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Table 3 Summary of the amounts of actual bills and global bills in the studied quarter (Rials)

From: A comparison of global surgery tariffs and the actual cost of bills at Hazrate Rasoole Akram educational and medical center

Admission type

Calculation type

No. of surgeries

Global bill

Actual bill

Difference between global bills and actual bills

  

Total global bill

Franchise paid by patients

Insurer’s share

Ministry of Health subsidy

Total actual cost of hospitals with tariffs announced by the Ministry of Health

Outpatient

Total surgeries

463

6,304,842,637

849,556,557

4,747,649,355

707,636,725

9,734,580,361

3429,737,723

Average (per surgery)

13,617,371

1,834,895

10,254,102

1,528,373

21,025,012

7,407,641

Inpatient

Total surgeries

715

16,679,165,805

2,231,603,871

11,365,899,798

3,081,662,136

29,168,627,376

12,489,461,571

Average (per surgery)

23,327,505

3,121,124

15,896,363

4,310,017

40,795,283

17,467,778

All surgeries (outpatient/inpatient)

Total surgeries

1178

22,137,730,823

3,042,900,807

16,098,505,226

3,802,664,885

38,860,940,637

15,913,703,073

Average (per surgery)

19,511,043

2,615,586

13,678,734

3,216,722

33,024,794

13,513,752