title: Technical cost of CT examinations.
abstract: OBJECTIVE
  To measure the technical cost of different categories of computed tomographic (CT) examinations.
  
  
  METHODS
  For fiscal year 1997, the technical costs of performing CT examinations in a tertiary care academic medical center were measured. Costs were divided into labor and nonlabor categories. Indirect departmental costs were fully allocated according to activity-based methods. Hospital overhead costs were set at 85% of the departmental budget. Physician costs, including those related to image interpretation were not included. The technical cost of CT was determined on a per technical relative value unit (RVU) basis and on a per examination basis. For the latter, the technical cost of nonenhanced CT, contrast material-enhanced diagnostic CT, and interventional CT procedures were determined.
  
  
  RESULTS
  In fiscal year 1997, 45,599 examinations (22,158 [48.6%] abdominal and/or pelvic, 12,115 [26.6%] head and neck, 6,572 [14.4%] thoracic, 1,593 [3.5%] interventional, and 3,161 [6.9%] other) were performed with five CT scanners for a technical RVU output of 254,461. Of 45,599 examinations, 31,007 (68%) were performed with intravenously administered contrast medium. Overall labor costs were $1,744,653, and nonlabor costs were $2,912,282. The cost of a hypothetical CT examination with a mean technical RVU of 5.58 was $189. The overall cost per examination was $150 for nonenhanced CT, $237 for contrast-enhanced CT, and $462 for interventional CT.
  
  
  CONCLUSIONS
  Although CT is based on sophisticated technology, the mean technical cost of a diagnostic CT examination is less than $200.
authors.affiliation: Department of Radiology, Massachusetts General Hospital and Harvard Medical School, 32 Fruit St, Boston, MA 02114. saini.sanjay@mgh.harvard.edu
authors.forename: S
authors.initials: S
authors.lastname: Saini
authors.forename: R
authors.initials: R
authors.lastname: Sharma
authors.forename: L A
authors.initials: LA
authors.lastname: Levine
authors.forename: R T
authors.initials: RT
authors.lastname: Barmson
authors.forename: P F
authors.initials: PF
authors.lastname: Jordan
authors.forename: J H
authors.initials: JH
authors.lastname: Thrall
mesh_terms: D003365:Costs and Cost Analysis; D006801:Humans; D014057:Tomography, X-Ray Computed / Q000191:economics*