Below is the average Medicare-approved reimbursement for five of the most common procedures done in ASCs, according to an analysis by healthcare market intelligence company Definitive Healthcare and using CMS’ procedure price lookup tool.
|
CPT code |
Procedure |
Avg. reimbursement in ASCs |
Avg. reimbursement in HOPDs |
|
64483 |
Injection(s), anesthetic agent and/or steroid, lumbar/sacral |
$580 |
$976 |
|
64635 |
Destruction of lumbar/sacral facet joint(s) by neurolytic |
$1,085 |
$2,027 |
|
69436 |
Incision of eardrum to create opening |
$824 |
$1,611 |
|
G0121 |
Screening colonoscopy, not high risk individual |
$652 |
$1,048 |
|
62323 |
Injection, interlaminar lumbar/sacral spine, epidural |
$454 |
$754 |