The Journal of Thoracic and Cardiovascular Surgery

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The Journal of Thoracic and Cardiovascular Surgery Cost and contribution margin of transcatheter versus surgical aortic valve replacement Fenton H. McCarthy, MD, MS, Danielle C. Savino, BS, Chase R. Brown, MD, Joseph E. Bavaria, MD, Vinay Kini, MD, MS, Danielle D. Spragan, MD, Taylor R. Dibble, BS, Howard C. Herrmann, MD, Saif Anwaruddin, MD, Jay Giri, MD, Wilson Y. Szeto, MD, Peter W. Groeneveld, MD, MS, Nimesh D. Desai, MD, PhD The Journal of Thoracic and Cardiovascular Surgery DOI: 10.1016/j.jtcvs.2017.06.020 Copyright © 2017 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Annual CMS payments for TAVR and isolated SAVR in 2011 and 2012. CMS, Center for Medicare and Medicaid Services; TAVR, transcatheter aortic valve replacement; SAVR, surgical aortic valve replacement; IQR, interquartile range. The Journal of Thoracic and Cardiovascular Surgery DOI: (10.1016/j.jtcvs.2017.06.020) Copyright © 2017 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 A, Median ICU costs for propensity-matched SAVR and TAVR patients. The lower quartile, median, and upper quartile represent the boxplot, and the minimum and maximum values are shown through the whisker extension on either side of the boxplot, indicating the variation in cost for TAVR and SAVR patients. B, Median resource-associated costs for propensity-matched SAVR and TAVR patients. The lower quartile, median, and upper quartile represent the boxplot, and the minimum and maximum values are shown through the whisker extension on either side of the boxplot, indicating the variation in cost for propensity-matched TAVR and SAVR patients. SAVR, Surgical aortic valve replacement; TAVR, transcatheter aortic valve replacement. The Journal of Thoracic and Cardiovascular Surgery DOI: (10.1016/j.jtcvs.2017.06.020) Copyright © 2017 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 TAVR contribution margin per patient by institutional TAVR volume. TAVR, Transcatheter aortic valve replacement. The Journal of Thoracic and Cardiovascular Surgery DOI: (10.1016/j.jtcvs.2017.06.020) Copyright © 2017 The American Association for Thoracic Surgery Terms and Conditions

Annual CMS payments for TAVR and isolated SAVR in 2011 and 2012. The Journal of Thoracic and Cardiovascular Surgery DOI: (10.1016/j.jtcvs.2017.06.020) Copyright © 2017 The American Association for Thoracic Surgery Terms and Conditions