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. Author manuscript; available in PMC: 2011 May 5.
Published in final edited form as: Nurs Econ. 2010 SEP-OCT;28(5):323–329.

Table 2.

Monthly Midpoint and Annual Estimated Out-of-Pocket Expenses Related to HPN

Reported Family Expenditure for the HPN Patient Monthly Range of Expenses Reported Monthly Midpoint of Expenses Annual Estimated Out-of-Pocket Expenses
Insurance Premiums:
Medical ± Prescription $100 – $1700 $350 $4200
Supplemental Prescription $10 – $87 $46 $552
Insurance Deductible for various health services $0 – $3000 $250 $3000
Co-payments/Coinsurance:
 Physician Visits1 $10 – $40 $25 $300
 Prescriptions related to HPN2 $0 – $100 $6.4 $77
 Emergency Room (ER) Visits not applicable not applicable $250
Other out-of-pocket costs:
 OTC Medications $240
 OTC Supplies $60
 Equipment $279
 Furniture to store HPN supplies $490
 Long distance telephone $360
 Housekeeping $1616
 Travel for medical care $570
 Home care assistance $900
 Family members’ HPN medical education conference $1581
 Child care during HPN services3 $4000
Total Annually $17,9234
1

Provider visits for HPN only, not the underlying or concomitant medical conditions; also excludes laboratory/radiology charges. These co-payments for physician visits were similar for private ($10–50) or public insurance ($25–$40).

2

Prescription costs other than infusion pharmacy costs. Because these bowel disorder patients cannot absorb oral medications, they have few pharmacy medication bills.

3

Not all families reported child care costs.

4

Total does not include cost of a supplemental prescription or health insurance plan premium, or if any hospital admission out-of-pocket costs which can be up to $12,000 for an intravenous line infection hospitalization total charge of $60,000.