Question: Based on the information below, what rate must be set to generate the required $80,000 in profit in the preceding example? You have been asked
Based on the information below, what rate must be set to generate the required $80,000 in profit in the preceding example? You have been asked to establish a pricing structure for radiology on a per-procedure basis. Present budgetary 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 $38.00 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% |
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