Becker's Healthcare February 12, 2025
Francesca Mathewes

The high costs of surgical implants have been identified as a profitability-killer for ASCs.

Here are 10 things to know about the burden of implant costs for ASCs:

1. According to a July 2024 report by Advantien, an ASC supply purchasing company, implants regularly represent one of the highest expense items for ASCs, sometimes exceeding the total reimbursement for a procedure.

2. Payers utilize a variety of reimbursement models for, specifically for orthopedic implants, according to the report. These might include:

  • No separate reimbursement for implants
  • 100% reimbursement of implant cost plus markup
  • Reimbursement only after a certain dollar threshold is met
  • Carve-outs for specific implants

This means ASC administrators and revenue cycle managers must be highly...

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