ABC Training Company Claims by Place of Service Gauge your plan’s costs by place of service compared to that of your peers. For this report, the data includes both facility fees (room and board, supplies, and ancillary services) and professional services fees (physician, surgeon, and anesthesiologist). The place of service categories used below are prescribed by the Centers for Medicare & Medicaid Services (CMS). Note: Some carriers may use different conventions and the settings in your analysis may vary. Total Paid by Place of Service Norm Total Paid Inpatient Hospital Actual Total Paid Outpatient Hospital $1,233,075 Office $693,910 $1,408,339 Emergency Room $415,511 $96,529 Home $218,601 $56,494 Other $63,960 $33,807 Surgery Center $33,234 $71,618 $0 $200,000 $400,000 $600,000 $800,000 $1,200,000 $1,600,000 Place of Service Actual Norm Variance Inpatient Hospital 34.26% 34.80% -1.56% Outpatient Hospital 33.70% 27.72% 21.58% Office 15.60% 31.66% -50.73% Emergency Room 9.34% 2.17% 330.45% Home 4.91% 1.27% 286.95% Other 1.44% 0.76% 89.19% Surgery Center 0.75% 1.61% -53.60% Points to consider: • Is there an appropriate mix of health care settings being used? Explore normative comparison in targeted areas: office visits, emergency room, inpatient hospital, etc. to discover specific opportunities. Norm source: Copyright ©2018 Truven Health Analytics Inc. MarketScan® Research Databases. All rights reserved. Copyright @ 2017 Zywave, Inc. 351737 - January 1, 2018 - December 31, 2018[9]