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Mediplus Ltd Unit 7 The Gateway Centre, Coronaon Road, Cressex Business Park, High Wycombe, Bucks, HP12 3SU Tel: +44 (0)1494 551200 | Fax: +44 (0)1494 536333 Email: [email protected] | Web: www.mediplus.co.uk Total Procedure Cost Comparison For Suprapubic Cystostomy Item Cost Cost Cost Physician Time $29.00 $174.00 $81.20 Clinical Staﬀ Time $11.00 $22.00 $81.20 OR Time (@$66/min) $990.00 $1,980.00 $942.00 Mi sc. Supplies (General Surgical) $25.00 $25.00 $25.00 Supplies $238.00 $138.00 $170.00 Addi onal $73.00 $24,247.00 $73.00 Procedure Costs $1,366.00 $26,586.00 $1,202.40 $16,315.00 $32,704.00 $14,998.60 $31,387.60 1 $600.00 - - 3 $81.00 - - 1 $2,923.00 - - - - - Balloon Dilator to accommodate larger catheter Mul ple catheter changes to increase size Fl uoroscopic gui dance ( 10,32) Not reimburs e d s epertaley - - - Addional Costs to Consider General surgery complica on rate† Total Costs S-Cath™ System Savings Percuntaneous Trocar Punch Kits See Table 1 S-Cath™ System Savings Open Cystostomy U.S Depatment of HHS, AHRQ S-Cath™ System $1,316.40 Sub Total Procedure Costs Cost of Complicaons & Mortality per Procedure Per procedure costs associated with complicaons See Complica ons and Mortality Rate s and Cos ts , Table 4. $14,949.00 $6,108.00 $114.00 28 minutes (4) 28 minutes (4) 28 minutes (4) Various ( 30) Procedural: S-Cath™ System (below ma ke up the kit) 3 stage safety gudiewire Peelable Trocar 18 gauge needle 2 way Foley catheter Scalpel 2 syringes 30 min Ultra s ound Gui dance (1) 60 minutes ( 30) 60 minutes ( 30) 60 minutes ( 30) Various ( 30) Procedural: ( 31) 1000ml Saline for Bladder Di stension Foley Catheter Catheter Introducer Syringe 4.6 post-operave days Inpa ent length of s aty 10 minutes ( 30) 30 min Ultra s ound Gui dance Procedural: ( 30) 1000ml Saline for Bladder Di stension Percuntaneous Trocar Punch Kit Foley Catheter Spinal Needle Syringe Various ( 30) 30 minutes ( 30) 30 minutes ( 30) Percutaneous Trocar Punch Open Cystostomy Quanty Quanty Quanty S-Cath™ System † Includes complications and mortality rate from AHRQ

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Mediplus LtdUnit 7 The Gateway Centre, Coronation Road, Cressex Business Park,

High Wycombe, Bucks, HP12 3SUTel: +44 (0)1494 551200 | Fax: +44 (0)1494 536333

Email: [email protected] | Web: www.mediplus.co.uk

Total Procedure Cost Comparison For Suprapubic Cystostomy

Item Cost Cost CostPhysician Time $29.00 $174.00 $81.20Clinical Staff Time $11.00 $22.00 $81.20OR Time (@$66/min) $990.00 $1,980.00 $942.00Misc. Supplies (General Surgical) $25.00 $25.00 $25.00

Supplies

$238.00 $138.00 $170.00

Additional$73.00 $24,247.00 $73.00

Procedure Costs $1,366.00 $26,586.00 $1,202.40

$16,315.00 $32,704.00

$14,998.60 $31,387.60

1 $600.00- -

3 $81.00 - -

1 $2,923.00 - --

Balloon Dilator to accommodate larger catheterMultiple catheter changes to increase sizeFluoroscopic guidance (10,32) Not reimbursed seperta ley -

Additional Costs to Consider

Genera l surgery compl ication rate†

Total Costs

S-Cath™ System Savings

Percuntaneous Trocar Punch Kits See Table 1

S-Cath™ System Savings

Open Cystostomy U.S Depatment of HHS, AHRQ S-Cath™ System $1,316.40

Sub Total Procedure Costs

Cost of Complications & Mortality per ProcedurePer procedure costs associated with complicationsSee Compl ications and Morta l i ty Rates and Cos ts , Table 4.

$14,949.00 $6,108.00 $114.00

28 minutes (4)28 minutes (4)28 minutes (4)Various (30)Procedural: S-Cath™ System (below make up the ki t)

3 stage safety gudiewire Peelable Trocar 18 gauge needle 2 way Foley catheter Scalpel 2 syringes

30 min Ul trasound Guidance (1)

60 minutes (30)60 minutes (30)60 minutes (30)Various (30)

Procedural: (31) 1000ml Saline for Bladder Distension Foley Catheter Catheter Introducer Syringe

4.6 post-operative days Inpatient length of saty

10 minutes (30)

30 min Ul trasound Guidance

Procedural: (30) 1000ml Saline for Bladder Distension Percuntaneous Trocar Punch Kit Foley Catheter Spinal Needle Syringe

Various (30)30 minutes (30)30 minutes (30)

Percutaneous Trocar Punch Open CystostomyQuantity Quantity Quantity