Pricing Targets

Set target price ranges for RFQ and track supplier bids

Pricing Targets

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SAVINGS$1,640,940(51%)

LAST YEAR$3,219,636

MARKET$3,608,430

TARGET$1,578,696

VOL.4,620

PROCEDURE	MEDICARE	LAST YEAR	MARKET	TARGET	SAVINGS	VOL.	ANNUAL
IMAGING8 procedures
MRI Brain (CPT 70553)	$285	3.7× $1,045	4.2× $1,197	3× – 4×	$53251%	840	$446,880
MRI Spine (CPT 72148)	$310	3.5× $1,086	4× $1,240	3× – 4×	$55951%	630	$352,170
CT Abdomen (CPT 74177)	$245	3.5× $858	3.8× $931	2.4× – 3.2×	$46654%	756	$352,296
CT Chest (CPT 71260)	$195	3.2× $619	3.5× $683	2.4× – 3.2×	$32653%	504	$164,304
X-Ray Chest (CPT 71046)	$35	3× $105	3.2× $112	2.4× – 3.2×	$5653%	924	$51,744
Ultrasound Abdomen (CPT 76700)	$115	2.7× $310	3× $345	2.4× – 3.2×	$13744%	378	$51,786
PET Scan (CPT 78815)	$1,050	3.4× $3,570	3.8× $3,990	2.4× – 3.2×	$1,68047%	84	$141,120
Mammogram (CPT 77067)	$145	2.5× $363	2.8× $406	2.4× – 3.2×	$16044%	504	$80,640
Subtotal		$3,219,636	$3,608,430	$1,578,696		4,620	$1,640,940
TOTAL		$3,219,636	$3,608,430	$1,578,696		4,620	~$1,640,940

Procedure Targets & Bids

PROCEDURE	TARGET RANGE	TARGET PRICE	VOL.	BIDS
MRI Brain (CPT 70553)$285	3× – 4×	$855 – $1,140	840	5 bids4 in target1.5×
MRI Spine (CPT 72148)$310	3× – 4×	$930 – $1,240	630	5 bids4 in target1.5×
CT Abdomen (CPT 74177)$245	2.4× – 3.2×	$588 – $784	756	5 bids4 in target1.5×
CT Chest (CPT 71260)$195	2.4× – 3.2×	$468 – $624	504	–
X-Ray Chest (CPT 71046)$35	2.4× – 3.2×	$84 – $112	924	–
Ultrasound Abdomen (CPT 76700)$115	2.4× – 3.2×	$276 – $368	378	–
PET Scan (CPT 78815)$1,050	2.4× – 3.2×	$2,520 – $3,360	84	–
Mammogram (CPT 77067)$145	2.4× – 3.2×	$348 – $464	504	–

Supplier Bids15

12 within target

8 preferred

Last Year: Actual 2024 spend from claims analysis. Market: Typical commercial rates (3-5× Medicare). Target: Drag sliders to set max Medicare multiples for RFQ.

Lower targets = more aggressive pricing, may reduce supplier pool. All calculations update in real-time.

PROCEDURE

MEDICARE

LAST YEAR

MARKET

TARGET

SAVINGS

VOL.

ANNUAL

IMAGING8 procedures

MRI Brain (CPT 70553)

$285

3.7× $1,045

4.2× $1,197

3× – 4×

$53251%

840

$446,880

MRI Spine (CPT 72148)

$310

3.5× $1,086

4× $1,240

3× – 4×

$55951%

630

$352,170

CT Abdomen (CPT 74177)

$245

3.5× $858

3.8× $931

2.4× – 3.2×

$46654%

756

$352,296

CT Chest (CPT 71260)

$195

3.2× $619

3.5× $683

2.4× – 3.2×

$32653%

504

$164,304

X-Ray Chest (CPT 71046)

$35

3× $105

3.2× $112

2.4× – 3.2×

$5653%

924

$51,744

Ultrasound Abdomen (CPT 76700)

$115

2.7× $310

3× $345

2.4× – 3.2×

$13744%

378

$51,786

PET Scan (CPT 78815)

$1,050

3.4× $3,570

3.8× $3,990

2.4× – 3.2×

$1,68047%

$141,120

Mammogram (CPT 77067)

$145

2.5× $363

2.8× $406

2.4× – 3.2×

$16044%

504

$80,640

Subtotal

$3,219,636

$3,608,430

$1,578,696

4,620

$1,640,940

TOTAL

$3,219,636

$3,608,430

$1,578,696

4,620

~$1,640,940

PROCEDURE

TARGET RANGE

TARGET PRICE

VOL.

BIDS

MRI Brain (CPT 70553)$285

3× – 4×

$855 – $1,140

840

5 bids4 in target1.5×

MRI Spine (CPT 72148)$310

3× – 4×

$930 – $1,240

630

5 bids4 in target1.5×

CT Abdomen (CPT 74177)$245

2.4× – 3.2×

$588 – $784

756

5 bids4 in target1.5×

CT Chest (CPT 71260)$195

2.4× – 3.2×

$468 – $624

504

–

X-Ray Chest (CPT 71046)$35

2.4× – 3.2×

$84 – $112

924

–

Ultrasound Abdomen (CPT 76700)$115

2.4× – 3.2×

$276 – $368

378

–

PET Scan (CPT 78815)$1,050

2.4× – 3.2×

$2,520 – $3,360

–

Mammogram (CPT 77067)$145

2.4× – 3.2×

$348 – $464

504

–