Investigating Cost Implications of Incorporating Level III At-Home Testing into a Polysomnography Based Sleep Medicine Program Using Administrative Data
Table 1
Costs within the sleep lab program at the SHR. All prices are reported in 2014 Canadian Dollars. The variability of PSG costs is because some patients get their titration and diagnosis on two separate nights, while others get it done in one night (a “split-night” visit).
Section (total cost)
Component
Cost
Explanation
Level III testing ($141)
Tech consult
$29.25
$39 hourly, 45-minute appointment
Disposable equipment
$6.83
Respiratory effort belts $1.23/m & cannula $3.08
Embletta kit cost
$2.61
$469 for parts used 180 times before replacement
Tech scoring
$38.99
Billable code
Resp. interpretation fee
$51.50
Billable code
Admin costs
$12.08
$24.15 hourly, 0.5 hours per patient
Auto-CPAP ($197)
Machine cost
$7.54
Machine costs $1750, used once a week for 5 years with a 3% degradation in price over time
RN visit
$86.80
$57.87 hourly, 1.5-hour appointment
Resp. interpretation fee
$102.20
Billable code
PSG ($384, $523, or $660)
Equipment
$14.04
Belts and cannula from above, acetone ($1.39) and collodion ($0.89)
