Table 7:
Cost Comparative Analysis Between Nontraditional Pneumatic Retinopexy and Either Primary Scleral Buckle or Vitrectomy
Procedure Breakdown | Potential Average Cost Per Procedure in 2017 ($) |
Reoperati on Rates (%)d |
Potential Average Total Cost with Reoperation s ($) |
Potential Cost Savings vs. Scleral Buckle (%) |
Potential Cost Savings vs. Vitrectomy With/Without Scleral Buckle (%) |
---|---|---|---|---|---|
Pneumatic retinopexya | 890.76 | 25.4 | 2217.25 | 62.9 | 61.8 |
Surgeon feeb | 890.76 | ||||
Scleral bucklea | 5152.75 | 15.9 | 5983.10 | ||
Surgeon fee | 1152.75 | ||||
Ambulatory surgery | 3500.00 | ||||
center feec | |||||
Anesthesia fee | 500.00 | ||||
Vitrectomya | 5222.37 | 11.0 | 5796.83 | ||
Surgeon fee | 1222.37 | ||||
Ambulatory surgery | 3500.00 | ||||
center fee | |||||
Anesthesia fee | 500.00 |
CPT = Current Procedural Terminology
CPT-10 codes: Pneumatic retinopexy (67110), Scleral buckle (67107), Vitrectomy with or without scleral buckle (67108).
Surgeon fees for procedures were obtained as National Payment Amounts from Centers for Medicare and Medicaid Services 2017 physician fee schedules.
Ambulatory surgery center fee and anesthesia fee were provided by EyeMD, an outpatient ambulatory surgical center located in Oakland, CA, USA.
Reoperation rates for nontraditional pneumatic retinopexy assumed to be 25.4%, based upon surgical intervention rates in our study. Reoperation rates for scleral buckle and vitrectomy, 15.9% and 11.0% respectively, were based upon surgical intervention rates given by Adelman et al.34