ASCs collected 67% of expected patient deposits in 2025, leaving about $125.4 million uncollected, according to HST Pathways’ 2026 State of the ASC Industry Report.
The report draws on data from 682 ASCs in 45 states, covering nearly 4.8 million unique patient visits.
Here are five things to know:
1. The centers expected to collect $380.1 million in patient deposits in 2025. They collected $254.7 million.
2. The collection rate has risen slowly, from 63% in 2023 to 65% in 2024 and 67% in 2025.
3. Partial payments outnumbered full ones. In 2025, 47% of reimbursements were partial payments and 26% were paid in full.
4. Front-end checks are still uneven. Insurance verification was completed in 83% of cases in 2025, up from 77% in 2023. When pre-authorization was required, it was completed in 32% of cases.
5. More centers are turning to financial clearance tools such as automated patient estimates and online payments, the report said. Some collect payment before or on the date of service and won’t perform a case until the patient has paid. The report recommends sending patient estimates one to two weeks before the date of service.
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.
