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Patient Safety and Quality Improvement

Results: The study cohort included 177 stapedectomies performed by 23 surgeons at 10 hospitals. Mean patient age was 44.3 ± 17.4 years. Mean cut-to-close time was 60.9 ± 23.6 minutes. Mean total encounter cost was $3531.04 ± $1263.85, mean surgical supply cost was $930.25 ± $542.62, and cost of operating room supplies was $1530.48 ± $876.87. Significant factors correlating with increased total encounter cost were surgical supply cost (r = 0.72; P < .0001) and operating room supplies (r = 0.79; P < .0001). Laser utilization (mean $630.93 ± $199.76) and stapes prosthesis type (mean $308.43 ± $99.88) were the major surgical supply costs. Cut-to-close time (r = 0.66; P < .0001) and surgeon (r = 0.42; P < .0001) were less correlated with total encounter cost. Conclusions: Significant variation in stapedectomy costs exists among different surgeons and hospitals within a multihospital network. Reducing variation in costs while maintaining outcomes may improve health care value and eliminate waste.