Below are the average Medicare reimbursements for the 10 most common procedures performed at ASCs, using facility and physician fee data from Medicare’s Procedure Price Lookup tool.
|
Procedure with HCPCS/CPT code |
ASC facility and physician fee |
HOPD facility and physician fee |
|
1. Excision of cataract with removal of lens, without ECP (66984) |
$1,368 |
$2,198 |
|
2. Colonoscopy, with removal of lesion(s) (45385) |
$685 |
$1,095 |
|
3. Colonoscopy, with biopsy, single/multiple (45380) |
$644 |
$1,054 |
|
4. Esophagogastroduodenoscopy, biopsy, single/multiple (43239) |
$483 |
$797 |
|
5. Diagnostic colonoscopy (45378) |
$521 |
$838 |
|
6. Injection(s), anesthetic agent and/or steroid, lumbar/sacral (64483) |
$464 |
$780 |
|
7. Anesthesia for lower intestine scope, colonoscopy (812) |
Fees not available. |
Fees not available. |
|
8. Injection(s), anesthetic agent and/or steroid, lumbar/sacral (64493) |
$448 |
$764 |
|
9. Destruction of lumbar/sacral facet joint(s) by neurolytic (64635) |
$868 |
$1,621 |
|
10. Incision of eardrum to create opening (69436) |
$659 |
$1,288 |
