What 6 orthopedic procedures cost at ASCs vs. HOPDs

Medicare’s Procedure Price Lookup tool allows patients to compare the cost of services at ASCs and hospital outpatient departments.

Advertisement

Total costs and CPT codes for six orthopedic procedures:

Editor’s note: The total cost is the “Medicare approved amount.” In Original Medicare, Medicare generally pays 80 percent of this amount and the patient pays 20 percent.

20610: Aspiration and/or injection of large joint or joint capsule
ASC: $28
HOPD: $247

29881: Removal of one knee cartilage using an endoscope
ASC: $1,256
HOPD: $2,623

29827: Repair of shoulder rotator cuff using an endoscope
ASC: $2,744
HOPD: $5,699

64721: Release and/or relocation of median nerve of hand
ASC: $781
HOPD: $1,631

23040: Incision to repair shoulder joint
ASC: $1,256
HOPD: $2,623

29879: Arthroscopy, knee, surgical; abrasion arthroplasty (includes chondroplasty where necessary) or multiple drilling or microfracture
ASC: $1,256
HOPD: $2,623 

More articles on orthopedics:
What does it take to get an ASC robotics program off the ground? 5 strategies for success
4 new orthopedic ASCs & outpatient joint programs announced or established in November
Preparing for a total joints program: Key considerations for ASCs

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.

Register to Attend Webinar

Is ambulatory care healthcare’s big margin engine? 4 leaders weigh in

Wednesday, July 29
1:00 PM - 2:00 PM CDT

Presenters: Joe Ganley, athenahealthJeffrey Flynn, CASC, Gramercy Surgery CenterBryan Tsao, Access Center, Loma Linda University HealthJason Zepeda, Northridge Hospital Medical Center, CommonSpirit HealthGreg DeConciliis, PA-C, CASC, Boston Out­Patient Surgical Suites

Advertisement

Next Up in Orthopedics / TJR

Advertisement

Comments are closed.