IThe issue is no one knows what the contracted reimbursement/adjustment is. But even if they get (about) 25% billed rate, Penn is probably getting (around) 400-500% Medicare which is probably (in the range of) 2.5-5x what the private practice down the street is getting.
So when our dear RickyScott warns of academic centers getting 3-5x what he does for the same service and you call him "crazy" or some other such word. Well... he ain't.
These are not the "billed" rate. This is what penn actually recovers! 3-5X was a gross underestimation when it comes to penn. I dont know what the average charge per unit means, but posting the insurance negotiated actual prices/money delivered to upenns bank count is legally mandated. Jan 1,2021
For example, UNITED healtchcare reimburses UPENN $13,659.88 or $12,414.79 from blue cross ppo. per 3D plan according to their contract!
|77295||3-D RADIOTHERAPY PLAN DOSE-VOLUME HISTOGRAMS|
avg charge per unit