Table 2.
Unit costs and resources
Unit | Cost | Comment |
---|---|---|
Method cost (annual) | ||
LNG-IUS 13.5mg | $650.32 | Incurred only in year of insertion. |
SARC | $544.25 | Incurred each year. |
Subsequent method | $401.83 | Incurred each year. |
Resource cost (per resource) | ||
Initial physician consultation (LNG-IUS 13.5mg) | $104.16 | Higher fee as longer consult; CPT code 99214 [20 –22]. |
Initial physician consultation (all SARC) | $42.55 | Lower fee as shorter consult; CPT code 99212 [20 –22]. |
Insertion consultation | $70.80 | Incurred only in year of insertion; CPT code 58300 [20 –22]. |
Follow-up consultation (LNG-IUS 13.5mg) | $104.16 | To check placement in year of insertion; CPT code 99214 [20 –22]. |
Follow-up consultation (all SARC) | $0 | Assuming prescription renewals are provided during annual check-up therefore, no additional follow-up costs. |
Injection administration | $129.50 | Assuming 4 injections per year at $32.38 per administration; CPT code 96372 [20 –22]. |
Removal consultation | $97.01 | Incurred only in year of discontinuation or at end of method life span; CPT code 58301 [20 –22]. |
Pregnancy outcome cost (per outcome) | ||
Live birth | $4,988.24 | Weighted average of DRG codes 767, 768, 774, 775, 765 and 766 [20 –22]. |
Spontaneous abortion | $889.25 | DRG code 778 [20 –22]. |
Induced abortion | $734.03 | Weighted average of DRG codes 770 and 779 [20 –22]. |
Ectopic pregnancy | $4,919.21 | DRG code 777 [20 –22]. |