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Table 6 Hospital costs

From: A value-based evaluation of minimally invasive hysterectomy approaches

 

LRH

LSH

RALH

TLH

LAVH

TVH

LOS at $1043/day

208.60

730.10

1147.30

834.40

730.10

1251.60

Equipment1,2

671.00

1915.00

2972.00

1915.00

1915.00

304.00

OR time at 29.22/min1

1577.90

4207.70

3272.60

3710.90

3652.50

3155.80

Anesth at 1.13/min1

61.00

162.70

126.60

143.50

141.30

122.00

Surgeon fee3

1181.00

1018.00

1181.00

1204.00

1181.00

859.00

Postop care (pharmacy + labs)1

353.00

331.00

591.00

530.00

353.00

505.00

Total Est. hospital costs

4052.50

8364.50

9290.50

8337.80

7972.90

6197.40

Entire cohort at patient level

 Mean (SD)

4060.5 (931.9)

8227.1 (1898.9)

9353.8 (2103.9)

8372.1 (2531.8)

8054.5 (2352.6)

6415.8 (2331.1)

 Median

3813.6

7888.3

8852.3

7898

7678.8

5776.3

 Range

2781.7, 10,686.7

3597.8, 16,932.6

6018.7, 19,814.6

3679.3, 23,064.8

4025.7, 24,161.8

3257.3, 19,194.0

 Total cases

756

471

576

361

404

121

  1. LRH laparoscopic retroperitoneal hysterectomy, LSH laparoscopic supracervical hysterectomy, RALH robotically assisted laparoscopic hysterectomy, TLH total laparoscopic hysterectomy, LAVH laparoscopically assisted vaginal hysterectomy, TVH total vaginal hysterectomy, LOS length of stay, OR operating room, Anesth anesthesia, Postop postoperative, Labs laboratory, Est estimate
  2. 1Based on the information provided by the hospital billing department
  3. 2Equipment costs provided by the hospital purchase department; equipment used in each procedure provided by senior OR nurse
  4. 3Based on 2014 OB/GYN Surgery Medicare reimbursement rates