Calculation of PMPM3 Workup Costs Uncapped Cost Distribution1 Capped Cost Distribution1,2 Services Priced at Median
Workup cost per patient with workup1,2 $3270 ($2954 , $3587) $2702 ($2544 , $2860) $2068
% of study population with workup 36.3% 36.3% 36.3%
Workup cost per patient $1188 ($1073 , $1303) $981 ($924 , $1039) $751
New IPN incidence in commercial population 0.15% 0.15% 0.15%
Annual workup cost over total membership $1.80 ($1.62 , $1.97) $1.49 ($1.40 , $1.57) $1.14
PMPM3 Cost over total membership $0.15 ($0.14 , $0.16) $0.12 ( $0.12 , $0.13) $0.09