caa a22 4500 445795433 CHVBK 20180317145123.0 cr unu---uuuuu 170323e20111001xx s 000 0 eng 10.1007/s10620-011-1843-3 doi (NATIONALLICENCE)springer-10.1007/s10620-011-1843-3 Prospective Assessment of Out-of-Pocket Patient-Related Cost for ERCP at an Urban Tertiary Care Medical Center [Elektronische Daten] [C. Mel Wilcox, Roshan Patel, Chad Burski, Shyam Varadarajulu, Meredith Kilgore] Background: When calculating differences between interventions, direct cost comparisons are typically based on Medicare reimbursement rates. The additional out-of-pocket costs of the patient have been little studied in endoscopy. Aim: To determine out-of-pocket costs for patients undergoing ERCP. Methods: Between June and August 2009, all outpatients referred to our tertiary care university hospital for elective ERCP were prospectively interviewed regarding out-of-pocket costs for procedures. Patients were asked regarding any costs to undergo the procedure including co-pay, driving, parking, meals, child care or equivalent, and any additional expenses related to subsequent procedures or admissions related to the ERCP. Results: Over the study period, 94 outpatients (mean age 57±16years, 48% male) underwent ERCP. Mean/median out-of-pocket costs for the procedure were $177.97/72.54 and ranged from $0 to $2,033.54. The largest single expense for the procedure was related to copayment (median $75). Eleven patients required hospitalization for post-procedural complications resulting in additional median out-of-pocket costs of $25. Median hotel, food, and travel expenses were $171.00, $20.00, and $23.54, respectively. Conclusions: Out-of-pocket ERCP costs are not insignificant from the patient's perspective and should be added to the direct costs to calculate true procedure costs. Springer Science+Business Media, LLC, 2011 ERCP nationallicence Out-of-pocket cost nationallicence Patient costs nationallicence Procedural costs nationallicence Mel Wilcox C. Division of Gastroenterology and Hepatology, Department of Medicine, University of Alabama at Birmingham, 1808 7th Avenue, So. BDB 380, 35294-0001, Birmingham, AL, USA aut Patel Roshan Division of Gastroenterology and Hepatology, Department of Medicine, University of Alabama at Birmingham, 1808 7th Avenue, So. BDB 380, 35294-0001, Birmingham, AL, USA aut Burski Chad Division of Gastroenterology and Hepatology, Department of Medicine, University of Alabama at Birmingham, 1808 7th Avenue, So. BDB 380, 35294-0001, Birmingham, AL, USA aut Varadarajulu Shyam Division of Gastroenterology and Hepatology, Department of Medicine, University of Alabama at Birmingham, 1808 7th Avenue, So. BDB 380, 35294-0001, Birmingham, AL, USA aut Kilgore Meredith School of Public Health, University of Alabama at Birmingham, Birmingham, AL, USA aut Digestive Diseases and Sciences Springer US; http://www.springer-ny.com 56/10(2011-10-01), 2789-2791 0163-2116 56:10<2789 2011 56 10620 https://doi.org/10.1007/s10620-011-1843-3 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10620-011-1843-3 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Mel Wilcox C. Division of Gastroenterology and Hepatology, Department of Medicine, University of Alabama at Birmingham, 1808 7th Avenue, So. BDB 380, 35294-0001, Birmingham, AL, USA aut NATIONALLICENCE 700 1- Patel Roshan Division of Gastroenterology and Hepatology, Department of Medicine, University of Alabama at Birmingham, 1808 7th Avenue, So. BDB 380, 35294-0001, Birmingham, AL, USA aut NATIONALLICENCE 700 1- Burski Chad Division of Gastroenterology and Hepatology, Department of Medicine, University of Alabama at Birmingham, 1808 7th Avenue, So. BDB 380, 35294-0001, Birmingham, AL, USA aut NATIONALLICENCE 700 1- Varadarajulu Shyam Division of Gastroenterology and Hepatology, Department of Medicine, University of Alabama at Birmingham, 1808 7th Avenue, So. BDB 380, 35294-0001, Birmingham, AL, USA aut NATIONALLICENCE 700 1- Kilgore Meredith School of Public Health, University of Alabama at Birmingham, Birmingham, AL, USA aut NATIONALLICENCE 773 0- Digestive Diseases and Sciences Springer US; http://www.springer-ny.com 56/10(2011-10-01), 2789-2791 0163-2116 56:10<2789 2011 56 10620 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer