Cash Price for a MILD in Office?

[drusso]

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A patient wants to pay cash for a MILD in the office with sedation. What's a good price? What's the price in the HOPD?

 

[RoloTomassi]

Kit is about 2k, so whatever you want your margin to be.

HOPD: 6k facility fee, 1k pro fee.

 

[runfastnow]

Kit Price + Sedation Med/Staff Price + $1000 MD.

 

[drusso]

Kit Price + Sedation Med/Staff Price + $1000 MD.

How many RVU's does the procedure pay?

 

[runfastnow]

No clue. My practice only tracks collections. Per Vertos the procedure is not assigned an RVU value. Pro fee should be $600-1100 based on MAC/location. I guess you can back out an RVU/wRVU based on whatever your conversion factor is.

I think kits cost $2500ish for the ASC here.

 

[SgtThunderfistMD]

How many RVU's does the procedure pay?

Reportedly 13 for the first level, 50% for the second level (at my HOPD job)

 

[Analgesia108]

13 seems pretty good .. I thought since it still has a T code, it was not assigned wRVUs yet

 

[mid|ine]

A patient wants to pay cash for a MILD in the office with sedation. What's a good price? What's the price in the HOPD?

How long is it going to take you and how much could you profit doing something else in the same time? Make sure you cover your expenses + at least the profit you could make, ideally more given the nature of the procedure.

 

[Ferrismonk]

I thought MILD had to be in an OR? Perhaps I was wrong.

 

[RoloTomassi]

I thought MILD had to be in an OR? Perhaps I was wrong.

It's only reimbursed that way but you can do anything cash.

 

[Ronin1]

Supposedly an office code is coming next year

 

[drusso]

Supposedly an office code is coming next year

...that will be the kiss of death for cash-based MILDs...