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HPEXPOPR
Annual total of direct health care payments from other private source for hospitalizations

Description

For all persons, HPEXPOPR captures the sum of direct payments made by other private insurance source for care provided by inpatient hospital visits medical providers. This includes payments for hospital facility expenses (including direct hospital care, including room and board, diagnostic and laboratory work, x-rays, and similar charges, as well as any physician services included in the hospital charge) and "separately billing doctor" or SBD expenses (including services provided to patients in hospital settings by providers like radiologists, anesthesiologists, and pathologists, whose charges are often not included in hospital bills). Payments for over-the-counter drugs and indirect payments not related to specific medical events, such as Medicaid Disproportionate Share and Medicare Direct Medical Education subsidies, are not included in this amount.

AHRQ staff advises users to exercise caution when interpreting the expenditures recorded in HPEXPOPR. While these payments stem from apparent inconsistent responses to the health insurance and source of payment questions in the survey, some of these inconsistencies may have logical explanations. For example, private insurance coverage in MEPS is defined as having a major medical plan covering hospital and physician services. If a MEPS sample person did not have such coverage but had a single service type insurance plan (e.g., dental insurance) that paid for a particular episode of care, those payments may be classified as "other private." For more information on how MEPS collects expenditure data, please refer to our user note on medical expenditures.

For more information about how hospital expenditures are handled for inpatient stays that do not include an overnight stay or hospitalizations for the birth of a child, please refer to the description for HPEXPTOT.

Related variables
Variables related to total annual health care expenditures by source of payment, total annual health care expenditures by type of medical service, and total annual health care charges are also available. Please refer to our user note on expenditures for a list of these variables.

Codes

HPEXPOPR is a 6-digit numeric variable.

Comparability

This variable is completely comparable over time.

Universe

  • 2007-2018: All persons.

Availability

  • 2007-2018

Weights

Flags

This variable has no flags.