Orthopedics continues to lead all ASC specialties in revenue generation, with average net revenue per case increasing from $6,141 in 2023 to $6,419 in 2024.
The specialty’s growth reflects rising patient demand and stronger payer reimbursements, according to data from HST Pathways. The ASC software solutions provider’s analysis included data from 437,971 orthopedic cases across 338 surgery centers.
Here are 10 things to know:
- Operating room utilization declined slightly, from 38% in 2023 to 37% in 2024.
- Prior authorization approvals increased from 43% in 2023 to 49% in 2024.
- Insurance verification rates remained flat at 86%.
- Case cancellation rates increased from 15.6% in 2023 to 16% in 2024.
- Patient decision was the leading reason for cancellations at 35%, followed by provider cancellations at 18%.
- Patient deposit collection rates dropped from 78% in 2023 to 71% in 2024.
- Average days to bill improved, falling from 11 in 2023 to 9 in 2024.
- Claims denial rates were unchanged at 13%.
- Net revenue per case grew by 11%, increasing from $4,678 in 2023 to $5,193 in 2024.
- Case volume rose 5.5% year over year, reflecting growth in orthopedic procedures.
