B-116 | Geographic, Institutional, and Temporal Variations IN Cardiovascular Procedure Costs: A 6-Year Analysis of CABG, PCI, and TAVR in the U.S

Abubakr Ziaullah; Muhammad Taimur; Abdalaziz Awadelkarim; Abdel-Rhman Mohamed; M Chadi Alraies

doi:10.1016/j.jscai.2025.102989

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B-116 | Geographic, Institutional, and Temporal Variations IN Cardiovascular Procedure Costs: A 6-Year Analysis of CABG, PCI, and TAVR in the U.S

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B-116 | Geographic, Institutional, and Temporal Variations IN Cardiovascular Procedure Costs: A 6-Year Analysis of CABG, PCI, and TAVR in the U.S

Abubakr Ziaullah, Muhammad Taimur, Abdalaziz Awadelkarim, Abdel-Rhman Mohamed and M Chadi Alraies

Journal of the Society for Cardiovascular Angiography & Interventions, Vol.4(5 Supplement), 102989

05/2025

DOI: 10.1016/j.jscai.2025.102989

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Abstract

Background Healthcare costs for major cardiovascular procedures, including Coronary Artery Bypass Grafting (CABG), Percutaneous Coronary Intervention (PCI), and Transcatheter Aortic Valve Replacement (TAVR), have been reportedly increasing and vary by geographic region, hospital size, and teaching status. Methods Data were collected from the National Inpatient Sample (NIS) for CABG, PCI, and TAVR procedures (2016-2021) and adjusted for inflation using CPI data. Outliers were excluded. Costs were compared across regions (Northeast, Midwest, South, West), hospital sizes (small, medium, large), and teaching statuses (rural, urban non-teaching, urban teaching). Bed size varies by region and teaching status per NIS. Paired t-tests were used to compare year-to-year costs. Results CABG costs rose from $53,801 in 2016 to $61,009 in 2020, spiking to $269,739 in 2021. The West had the highest costs, while the Midwest had the lowest. Larger and urban teaching hospitals reported higher CABG costs.PCI costs rose from $28,314 in 2016 to $31,283 in 2020, peaking at $137,243 in 2021, with the West and larger, urban teaching hospitals having the highest costs.TAVR costs remained stable from 2016 to 2020, then surged to $275,546 in 2021, with the highest costs in the West and large, urban teaching hospitals. Conclusions Significant year-to-year increases were observed from 2016 to 2020, with a large spike in 2021. Regional, size, and teaching status differences require targeted cost-management strategies.

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Title: Subtitle: B-116 | Geographic, Institutional, and Temporal Variations IN Cardiovascular Procedure Costs: A 6-Year Analysis of CABG, PCI, and TAVR in the U.S
Creators: Abubakr Ziaullah - Detroit Medical Center
Muhammad Taimur - Detroit Medical Center
Abdalaziz Awadelkarim - Wayne State University
Abdel-Rhman Mohamed - University of Toledo
M Chadi Alraies - Detroit Medical Center
Resource Type: Abstract
Publication Details: Journal of the Society for Cardiovascular Angiography & Interventions, Vol.4(5 Supplement), 102989
DOI: 10.1016/j.jscai.2025.102989
ISSN: 2772-9303
eISSN: 2772-9303
Publisher: Elsevier Inc
Language: English
Date published: 05/2025
Academic Unit: Internal Medicine
Record Identifier: 9984845052102771

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