Becker's Healthcare February 12, 2025
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...