Spearman D
Adm Radiol. 1991 Aug;10(8):72, 75-6.
Based upon this survey, the technical cost per RVU is $16.87 in freestanding radiation oncology centers. A 47% increase in technical reimbursement is needed in order to cover technical radiation oncology costs. Because technical costs are continuing to escalate, the gap between cost and reimbursement will widen unless modifications in the system are made. The data from this survey does not justify the implementation of an energy modifier for reimbursement purposes (although there was limited data from single unit, high energy facilities). Total costs increase with increasing beam energy; however, total services or RVUs are inversely proportional to beam energy and the resultant technical cost per RVU does not increase with treatment beam energy. In this survey, 13 of 80 centers (16%) had the capability to treat with a photon beam energy greater than 11 MV.
根据这项调查，独立放疗中心每个相对价值单位（RVU）的技术成本为16.87美元。为了覆盖放疗技术成本，技术报销费用需要增加47%。由于技术成本持续上升，除非对系统进行调整，否则成本与报销之间的差距将扩大。本次调查的数据并不支持为报销目的实施能量修正因子（尽管来自单个高能量设施单位的数据有限）。总成本随着射束能量的增加而增加；然而，总服务量或相对价值单位与射束能量成反比，每个相对价值单位的最终技术成本不会随着治疗射束能量的增加而增加。在本次调查中，80个中心中有13个（16%）有能力使用能量大于11兆伏的光子束进行治疗。
