Health Care Management Science

, Volume 9, Issue 3, pp 269–279 | Cite as

Cost accounting to determine prices: How well do prices reflect costs in the German DRG-system?

  • Jonas SchreyöggEmail author
  • Oliver Tiemann
  • Reinhard Busse


Germany has recently introduced a system of Diagnosis Related Groups (DRGs) to engender more appropriate resource allocation. The following article describes the German DRG-system and the methodologies used to determine prices. It analyses the extent to which prices, or calculated cost weights, reflect the actual costs incurred by hospitals for their respective services. We reveal that a “compression” of DRG cost weights occurs, and that the data sample used to calculate cost weights is lacking in terms of its representativeness. Although cost data accuracy has improved over the last few years there are still a number of challenges that need to be addressed.


Hospital charges Hospital costs Hospital information systems Financial management Accounting Diagnosis related groups Prospective payment system 


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Copyright information

© Springer Science + Business Media, LLC 2006

Authors and Affiliations

  • Jonas Schreyögg
    • 1
    Email author
  • Oliver Tiemann
    • 1
  • Reinhard Busse
    • 1
  1. 1.Department of Health Care ManagementBerlin University of TechnologyBerlinGermany

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