≈$200K realistically addressable across 4 moves
≈$200K (about two-thirds of the $312K measured gap) realistically addressable, phased over the plan year — directional. Not a promise; net of overlap; sorted by gross dollar impact. We quantify the achievable scenario — we never name the vendor to switch to. All numbers are placeholders.
Steer imaging to freestanding sites near your worksites
MRI and CT run +44% vs. cohort at hospital outpatient settings; freestanding alternatives on your map run ~$2,700 less per scan at your plan's negotiated rates.
Renegotiate imaging rates within your current network
Your negotiated MRI rate sits at the 78th percentile of the anonymized cohort — an achievable-rate scenario exists at the cohort median.
Add a site-of-service benefit incentive to the plan design
64% of analyzed procedures price above the cohort median; benefit design can shift utilization toward below-median facilities without a network change.
Explore direct contracts for your highest-volume procedures
Your top four variance procedures total $254K in annualized excess vs. the cohort median; the $60K here is the achievable slice of that excess through a direct arrangement — the rest is addressed by the imaging moves above.
Realistic combined impact — net of overlap
The three imaging moves net to ≈$140K (best path + partial complement, not the full stack) + ≈$60K from direct contracting on a largely distinct procedure mix. Gross $312K → de-duplicated: ≈$200K, about two-thirds of the $312K measured gap, phased over the plan year — directional.
$96K + $84K + $72K + $60K gross = $312K → net ≈ $200K / yr
Achievable-rate framing only: scenarios are quantified from public MRF benchmarks and your plan's negotiated rates. No peer employer is named; no vendor recommendation is made.