Table 3. Resource Costs of Ancillary Services and ICU Unit Services during ICU Stay for Two Types of Intensive Care Patients1.
| Brain Surgery (n=44) |
CABG (N=52) |
|||
|---|---|---|---|---|
|
| ||||
| Costs | ||||
| Ancillary Services | ||||
| Department | Mean Cost | % of Total | Mean Cost | % of Total |
| Blood Processing | 65.86$ | 10.0% | 105.04$ | 5.7% |
| Central Supply | 81.12 | 12.3 | 240.99 | 13.0 |
| Pharmacy | 140.95 | 21.3 | 450.51 | 24.4 |
| Inhalation Therapy | 96.19 | 14.6 | 210.48 | 11.4 |
| Hypothermia | 0.80 | — | 15.38 | 0.8 |
| ICU Physician | 40.91 | 6.2 | 65.38 | 3.5 |
| Laboratory | 176.71 | 26.7 | 493.01 | 26.7 |
| Radiology | 43.96 | 6.7 | 136.61 | 7.4 |
| Nuclear Medicine | 5.00 | 0.8 | 3.04 | .2 |
| Electrocardiogram | 2.64 | 0.4 | 101.15 | 5.5 |
| Physical Medicine | 4.84 | 0.7 | 27.10 | 1.5 |
| Total | $658.98 | $1,848.69 | ||
| ICU Unit Costs | ||||
| Average TISS Points | 81.6 | 212. | ||
| Cost per TISS Point | $16.00 | $16.00 | ||
| Resource Cost per Case | $1,305.49 | $3,391.16 | ||
| Medicare Reimbursement | ||||
| ICU Unit | ||||
| Medicare Expense per Day2 | $640.80 | $640.80 | ||
| Average Days | 2.7 | 2.5 | ||
| Medicare Expense per Case | $1,730.32 | $1,602.78 | ||
| Ancillary Costs | $658.98 | $1,848.69 | ||
1
AII prices are 1979 vintage.
2
Computed by applying the Medicare cost/charge ratio to the ICU bed charge of $690 per day.