Using Medicare’s procedure price lookup, here is a comparison of the average procedure costs of six joint replacement procedures in ASCs in 2018 versus that of 2024:
1. Arthroplasty, knee, tibial plateau (27440)
2018:
• Average Medicare pays: $5,835
• Average total cost: $7,294
• Amount patient pays on average: $1,459
2024:
• Average Medicare pays: $7,391
• Average total cost: $9,240
• Amount patient pays on average: $1,847
2. Arthroscopy, knee, surgical; with meniscus repair (29882)
2018:
• Average Medicare pays: $1,024
• Average total cost: $2,280
• Amount patient pays on average: $256
2024:
• Average Medicare pays: $1,762
• Average total cost: $2,202
• Amount patient pays on average: $439
3. Total disc arthroplasty with discectomy (22856)
2018:
• Average Medicare pays: $8,970
• Average total cost: $11,213
• Amount patient pays on average: $2,243
2024:
• Average Medicare pays: $11,836
• Average total cost: $14,795
• Amount patient pays on average: $2,958
4. Sacroiliac joint fusion (27279)
2018:
• Average Medicare pays: $9,965
• Average total cost: $12,456
• Amount patient pays on average: $2,491
2024:
• Average Medicare pays: $12,394
• Average total cost: $15,494
• Amount patient pays on average: $3,098
5. Anterior cervical discectomy (22551)
2018:
• Average Medicare pays: $5,870
• Average total cost: $7,337
• Amount patient pays on average: $1,467
2024:
• Average Medicare pays: $8,440
• Average total cost: $10,550
• Amount patient pays on average: $2,109
6. Laminotomy foraminotomy decompression (63030)
2018:
• Average Medicare pays: $2,177
• Average total cost: $2,721
• Amount patient pays on average: $544
2024:
• Average Medicare pays: $3,443
• Average total cost: $4,303
• Amount patient pays on average: $860
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.