Table 5.
Costs of care based on Medicare reimbursement to the hospital and physician for brain LITT, craniotomy w/carmustine, craniotomy w/o carmustine, or biopsy inpatient procedures—tumor resection
| Cost item | Brain LITT LOS = 3 |
Craniotomy w/carumstine wafer LOS = 7.5 |
Craniotomy LOS = 7.5 |
Biopsy LOS = 6 |
|---|---|---|---|---|
| DRG 25-26—craniotomy | $22,291 | – | $22,291 | $22,291 |
| DRG 23—craniotomy with chemo implant | – | $31,090 | – | – |
| CPT 00210—anesthesia | $1010 | $1010 | $1010 | $1010 |
| CPT 99144/5—physician observation of sedation | $320 | $320 | $320 | $320 |
| CPT 61510—craniotomy | – | $2225 | $2225 | – |
| CPT 61517 | – | $94 | – | – |
| CPT 61751 | – | $1405 | ||
| CPT 61781 | $235 | – | – | |
| CPT 61798 | $1410 | – | – | |
| CPT 61799 | $975 | – | – | – |
| CPT 61800 | $165 | – | $165 | |
| CPT 99222 | $138 | $138 | $138 | $138 |
| CPT 99233 @ $105/day | $315 | $840 | $840 | $630 |
| Total | $26,859 | $35,717 | $26,824 | $25,959 |
LOS length of stay in days, DRG diagnostic related group, CPT current procedural terminology