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An ophthalmology center negotiates a contract with Aetna's HMO to pay 50% of charges on cataract surgeries. The typical cataract procedure generates $5,000 in charges.
An ophthalmology center negotiates a contract with Aetna's HMO to pay 50% of charges on cataract surgeries. The typical cataract procedure generates $5,000 in charges. Patient A's surgery runs as usual and total charges are $5,000. Patient B has some trouble with blurred vision after the procedure and has to stay an extra 2 hours in recovery. Each hour is billed at $250 / hour over and above the normal charges. How much would the center expect Aetna to pay, in total, for the two surgeries?
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