TABLE 3.

Differential costs between stepped care and standard exposure and response prevention (ERP), fixed dose

	Stepped care	Standard ERP	t (28)	d
Patient direct cost	$759.03 (697.66)	$1,291.52 (350.35)	2.76*	0.96
Payer direct cost	$1,686.74 (1,550.36)	$2,870.05 (778.56)	2.76*	0.96
Total direct cost	$2,445.77 (2,248.03)	$4,161.57 (1,128.91)	2.76*	0.81
Patient indirect cost	$454.93 (424.78)	$752.87 (295.63)	2.27*	0.37
Provider indirect cost	$220.95 (293.58)	$308.36 (163.75)	1.04	0.94
Total cost	$3,121.65 (2,826.93)	$5,222.80 (1,429.15)	2.68*	0.96

Note:

Patient direct cost=deductible and coinsurance paid by patient; Payer direct cost=cost of session paid by third party payer (e.g. Medicare, commercial insurance); Total direct cost=the combination of patient and payer direct costs; Patient indirect cost=indirect costs of participating in treatment, including cost of travel and lost wages from time spent in treatment, driving to and from treatment, or waiting for treatment session; Provider indirect costs=abor cost not reimbursed by insurance, such as preparing for session, and cost of travel for off-site sessions; Total cost=Total cost of treatment including all direct and indirect costs to patient, payer, and provider.

^*P<.05.