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Commercial payer spend on GI procedures in HOPDs vs. ASCs — 6 statistics

Consumers save as much as $5 billion a year in out-of-pocket costs by having procedures performed in ASCs instead of hospital outpatient departments, according to Anthem.

Anthem compared U.S. annual commercial insurance spending for upper GI and colonoscopy procedures in ASCs versus HOPDs in 2019, and projected what spending would look like if 1 in 5 of these procedures shifted from HOPDs to ASCs:

2019
HOPDs: $13.4 billion
ASCs: $11.7 billion
Total spending: $25.1 billion

Post-shift:
HOPDs: $10.7 billion
ASCs: $13.2 billion
Total spending: $24 billion

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