MHACB 599 Capstone project for Maryland county Table 5. RVU and Reimbursement Calculation The cost of physician care varies in different locations, as do the cost of operating a practice and the rates of physician malpractice claims. In addition, each year Medicare adjusts the conversion rate either up or down. Category RVU GCI Total RVU Totals RVU: GCI: Total RVU: Table 6. Variable Costs and Net Reimbursement To complete Table 6, multiply reimbursement per visit by 10% (0.10) and subtract this number from reimbursement to obtain net reimbursement per patient. Cost Factors Dollar Amount Reimbursement per visit Variable cost per patient 10% Net Reimbursement per patient