All Case Studies

Saved over $12,500

32 year old female underwent an emergency C-section, complicated by an intestinal perforation, sepsis, a large pelvic abscess, and a UTI. Admitted, started by Surgeon on Zosyn and fluconazole. ID telemedicine consultation obtained, reviewed culture data from abscess and urine, and consolidated and de-escalated antibiotics to oral levofloxacin and oral metronidazole and stopping fluconazole. Patient was spared 7-10 days of IV Zosyn, as well as 3 days of hospitalization.

Estimated cost of avoided hospitalization

  • (estimated 3-day length of stay)


  • Zosyn dosed 4 times per day x 12 days

  • Peripherally inserted central venous catheter for IV antibiotics (PICC)


  • Total Charges $12,540

Saved over $sum} with nodMD Infectious Disease Consult via Telemedicine, Spared Patient and Facility Costly Hospitalization

  • Total Charges $0
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Saved 12540$


This case also features several more difficult to quantify opportunity cost savings:

  1. The risk of acute kidney failure with the combination of Zosyn and vancomycin is approximately 21% vs 8% for either drug alone
  2. AKI can be severe enough to require hemodialysis, which can range from $240 per day up to $1,000 per day and sometimes is needed for 2 weeks or more
  3. Lengths of stay are significantly prolonged in patients who develop AKI, with national averages of at least 5 additional days ($13,000)