Question
Problem 2. Your hospital has been approached by a major HMO to perform all their MS-DRG 470 cases (major joint procedures). They have offered a
Problem 2. Your hospital has been approached by a major HMO to perform all their MS-DRG 470 cases (major joint procedures). They have offered a flat price of $10,000 per case. You have reviewed your charges for MS-DRG 470 during the last year and found the following profile:
In the data set, assume that the hospital's cost to charge ratio is 0.80 for routine services and 0.75 for all other ancillary services. Using this information, what would the average cost of MS-DRG 470 be?
Average Charge | $15,000 |
| |
Average LOS | 5 Days |
| |
Routine Charge | $3,600 | Cost/Charge .80 | Variable Cost 60% |
Operating Room | 2,657 | 0.80 | 80 |
Anesthesiology | 293 | 0.80 | 80 |
Lab | 1,035 | 0.70 | 30 |
Radiology | 345 | 0.75 | 50 |
Medical Supplies | 4,524 | 0.50 | 90 |
Pharmacy | 1,230 | 0.50 | 90 |
Other Ancillary | 1,316 | 0.80 | 60 |
Total Ancillary | $11,400 | 0.75 | 50 |
Step by Step Solution
There are 3 Steps involved in it
Step: 1
Get Instant Access to Expert-Tailored Solutions
See step-by-step solutions with expert insights and AI powered tools for academic success
Step: 2
Step: 3
Ace Your Homework with AI
Get the answers you need in no time with our AI-driven, step-by-step assistance
Get Started