![Money Ladder](https://www.beckersasc.com/images/2014-images/10/Money_Ladder.jpg)
Overall impact of reimbursement on value:
• Low reimbursement: medium
• Contracting leverage: high
• Single payer: very high
• Out-of-network: very high
High reliance on out-of-network payers
• Very low: 0 percent
• Low: 0 percent
• Medium: 0 percent
• High: 7 percent
• Very high: 93 percent
High level of patient volume and revenue tied to a single payer
• Very low: 0 percent
• Low: 7 percent
• Medium: 20 percent
• High: 33 percent
• Very high: 40 percent
Contracting leverage with major payers in the market
• Very low: 7 percent
• Low: 7 percent
• Medium: 33 percent
• High: 47 percent
• Very high: 7 percent
Low commercial reimbursement levels
• Very low: 7 percent
• Low: 13 percent
• Medium: 40 percent
• High: 27 percent
• Very high: 13 percent
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