Bladder Managment for Adults with Spinal Cord Injury - 43

CLINICAL PRACTICE GUIDELINE

43

Appendix A: Economic Considerations of Bladder Management Methods (as of 2006)
Metho d P ro d u c t s a n d S e r v i c e s P ro v i d e r

Intermittent Catheterization

Catheterization supplies (reusable: 8/month; single-use: 8/day) • Straight nonlatex catheter: female, $.43; male, $.52 each • Hydrophilic catheter: $.78–$1 each • Antibacterial catheter: female, $.54; male, $.61 each • Touchless catheter kit: $2.71 each Cost of daily condom, catheters, leg bag, and nighttime collection bag Condom: approx. $.55–$1.50 qd Catheters (every 2–4 weeks): • Latex catheters w/5ml balloon: $1.30–1.50 • Silver-coated catheters w/5ml balloon: $8.91 • Silastic-coated catheters w/5ml balloon: $7.30 • Teflon coated catheters w/5ml balloon: $10 • 100% silicone catheter w/5ml balloon: $3.20 • Hydrophilic catheters w/5ml balloon: $10 Automatic leg bag drainer: $700–$800 installed on an electric wheelchair Leg bag (4/month): approx. $1.76 each Permanent leg bag: $7-$10 Cystoflow drainage bag (1/month); 1000ml urinary drainage bag: approx. $4.02 each

VA: shared cost of prescriptions relating to service connection HMO: part of monthly fees PPO: shared cost depending on deductible Medicare or Medi-Cal: shared cost

Indwelling Catheterization

VA: shared cost of prescriptions relating to service connection HMO: part of monthly fees PPO: shared cost depending on deductible Medicare or Medi-Cal: shared cost

Alpha-Blockers

Cost of drug: depends on type of insurance. A brand-name drug will be more expensive than a generic; however, the generic may not be as effective.

VA: shared cost of prescriptions relating to service connection HMO: part of monthly fees PPO: shared cost depending on deductible Medicare or Medi-Cal: shared cost VA: shared cost of prescriptions relating to service connection; condom cost increases with size and type HMO: part of monthly fees PPO: shared cost depending on deductible Medicare or Medi-Cal: shared cost

Botulinum Toxin Injection

Cost of procedure: depends on type of insurance Cost of daily condom, leg bag, and nighttime collection bag • Condom: approx. $.55–$.75 each qd • Leg bag (4/month): approx. $1.76 each • 1000ml urinary drainage bag (1/month): $4.02 Cost of incontinence padding: depends on the size and shape of the individual, amount of urine leaked or voided in a day, and individual’s ability to transfer and void into the toilet Cost of procedure: depends on type of insurance Cost of daily condom, leg bag, and nighttime collection bag • Condom: approx. $.55–$.75 each qd • Leg bag (4/month): approx. $1.76 each • 1000ml urinary drainage bag (1/month): $4.02

Endourethral Stent

VA: shared cost of prescriptions relating to service connection; condom cost increases with size and type HMO: part of monthly fees PPO: shared cost depending on deductible Medicare or Medi-Cal
Bladder Managment for Adults with Spinal Cord Injury

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