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Updated: Feb 5, 2026
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Variation in Tympanoplasty Cost in a Multihospital Network
Geoffrey C Casazza1, Andrew J Thomas1, Richard K Gurgel1
1Division of Otolaryngology-Head and Neck Surgery, University of Utah.
Summary
This study found significant variations in tympanoplasty costs and operative times across surgeons and hospitals. Addressing these cost differences can improve healthcare value and reduce waste.
Area of Science:
- Otolaryngology
- Health Services Research
- Health Economics
Background:
- Tympanoplasty is a common otologic surgical procedure.
- Understanding cost and operative time variations is crucial for healthcare efficiency.
Purpose of the Study:
- To identify the costs and operative times associated with tympanoplasty.
- To evaluate factors influencing variations in cost and time.
Main Methods:
- Retrospective cohort study of 487 tympanoplasties from 2008-2016 across 13 hospitals.
- Activity-based accounting system used to determine costs and operative times.
- Statistical analysis including Spearman correlation and Kruskal-Wallis/Dunn's tests.
Main Results:
- Mean operative time was 85.8 minutes and mean cost was $3491.
- Anesthesia cost and operative time were significant factors influencing total cost.
- Laser utilization and artificial graft materials represented major supply costs.
Conclusions:
- Significant variation in tympanoplasty costs exists among surgeons and hospitals.
- Reducing cost variation can enhance healthcare value and minimize waste.
- Further research into cost drivers may optimize resource allocation.
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