That figure is from several years ago and is probably closer to $40-45 now. This is an operational cost figure which included all supplies, catheter, nursing labor cost (average hourly pay + benefits), and a percentage for overhead (fixed costs within the system). This is not what may be "billed" to the patient. Now most patients are on a capitated fee reimbursement system, therefore there are no true billables for a specific procedure. Your institution may still require some system for all supplies and equipment to be charged to the patient, but that is not the same as what the hospital will actually be reimbursed.
Lynn Hadaway, M.Ed., RN, BC, CRNI
Lynn Hadaway Associates, Inc.
126 Main Street, PO Box 10
Milner, GA 30257
Office Phone 770-358-7861
Thank you Lynn
Is this the same for Canadian hospitals?
No cost and reimbursement structures are very different in Canada.
I am interested in a literature reference on the current cost to start a PIV. In addition, if anyone has a current reference for % restarts iof PIV's in an acute care facility I would appreciate the info.
I have not seen any published literature on PIV insertion costs since 2001. I use that number, adjust for inflation and that brings me to roughly $40 for a single PIV insertion including all supplies and labor and overhead. There are lots of different ways to look at the number of restarts and many articles with varying approaches. Scheduled or planned restarts, restarts for a complication, due to patient request? These numbers can be found in numerous published studies but you will need to focus your question a little more what what you are trying to answer. For which patient population, all restarts or for a complication, by generalist or infusion therapy nurses? Lynn
20 minutes is labor time on average (INS 2010 evidence based book) this includes documentation, walking to room, gather supplies, clean up and start. Include benefits 30%
Materials need to be itemized you use kits, loops, extenstion sets, catheters x 2,18 is from Barton and Danek 1998 for attempt success ratio, dressing, flush, injection caps, tourniquet, chlorscrub, gloves.
On avearage you are looking at $15 labor and $15 in materials
About $32.00 still applies today unless you add labor time for difficult siticks which the olld INS publications stated were 40 minutes of time
Kasthy Kokotis RN BS MBA
Bard Access Sytems