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10 top-paying Medicare procedures for ASCs

Written by Laura Dyrda | November 21, 2016 
The 2016 VMG Health Intellimarker Multi-Specialty ASC Study compiled a list of the top ASC procedures for Medicare spending.

Here is a list of the top 10 procedures in 2015 including estimated payment information and the total percentage of Medicare ASC spend each procedure represents.

1. Cataract surgery with IOL, 1 stage

● Estimated payment: $1,092
● Percentage of total Medicare spend: 28.1 percent

2. Colonoscopy and biopsy

● Estimated payment: $181
● Percentage of total Medicare spend: 4.6 percent

3. Upper GI endoscopy, biopsy

● Estimated payment: $177
● Percentage of total Medicare spend: 4.5 percent

4. Lesion removal colonoscopy

● Estimated payment: $117
● Percentage of total Medicare spend: 3 percent

5. Cataract surgery, complex

● Estimated payment: $95
● Percentage of total Medicare spend: 2.4 percent

6. Injection foramen epidural 1/s

● Estimated payment: $94
● Percentage of total Medicare spend: 2.4 percent

7. Injection spine 1/s (cd)

● Estimated payment: $75
● Percentage of total Medicare spend: 1.9 percent

8. Diagnostic colonoscopy

● Estimated payment: $69
● Percentage of total Medicare spend: 1.8 percent

9. After cataract laser surgery

● Estimated payment: $65
● Percentage of total Medicare spend: 1.7 percent

10. Colorectal screening: high risk 1/s lev

● Estimated payment: $46
● Percentage of total Medicare spend: 1.2 percent