25 Statistics on ASC Payor Mix

DollarsHere are 25 statistics on ambulatory surgery center payer mix as a percentage of gross charges, from VMG's Intellimarker ASC Benchmarking Survey 2011. The data covers ASCs with more than 50 percent orthopedics, high and low net revenue and number of operating rooms.



For facilities with greater than 50 percent orthopedics:


•    67 percent of payer mix is commercial payers.
•    17 percent of the payer mix is Medicare.
•    12 percent of the payer mix is workers' compensation.
•    1 percent of the payer mix is self-pay.
•    5 percent of the payer mix is another form of payment.

For facilities making less than $4.5 million in net revenue:


•    53 percent of the payer mix is commercial payers.
•    30 percent of the payer mix is Medicare.
•    4 percent of the payer mix is Medicaid.
•    3 percent of the payer mix is workers' compensation.
•    3 percent of the payer mix is self-pay.

For facilities making more than $6.9 million in net revenue:


•    64 percent of the payer mix is commercial payers.
•    20 percent of the payer mix is Medicare.
•    4 percent of the payer mix is workers' compensation.
•    3 percent of the payer mix is Medicaid.
•    1 percent of the payer mix is self-pay.

For facilities with one to two operating rooms:


•    54 percent of the payer mix is commercial payers.
•    29 percent of the payer mix is Medicare.
•    6 percent of the payer mix is other forms of payment.
•    4 percent of the payer mix is workers' compensation.
•    3 percent of the payer mix is Medicaid.

For facilities with more than four operating rooms:


•    64 percent of the payer mix is commercial payers.
•    22 percent of the payer mix is Medicare.
•    4 percent of the payer mix is another form of payment.
•    3 percent of the payer mix is Medicaid.
•    3 percent of the payer mix is workers' compensation.

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