Financial cost per procedure to hospital in Rands (US$1=ZAR15)
| Item | Botulinum | Surgery | ||||
| Unit/pt | Unit cost/pt | Total pt cost | Unit/pt | Unit cost/pt | Total pt cost | |
| Anaesthetic | ||||||
| Short line | 1.0 | 15.00 | 15.00 | |||
| Intravenous line | 1.0 | 35.00 | 35.00 | |||
| Ringers sol | 1.0 | 8.68 | 8.68 | |||
| Propofol (R38/50 mL) | 5.0 | 0.76 | 3.80 | 5.0 | 0.76 | 3.80 |
| Sevoflurane (R792.48/250 mL) | 10.0 | 3.68 | 36.80 | 20.0 | 3.17 | 63.40 |
| Laryngeal tube | 1.0 | 70.00 | 70.00 | |||
| Oral mask | 1.0 | 4.00 | 4.00 | |||
| miscellaneous | 15.00 | 15.00 | ||||
| Surgical | ||||||
| Gloves | 1.0 | 12.00 | 12.00 | 2.0 | 12.00 | 24.00 |
| 4/0 silk | 2.0 | 81.46 | 162.92 | |||
| 5/0 vicryl | 2.0 | 119.79 | 239.58 | |||
| 8/0 vicryl | 1.0 | 138.96 | 138.96 | |||
| cautery | 1.0 | 75.00 | 75.00 | |||
| Sponges/packet | 1.0 | 48.00 | 48.00 | |||
| Botulinum R1552.00/100 units* | 10.0 | 15.52 | 155.20 | |||
| Insulin syringes | 2.0 | 1.00 | 2.00 | |||
| Balance salt solution (10 mL) | 1.0 | 12.00 | 12.00 | |||
| TTO ointment | 1.0 | 48.00 | 48.00 | |||
| Time in theatre (min)† | 11.0 | 50.00 | 550.00 | 72.0 | 50.00 | 3600.00 |
| Staff required | ||||||
| Surgeon (R462.92/hour) | 11.0 | 7.68 | 84.52 | 72.0 | 7.68 | 553.10 |
| Anaesthetist (R462.92/hour) | 11.0 | 7.68 | 84.52 | 72.0 | 7.68 | 553.10 |
| Professional nurse (R150/hour) | 11.0 | 2.50 | 27.50 | 72.0 | 2.50 | 180.00 |
| Assistant nurse ×2 (R120/hour) | 11.0×2 | 2.00 | 44.00 | 72.0×2 | 2.00 | 288.00 |
| Recovery nurse (R150/hour) | 15.0 | 2.50 | 37.50 | 2.50 | 75.00 | |
| Time in recovery | 10.0 | 25.00 | 250.00 | 20.0 | 25.00 | 500.00 |
| Fixed costs†* | 2 hours | 176.25 | 352.50 | 6 hours | 176.25 | 1057.50 |
| Total | 1713.14 | 7743.04‡ | ||||
*Cost of botulinum 100 units/8 patients.
†Cost of theatre based on gases used, microscope use, bedding @ZAR50/min (assumed 1/3 of private rates).
‡Cost for surgery if botulinum neurotoxin (BNT) given would be ZAR7900.24.
§Fixed cost—include water, electricity, ward stay @ ZAR4600/day, allowing for total hospital time of 2 hours for BNT and 6 hours for surgery.