10 Trends in ASC Pain Management Case Revenue from 2007-2010
1. Average gross charges have risen over the past four years. Average gross charges have risen consistently each year since 2007. The increases ranged from $500-$1,000 in that time period, with the biggest increase coming between 2009 and 2010.
2. Net revenue saw a jump between 2009 and 2010. Average net revenue increases remained within a range of $50 in 2007-2009. During the period 2009-2010, net revenue jumped more than $200.
3. For the past two years, net revenue has been the highest in the Southwest region. In 2009, the net revenue for pain management cases in the Southwest region was $1,218. In 2010, the net revenue was $1,149 — more than $100 higher than net revenue the Midwest and about $300 higher than the West, Southeast and Northeast regions.
4. Gross charges have been highest in the Southwest for the past three out of four years. Similar to net revenue, gross charges were highest in the Southwest region in 2008, 2009 and 2010. The margin has been widening. In 2008 and 2009, the gross charges were about $800 more than the second-highest region, the Midwest, but in 2010, that margin grew to more than $1,200.
5. For three of the past four years, net revenue has been lowest in the Southeast region. In 2007, 2008 and 2010, net revenue was lowest in the Southeast region. Although the margin was close to $100 in 2007 and 2008 between the Southeast and the second-lowest region, that margin shrank to $3 in 2010.
6. For the past four years, gross charges have been lowest in the Southeast region. From 2007-2010, gross charges were lowest in the Southeast region. In 2007, the disparity between the Southeast and the second-lowest region was more than $500. In 2010, that margin shrank to just over $200.
7. The median discount to charges has risen every year. Starting at 66.9 percent in 2007, the median discount to charges has steadily increased every year and was at 76 percent in 2010. The average discount to charges followed the same pattern until 2010, when the discount dropped 2 percent from the previous year.
8. Fewer centers are above the average net revenue in 2010 than 2007. In 2007, the only regions not to be above the average net revenue were Southwest and the Southeast. Starting in 2008, only two regions were above the average net revenue each year. In 2010, the Southwest and Midwest are the only two regions above the average net revenue.
9. The Southeast region was never over the average net revenue. During the 2007-2010 period, the Southeast region was never over the average net revenue. The disparity was greatest in 2010, when the region fell more than $130 short of the average.
10. Midwest region was above average net revenue all four years. The Midwest was the only region to be above the average net revenue all four years. The difference was $20-57 in 2007, 2009 and 2010 but was $366 in 2009.
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