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Related Experiment Videos

Therapeutic ERCP: a cost-prohibitive procedure?

R S Walker1, A D Vanagunas, P Williams

  • 1Department of Medicine, Northwestern University Medical School, Chicago, IL 60611-3008, USA.

Gastrointestinal Endoscopy
|August 1, 1997
PubMed
Summary
This summary is machine-generated.

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Therapeutic Endoscopic Retrograde Cholangiopancreatography (ERCP) procedures incur high disposable equipment costs, potentially making them cost-prohibitive despite higher reimbursements. Careful analysis of indirect costs and disposable equipment is crucial for endoscopy units.

Area of Science:

  • Gastroenterology
  • Health Economics
  • Medical Device Cost Analysis

Background:

  • Endoscopic Retrograde Cholangiopancreatography (ERCP) is increasingly utilized for therapeutic interventions.
  • This rise in therapeutic ERCP is associated with a significant increase in disposable equipment usage.
  • The cost-effectiveness of this disposable equipment in therapeutic ERCP remains unclear.

Purpose of the Study:

  • To analyze the financial impact of Endoscopic Retrograde Cholangiopancreatography (ERCP) procedures.
  • To evaluate the costs associated with disposable equipment, indirect expenses, and overall reimbursement.
  • To assess the financial viability of diagnostic versus therapeutic ERCP, considering different insurance payors.

Main Methods:

  • Prospective analysis of ERCP procedures performed between June 1, 1994, and September 30, 1994.

Related Experiment Videos

  • Calculation of charges for indirect costs, disposable equipment, and reimbursement.
  • Data stratification based on insurance payor to understand financial variations.

    • Main Results:

    • Disposable equipment costs averaged $149 for diagnostic ERCP and $532 for therapeutic ERCP.
    • Disposable equipment represented 27% of reimbursement for diagnostic ERCP and 68% for therapeutic ERCP.
    • High disposable equipment costs for therapeutic ERCP limited reimbursement's ability to cover indirect costs, despite higher overall reimbursement.

    Conclusions:

    • Therapeutic ERCP can be cost-prohibitive for endoscopy units, influenced by case complexity, equipment volume, and patient insurance.
    • A more thorough quantitative analysis of indirect costs is recommended.
    • Evaluation of disposable equipment should consider cost, safety, and patient outcomes to ensure cost-effectiveness.