Table 10:
Unit Costs for rTMS and ECT
| Resource Item | Cost, $ | Data Sources and Comments |
|---|---|---|
| ECT | ||
| Nurse/technician time | 41.70 | Based on hourly rate of $41.70 for nurse in Ontario32 |
| Anesthesiologist | 105.07 | Assumes 6 basic units, 1 time unit |
| Psychiatric expert | 85.92 | Based on weighted average of OHIP fee codes (54% outpatient/46% inpatient from IntelliHealth data): OSB G479 $92.60 for outpatient, OSB G478 $80.30 for inpatient |
| Cost of machine | 40.00 | Assumes $70,000 purchase, average 500 sessions yearly, amortized over 10 y, $13,000 in disposable airway tools16 |
| Per-session total | 276.82 | |
| rTMS | ||
| Nurse/technician time | 20.85 | Half hour of nurse/technician time |
| Psychiatric expert | 85.92 | Assumption of OHIP fee code for procedure equivalent to that of ECT |
| Cost of machine | 2.75 | Assumes Magstim machine ($80,000 cost, $5,000 import fee) divided by average 2,880 session yearly, amortized over 10 y16 |
| Per-session total | 109.52 | |
Abbreviations; ECT, electroconvulsive therapy; OHIP, Ontario Health Insurance Plan; OSB, Ontario Schedule of Benefits; rTMS, repetitive transcranial magnetic stimulation.