Blue Health Intelligence — BCBS’ healthcare data analytics company — analyzed national claims data for six common outpatient procedures among 133 million BCBS members from 2017 to 2022.
The analysis found that costs for all six procedures were “substantially higher” when performed in HOPDs — leading to a higher cost for consumers.
Here are five more key comparisons:
1. Colonoscopy screenings cost 32 percent more in HOPDs than at ASCs and double than when performed in a physician’s office.
2. Diagnostic colonoscopies cost 58 percent more in an HOPD than in an ASC.
3. Cataract surgery costs 56 percent more in an HOPD than in an ASC.
4. Ear tympanostomies cost 52 percent more in an HOPD than when performed in an ASC.
5. For most of the procedures, the difference in costs grew faster over time in HOPDs than in ASC or office settings.
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.