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1. Product/Service Mix (represented as a weighted average of type of scan (CPT code), its RVU, and
the number of scans; operationally, this variable was represented in binary form: % low-RVU scans,
and % high-RVU scans.
2. Reimbursement Rates (i.e., projected reimbursement rate per scan)
3. Volume (i.e., annual number of MRI scans performed)
4. Capital Expenditure Amount (i.e., required investment outlay for the MRI scan, residual value of the
asset, additional net working capital required)
5. Financing (cost of equity capital; income tax rate, t)
6. Operating costs (both variable (supplies) and fixed (personnel, utilities, insurance, etc.)
In this particular case, all input variables were assumed to follow a triangular distribution, formed on
the basis of the end-point and expected values for each variable reflected in Table 4.
MCS analysis (100,000 random draws from each distribution) was then used to estimate the NPV of
the proposed investment, in probabilistic terms. The resulting distribution of NPVs based on the
simulation is presented in Figure 2 of the article.
4. Which probability density functions were used in the analysis reported in this article?
(See Figure 1 for an example—Number of MRI scans per year.)
5. Figure 3 of the article presented what the authors called a “contribution to variance chart.” For
what purpose was this information useful to decision makers?
Decision makers would be interested in knowing which of the input factors (see question 3 above) are
most important to the estimation of NPV for the project at hand. Put differently, they’d be interested in
how sensitive estimated NPV for the project is with respect to the value assumed by each of the input
(negative) correlation between two of the input factors: first year number of scans, and subsequent
growth rate in number of scans per year.