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 |
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.