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.

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.

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