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