What is a hospital’s biggest expense? (2024)

Recent hospital financial trends show decreasing revenues and increasing expenses across facilities in the U.S. Many factors contribute to these trends from supply chain disruptions to shifts in care settings.

This Healthcare Insight uses hospital financial data from the Definitive Healthcare HospitalView product to understand the biggest hospital expenses. Data is sourced from the Medicare Cost Report and aggregated from the most recent 12-month interval tracked in ourdatabase.

What is included in hospital operatingexpenses?

Hospital costs breakdown into expenses that include numerous line items, including but not limitedto:

What are the 3 biggest expenses forhospitals?

The biggest expense for hospitals is employee salaries. According to HospitalView data, on average, salary expenses are more than one-third of total hospital operating expenses. The second highest expense for hospitals is medical/surgical supply costs and employeebenefits.

Three of the top five hospital expenses are employee related – salaries, fringe benefits, and contract labor – and account for nearly half of a hospital’s operating expense, onaverage.

The chart below shows the percentage of total hospital expenses by expense type. Not every expense type is broken out in the Medicare Cost Report and the numbers do not necessarily sum to100%.

Hospital expense type as a percentage of total hospitalexpenses

Fig. 1. Data is from the Definitive Healthcare HospitalView product and sourced from Medicare Cost Report. Accessed June2023.

Do the biggest hospital expenses vary byregion?

When reviewing the five biggest expenses for hospitals by region, most hospital costs break down similarly. Hospitals in the northeast region have slightly higher salary and benefit expense percentages compared to the national average. Cities in the region, such as New York and Boston, have higher costs of living that can contribute to thisdifference.

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What is a hospital’s biggest expense? (2024)

FAQs

What is a hospital’s biggest expense? ›

Wages, Benefits, and Labor Costs

What is the biggest expense in healthcare? ›

Spending for hospital care represented the largest share of personal health care expenditures.

What is the highest expense in the hospital budget? ›

Staffing is usually the largest cost in a healthcare operational budget, and it must not only account for fixed costs, like salaries, but overtime hours, potential overstaffing, and other variable costs.

What is the largest expense for a medical practice? ›

Staff salaries and benefits typically represent the largest expense for a medical practice, usually accounting for 25% of total revenue or about one-half of the overhead.

What is the largest component of hospital costs? ›

Hospitals' labor costs increased by more than $42.5 billion between 2021 and 2023 to a total of $839 billion, accounting for nearly 60% of the average hospital's expenses.

What are hospitals' biggest expenses? ›

Wages, Benefits, and Labor Costs

While percentages vary from hospital to hospital, across the board the biggest expense for hospitals are wages and benefits which on average account for 56% of the total expense of a hospital.

What are the top 3 biggest expenses? ›

The three biggest budget items for the average U.S. household are food, transportation, and housing. Focusing your efforts to reduce spending in these three major budget categories can make the biggest dent in your budget, grow your gap, and free up additional money for you to us to tackle debt or start investing.

What is the most expensive thing in a hospital? ›

International Health Insurance: The 10 Most Expensive Medical Procedures
  1. Intestinal transplantation. Cost: USD 1,121,800. ...
  2. Heart transplant. Cost: USD 787,700. ...
  3. Bone marrow transplant. ...
  4. Lung transplant. ...
  5. Liver transplant. ...
  6. Open heart surgery. ...
  7. Pancreatic transplant. ...
  8. Kidney transplantation.

What is the most expensive treatment in a hospital? ›

Here is our list of the 15 most expensive medical treatments/procedures in the world.
  • Bowel-to-bowel fusion.
  • Craniotomy.
  • Tracheostomy.
  • Spinal Fusion.
  • Exploratory chest surgery.
  • Aortic valve replacement.
  • Small bowel transplant.
  • Intestine transplant.
Feb 18, 2024

What is the most expensive hospital bill? ›

Some of the most expensive medical treatments in the world are mostly present here, which is why many people even consider going to Mexico for cheaper medical treatments. It's also not surprising that likely the most expensive hospital bill ever also took place in the U.S. in Florida, worth $9.2 million.

What is the most expensive medical expense? ›

Top 11 Medical Expenses
  • Heart Conditions: $555 Billion. 1/11. ...
  • Traffic Injuries: $99 Billion. 2/11. ...
  • Cancer: $225.8 Billion. 3/11. ...
  • Mental Disorders: $89 Billion. 4/11. ...
  • COPD and Asthma: Between $100-290Billion. 5/11. ...
  • Joint Disorders: $80.8 Billion. 6/11. ...
  • Diabetes: $245 Billion. 7/11. ...
  • High Blood Pressure: $46 Billion. 8/11.
Sep 29, 2023

What is the biggest driver of healthcare costs? ›

The price of medical care is the single biggest factor behind U.S. healthcare costs, accounting for 90% of spending. These expenditures reflect the cost of caring for those with chronic or long-term medical conditions, an aging population and the increased cost of new medicines, procedures and technologies.

What is the second largest expense to a practice? ›

The highest expense for most practices is payroll, followed by real estate. Real estate encompasses your monthly rent or mortgage payments, along with the property's operating expenses, maintenance fees, utilities, and janitorial costs.

What unit makes the most money in a hospital? ›

Top earning departments in hospitals include cardiovascular surgery, invasive cardiology, orthopedics, neurosurgery, and gastroenterology. Notice how these are all specialties with plenty of interventional care which pays way more than diagnostic, general medical, and preventative services.

What are the most expensive hospital conditions? ›

In 2017, aggregate hospital costs for 35.8 million hospital stays totaled $434.2 billion. The five most expensive inpatient conditions were septicemia, osteoarthritis, liveborn (newborn) infants, acute myocardial infarction, and heart failure.

What area of the hospital makes the most money? ›

Cardiovascular surgeons generate the most revenue for hospitals on average, according to Merritt Hawkins' 2019 Inpatient/Outpatient Revenue Survey. Merritt Hawkins emailed a survey to 3,000 hospital CFOs and other financial managers across the U.S. from October 2018 to December 2018.

What is the most expensive thing in healthcare? ›

Top 20 most expensive hospital procedures
RankProcedureAverage hospital cost
1Exploratory chest surgery$137,533
2Aortic valve replacement$135,984
3Partial removal of the esophagus$113,756
4Decompressive craniotomy$112,984
16 more rows
May 20, 2024

Which category of expenses is often the highest for a healthcare organization? ›

Final answer: The highest category of expenses for most health care organizations is usually personnel, which includes salaries, benefits, and training for the medical and administrative staff.

What is the most expensive type of healthcare setting? ›

Hospitals and emergency departments are essential sources of care for acute, chronic, and emergency conditions. Hospitalization is one of the most expensive types of health care use, resulting in an average adjusted cost of $14,101 per inpatient stay at community hospitals in 2019 (1).

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