Official Journal of the Italian Society of Orthopaedics and Traumatology
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 |