18 Statistics on Surgery Center Payer Mix by Case Volume

Here are 18 statistics on surgery center payer mix based on case volume, according to VMG Health’s ASC Intellimarker Survey 2011.

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Payer mix as a percentage of gross charges

Less than 3,000 cases
•    Commercial: 59 percent
•    Medicare: 22 percent
•    Worker’s Compensation: 4 percent
•    Other pay: 3 percent
•    Medicaid: 2 percent
•    Self pay: 2 percent

3,000 to 5,999 cases
•    Commercial: 57 percent
•    Medicare: 26 percent
•    Worker’s Compensation: 4 percent
•    Other pay: 4 percent
•    Medicaid: 3 percent
•    Self pay: 2 percent

More than 5,999 cases
•    Commercial: 61 percent
•    Medicare: 24 percent
•    Worker’s Compensation: 4 percent
•    Medicaid: 3 percent
•    Other pay: 3 percent
•    Self pay: 1 percent

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