Table 4.
Long cephalomedullary nails (CMN) cost analysis (US $)
| Contributing factors | Cost | Calculation | Additional cost for long CMN |
|---|---|---|---|
| Operative time | $62/min | $62/min × (65.6–47.1 min) | $1147 |
| Provider fees | |||
| Orthopaedic surgeon | $207/h | ($329/h = $5.5/min) × (65.6–47.1 min) | $101 |
| Anesthesia | $122/h | ||
| Total provider fee | $329/h | ||
| Implant cost | |||
| Long CMN | $2400 | $(2400 − 1800) + $230 + $130 | $960 |
| Short CMN | $1800 | ||
| Additional locking screw | $230 | ||
| Reaming Rod | $130 | ||
| Total cost | – | $1147 + $101 + $960 | $2208 (per long CMN) |
| Overall cost per reoperation | – | $2208 × 83 | $183,264 |
| Overall cost per refracture | – | $2208 × 154 | $340,032 |
| Average cost of reoperation | $30,000 | – | – |
| Difference in cost for reoperation | – | $183,264/$30,000 | 6.1-fold |
| Difference in cost for refracture | – | $340,032/$30,000 | 11-fold |