Skip to main content
. Author manuscript; available in PMC: 2011 Nov 22.
Published in final edited form as: Liver Transpl. 2009 Feb;15(2):148–162. doi: 10.1002/lt.21671

Table 2. Cost data used in model.

All costs are reported in year 2002 adjusted U.S. dollars. See text for derivation of costs.

Monthly
Costs
Monthly Cost
Range*
Baseline Health State Costs

Baseline average monthly outpatient costs for patient with compensated cirrhosis 63 31-126
Baseline average monthly costs for subjects with permanent contraindication to transplant 777 389-1554
Baseline average monthly costs for recipients post transplantation 772 386-1544

Cost Tolls for Specific Events

Average cost of TIPS procedure. Includes revisions, complications, hospitalizations,
imaging, and outpatient follow-up
18,192 9,096-36,384
Average cost of an episode of SBP. Includes treatment, hospitalization, complications, and
imaging
10,248 5,124-20,496
Average cost of ascites and peripheral edema requiring admission to the hospital 6,197 3,098-12,394
Average cost of encephalopathy admission. 4,297 2,148-8,594
Average monthly cost of HCC. Includes imaging, procedures, and follow-up 3,755 1,877-7,510
Average cost of variceal bleeding. Includes hospitalization, procedures, and follow-up 11,964 5,892-23,928
One-time cost of DDLT procedure. Includes deceased donor expenses and organ
acquisition costs from OPO, hospitalization, and pharmacy (126).
103,806 51,903-207,612
One-time cost of LDLT procedure. Includes workup costs for 1.23 potential donors (49, 50),
donor procedure without complications, hospitalization, and pharmacy (126). Donor costs
are normalized to DDLT OPO charges to avoid double-charging living donors. The actual
estimated costs for one time live donor procedure without complications is $129,144 (see
text).
103,806 51,903-207,612
One-time cost for donor having major complications. Includes hospitalization, procedures,
pharmacy, and follow-up.
16,892 8,446-33,784
One-time cost for donor death. Estimated at 75% of the cost of a major complication. 12,669 6,335-25,338
One-time cost for recurrent disease causing graft failure. This is only applied to subjects not
eligible for re-transplantation. Based on costs incurred for care when transplant is
contraindicated.
4,662 2,331-9,324
Average cost for post-transplant subjects with non-biliary infectious complications. Includes
hospitalization, imaging, pharmacy, and follow-up.
6,952 3,476-13,904
Average cost for post transplant recipients that require non-transplant re-operation. Based
on the cost of laparotomy.
16,892 8,446-33,784
Average cost for post-transplant subjects with clinically significant biliary complications.
Includes cost associated with chronic biliary strictures, and 2 ERCP’s. (104)
7,292 3,646-14,584
One-time cost of post-transplant recipients that require non-transplant reoperation for biliary
complication. Does not include ERCP costs. Based on the cost of laparotomy.
18,607 9,303-37,214
Average cost of post-transplant treatment of acute rejection. Includes hospitalization,
procedures, pharmacy, and follow-up.
6,798 3,339-13,596
*

Ranges are derived as 50% and 200% of calculated costs.