Free tool
Hospital revenue leakage estimator
Revenue leakage is money a hospital earned and never collected — a consultation that never reached a bill, medicine handed over on credit and forgotten, a test reported while the bill still had a balance, a discharge cleared without the balance being settled. This adds up what each is costing you per month. Every input is your own number; it supplies no industry averages, because a calculator that guesses your leakage for you is a sales pitch with a text box.
Four vectors, each one you can count for yourself in about an hour of record-checking. The arithmetic is deliberately simple; getting your own percentages honestly is the hard part, and the only part that matters.
- What it needs
- Ten figures from last month
- What it assumes
- Nothing — no benchmarks, no averages
- Hardest input
- The unbilled-visit percentage
- Best used
- Monthly, watching the trend
About ₹12,20,400 a year, on your own figures.
| Unbilled OPD visits | ₹21,600 | 21% |
|---|---|---|
| Pharmacy dispensed unpaid | ₹18,000 | 18% |
| Diagnostics released unpaid | ₹8,100 | 8% |
| Unrecovered at discharge | ₹54,000 | 53% |
Method
How each figure is worked out
Each line is one multiplication, on purpose. Anything more elaborate would hide where the number came from.
- Unbilled OPD visits — visits × fee × the share that never reached a bill.
- Pharmacy dispensed unpaid — sales value × the share handed over without collection, whether that is counter credit or an inpatient dispense that never posted to the bill.
- Diagnostics released unpaid — orders × average order value × the share reported while the bill still carried a balance.
- Unrecovered at discharge — discharges × the average unrecovered amount. Note this averages across all discharges, not only the ones that fell short, which is the commonest way this line gets overstated by a factor of five.
Honesty
What this cannot tell you
It is an estimate built on percentages you supplied, so it is exactly as good as those percentages. If you enter a feeling rather than a count, the output is a feeling with a rupee sign on it.
A longer treatment of where the effort actually pays back is in reducing hospital operational costs with automation.
The one input worth spending real time on is the share of OPD visits that never reach a bill. Take one week, count encounters recorded against bills raised, and use that. It is usually the largest line and almost always the most under-estimated, because the visits that go unbilled are precisely the ones nobody remembers.
It also cannot tell you whether a gap is leakage or policy. A consultation waived for a staff member's family is not lost revenue — it is a decision. The number only becomes useful once waivers are recorded as waivers, which is the same discipline that makes the estimate worth running twice.
Next
Read the guide, or measure the other numbers
- Hospital revenue leakage: where it happensThe four vectors in detail, a daily check for each, and the controls that stop them recurring.Read more →
- ARPOB calculatorRevenue per occupied bed per day — closing a leak should move this number.Read more →
- Operating benchmarksWhat India's listed chains publish for ARPOB, occupancy and length of stay, with every source graded.Read more →
The same four numbers, counted rather than estimated