Table 1
Unit cost of healthcare resources
| Healthcare resource | Source (2006 Medicare Allowed Charges) | |
|---|---|---|
| Study Treatments | ||
| Spinal manipulative therapy visit | $30.74 | Average resource use from random sample of 20 participants (301 visits) |
| Supervised rehabilitative exercise visit (60 minutes) | $112.80 | HCPCS 97110 (4 units) |
| Home exercise and advice visit (60 minutes) | $115.09 | HCPCS 97110 (3 units) & 97535 (1 unit) |
| Non-study Treatments | ||
| Chiropractic evaluation | $37.07 | HCPCS 99212 |
| Spinal manipulative therapy | $25.37 | HCPCS 98940 |
| Heat | $13.40 | HCPCS 97010 (1 unit) |
| Ultrasound | $12.30 | HCPCS 97035 (1 unit) |
| Acupuncture (60 minutes) | $119.00 | HCPCS 97810 (1 unit) & 97811 (3 units) |
| Manual therapy | $26.52 | HCPCS 97140 (1 unit) |
| Physician evaluation | $51.26 | HCPCS 99213 |
| Physical therapy evaluation | $75.57 | HCPCS 97001 |
| Exercise therapy (30 minutes) | $56.39 | HCPCS 97110 (2 units) |
| Traction | $14.55 | HCPCS 97012 (1 unit) |
| Massage (30 minutes) | $45.79 | HCPCS 97124 (2 units) |
| Cervical spine radiographs | $33.93 | HCPCS 72040 Global |
| Epidural injection | $431.51 | 2006 Average for HCPCS 62310 |
| CT | $251.22 | HCPCS 70490 Global |
| MRI | $500.84 | HCPCS 72141 Global |
| Fusion | $15,181.14 | (Facility + Anesthesiologist + Surgeon Costs) |
| Facility Costs | $12,157.44 | Average reimbursement for DRG's 471–3 |
| Anesthesiologist Costs | $218.68 | 2006 Average for HCPCS 00630 |
| Surgeon Costs | $3,023.70 | (Arthrodesis + Discectomy + Autograft + Instrumentation) |
| - Arthrodesis | $734.35 | HCPCS 22554 |
| - Discectomy | $1,048.68 | HCPCS 63075 |
| - Autograft | $203.62 | HCPCS 20938 |
| - Anterior Instrumentation | $818.37 | HCPCS 22845 |
DRG = Diagnosis-related group