Table 4.
Facility Billing | Non-Facility Billing | |||||||
---|---|---|---|---|---|---|---|---|
Initial Procedure | Total Professional Fees | Total Hospital Fees | Total Pharmaceutical Fees | Total fees | Total Professional Fees | Total ASC Fees | Total Pharmaceutical Fees | Total fees |
Scenario 1, PPV | 2,859 | 5,073 | 0 | 7,931 | 3,027 | 2,775 | 0 | 5,802 |
Scenario 2a (ocriplasmin 26.5%) | 2,505 | 4,522 | 3,950 | 10,977 | 3,042 | 2,039 | 3,950 | 9,031 |
Scenario 2b (ocriplasmin 41%) | 2,342 | 4,332 | 3,950 | 10,624 | 2,879 | 1,938 | 3,950 | 8,767 |
Scenario 3, saline | 2,925 | 5,073 | 100 | 8,098 | 3,231 | 2,497 | 100 | 5,828 |
VMA = vitreomacular adhesion, US = United States, ASC = ambulatory surgery center, PPV = pars plana vitrectomy, Ocriplasmin (27%) = 27% initial success rate with ocriplasmin, Ocriplasmin (41%) = 41% initial success rate with ocriplasmin