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2. Activity: You have been asked to establish a pricing structure for radiology

ID: 2453450 • Letter: 2

Question

2. Activity: You have been asked to establish a pricing structure for radiology on a per-procedure basis. Present budget data is presented below:

Budgeted procedures: 10,000

Budgeted cost $400,000

Desired profit $80,000

It is estimated that Medicare patients comprise 40 percent of total radiology volume and will pay on average $38 per procedure. Approximately 10 percent of the patients are cost payers. The remaining charge payers are summarized below:

Payer Volume% Discount %

Blue Cross 20 4

Unity PPO 15 10

Kaiser 10 10

Self-pay 5 40

50%

Question: #2 What rate must be set to generate the required $80,000 in profit in the preceding example?

Explanation / Answer

Weighted Discount => (0.4 * 0.04 ) + ( 0.30 * 0.10) + ( 0.2. * 0.10) + ( 0.10 * 0.40)

=> 0.106

Price => {(400000 / 10000 ) + [ (80000 + 4000 (40 - 38 ) ) / 5000 ] } / ( 1- 0.106 )

=> (40 + 17.60 ) / 0.0.894

=> $64.43

Rate must be set to generate the required $80,000 in profit is $ 64.43