1. Obtaining small amount of bone for graft (CPT 20900)
– average sub charge: $2,060
– average allow charge $294
– average payment: $231
2. Open surgical partial removal of collar bone (CPT 23120)
– average sub charge: $3,793
– average allow charge $477
– average payment: $376
3. Partial repair or removal of shoulder bone (CPT 23130)
– average sub charge: $4,027
– average allow charge $478
– average payment: $377
4. Open repair of rotator cuff, recent (CPT 23410)
– average sub charge: $4,947
– average allow charge $671
– average payment: $530
5. Open repair of rotator cuff, old (CPT 23412)
– average sub charge: $5,556
– average allow charge $984
– average payment: $777
6. Reconstruction rotator cuff, old (CPT 23420)
– average sub charge: $5,653
– average allow charge $984
– average payment: $777
7. Open repair elbow fracture involving ulnar bone (CPT 24685)
– average sub charge: $3,965
– average allow charge $502
– average payment: $396
8. Wrist fracture pinning through skin (CPT 25606)
– average sub charge: $2,883
– average allow charge $487
– average payment: $386
9. Open surgical Treatment wrist fracture (radius) (CPT 25607)
– average sub charge: $4,240
– average allow charge $706
– average payment: $560
10. Shoulder scope, repair cartilage tear (CPT 29807)
– average sub charge: $4,426
– average allow charge $309
– average payment: $241
11. Shoulder scope, partial removal collar bone (CPT 29824)
– average sub charge: $4,605
– average allow charge $562
– average payment: $442
12. Shoulder scope, bone shaving (CPT 29826)
– average sub charge: $4,680
– average allow charge $309
– average payment: $244
13. Shoulder scope, rotator cuff repair (CPT 29827)
– average sub charge: $5,272
– average allow charge $693
– average payment: $547
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.
