Here are 10 statistics about pain management in surgery centers.
5. Here are the average net revenues per pain management case by a surgery center's total annual case volume:
6. Here are the average net revenues per pain management case by a surgery center's total net revenue:
Medicare charges and payments
Here is the average 2008 Medicare sub charge (submitted charges divided by allowed services), average allow charge (Medicare-allowed charges divided by allowed services, including co-pays and deductibles paid by patient), and average payment (Medicare payments divided by allowed services, not including co-pays and deductibles paid by patient) for 14 orthopedic procedures commonly performed in ASCs.
CPT copyright 2008 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.
7. Injection of lower back joint (HCPCS G0260):
8. Single nerve block injection, arm nerve (CPT 64415):
9. Multiple nerve block injections, rib nerves (CPT 64421):
10. Injection of lower back spinal joint or nerve (CPT 64476):
Sources:
Items 1-6: VMG Health's 2009 Intellimarker.
Items 7-10: CMS
1. Pain management accounts for around 17 percent of the total case volume mix in surgery centers, second behind GI/endoscopy (25 percent) and ophthalmology (18 percent). The average surgery center performs 4,869 cases annually, which would average to around 828 pain management cases annually.
2. The average gross charges for pain management cases are $3,873. The average case revenue is $890.
3. Surgery centers in the Midwest received the highest average net revenue per pain management case with $1,256. Average net revenue was lowest in the Southeast at $791 per case.
4. Here are the average net revenues per pain management case by the number of operating rooms in a surgery center:
- 1-2 ORs — $919
- 3-4 ORs — $903
- More than 4 ORs — $882
5. Here are the average net revenues per pain management case by a surgery center's total annual case volume:
- Less than 3,000 cases — $1,262
- 3,000-5,999 cases — $728
- More than 5,999 cases — $875
6. Here are the average net revenues per pain management case by a surgery center's total net revenue:
- Less than $4.5 million — $851
- $4.5-$7.0 million — $862
- More than $7.0 million — $964
Medicare charges and payments
Here is the average 2008 Medicare sub charge (submitted charges divided by allowed services), average allow charge (Medicare-allowed charges divided by allowed services, including co-pays and deductibles paid by patient), and average payment (Medicare payments divided by allowed services, not including co-pays and deductibles paid by patient) for 14 orthopedic procedures commonly performed in ASCs.
CPT copyright 2008 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.
7. Injection of lower back joint (HCPCS G0260):
- average sub charge: $1,427
- average allow charge: $299
- average payment: $237
8. Single nerve block injection, arm nerve (CPT 64415):
- average sub charge: $1,162
- average allow charge: $89
- average payment: $71
9. Multiple nerve block injections, rib nerves (CPT 64421):
- average sub charge: $1,325
- average allow charge: $282
- average payment: $221
10. Injection of lower back spinal joint or nerve (CPT 64476):
- average sub charge: $1,153
- average allow charge: $143
- average payment: $113
Sources:
Items 1-6: VMG Health's 2009 Intellimarker.
Items 7-10: CMS