Böhringer D, Maier P, Sundmacher R, Reinhard T
Dev Ophthalmol. 2009;43:120-124. doi: 10.1159/000223845. Epub 2009 Jun 3.
To estimate the averaged cost of processing a corneal graft for keratoplasty.
We estimated the total running costs of a German corneal bank for one year. All procurement-related expenses were calculated on the basis of 300 donors per year and a disavowal percentage of 50%.
The running costs comprise of personnel (2 physicians, 2 technicians), amortization of equipment, laboratory costs, laboratory consumables, occupancy costs and quality management. Annual expenses total 584000 EUR. This aggregation divided by 300 corneal grafts released for transplantation results in a nominal charge of 1950 EUR per corneal graft.
The DRG system in Germany (in-patients at a base rate of 1.0) refunds only 850 EUR, leaving a financial gap of 1100 EUR per keratoplasty. This financial burden is currently left over to the eye bank and/or the surgeon.
估算角膜移植术中处理角膜移植物的平均成本。
我们估算了一家德国角膜库一年的总运营成本。所有与采购相关的费用均基于每年300名捐赠者以及50%的拒收率进行计算。
运营成本包括人员费用（2名医生、2名技术人员）、设备摊销、实验室成本、实验室耗材、场地费用和质量管理费用。年度费用总计584000欧元。该总和除以300片用于移植的角膜移植物，得出每片角膜移植物的名义费用为1950欧元。
德国的疾病诊断相关分组系统（住院患者基础费率为1.0）仅退还850欧元，每次角膜移植手术留下1100欧元的资金缺口。目前，这一财务负担由眼库和/或外科医生承担。
