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. 2025 May 6;25(1):1–123.

Table 17:

Cost Inputs for Surgical Procedures

Resource item MRgFUS neurosurgery, $a RFA, $a Gamma Knife radiosurgery, $a DBS, $a,b Data source
Preprocedure
OHIP professional fees
Neurosurgery, special surgical consultation 163 163 163 163 Schedule of Benefits103 (A935)
Psychiatry consultation 223 223 223 223 Schedule of Benefits103 (A195)
MRI scan - professional fee 73 73 73 73 Schedule of Benefits103 (X421)
CT scan - professional fee 65 65 65 65 Schedule of Benefits103 (X401)
Diagnostic procedure costs
MRI scan - procedure cost 1,397 1,397 1,397 1,397 IntelliHealth Ontarioc (CCI code: 3.AN.40.^^)
CT scan - procedure cost 856 856 856 856 IntelliHealth Ontarioc (CCI code: 3.AN.20^^)
Total preprocedure cost 2,776 2,776 2,776 2,776
Periprocedure
OHIP professional fees
Physician fees 2,040d 2,040d 811 2,040d Schedule of Benefits103 (N124, X313)
Surgical assistant fees 388 388 0 613 Calculated, see Appendix 7, Table A10
Anesthesiologist fees 573 573 0 852 Calculated, see Appendix 7, Table A11
Inpatient costs
Device cost N/A N/A N/A 19,100 Ontario hospital currently conducting the proceduree
Average total cost per patient 11,240 4,338f 1,746g 27,557h Ontario hospital currently conducting the proceduree; IntelliHealth Ontarioi; see Appendix 7, Table A8
Total periprocedure cost 14,241 7,339 2,557 50,162
Postprocedure
OHIP professional fees
Neurosurgery - repeat consultation 58 58 58 58 Schedule of Benefits103 (A046)
Psychiatry consultation 223 223 223 223 Schedule of Benefits103 (A195)
MRI scan - professional fee 73 73 73 73 Schedule of Benefits103 (X421)
Diagnostic procedure costs
MRI scan - procedure cost 1,397 1,397 1,397 1,397 IntelliHealth Ontarioc (CCI code: 3.AN.40.AA)
Total postprocedure cost 1,751 1,751 1,751 1,751
Total cost per procedure 18,768 11,866 7,084 56,407

Note: Numbers may be inexact due to rounding.

Abbreviations: CCI, Canadian Classification of Health Interventions; CT, computed tomography; DBS, deep brain stimulation; MRgFUS, magnetic resonance-guided focused ultrasound; MRI, magnetic resonance imaging; N/A, not applicable; OHIP, Ontario Health Insurance Plan; RFA, radiofrequency ablation.

a

All costs are reported in 2023 Canadian dollars.

b

For scenario analyses only.

c

Accessed June 26, 2023.

d

This service may be included in an existing insured service or may require its own fee code. Final interpretation of the Schedule of Benefits occurs between the Ministry of Health and the Ontario Medical Association.

e

Email communication, July 28, 2023.

f

CCI procedure code: 1AN59SEAW, 1AN59SEGX for OCD diagnosis; weighted average of cases from 2017 to 2019, inflated to 2023 Canadian dollars.

g

CCI procedure code: 1AE27JX, 1AN27JX for OCD diagnosis; weighted average of cases from 2019 to 2022, inflated to 2023 Canadian dollars.

h

CCI procedure code: 1AE53SEJA, 1AE53SZJA, 1AN53SEJA for OCD diagnoses; weighted average of cases from 2012 to 2019, inflated to 2023 Canadian dollars.

i

Accessed July 5, 2023.