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 |
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.