Payor Mix Analysis for Surgery Centers by Region

Here is the average payor mix as a percent of gross charges for surgery centers based on their region, according to VMG Health’s 2009 Intellimarker.

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Staff

1. All facilities

  • Medicare — 22 percent
  • Commercial — 19 percent
  • Workers’ compensation — 4 percent
  • Medicaid — 2 percent
  • Self pay — 2 percent
  • Other — 2 percent

2. West

  • Commercial — 28 percent
  • Medicare — 19 percent
  • Workers’ compensation — 8 percent
  • Medicaid — 4 percent
  • Other — 4 percent
  • Self pay — 1 percent

3. Southwest

  • Medicare — 22 percent
  • Commercial — 17 percent
  • Other — 5 percent
  • Workers’ compensation — 3 percent
  • Medicaid — 2 percent
  • Self pay — 2 percent

4. Midwest

  • Commercial — 23 percent
  • Medicare — 21 percent
  • Workers’ compensation — 5 percent
  • Self pay — 2 percent
  • Medicaid — 1 percent
  • Other — 1 percent

5. Southeast

  • Medicare — 29 percent
  • Commercial — 5 percent
  • Workers’ compensation — 3 percent
  • Medicaid — 2 percent
  • Self pay — 2 percent
  • Other — 2 percent

6. Northeast

  • Medicare — 26 percent
  • Commercial — 17 percent
  • Other — 6 percent
  • Workers’ compensation — 2 percent
  • Medicaid — 1 percent
  • Self pay — 1 percent

To receive a free copy of VMG Health’s 2009 Intellimarker, click here.

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