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.
All costs are reported in 2023 Canadian dollars.
For scenario analyses only.
Accessed June 26, 2023.
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.
Email communication, July 28, 2023.
CCI procedure code: 1AN59SEAW, 1AN59SEGX for OCD diagnosis; weighted average of cases from 2017 to 2019, inflated to 2023 Canadian dollars.
CCI procedure code: 1AE27JX, 1AN27JX for OCD diagnosis; weighted average of cases from 2019 to 2022, inflated to 2023 Canadian dollars.
CCI procedure code: 1AE53SEJA, 1AE53SZJA, 1AN53SEJA for OCD diagnoses; weighted average of cases from 2012 to 2019, inflated to 2023 Canadian dollars.
Accessed July 5, 2023.