专业英语四级（阅读）-试卷147(总分：30.00，做题时间：90分钟)一、 READING COMPREHENSION(总题数：11，分数：30.00)1.PART V READING COMPREHENSION__________________________________________________________________________________________解析：2.SECTION AIn this section there are several passages followed by ten multiple-choice questions.For each question, there are four suggested answers marked [A], [B], [C] and [D]. Choose theone that you think is the best answer.__________________________________________________________________________________________解析：Considering that industry analysts claim that hospital price calculations are arbitrary, we asked hospitals nationwide a simple question; How do you calculate your sticker prices? Five declinedto comment or didn't provide an answer, leaving Murray Askinazi, senior vice-president and CFOof Lawrence Hospital Center in Bronxville, New York, to offer this explanation; For an outpatient MRI(核磁共振成像), as an example, his hospital calculates its charge based on such factors asthe cost of buying or leasing the machinery, the wear and tear on that machine, staff salaries,the climate control and electric bill, cleaning costs, local competitive pricing, and other costs related to the hospital's overhead, like malpractice insurance. Surprisingly, medical servicescan vary wildly from one hospital to the next. The median charge for acute appendicitis admissions at 289 medical centers and hospitals throughout California, for example, ranged from $1, 529 to almost $183, 000, an Archives of Internal Medicine study reported in April. Within San Francisco alone, the range between the lowest and highest charge was nearly $172, 000. But hospital sticker prices matter only to a limited extent because they typically get trumped(胜过)by a higher power: the amounts that insurance companies are willing to pay for those services. The figures are determined by a negotiated contract that dictates the rate at which the companies will reimburse the hospital on the patient's behalf. In addition, the rates paid by Medicare and Medicaid, Askinazi adds, often fail to cover the hospital's cost of providing the service in the first place, which means some of those costs are often shifted to commercially insured patients. Now, all those factors affect the math for one simple outpatient test. For an inpatient hospital stay, those computations sprout into an intricate vine in which every service(from radiology topathology)generates its own charges. The hospital also has facility charges, covering room and board, certain room-use fees(such as the operating room), and nursing services, all of which get consolidated into the bill sent to you and your insurance company. As technology advances, those charges rise. Palmer had a client from Louisville, Kentucky, who was astonished to receive a charge of $45, 330 for a prostate surgery and an overnight stay(insurance would cover only $4, 845).The billing department told Palmer that the steep price was not only because it was a robotic procedure but also because patients who receive the high-tech surgery shortly after the hospital starts offering it are helping to recoup(偿还)the facility's equipment costs.（分数：6.00）(1).Which of the following can be inferred from Paragraph Three?（分数：2.00）A.Some of the hospital costs will be covered by commercial insurance companies. √B.The insurance companies are willing to pay for all the charges.C.Hospital sticker prices usually get trumped by a high power from the hospital.D.The rate that insurance companies will pay is determined by themselves.解析：解析：推理题。
根据题干提示定位到第三段。
该段最后部分提到，一部分医疗费用会由商业保险公司支付，[A]与文意表述一致，故为正确答案。
[B]含有绝对词all，且所表述内容在文中并未提及，故排除；该段第一句提到了医院标价问题的影响有限，因为另一个更加强大的因素对病人的影响更大：保险公司愿意为医疗服务支付的数额，由此可知，该因素并不是来自医院，而是来自保险公司，故排除[C]；由该段第二句可知，保险公司赔偿比率由公司和患者协商决定，所以排除[D]。
(2).An intricate vine in Paragraph Four refers to______.（分数：2.00）A.the difficulty for an inpatient hospital stayB.the huge amount of hospital chargesC.the problem in calculating hospital chargesD.the complexity of hospital charges √解析：解析：语义题。
根据题干提示定位到第四段第二句。
an intricate vine的字面意思为“一棵错综复杂的葡萄藤”，结合接下来的内容The hospital also has facility charges，covering room and board，certainroom—use fees…可知，医院账单很复杂，而不是账单价高，故[D]为正确答案，同时排除[B]。
[A]和[C]在文中并未提及，故均排除。
(3).The example of Palmer's client in the last paragraph indicates that______.（分数：2.00）A.the technology applied in medical services is quite advancedB.the client spent $45, 330 on a prostate surgeryC.the improvement of technology may lead to the rise of hospital charges √D.the surgery was conducted by robots only解析：解析：推理题。