ASCs vs. HOPDs for 5 common GI procedures

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Here are the national average costs of five common gastrointestinal procedures in ASCs and hospital outpatient departments, according to Medicare’s price lookup tool. 

1. Small intestinal endoscopy

ASC

Total cost: $1,016

Patient pays: $202

Physician fee: $152

Facility fee: $864

Medicare pays: $812

Hospital outpatient departments

Total cost: $2,048

Patient pays: $409

Physician fee: $152

Facility fee: $1,896

Medicare pays: $1,638

2. Colonoscopy, flexible with biopsy

ASC

Total cost: $824

Patient pays: $164

Physician fee: $192

Facility fee: $632

Medicare pays: $660

Hospital outpatient departments

Total cost: $1,371

Patient pays: $273

Physician fee: $192

Facility fee: $1,179

Medicare pays: $1,097

3. Colonoscopy with lesion removal, snare technique 

ASC

Total cost: $874

Patient pays: $174

Physician fee: $242

Facility fee: $632

Medicare pays: $700

Hospital outpatient departments

Total cost: $1,421

Patient pays: $283

Physician fee: $242

Facility fee: $1,179

Medicare pays: $1,137

4. Diagnostic colonoscopy 

ASC

Total cost: $666

Patient pays: $132

Physician fee: $177

Facility fee: $489

Medicare pays: $532

Hospital outpatient departments

Total cost: $1,088

Patient pays: $217

Physician fee: $177

Facility fee: $911

Medicare pays: $870

5. Colorectal cancer screening, high-risk individual 

ASC

Total cost: $666

Patient pays: $0

Physician fee: $177

Facility fee: $489

Medicare pays: $630

Hospital outpatient departments

Total cost: $1,088

Patient pays: $0

Physician fee: $177

Facility fee: $911

Medicare pays: $1,052

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