Table 2.
Cost parameters
| Modern dressings | Powered NPWT | SNaP™ Wound Care System * | Timing | Notes | |
|---|---|---|---|---|---|
| Equipment and supplies | |||||
| Strap/holster | – | – | $15 | One‐time | |
| Equipment rental | – | $1553 † | Monthly | Median State payment for HCPCS E2402 § | |
| All‐inclusive daily charge | – | $125 ‡ | – | Daily | Includes cost of pump, dressings and canisters |
| Canister/cartridge | – | $8·67 † | $225 | 3× per week for powered NPWT, 2× per week for SNaP™ Wound Care System | For NPWT, HCPCS A7000 |
| Dressings | 5·66 | 24·91 † | $75 | 3× per week for modern dressings, 3× per week for NPWT, 2× per week for SNaP™ Wound Care System | For modern dressings, AWP DuoDerm® 4′′× 4′′ (32), for NPWT, HCPCS A6550 |
| Dressing changes | |||||
| Home nursing cost | $85 | $85 ‡ | $85 | 2× per week for modern dressings, 2× per week for NPWT, 1× per week for SNaP™ Wound Care System | |
| Home health care | – | $2313 † | – | Bi‐monthly | (28) Required for Medicare reimbursement § |
| Clinic visit cost | $79·05 | $76·29 | $76·29 | Weekly | CPT 15852 for modern dressings and 97605 for NPWT |
| Additional healthcare costs | |||||
| Fraction of patient days inpatient | 10% | 10% | 10% | (17) | |
| Fraction of inpatient days in hospital | 20% | 20% | 20% | ||
| Hospitalisation | $1800 | $1800 | $1800 | Daily | |
| Skilled nursing facility | $250 | $250 | $250 | Daily | 33, 34 |
| Complications | |||||
| Secondary amputation | $7594 | $7594 | $7594 | Per amputation | Average of CPT's 28810, 28820, 28825, (weighted 5%/10%/5%) and DRG's 616, 617, 618 (weighted 10%/10%/60%). |
| Does not include long‐term costs | |||||
| Osteomeylitis | $8647 | $8647 | $8647 | Per episode | DRG's 539, 540, 541, weighted 40%/40%/20% |
| Debridement | $130 | $130 | $130 | Per debridement | CPT codes 97597 and 97598 |
| Skin graft | $1790 | $1790 | $1790 | Per skin graft | Cost of Apligraf®(32), plus average of CPT's 1560, 15610, 15620, 15630, 15760 |
| Long‐term costs | |||||
| Cost per patient with unhealed wound at end of 16 weeks | $14 809 | $14 809 | $14 809 | Per unhealed patient | Based on costs and severity level mix from (2) |
NPWT, negative pressure wound therapy; AWP, average wholesale price; HCPCS, healthcare common procedure coding system; CPT, current procedural terminology; DRG, diagnosis‐related group.
*Costs for SNaP™ Wound Care System strap/holster, cartridge and dressing are estimates provided by Spiracur.
†Only for Medicare reimbursement.
‡Only for private payers.
§Paid even if therapy is only required for a fraction of the period.