Ahagelthrope - I can't say as I was never a party to the negotiations involving an entity that size. I do not think a straight line extrapolation from the size of the facility I was at to what you are talking about is possible. Big organizations with high volume get a better deal per image and the mix of patients seen in an acute setting with multiple ICUs, a Level 1 Emergency Department etc. is very different from a group practice based in the community. Also, I was at a facility with a medical school where a common assumption is that studies may be over ordered by residents learning their craft. Also, research can play a role in the negotiations too, so an academic institution has a different set of negotiating tools than a group practice.
JB - thank you for including the post. I did not consider the post anything special as it was just an aspect of a job I was involved with for what seemed an eternity. Just goes to show that what is in one person's head may have some value to others even when you aren't thinking that way.
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