Analysis of Costs and Payments for Inferior Vena Cava Filter Retrieval in the Medicare Population

Timothy C. Huber, Younes Jahangiri, Ido Weinberg, Jay Giri, Michael R. Jaff, John Kaufman

Research output: Contribution to journalArticlepeer-review

Abstract

Over the past decade, inferior vena cava (IVC) filter retrieval has been increasing, in part due to Food and Drug Administration recommendations and legal pressure. The costs and margin of IVC filter removal are poorly understood. Medicare claims data from 2016 for the 103 highest volume centers for IVC filter retrieval were examined. Pooled mean charges, costs, payments, and margin were calculated by institution. Mean ± SD charges, costs, and payments were $14,138.00 ± $8,400.48, $3,693.28 ± $2,294.27, and $1,949.82 ± $702.91, respectively. Average (range) margin was −$1,706.18 (−$7,509.93 to $362.77). The margin was negative in 99 of the 103 (96%) institutions evaluated. The most significant contributors to the total procedure cost were operating room, supplies, and recovery (44.5%, 23.5%, and 10.4%, respectively). While IVC filter retrieval is often medically indicated, it is typically associated with a financial loss under current reimbursement structure.

Original languageEnglish (US)
Pages (from-to)1164-1169
Number of pages6
JournalJournal of Vascular and Interventional Radiology
Volume32
Issue number8
DOIs
StatePublished - Aug 2021

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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