Here are 18 statistics on surgery center payer mix based on case volume, according to VMG Health’s ASC Intellimarker Survey 2011.
Payer mix as a percentage of gross charges
Less than 3,000 cases
• Commercial: 59 percent
• Medicare: 22 percent
• Worker's Compensation: 4 percent
• Other pay: 3 percent
• Medicaid: 2 percent
• Self pay: 2 percent
3,000 to 5,999 cases
• Commercial: 57 percent
• Medicare: 26 percent
• Worker's Compensation: 4 percent
• Other pay: 4 percent
• Medicaid: 3 percent
• Self pay: 2 percent
More than 5,999 cases
• Commercial: 61 percent
• Medicare: 24 percent
• Worker's Compensation: 4 percent
• Medicaid: 3 percent
• Other pay: 3 percent
• Self pay: 1 percent
More Articles on Transactions and Valuation Issues:
St. Nicholas Hospital to Sheboygan Surgery Center
Medical Facilities Corporation Releases December Dividend
Geisinger Health System Adds Ambulatory Surgery Center to Gray’s Woods Facility
Payer mix as a percentage of gross charges
Less than 3,000 cases
• Commercial: 59 percent
• Medicare: 22 percent
• Worker's Compensation: 4 percent
• Other pay: 3 percent
• Medicaid: 2 percent
• Self pay: 2 percent
3,000 to 5,999 cases
• Commercial: 57 percent
• Medicare: 26 percent
• Worker's Compensation: 4 percent
• Other pay: 4 percent
• Medicaid: 3 percent
• Self pay: 2 percent
More than 5,999 cases
• Commercial: 61 percent
• Medicare: 24 percent
• Worker's Compensation: 4 percent
• Medicaid: 3 percent
• Other pay: 3 percent
• Self pay: 1 percent
More Articles on Transactions and Valuation Issues:
St. Nicholas Hospital to Sheboygan Surgery Center
Medical Facilities Corporation Releases December Dividend
Geisinger Health System Adds Ambulatory Surgery Center to Gray’s Woods Facility