Abstract
Purpose
To analyze the financial impact following implementation of a hybrid Angio–CT system at a tertiary care academic medical center.
Methods
Aggregate case types and volumes were compared 24 months before and 12 months after a hybrid Angio–CT system replaced a traditional interventional C-arm angiography suite at an academic medical center. Procedure revenues from this 36-month study period were derived from five payors mixes (Medicare, Medicaid, commercial insurance, out-of-pocket and managed care program) and Medicare-rate adjusted to each individual payor types.
Results
Average case volume per month increased 12% in the hybrid Angio–CT suite when compared to the previous traditional angiography suite (P < 0.05). The variety of IR procedures in the hybrid Angio–CT suite also expanded to include more complex interventional radiology and interventional oncology procedures; the breadth of cases performed in the hybrid Angio–CT suite were associated with CPT codes of higher rates (average CPT value/case increased from $2,334.61 to $2,567.25). The estimated average annual revenue of the hybrid Angio–CT suite increased 23% as compared to previous traditional angiography suite.
Conclusion
A hybrid Angio–CT system is a financially feasible endeavor at a tertiary care academic medical center that facilitated higher complexity procedure codes and increased procedure-related revenue.
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Availability of data and materials
The authors declare that they had full access to all of the data in this study and the authors take complete responsibility for the integrity of the data and the accuracy of the data analysis.
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Canon Medical Systems USA, Inc.
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JF: study design, data acquisition/analysis/interpretation, manuscript drafting/revisions. KN: manuscript drafting. NF: data acquisition/analysis. MH: manuscript drafting. RN: manuscript revisions. SZ: manuscript revisions. BSF: manuscript revisions, manuscript final approval. OA: study design, data acquisition/analysis/interpretation, manuscript drafting/revisions/final approval.
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Dr. Funaki reports personal fees from Canon Medical Systems, during the conduct of the study. Dr. Ahmed reports personal fees from Canon Medical Systems, during the conduct of the study; personal fees from Argon, personal fees from Cardiva, personal fees from Phillips, personal fees from Medtronic, personal fees from Boston Scientific, personal fees from Johnson and Johnson, personal fees from Genentech, outside the submitted work. Dr. Fergus, Dr. Nijhawan, Dr. Feinberg, Dr. Hieromnimon, Dr. Navuluri, Dr. Zangan does not have any relevant financial or non-financial interests to disclose.
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Fergus, J., Nijhawan, K., Feinberg, N. et al. Implementation of a hybrid angiography–CT system: increased short-term revenue at an academic radiology department. Abdom Radiol 46, 5428–5433 (2021). https://doi.org/10.1007/s00261-021-03204-7
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DOI: https://doi.org/10.1007/s00261-021-03204-7