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FLORIDA HEALTH CARE COST CONTAINMENT BOARD SAYS RATE OF INCREASE ON CHARGES FOR CERTAIN PHYSICIAN SERVICES DECREASED BETWEEN 1989-90

FLORIDA HEALTH CARE COST CONTAINMENT BOARD SAYS RATE OF INCREASE ON CHARGES FOR CERTAIN PHYSICIAN SERVICES DECREASED BETWEEN 1989-90
 TALLAHASSEE, Fla., Dec. 23 /PRNewswire/ -- The rate of increase on charges that consumers pay for certain physician services appears to have decreased, between 1989 and 1990, according to information contained in the 1990 consumer brochure, "Get the Picture ... Know the Costs about Average Physician Charges" released today by the Florida Health Care Cost Containment Board (HCCB).
 HCCB compared 25 commonly reported medical and surgical procedures performed by Florida physicians in both the 1989 and 1990 brochures. The comparison showed the 1990 annual rate of charge increase for 19 of the 24 categories (Cesarean Section was not compared to due to a difference in the procedure code) was down from 1988-1989. The brochure lists average charges by zip code for 25 procedures that include medical and surgical procedures like chest x-rays/two views, bilateral mammography, cesarean section, total hysterectomy, upper GI endoscopy, cataract removals, tonsillectomy and several others.
 "1990 prices did go up," said acting executive director Fred Bodendorf. "The encouraging news is that the percent of increase is not as high as in previous years."
 For example, in 1989-90, an average charge for a visit to the emergency room showed a nine percent yearly rate of increase compared to a 15.5 percent rate of increase from the same period in 1988. Other percentages from 1989 show similar decreases, with only five procedures actually increasing.
 The average charge in 1990 for Individual Medical Psychotherapy was $108, up 3.9 percent. The percent change from 1988-89 was -3.8 percent. Upper Gastrointestinal Endoscopy was up 4.1 percent from a 2.7 percent increase over the previous years. Dilation & Currettage (D&C) increased 8.7 percent from 1989 to 1990, while the percentage change from 1988 to 1989 was 7.9 percent. Cataract Removal had an average charge of $1,625 in 1990; in 1989, that charge was $1,649 or a -1.46 percent increase. The percent of increase from 1988 to 1989 was -2.4 percent. The charge in 1988 was $1,691.
 HCCB collects the average charges on 80 procedure codes from 147 insurance companies throughout the state of Florida. These charges represent requests for payment to these purchasers.
 Consumers will see variations in the price of physician procedures depending on where they live in Florida. An appendectomy in Escambia County costs consumers an average charge of $608, compared to $1,245 for the same procedure in Dade County. Dade county experienced the highest charges for 24 of the 25 medical and surgical procedures contained in the brochure.
 This and other publications are provided to consumers free-of-charge and can be obtained by calling 800-342-0828 (24 hours a day) or writing to: HCCB Consumer Brochures, 325 John Knox Rd., The Atrium Bldg./Suite 301, Tallahassee, FL 32303.
 HCCB, created by the Florida Legislature in 1979, strives to provide health policy leadership in the State of Florida and to advise the governor and legislature on strategies to make quality health care accessible and affordable to all Florida citizens in accordance with applicable statutes.
 AVERAGE PHYSICIAN CHARGE BROCHURE
 PERCENTAGE CHANGE 1988 TO 1990
 1988 1989 1990 Rate of Rate of
 Statewide Statewide Statewide Change Change
 Average Average Average 1988-89 1989-90
 (Pct.) (Pct.)
 Office Medical
 Service 32 33 34 3.1 3
 Hospital Med.
 Svc. Daily 127 134 142 5.5 6
 Subsequent Hosp.
 Care/Each Day 58 67 75 15.5 11.9
 Hosp. Discharge
 Mgmt. 65 70 75 7.7 7.1
 Emergency Room
 Service/New
 Patient 97 112 122 15.5 8.9
 Initial Comp.
 Consult 133 144 145 8.3 0.69
 Indv. Medical
 Psychother 108 104 108 -3.8 3.8
 Cardiovascular
 Stress Test 203 219 216 7.9 -1.4
 Subsequent
 Critical Care 84 99 116 17.9 17.2
 Excision of
 Benign Lesion 108 120 133 11.1 10.8
 Tonsillectomy &
 Adenoidectomy 593 656 681 10.6 3.8
 Upper GI Endosc 404 415 432 2.7 4.1
 Partial Colectomy
 w/Anastomo 1,462 1,657 1,671 13.3 0.84
 Appendectomy 802 898 933 12 3.9
 Hemorrhoidectomy 955 1,074 1,132 12.5 5.4
 Repair Inguinal
 Hernia 805 886 937 10.1 5.8
 Cystourethroscopy 174 197 219 13.2 11.2
 Dialation &
 Currettage (D&C) 546 589 640 7.9 8.7
 Total
 Hysterectomy 1,776 2,119 2,169 19.3 2.4
 Total Obstetric
 Care 1,786 1,990 2,076 11.4 4.3
 Cesarean Section 990 2,389 2,377 N/A N/A
 Decompression/
 Median Nerve 820 913 935 11.3 2.4
 Cataract
 Removal 1,691 1,649 1,625 -2.5 -1.5
 Chest X-ray/
 Two views 44 46 48 4.5 4.3
 Bilateral
 Mammography 85 90 88 5.9 -2.2
 -0- 12/23/91
 /CONTACT: Kimberly F. Gerato, 904-922-5588, or David Coley, 904-922-5765, both of the Florida Health Care Cost Containment Board/ CO: Florida Health Care Cost Containment Board ST: Florida IN: HEA SU:


JJ-SS -- FL007 -- 4877 12/23/91 13:55 EST
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Date:Dec 23, 1991
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