Interventional cardiology is growing through advancements in therapeutic devices, such as new stent designs, as well as hybrid cath and surgical applications like Trans-Aortic Valve Replacement and the more recent mitral valve replacement.
Every interventional cardiac cath procedure, whether it be diagnostic or therapeutic, requires the use of an associated monitoring system known as hemodynamic physiological monitoring. This technology is integral to the measurement of intra-cardiac pressures and the recording and monitoring of waveforms and related physiological parameters. It provides a measureable method for evaluating the physiological impact on cardiac function relative to different types of heart disease.
Growing technological advancements in devices such as drug eluting stents and increasing interest in hybrid OR/cath labs which provide more flexible solutions for patients that may or may not need specific surgical intervention or therapy continues to drive growth in this area as well.
Negotiation of this technology requires a deep understanding of how these systems can be highly configurable, how components can be priced and discounted differently. Additionally, it requires an excellent grasp of how the technology integrates into your cardiac program, related imaging, monitoring and information technologies for this area.
These are primarily inpatient procedures, so there are no separate APC codes or hospital-based reimbursement for this technology. Interventional cardiac and vascular procedures can be quite lengthy, particularly when you move into hybrid OR/cath applications so workflow efficiency is paramount.
Hemodynamic and Physiological Monitoring Systems
System Purchase Prices
Low High Average
$71,674 $204,931 $130,577
System Service Support Prices
Low High Average
$15,370 $56,372 $34,367
The above ranges are sound values to use for budgetary consideration, but not for negotiation. The systems have multiple advanced options depending on clinical needs and applications. Service options can range from simple, basic support to offerings that include next generation upgrade options. The right system and support level for each facility must be considered within your own ecosystem, along with the current status of your program as well as the vision for what your program will become in the future.
The general pricing on these systems has become more complex as today they often encompass Cardiology Information System (CIS) solutions that generally add expense to both the capital and operational costs. Additionally, many vendors that have long-standing installed base are becoming more creative with upgrade packages to retain market share and move their customers to a newer platform.
Data Source: MD Buyline (Please note these numbers have been adjusted to exclude special deals, outliers and unique circumstances)