List of Top Procedures Performed at ASCs

As medical technology advances and guidelines for routine inpatient surgeries are relaxed, physicians are able to perform a greater number of procedures in an outpatient setting. This is generally beneficial for patients, as costs at an ambulatory surgery center (ASC) are lower on average than at a hospital or other inpatient facility. While most hospitals offer outpatient 
surgery, ASCs are often praised as a superior choice for certain procedures, both because of facility efficiencies and greater regulatory controls for reimbursements under the outpatient prospective payment system.

According to Definitive Healthcare data, cataract surgeries with IOL implants, GI endoscopies, colonoscopies with lesion removal, and spine epidural injection lumbar sacral cost roughly $220, $110, $170, and $120 less, respectively, when performed at ASCs rather than hospital outpatient surgical departments. The relationship doesn’t hold true for all procedures, 
however, as ASCs tend to charge substantially more than hospital for certain operations, such as those involving medical implants like pacemakers or defibrillators. Definitive Healthcare data indicates that ASCs charge as much as $3,800 more on average for defibrillator insertion or replacement, for instance.

Both lists of procedures are dominated by diagnostic procedures such as colonoscopies and esophagogastroduodenoscopies with biopsies. Cataracts surgeries also topped both lists, with more than 1.2 million procedures reported in 2016 (most recent data available). Spinal injections were also common, including joint denervations. The following lists detail the top 25 procedures performed at ASCs by volume and by total charges.

Top 5 Procedures Performed at ASC's

HCPCS/ CPT CODE

HCPCS DESCRIPTION

NUMBER OF PROCEDURES

TOTAL CHARGES

66984

Cataract surgery w/ insertion of intraocular lens

1,228,147

$1,169,095,832 

99153

Moderate sedation by diagnosing physician

761,379

$397,632,880

G0500

Moderate sedation by physician performing endoscopic service for patient over 5y/o

779,231

$292,885,419

43239

Esophagogastroduodenoscopy with biopsy

541,997

$173,450,701 

45380

Colonoscopy w/ lesion removal

378,081

$156,607,811


 Download the full list using the form on the right!

 

Get Your Free Copy of this Definitive List!