Procedure Profitability Calculator
Expected reimbursement less supplies, staff, equipment and overhead — contribution per case and break-even volume.
Illustrative assumptions. Default values here are example inputs for demonstration only — not validated reimbursement rates, costs or benchmarks. Replace every field with your own practice’s figures.
Contribution per case
$277
66% of payment is left after direct cost, to cover fixed cost.
Monthly economics
- Direct cost per caseIncludes $29 of staff time
- $144
- Monthly contribution
- $11,060
- Result after fixed cost
- $2,060
- Break-even volumeYou are 7 cases above break-even
- 33 cases/mo
If payment falls
Payment policy moves. This shows what a reduction would do to this line before you change anything else.
Payment −5%
$256
per case
Break-even 36 cases
Payment −10%
$235
per case
Break-even 39 cases
How this is calculated
- Contribution per case = expected payment − (consumables + staff time cost + other per-case cost).
- Staff time cost = (minutes ÷ 60) × loaded hourly rate.
- Break-even volume = allocated monthly fixed cost ÷ contribution per case.
- The sensitivity panel re-runs contribution and break-even at payment reduced by 5% and 10%.
What it does not do
- It does not know your payer mix, contracted rates or site-of-service differentials — you supply the blended payment.
- It does not model tax, depreciation, or the opportunity cost of the room and session used.
- It does not include benchmark comparison, because we do not publish benchmark data we have not licensed.
Now that you have a number
Want to pressure-test this against your actual claims data?
This model is only as good as the assumptions you put into it. Persistex works with independent urology practices on billing, coding and revenue cycle, and a practice review starts from your actual payment and denial data.
Analyze My Urology Practice takes you to a short form on the About page.
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