Surgery Center Payor Mix as a Percentage of Gross Charges

Here is the average payor mix for surgery centers as a percentage of gross charges, based on average net revenue, from VMG Health’s 2009 Intellimarker.

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1. All facilities

  • Medicare — 22 percent
  • Commercial — 19 percent
  • Worker’s compensation — 4 percent
  • Medicaid — 2 percent
  • Self-pay — 2 percent
  • Other pay — 2 percent

2. Less than $4.5 million

  • Medicare — 27 percent
  • Commercial — 17 percent
  • Worker’s compensation — 4 percent
  • Medicaid — 2 percent
  • Self-pay — 2 percent
  • Other pay — 2 percent


3. $4.5-$7.0 million

  • Commercial — 24 percent
  • Medicare — 23 percent
  • Worker’s compensation — 3 percent
  • Other pay — 3 percent
  • Medicaid — 2 percent
  • Self-pay — 2 percent

4. More than $7.0 million

  • Medicare — 19 percent
  • Commercial — 19 percent
  • Worker’s compensation — 4 percent
  • Medicaid — 2 percent
  • Self-pay — 2 percent
  • Other pay — 2 percent

To receive a free copy of VMG Health’s 2009 Intellimarker, click here.

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