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. Average versus incremental costing. Suppose a hospital had the following fixed and variable costs for its operating room ( OR ) : Variable costs

. Average versus incremental costing. Suppose a hospital had the following fixed and variable costs for its operating room (OR):
Variable costs per operation Fixed costs per year
Personnel $150 Depreciation $100,000
Supplies 20 Administration 120,000
Laundry 30 Other 80,000
Other 50
Total $250 Total $300,000
a. Complete the following chart:
Costs
Volume Fixed Variable Total Average
500
1500
2500
3000
b. Suppose a managed care organization (MCO) offers to generate 500 operations a year but offers to pay only $300 per operation. Should we agree to this arrangement? We currently perform 2500 operations per year and have the capacity to easily handle 3000 per year.
(1) What is the cost per operation at 2500 per year? Cost per operation = total annual cost/total number of operations =300,
(2) What is the cost per operation at 3000 per year?
(3) What is your decision?
c. Does this incremental impact concern only MCO negotiations, or does it have wider implications?

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