Table 4.

Potential Cost Savings Associated With Reduction in C-Section Deliveries and NICU Admissions.

Total GDM births in the United States, n = 281 206	C-section	NICU
Rate (%) in GDM	35% of the GDM population	6.7%-11.7%, an average 9.2% in the GDM population
Estimated number of cases in GDM, n	281 206 × 0.35 = 98 422	281 206 × 0.09 = 25 309
Expected number of cases with monitoring (considering 5% reduction), n	93 501	24 044
Cost per service**	$15 617.31	$7361.80
Cost of the estimated number of cases	$1 537 086 884.82	$186 319 796.20
Cost of the expected number of cases (5% reduction)	$1 460 234 102.31	$177 007 119.20
Estimated cost savings	$76 852 782.51	$9 312 677.00

Abbreviations: NICU, neonatal intensive care unit; GDM, gestational diabetes mellitus. ** Costs derived from Medicaid data.