Table 3.
Cost parameters
| Cost parameter | Cost ($) | Source | Low ($)a | High ($)b |
|---|---|---|---|---|
| Itemized costs | ||||
| Hospitalization for cirrhosis complication | 25,633 | FY’18 DRG 432, 433, 434 | 20,506 | 30,759 |
| Inpatient physician fee (initial) | 220 | Medicare fee schedule CPT 99,223 | – | – |
| Inpatient physician fee (subsequent) | 113 | Medicare fee schedule CPT 99,233 | – | – |
| Outpatient visit (subsequent) | 162 | Medicare fee schedule CPT 99,214, 99,215 | – | – |
| Outpatient paracentesis (procedure code) | 347 | Medicare fee schedule CPT 49,083 | – | – |
| Outpatient paracentesis (provider fee) | 1272 | Medicare fee schedule | – | – |
| Laboratory panel (basic metabolic panel, complete blood count, liver biochemistries) | 40 | MGH standard charges | – | – |
| Bundled costsb | ||||
| Outpatient visit | 202 | – | – | – |
| Hospitalization | 26,006 | – | 20,804 | 31,207 |
| LVP | 1619 | – | – | – |
a “Low” sensitivity analysis is 20% lower than the predicted cost. “High” sensitivity analysis is 20% more expensive
bOutpatient visit included one set of labs and subsequent office visit fee. Hospitalization includes DRG cost, 2 initial consultations, and 2 subsequent visits per day for 7 days