30 statistics on ASC payer mix as a % of gross charges

Commercial payers comprise the bulk of ASCs’ payer mix, on average, according to VMG’s 2017 Multi-Specialty ASC Study Intellimarker.

Advertisement

Here are 30 statistics on ASC payer mix as a percent of gross charges:

Commercial
Mean: 56 percent
25th percentile: 47 percent
Median: 58 percent
75th percentile: 69 percent
90th percentile: 75 percent

Medicare
Mean: 27 percent
25th percentile: 15 percent
Median: 24 percent
75th percentile: 37 percent
90th percentile: 48 percent

Worker’s Comp
Mean: 10 percent
25th percentile: 3 percent
Median: 5 percent
75th percentile: 12 percent
90th percentile: 18 percent

Medicaid
Mean: 7 percent
25th percentile: 3 percent
Median: 5 percent
75th percentile: 8 percent
90th percentile: 15 percent

Other pay
Mean: 7 percent
25th percentile: 2 percent
Median: 4 percent
75th percentile: 9 percent
90th percentile: 14 percent

Self pay
Mean: 5 percent
25th percentile: 2 percent
Median: 3 percent
75th percentile: 5 percent
90th percentile: 10 percent

More articles on coding and billing:
3 notes on how Cigna’s partnership with this NC health system impacts surgery centers
Pain management in 2017: Tips for thriving despite the challenges
4 legislative updates impacting ASCs — July 21, 2017

At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.

Register to Attend Webinar

Is ambulatory care healthcare’s big margin engine? 4 leaders weigh in

Wednesday, July 29
1:00 PM - 2:00 PM CDT

Presenters: Joe Ganley, athenahealthJeffrey Flynn, CASC, Gramercy Surgery CenterBryan Tsao, Access Center, Loma Linda University HealthJason Zepeda, Northridge Hospital Medical Center, CommonSpirit HealthGreg DeConciliis, PA-C, CASC, Boston Out­Patient Surgical Suites

Advertisement

Next Up in ASC Coding, Billing & Collections

Advertisement

Comments are closed.