Commercial payer spend on GI procedures in HOPDs vs. ASCs — 6 statistics

Consumers save as much as $5 billion a year in out-of-pocket costs by having procedures performed in ASCs instead of hospital outpatient departments, according to Anthem.

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Anthem compared U.S. annual commercial insurance spending for upper GI and colonoscopy procedures in ASCs versus HOPDs in 2019, and projected what spending would look like if 1 in 5 of these procedures shifted from HOPDs to ASCs:

2019
HOPDs: $13.4 billion
ASCs: $11.7 billion
Total spending: $25.1 billion

Post-shift:
HOPDs: $10.7 billion
ASCs: $13.2 billion
Total spending: $24 billion

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