Issue link: https://beckershealthcare.uberflip.com/i/1467576
16 ASC MANAGEMENT Cost of the 25 most common ASC procedures By Patsy Newitt V ariations of colonoscopies make up three of the 10 most common proce- dures performed at an ASC, accord- ing to data company Definitive Healthcare. Definitive Healthcare gathered data from January to November 2021. Commercial claims data was sourced from multiple med- ical claims clearinghouses and is updated monthly. Here are the 25 most common procedures, followed by the average charge per proce- dure: 1. Extracapsular cataract removal with inser- tion of intraocular lens prosthesis: $4,017 2. Esophagogastroduodenoscopy: $2,471 3. Colonoscopy, flexible, with biopsy; $2,692 4. Colonoscopy, flexible, with removal of tu- mors, polyps or other lesions by snare tech- nique: $2,534 5. Colonoscopy, flexible, diagnostic, includ- ing collection of specimens by brushing or washing: $2,562 6. Injection, anesthetic agent and/or steroid, transforaminal epidural, with imaging guid- ance: $2,636 7. Arthrocentesis, aspiration and/or injec- tion, major joint or bursa: $551 8. Injection, diagnostic or therapeutic agent, paravertebral facet joint with image guid- ance: $2,668 9. Discission of secondary membranous cat- aract, laser surgery: $1,157 10. Intravitreal injection of a pharmacologic agent: $576 11. Injection of diagnostic or therapeutic substance, not including neurolytic sub- stances, including needle or catheter place- ment, interlaminar epidural or subarach- noid, lumbar or sacral: $2,288 12. Injection, diagnostic or therapeutic agent, paravertebral facet joint with image guidance: $2,012 13. Collection of venous blood by venipunc- ture: $14 14. Destruction by neurolytic agent, paraver- tebral facet joint nerve with imaging guid- ance: $2,598 15. Destruction by neurolytic agent, paraver- tebral facet joint nerve with imaging guid- ance, lumbar or sacral, single facet joint: $3,826 16. Injection, anesthetic agent and/or ste- roid, transforaminal epidural, with imaging guidance, lumbar or sacral, each additional level: $1,997 17. Injection, anesthetic agent and/or ste- roid, brachial plexus: $1,807 18. Extracapsular cataract removal with in- sertion of intraocular lens prosthesis, manu- al or mechanical technique, complex, requir- ing devices or techniques not generally used in routine cataract surgery or performed on patients in the amblyogenic developmental stage, without endoscopic cyclophotocoagu- lation: $4,088 19. Injection, of diagnostic or therapeutic substance, not including neurolytic sub- stances, including needle or catheter place- ment, interlaminar epidural or subarach- noid, cervical or thoracic, with imaging guidance: $2,363 20. Arthroscopy, knee, surgical, with menis- cectomy including debridement/shaving of articular cartilage: $7,613 21. Neuroplasty and/or transposition, me- dian nerve at carpal tunnel: $4,669 22. Arthroscopy shoulder, surgical decom- pression of subacromial space with partial acromioplasty, with procedure: $7,456 23. Injection, diagnostic or therapeutic agent, paravertebral facet joint with image guidance, cervical or thoracic, single level: $2,721 24. Tendon sheath incision: $4,325 25. Arthroscopy, shoulder, surgical, with ro- tator cuff repair: $11,014 n ASC operating budgets trending up By Laura Dyrda Most ASCs have an annual operating budget of $3 million or more, accord- ing to a surgery in OR Manager. The survey examined responses from nearly 200 administrators last year. Fifty-seven percent of the administrators said they didn't know the operating budget. Here is the breakdown of the operating budget for the remaining 43 percent of respondents compared to 2020: 1. Less than $1 million: 2 percent (down from 9 percent) 2. $1 million to $1.9 million: 5 percent (down from 12 percent) 3. $2 million to $2.9 million: 6 percent (down from 12 percent) 4. $3 million to $4.9 million: 9 percent (down from 11 percent) 5. $5 million to $9.9 million: 12 percent (up from 5 percent) 6. $10 million to $14.9 million: 11 percent (up from 9 percent) 7. $15 million or more: 2 percent (down from 5 percent) Twenty-eight percent of the administrators said their operating budget in- creased last year over 2020 while 19 percent said their operating budgets decreased. The remaining 53 percent of respondents said their operating budgets stayed the same. n