ASC payer mix, procedure costs & out-of-pocket expenses — 5 statistics

The Health Industry Distributors Association published a report with insights on ASC payer mix and procedure costs.

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Five takeaways:

1. Commercial payers accounted for 64 percent of the ASC payer mix as of 2017.

2. In 2017, Medicare accounted for 19 percent of the ASC payer mix.

3. On average, joint replacement costs $40,000 in a hospital outpatient department, compared to $18,000 in an ASC.

4. The average cost for cataract surgery in an HOPD is $1,745, compared to $976 in an ASC.

5. Increasing ASC volumes could reduce patients’ total out-of-pocket medical expenses by up to $5 billion in coming years.

More articles on surgery centers:
27 states gained Medicare-certified ASCs from 2017-18
Average salary for 5 key physician specialties
The 6 most common cases migrating to outpatient venues  

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

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