Table 5

Procedure costs and cost-utility analysis

ACDF (n = 10)CDA (n = 18)P-value
Medicare cost*
 Hospital$11,747 ± $1,343$10,015 ± $0<0.00
 Surgeon$3107 ± $0$1826 ± $0<0.00
 Anesthesia$596 ± $37$610 ± $370.94
 Neuromonitoring$710 ± $57$720 ± $720.70
Total cost*$16,162 ± $1337$13,171 ± $106<0.00
NDI
 Cost/QALY—Year 1$101,013$101,315
 Cost/QALY—Year 2$43,681$48,781
 ICER ACDF vs CDA—Year 1$99,700
 ICER ACDF vs CDA—Year 2$18,593
SF-36
 Cost/QALY—Year 1$70,269$87,806
 Cost/QALY—Year 2$34,387$41,159
 ICER ACDF vs CDA—Year 1$37,387
 ICER ACDF vs CDA—Year 2$19,940
  • Statistically significant.

  • * Values given as mean ± standard deviation.

  • Hospital cost plus and CPT-based fees for surgeon, anesthesia and neuromonitoring.

  • Statistically significant.