12 HEALTHCARE RESOURCES Table 7. List of resources to be considered in the economic analysis Provider of resource Setting in which resource is provided Proportion of patients receiving resource Number of units of resource per relevant time horizon per patient receiving resource Disaggregated unit cost MBS Safety nets* Other government budget Private health insurer Patient Total cost Resources provided to identify eligible population MBS Item 104 Initial Consultation Specialist (urologist or urogynaecologist) Consulting rooms TBA $85.55 TBA Resources provided to deliver proposed intervention Administration of percutaneous tibial nerve stimulation Specialist (urologist or urogynaecologist) Consulting rooms, day surgery or outpatient clinic TBA TBA Urgent PC Neuromodulation System – Stimulator Specialist (urologist or urogynaecologist) Consulting rooms, day surgery or outpatient clinic TBA TBA $1,950.00 One off cost for treatment centre. Urgent PC Neuromodulation System – Needle Electrode Specialist (urologist or urogynaecologist) Consulting rooms, day surgery or outpatient clinic TBA TBA $120.00 per treatment. Resources provided in association with proposed intervention MBS Item 23 Consultation to treat occurrence of PTNS therapy side-effect Consulting rooms TBA $37.05 TBA Resources provided to deliver comparator 1: Sacral nerve stimulation Peripheral nerve evaluation MBS Item 104 Specialist consultation Specialist (urologist or urogynaecologist) Consulting rooms or hospital TBA $85.55 TBA MBS Item 36666 Pleacement of sacral nerve pulse generator Specialist (urologist or urogynaecologist) Surgical TBA $334.00 TBA MBS Item 32213 36663 Placement of sacral nerve leads. Specialist (urologist or urogynaecologist) Surgical TBA $660.95 TBA MBS Item 60503 Fluoroscopy Specialist (urologist or urogynaecologist) Surgical TBA $29.75 TBA
MBS item 20690 or 21110 Initiation of anaesthesia Anaesthetist Surgical TBA TBA TBA MBS item XXXX (e.g. 23010 to 24136) Anaesthesia time units (relative value guide) Anaesthetist Surgical TBA TBA MBS Item 18274 Local anaesthesia Specialist (urologist or urogynaecologist) Surgical TBA $88.65 TBA InterStim Neurostimulator Surgical TBA $9,550.00 Sacral nerve stimulation lead Surgical TBA $4,420.00 Resources provided in association with comparator : Sacral nerve stimulation MBS Item 36665 Adjustments to sacral generator and leads Specialist (urologist or urogynaecologist) TBA $125.40 TBA Interstim lead introducer kit Surgical TBA TBA $541.00 Interstim extension lead Surgical TBA TBA $1,510.00 Sacral nerve test lead Surgical TBA TBA $393.00 Stimulation cables for intraoperative testing Surgical TBA TBA $200.00 MBS Items 17610 or 17625 (depends on time spent with patient) Pre-surgery consult Anaesthetist TBA $43.00 Or $150.90 TBA MBS Item 105 Follow up Specialist (urologist or urogynaecologist) TBA $43.00 TBA Resources provided to deliver comparator 2: Botox therapy MBS Item 104 Initial consult Specialist (urologist or urogynaecologist) Consulting rooms or hospital $85.55 MBS Item 20910 Initiation of anaesthesia Anaesthetist Surgical $79.20 MBS Item 18379 Botox therapy Specialist (urologist or urogynaecologist) Surgical $229.85 PBS Code 6103F Botulinum Toxin Type A Surgical $415.50 Resources provided in association with comparator 2: Botox therapy MBS Item 11919 Urodynamic study Specialist (urologist or urogynaecologist) Consulting rooms $428.35
MBS Items 17610 or 17625 (depends on time spent with patient) Pre-surgery consult Anaesthetist Consulting rooms or hospital $43.00 Or $150.90 MBS Item 105 Follow up Specialist (urologist or urogynaecologist) Consulting rooms or hospital $43.00 MBS Item 11900 Urine flow study Specialist (urologist or urogynaecologist) Consulting rooms $27.55 Resources used to manage patients successfully treated with the proposed intervention Ongoing PTNS therapy Specialist (urologist or urogynaecologist) Consulting rooms, day surgery or outpatient clinic TBA TBA Urgent PC Neuromodulation System – Needle Electrode Specialist (urologist or urogynaecologist) Consulting rooms, day surgery or outpatient clinic TBA $120.00 per treatment. Resources used to manage patients who are unsuccessfully treated with the proposed intervention Best supportive care TBA TBA Resources used to manage patients successfully treated with comparator 1 MBS Item 36665 Adjustments to sacral generator and leads Specialist (urologist or urogynaecologist) Surgical TBA $125.40 TBA MBS Item 36660 Removal and replacement of sacral nerve stimulator Specialist (urologist or urogynaecologist) Surgical TBA $255.45 TBA MBS Item 36662 Removal and replacement of sacral leads Specialist (urologist or urogynaecologist) Surgical TBA $610.30 TBA MBS Item 36664 Repositioning of sacral leads Specialist (urologist or urogynaecologist) Surgical TBA $593.55 TBA Replacement InterStim generator Surgical TBA $9,550.00 Replacement Sacral leads Surgical TBA $4,420.00 Resources used to manage patients who are unsuccessfully treated with comparator 1 MBS Item 36658 Removal of sacral nerve stimulator Specialist (urologist or Surgical TBA $526.40 TBA
2 Reports and guidelines Australian Institute of Health and Welfare (AIHW) (2006). Australian incontinence data analysis and development. AIHW cat. No. DIS 44, Canberra, Australia. Australian Institute of Health and Welfare (AIHW) (2015). Procedure data cubes. [Internet]. Australian Government. Available from: [Accessed 9 June 2015]. Australia Government Department of Human Services (2014). Annual Report 2013-14. ISSN: 1838-2452 (Online). Available from: [Accessed 9 June 2015]. Australian Government Department of Human Services (2015a). Medicare Australia Statistics - Item 18379. [Internet]. Available from: [Accessed 28 September 2015]. Australian Government Department of Human Services (2015b). Medicare Australia Statistics - Item 36663. [Internet]. Available from: [Accessed 28 September 2015]. Australian Government Department of Human Services (2015c). Medicare Australia Statistics - Item 36666. [Internet]. Available from: [Accessed 28 September 2015].
Australian Government Department of Human Services (2015d). Medicare Australia Statistics - Item 36663. [Internet]. Available from: [Accessed 28 September 2015]. Australian Government Department of Human Services (2015e). Medicare Australia Statistics - Item 36666. [Internet]. Available from: [Accessed 2 September 2015]. Australian Government Department of Human Services (2015f). Medicare Australia Statistics - Item 36667. [Internet]. Available from: [Accessed 28 September 2015]. Australian Government Department of Human Services (2015g). Medicare Australia Statistics - Item 36668. [Internet]. Available from: [Accessed 28 September 2015]. Australian Government Department of Human Services (2015h). Medicare Australia Statistics - Item 36667. [Internet]. Available from: