Key findings

Some hospitals were found to have twice the average cost per unit of activity in 2011–12 compared to others in the same peer group, after adjusting for the different types of services provided and complexity of patients (Figure 2 and Figure 3). The report highlights the top 10% and bottom 10% for major metropolitan hospitals (see tables).

Across the different types of hospitals in Australia, the average cost per unit of activity for acute admitted patients was as follows:

  • Using Cost per NWAU: costs were more than twice as high from the lowest to the highest hospital, ranging from $3,100 to $6,400
  • Using Comparable Cost of Care: costs were almost twice as high from the lowest to the highest hospital, ranging from $3,700 to $6,800.

The results are broadly the same for the two different measures, Cost per NWAU and Comparable Cost of Care.

Cost per NWAU

Across major metropolitan hospitals, the average Cost per NWAU for acute admitted patients at one hospital was 87% higher compared to another hospital, ranging from $3,100 to $5,800.

Top 10% of hospitals for this peer group:

 
The Canberra Hospital (ACT) $5,800
Sir Charles Gairdner Hospital (WA) $5,500
Calvary Public Hospital (ACT) $5,300
Logan Hospital (Qld) $5,300
Bottom 10% of hospitals for this peer group:  
Dandenong Campus (Vic)           $3,400
Royal Melbourne Hospital [Parkville] (Vic) $3,400
Sunshine Hospital (Vic) $3,400
The Northern Hospital [Epping] (Vic) $3,400
Maroondah Hospital [East Ringwood] (Vic) $3,100

Comparable Cost of Care

Across major metropolitan hospitals, the Comparable Cost of Care for acute admitted patients at one hospital was 76% higher compared to another hospital, ranging from $3,700 to $6,500.

Top 10% of hospitals for this peer group:

 
The Canberra Hospital (ACT) $6,500
Calvary Public Hospital (ACT) $6,300
Sir Charles Gairdner Hospital (WA) $5,900
Logan Hospital (Qld) $5,700
The Prince Charles Hospital (Qld) $5,700
Bottom 10% of hospitals for this peer group:  
Royal Melbourne Hospital [Parkville] (Vic) $3,900
Sunshine Hospital (Vic) $3,900
The Northern Hospital [Epping] (Vic) $3,900
Western Hospital [Footscray] (Vic) $3,900
Dandenong Campus (Vic)  $3,800
Maroondah Hospital [East Ringwood] (Vic) $3,700

Figure 1: What is measured: the difference between Cost per NWAU and Comparable Cost of Care

Figure 1: What is measured: the difference between Cost per NWAU and Comparable Cost of Care

Across large metropolitan hospitals:

  • The average Cost per NWAU for acute admitted patients at one hospital was 96% higher compared to another hospital, ranging from $3,200 to $6,400 (Figure 2)
  • The Comparable Cost of Care for acute admitted patients at one hospital was 71% higher compared to another hospital, ranging from $4,000 to $6,800 (Figure 3).

Across major regional hospitals:

  • The average Cost per NWAU for acute admitted patients at one hospital was 46% higher compared to another hospital, ranging from $3,600 to $5,300 (Figure 2)
  • The Comparable Cost of Care for acute admitted patients at one hospital was 36% higher compared to another hospital, ranging from $4,200 to $5,800 (Figure 3).