The cost of providing Nocturnal treatments 6x per week, per month is $9,600.00 with a Registered Nurse. The cost for In-Center dialysis 3 times per week with an ambulance is $10,560.00 per month. In my In-Center experience, most of the individuals on dialysis need someone to drive them to the treatments, many do use an ambulance in my experience. These costs savings do not include the reduction or in the vast majority of cases the elimination of medications in the life of the dialysis consumer. In fact, nocturnal dialysis is comparable to a kidney transplant. Moreover, this does not include a great cost savings to Medicare Part B due to a major reduction in the number of hospital visits and admissions by 15 days per year, per patient. The beginning cost savings per dialysis consumer with staff assisted home dialysis is $11,520.00 per year, per patient.
Table 2. Weekly Costs of IHHD, ICHD and SAHD
In-Hospital Hemodialysis
Cost of bed : 585 × 7 = $4095
Dialysis cost (246+127) : 373 × 3 = $1129
Total cost per week : $5224
In-Center Hemodialysis with ambulance transportation
Ambulance cost : ∼375 one way
Weekly ambulance cost : 375 × 6 = $2250
Weekly dialysis cost : 130 × 3 = $ 390
Total costs per week : $2640
Staff Assisted Home Hemodialysis
∼ $400 per treatment × 3/Week : $1200