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Table 2 Unit costs by component of paediatric febrile illness pathway

From: The cost of diagnostic uncertainty: a prospective economic analysis of febrile children attending an NHS emergency department

Item

Unit cost

Investigations (per test)

 Amylase

£6.00

 Bacterial PCR

£158.00

 Bilirubin

£6.00

 Biochemistry profile

£8.00

 Blood albumin

£6.00

 Blood glucose test

£6.00

 Blood culture

£35.00

 Blood gas#

£7.00

 Blood taken

£3.00

 Calcium profile

£7.00

 Clotting screen

£5.00

 Creatinine

£6.00

 CRP

£6.00

 CSF

£6.00

 CT scan (head)

£201.00

 ECG

£33.00

 ENT swab

£19.00

 ESR

£4.00

 FBC

£3.00

 Glandular fever screen

£4.00

 Group and save

£12.00

 LFTs

£7.00

 Magnesium

£6.00

 Malarial parasite test

£21.00

 Measles PCR

£55.00

 Meningo pneumo PCR

£25.00

 Meningococci screen

£6.00

 Mycoplasma SER

£23.00

 Pertussis swab

£9.00

 Phosphate

£6.00

 Rapid Strep test

£9.00

 Renal profile

£46.00

 Respiratory PCR

£117.00

 RSV screen

£12.00

 Ultrasound

£55.00

 Urinalysis#

£8.00

 Urine albumin

£6.00

 Urine culture#

£8.00

 Urine dipstick#

£6.00

 Urine sample

£8.53

 Virus PCR

£56.00

 X-ray

£46.00

Antibiotics (per dose/course)

 Amoxicillin 125 mg (suspended)*

£1.16

 Amoxicillin 125 mg (IV)*

£4.34

 Amoxicillin 250 mg (susp.)*

£1.33

 Cefotaxime 195 mg (IV)*

£0.48

 Cefotaxime 575 mg (IV)*

£0.66

Nurse time (per hour)

 Band 5

£15.43

 Band 6

£18.95

 Band 7

£22.50

 Band 8a

£27.39

Doctor time (per hour)

 FY1/FY2

£24.24

 ST1-3

£30.79

 APNP

£27.39

 Registrar

£39.02

 Consultant

£76.11

Referral to other specialties

 Surgery

£178.55

 Medicine

£272.74

 ENT

£146.92

 Neuro

£411.78

Inpatient admission

 Short stay (HRG PW20C, 3 days non-elective stay)#

£1712

 Excess bed day charge#

£462

  1. Unit costs provided by Alder Hey Finance Team unless otherwise stated
  2. #NHS Reference costs 2016
  3. *British National Formulary 2017