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Hyperbaric Oxygen Therapy - Hyperbaric Chamber Information ...

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Appendix E Calculation of monoplace unit<br />

costs<br />

Capital costs<br />

The total cost per year, comprising both capital costs and costs of operating a hyperbaric<br />

monoplace unit, has been estimated. The number of sessions (treatments) and courses of<br />

treatments (patients) per year have also been estimated to compute costs per session and<br />

costs per course of treatment., number of sessions and courses of treatment per year<br />

An average of 90 minutes per treatment is required per session, 2 but this is expected not<br />

to allow for patient assessment and patient preparation. The duration of time required to<br />

turn around a chamber is estimated to be 2 to 2.5 hours. The number of sessions per day<br />

for a monoplace unit is estimated to be 4, the estimated maximum feasible number of<br />

sessions in an 8-hour day. The number of sessions per day is varied to 3 in sensitivity<br />

analysis. The number of sessions per year with 4 sessions per day is then calculated to be<br />

960, using a 5-day working week and 48 weeks per year (estimated 48-50 weeks in<br />

operation per year).<br />

Each course of treatment is expected to comprise 20-30 sessions (from the assessment<br />

report). An estimate of 30 sessions per course of treatment was used in the analysis. The<br />

estimated 960 sessions per year is then estimated to be equivalent to 32 courses of<br />

treatment per year.<br />

The cost of a hyperbaric monoplace unit has been estimated to range from A$100,000 to<br />

A$233,000. An acrylic chamber could cost US$90,000-US$120,000(A$137,000-<br />

A$183,000) with about A$50,000 on top for a fit out of the suite of rooms including<br />

oxygen supply. A steel chamber costs $100,000 to $150,000 (indicated by a manufacturer<br />

in Melbourne). A monoplace unit costs A$120,000 to A$230,000 (personal<br />

communication from applicant). A capital and installation cost of A$300,000 was also<br />

given. Discussions with experts in the field suggested an estimate of A$200,000. This is<br />

used in all the primary analyses. It is within the range of costs for an acrylic chamber. A<br />

sensitivity analysis on the cost of a unit from A$100,000 to A$300,000 was also<br />

conducted.<br />

The cost of capital is assumed to be 9% per annum. The commercial rates for the cost of<br />

borrowing (personal communication from applicant) are 8-10%. The sensitivity analysis<br />

used a 5% cost of capital per annum.<br />

The estimated effective life of the monoplace unit is 10 years (personal communication<br />

from applicant). A sensitivity analysis was conducted using an effective life of 30 years<br />

(estimated life of steel and acrylic monochambers).<br />

The capital cost per annum is calculated as the constant payment required per year, with<br />

the expected cost of capital, effective life and present value of the capital equipment. In<br />

the primary case, the capital cost per annum is estimated to be $31,164.<br />

The capital cost per session is $32.46. The capital cost per course of treatment is $974.<br />

<strong>Hyperbaric</strong> oxygen therapy 115

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