19 Statistics About Orthopedics in Surgery Centers

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1. Orthopedics accounts for around 16 percent of the total case volume mix in surgery centers, second behind GI/endoscopy (25 percent), ophthalmology (18 percent) and pain management (17 percent). The average surgery center performs 4,869 cases annually, which would average to around 779 orthopedics cases annually.

2. The average gross charges for orthopedic cases are $8,026. The average case revenue is $2,453.

3. Surgery centers in the Midwest received the highest average net revenue per orthopedics case with $2,739. Average net revenue was lowest in the Southeast at $2,111 per case.

4. Here are the average net revenues per orthopedics case by the number of operating rooms in the surgery center:


5. Here are the average net revenues per orthopedics case by a surgery center's total annual case volume:

6. Here are the average net revenues per orthopedics case by a surgery center's total net revenue:

Medicare charges and payments
Here is the average 2008 Medicare sub charge (submitted charges divided by allowed services), average allow charge (Medicare-allowed charges divided by allowed services, including co-pays and deductibles paid by patient) and average payment (Medicare payments divided by allowed services, not including co-pays and deductibles paid by patient) for 14 orthopedic procedures commonly performed in ASCs.

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7. Obtaining small amount of bone for graft (CPT 20900):

8. Open surgical partial removal of collar bone (CPT 23120):

9. Partial repair or removal of shoulder bone (CPT 23130):

10. Open repair of rotator cuff, recent (CPT 23410):

11. Open repair of rotator cuff, old (CPT 23412):

12. Reconstruction rotator cuff, old (CPT 23420):

13. Open repair elbow fracture involving ulnar bone (CPT 24685):

14. Wrist fracture pinning through skin (CPT 25606):

15. Open surgical treatment wrist fracture (radius) (CPT 25607):

16. Shoulder scope, repair cartilage tear (CPT 29807):

17. Shoulder scope, partial removal collar bone (CPT 29824):

18. Shoulder scope, bone shaving (CPT 29826):

19. Shoulder scope, rotator cuff repair (CPT 29827):

Sources:
Items 1-6: VMG Health's 2009 Intellimarker
Items 7-20: CMS

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