Table 3 Hospital model input data
Parameter | ECHO | Fast-SENC Rest | Source |
|---|---|---|---|
Prevalence of Asymptomatic Heart Failure | 20% | 20% | Assumption |
Patients in High Risk Population to be Imaged | 3000 | 3000 | KOL interviews |
Stage B | 4.27% | 3.11% | [42] |
Stage C | 4.55% | 3.32% | [42] |
Stage C+ | 4.50% | 3.28% | Assumption |
CMS and private payer (90% to10% ratio) reimbursement & cost for HF hospitalization | $14,631 | $14,631 | [46] |
HF hospitalization cost from NIS 2015 sample | $7463 | $7463 | [47] |
30 day HF rehospitalization | 26.90% | 26.90% | [43] |
HF hospitalization | 56.00% | N/A | [17] |
Imaging Per Year of Identified Asymptomatic HF Patients | 2 | 2 | Assumption |
ICD | 48% | 48% | [26] |
CRT | 20% | 20% | [26] |
Valve procedures | 4.5% | 4.5% | [37] |
Ablation procedures from tachycardia-induced cardiomyopathies | 0.79% | 0.79% | [48] |
Revascularizations for infarcted patients (previous MI) | 4.7% | 4.7% | [38] |
Total cost of ownership: | |||
 Acquisition cost (one time) | N/A | $40,000 | MSI |
 Maintenance cost (annual) |  | $10,000 | MSI |
 Assumed medical equipment lifetime (years) | 10 | 10 | Assumption |
 Cost per Test | N/A | $4.67 | Calculation |
Imaging Modality Parameters: | |||
 Time Occupying Machine (min) | 30 | 12 | Hospital procedural guidelines |
 Imaging Facility Cost Per Hour (Including Overhead, Wages, Bills, etc.) | $200 | $320 | Market research outcomes |
 Test Inventory (Per Test) | $0 | $150 | MSI |
 Cost of Contrast | $34 | $0 | CMS Fee Schedule 2017 |
 Physician Reading Fee | $50 | $0 | Assumption |
Reimbursement Parameters: | |||
 Test Reimbursement | $231 | $324 | 2017 Medicare fee schedule |
 Contrast Reimbursement | $34 | $0 | CMS 2017 |