Becker's Healthcare January 9, 2026
Hakeem Shakir

Neurosurgery is following a familiar path: just as orthopedics and cardiology moved key procedures to ambulatory surgery centers (ASCs), spine and neurovascular surgeons now have the technology and data to safely shift high-value cases out of hospitals. The question is no longer whether ASCs are safe, but how quickly organizations can realign site-of-care strategy to capture the value.

“For many elective neurosurgical procedures, keeping care in the hospital is now the premium option without a premium outcome.”

Reason 1: ASCs Cut Costs Without Cutting Corners

Across multiple services, the same CPT-coded neurosurgical procedure is meaningfully cheaper in an ASC than in a hospital outpatient department (HOPD), even when the surgeon’s professional fee is identical. In spine surgery, comparative...

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