | Mel08.03A | EA20Z | 105 | 104B | 05C031 | F11B | F04B | E22 | 105 | 104B |
|  | Price (in €) | 14,282 | 15,041 | 8,551 | 21,116 | 12,654 | 15,380 | 24,947 | 6,070 | 16,399 | 23,984 |
| Â | Relative value | 1.63 | 1.24 | 1.15 | 1.88 | 1.21 | 1.43 | 1.21 | 1.34 | 1.14 | 1.77 |
Patient 5 | DRG | Mel08.03A | EA20Z | 106 | 104B | 05C022 | F11A | F03Z | E22 | 104 | 104B |
|  | Price (in €) | 14,908 | 15,041 | 11,857 | 21,116 | 16,445 | 17,867 | 57,879 | 6,211 | 22,070 | 23,984 |
| Â | Relative value | 1.70 | 1.24 | 1.59 | 1.88 | 1.58 | 1.66 | 2.81 | 1.37 | 1.53 | 1.77 |
Patient 6 | DRG | Mel08.03A (Outlier) | EA20Z | 108 | 104B | 05C031 | F11B (Outlier) | F04B (Outlier) | E22 | 545 | 104B |
|  | Price (in €) | 10,143 | 15,041 | 5,268 | 21,116 | 12,654 | 10,890 | 14,365 | 5,575 | 30,433 | 23,984 |
| Â | Relative value | 1.16 | 1.24 | 0.71 | 1.88 | 1.21 | 1.01 | 0.70 | 1.23 | 2.11 | 1.77 |
- 1) Reported values are based on theoretically calculated scores. Actual hospital payment depends on decisions of states, which make use of nationwide DRG scores in different ways.
- 2) Based on 2008/9 tariff prices and HRG version 3.5. All relevant to-ups are included in the shown tariff. HRG 4 payments could not be determined. Reported figures are a weighted average of payments for elective and emergency admissions, using the ratio of elective and emergency cases in the study period. Elective admissions receive a different tariff from elective cases in many DRGs.
- 3) Shadow prices were calculated by multiplying cost weights with the national base rates. In actual payment, hospitals are paid through a mix of DRG based payment and fee-for-service. The actual DRG based payment is only 70% of the reported shadow price with the remaining 30% being related to fee-for-service payments.
- 4) Actual payment varies by type of hospital (i.e. University, central, local hospitals) and hospital district. Provided figures are volume weighted averages across all hospitals. Outlier limits differ between hospital districts. In some hospital districts, patient 3 might be considered an outlier. In this case certain surcharges based on per diems might be applied.
- 5) Reported prices are for public sector hospitals since private hospital prices do not reflect full costs.
- 6) Calculated using national DRG cost weights and the average of state-wide base rates (2803.05 €).
- 7) Calculated using AR-DRG V 5.1 and the national average inpatient 'base price' of €5,219 for a relative value of 1 and the other casemix parameters (including low and high length of stay trim points) from the 2009 inpatient casemix model (used to estimate the 2010 casemix budgetary adjustments on the basis of 2008 activity and cost data).
- 8) AP-DRGs in Spain are used when patients receive care in non-resident autonomous communities (ACs). The prices shown are the rate that would be paid for these patients, calculated by multiplying national Spanish cost weights with the national base rate. The payment to hospitals for all other patients depends on the hospital payment system in the relevant autonomous community. When using AP-DRGs in Spain, inliers/outliers are not determined.
- 9) Actual hospital payment depends on the county council, which is free to decide how to pay hospitals.
