Anesthesia reimbursement decline over the last 5 years

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ASCs and anesthesia practices are feeling a financial squeeze as reimbursement rates fail to keep pace with rising operational costs. 

Here is a look at how CMS’ reimbursement rates for anesthesia have changed over the last five years:

2019

  • Conversion factor: $22.27, less than 1% increase from 2018

2020

  • Conversion factor: $22.20, 0.3% decrease from 2019

2021

  • Conversion factor: $21.56, 3.3% decrease from 2020

2022

  • Conversation factor $21.56, roughly a flat rate of change

2023

  • Conversation factor: $21.12, 2% decrease from 2022

2024: 

  • Conversion factor: $20.77. The initially proposed rate for 2024 was $20.39, and later increased by 1.66% as mandated by the Consolidated Appropriations Act of 2024. 

2025: 

  • Conversion factor: $20.31, a 2.8% decrease 
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