The Mandated Publication of Individual Hospital Charge Description Masters Does Not Permit the Estimation of Complex Procedure Charges.
Thomas W Evashwick-RoglerSean W DooleyChristopher D MurawskiMitchell S FourmanMaCalus V HoganNiall A SmythPublished in: The Journal of the American Academy of Orthopaedic Surgeons (2021)
CDMs are available as currently mandated for most hospitals and generally can be used to identify the charges for simple procedures, but they are ineffective tools for patients to estimate the charges associated with a multifaceted healthcare procedure, such as TKA. Although DRGs are less frequently available, they are a more effective resource for patients to estimate charges.