Birth Hospitalization Costs and Days of Care for Mothers and Neonates in California, 2009-2011

To provide population-based estimates of the hospital-related costs of maternal and newborn care, and how these vary by gestational age and birth weight. We conducted a retrospective analysis of 2009-2011 California in-hospital deliveries at nonfederal hospitals with the infant and maternal discharg...

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Bibliographic Details
Published in:The Journal of pediatrics 2019-01, Vol.204, p.118-125.e14
Main Authors: Phibbs, Ciaran S., Schmitt, Susan K., Cooper, Matthew, Gould, Jeffrey B., Lee, Henry C., Profit, Jochen, Lorch, Scott A.
Format: Article
Language:English
Subjects:
birth weight
California
Delivery, Obstetric - economics
Female
gestational age
Hospital Costs - statistics & numerical data
Hospitalization - economics
Humans
Infant, Newborn
Length of Stay - economics
Mothers
neonatal costs
Patient Discharge
Perinatal Care - economics
Pregnancy
Retrospective Studies
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Summary:To provide population-based estimates of the hospital-related costs of maternal and newborn care, and how these vary by gestational age and birth weight. We conducted a retrospective analysis of 2009-2011 California in-hospital deliveries at nonfederal hospitals with the infant and maternal discharge data successfully (96%) linked to birth certificates. Cost-to-charge ratios were used to estimate costs from charges. Physician hospital payments were estimated by mean diagnosis related group-specific reimbursement and costs were adjusted for inflation to December 2017 values. After exclusions for incomplete or missing data, the final sample was 1 265 212. The mean maternal costs for all in-hospital deliveries was $8204, increasing to $13 154 for late preterm (32-36 weeks) and $22 702 for very preterm (
ISSN:0022-3476
1097-6833
DOI:10.1016/j.jpeds.2018.08.041