Methodology — $/Procedure Build
What is a procedure?
A procedure in this calculator represents one primary truncal ablation plus its allocated share of the patient's diagnostic and follow-up care. Every dollar in the per-procedure number traces to a billable CPT we actually deliver — there is no goodwill, no projected uplift, and no unattributed revenue.
- Pick the primary CPT — 36475 RFA · 36482 VenaSeal · 36465 / 36466 Varithena foam. Apply payer mix × commercial multiplier × net realization to get the actual collected rate.
- Weight by procedure mix (VenaSeal 65% / Varithena 25% / RFA 10%) to get the blended Primary $/procedure.
- Add the per-procedure share of bundled per-patient lines: ultrasound (93970 / 93971) and liquid sclerotherapy (36470 / 36471). Allocation divisor = average primary procedures per patient.
- Apply a 10% conservatism buffer to the final number for investor presentation. E&M revenue (99203 / 99204 / 99213 / 99214) is excluded entirely as an additional buffer.
Active scenario: Base. Toggle scenarios on the Dashboard to see this page update live.
Scenario Multiplier (Base)
Applied to every primary CPT's Medicare rate to get the actual collected rate. Commercial multiplier 1.496 = BCBS 30% × 1.30 + other commercial 70% × 1.58. Net realization = collections net of denials & write-offs.
Primary CPT Mix
Each procedure encounter bills one of these four codes. Weighted by volume share.
| CPT | Description | Mix | Medicare | × Scenario Mult | Contribution |
|---|---|---|---|---|---|
| 36482 | VenaSeal — Cyanoacrylate Closure | 65.0% | $1,453 | $1,874 | $1,218 |
| 36465 | Varithena foam — single segment | 15.0% | $1,122 | $1,447 | $217 |
| 36466 | Varithena foam — multiple segments | 10.0% | $1,254 | $1,617 | $162 |
| 36475 | RFA — Endovenous Radiofrequency | 10.0% | $1,700 | $2,192 | $219 |
| Weighted Primary $/procedure | $1,816 | ||||
| Engine value (calcOverallBlendedRate) for reconciliation | $1,816 | ||||
Bundle Per Patient
Per-patient revenue lines allocated across the patient's primary procedures (divisor: 3.08 procs/patient, active scenario).
| Line | CPTs | Per Patient | ÷ 3.08 | $/procedure |
|---|---|---|---|---|
| Ultrasound | 93970 · 93971 | $1,295 | $1,295 ÷ 3.08 | $420 |
| Liquid sclerotherapy | 36470 · 36471 | $596 | $596 ÷ 3.08 | $193 |
| E&M (excluded as buffer) | 99203 · 99204 · 99213 · 99214 | ~$654 real-world | held out | $0 |
| Bundle subtotal | $614 | |||
Final $/procedure (Base)
| Weighted Primary CPT | $1,816 |
| + Bundle allocation (US + sclero) | $614 |
| Raw modeled $/procedure | $2,430 |
| × 10% conservatism buffer (0.90) | × 0.90 |
| Dashboard $/procedure (buffered) | $2,187 |