Table 1.
Cost Parameters
| Resource | Source of Cost Estimate | Resource Units | Dollar Value (Base Case) |
|---|---|---|---|
| Physician services | Medicare 2000 Resource Based Relative Value Scale for Professional and Laboratory Services | Current Procedural Terminology (CPT) codes For breast procedures, we used the following CPT codes: Mammograms (76090, 76091, 76092) Ultrasounds (19030, 76093, 76094, 76645) Aspirations (19000, 19001, 76938, 88171) Biopsies (19020, 19100, 19101, 19110, 19112, 19120, 19125, 19126, 19290, 19291, 76095, 76096, 76098, 76942). Nonprocedure breast visits were identified using HVMA and ICD-9-CM diagnoses codes: 174, 174.1, 174.2, 174.3, 174.4, 174.5, 174.6, 174.8, 174.9, 202.6, 217, 233, 238.3, 383.1, 383.9, 451.89, 457, 610, 610.1, 610.3, 611, 611.1, 611.71, 611.72, 611.8, 611.9, 675.11, 675.2, 675.24, 676.2, 676.23, 676.24, 757.33B, 757.6, 676.34, 796.4, 879, 879.1, 922, 996.54, DY381, V10.3, V16.3, V43.82, V45, V45.71, V70.0, V76.1, V76.19 | $ Varied |
| Copayments | Harvard Vanguard Medical Associates copayment rates for evaluation and management services | Each provider visit associated with a management and evaluation CPT code (99201, 99202, 99203, 99204, 99205, 99211, 99212, 99213, 99214, 99215, 99241, 99242, 99243, 99244, 99245, 99271, 99272, 99273, 99274, 99354, 99355, 99358, 99359, 99385, 99386, 99387, 99395, 99396, 99397, 99401, 99402, 99403, 99404, 99411, 99412, 99420, 99429, 99450, 99455, 99456, 99499) | $10 |
| Travel | American Public Transportation Association, http://www.apta.com/stats/fares/fareavg.htm, last accessed March 25, 2003 | Each date of associated with provider visit(s) | $2 roundtrip |
| Time costs | U.S. Department of Labor, Bureau of Labor Statistics. Highlights of Women's Earnings in 2000, Table 1. Median Usual Weekly Earnings of Full-time Wage and Salary Workers by Selected Characteristics, 2000 Annual Averages, August 2001 | Breast travel-related time assumptions: 30 minutes roundtrip: screening mammograms and follow-up procedures at same site as screening mammogram 60 minutes roundtrip: follow-up breast visits at a site different from screening mammogram site Breast procedure-related units of time*: 20 minutes: extra views taken on the same day as screening mammogram 50 minutes: diagnostic mammograms 32.5 minutes: ultrasounds 50 minutes: aspirations Nonbreast travel-related time 30 minutes round trip Nonbreast visits 30 minutes | $13.00/hour: ages 35–44 $14.13/hour: ages 45–54 $12.63/hour: ages 55–64 $9.45/hour: age 65 and above |
| Marginal cost of radiology intervention | Medicare 2000 Direct Practice Expense File and authors' estimate (see Appendix online) | $4.40/screening mammogram |
*
Personal communication, Dr. Philip Arena, December 17, 1998.