Two breast reconstruction procedures rank among the top 10 most expensive procedures performed at ASCs, according to Definitive Healthcare.
The healthcare data and analytics company compiled data on all-payer medical claims in 2019, the most recent full-year data available prior to the pandemic. The data is sourced from several U.S. medical claims clearinghouses and updated monthly.
Here are the top 20 most expensive procedures at ASCs, ranked by average per-procedure cost, and their Healthcare Common Procedure Coding System/Current Procedural Terminology codes:
1. Breast reconstruction of a single breast with "stacked" deep inferior epigastric perforator flap(s) and/or gluteal artery perforator flap(s)
HCPCS/CPT code: S2067
Average charge per procedure: $133,356
2. Cardioverter-defibrillator, other than single or dual chamber (implantable)
HCPCS/CPT code: C1882
Average charge per procedure: $111,187
3. Autologous cultured chondrocytes, implant
HCPCS/CPT code: J7330
Average charge per procedure: $85,498
4. Eculizumab injection
HCPCS/CPT code: J1300
Average charge per procedure: $77,423
5. Cardioverter-defibrillator, single chamber (implantable)
HCPCS/CPT code: C1722
Average charge per procedure: $76,879
6. Sipuleucel-t, minimum of 50 million autologous cd54+ cells activated with pap-gm-csf, including leukapheresis and all other preparatory procedures, per infusion
HCPCS/CPT code: Q2043
Average charge per procedure: $76,471
7. Injection, alglucosidase alfa (lumizyme), 10 mg
HCPCS/CPT code: J0221
Average charge per procedure: $76,000
8. Non-ophthalmic fluorescent vascular angiography
HCPCS/CPT code: C9733
Average charge per procedure: $75,000
9. Under intersex surgery
HCPCS/CPT code: 55970
Average charge per procedure: $73,186
10. Breast reconstruction with deep inferior epigastric perforator flap or superficial inferior epigastric artery flap
HCPCS/CPT code: S2068
Average charge per procedure: $68,239
11. Injection, ocrelizumab, 1 mg
HCPCS/CPT code: J2350
Average charge per procedure:
12. Removal & replacement of defibrillator generator; multiple lead system
HCPCS/CPT code: 33264
Average charge per procedure: $65,796
13. Injection, alemtuzumab
HCPCS/CPT code: J0202
Average charge per procedure: $59,250
14. Automated implantable cardioverter defibrillator, dual chamber
HCPCS/CPT code: C1721
Average charge per procedure: $59,099
15. Removal & replacement of defibrillator generator; dual lead
HCPCS/CPT code: 33263
Average charge per procedure: $58,771
16. Insertion/replacement of permanent pacing cardioverter-defibrillator system with transvenous lead(s)
HCPCS/CPT code: 33249
Average charge per procedure: $56,626
17. Cochlear device
HCPCS/CPT code: L8614
Average charge per procedure: $54,750
18. Percutaneous transcatheter placement of drug-eluting intracoronary stent; single major coronary artery or branch
HCPCS/CPT code: C9600
Average charge per procedure: $51,814
19. Implant cochlear device
HCPCS/CPT code: 69930
Average charge per procedure: $50,570
20. Velaglucerase alfa
HCPCS/CPT code: J3385
Average charge per procedure: $50,470