Here are the comparisons for five orthopedic and spine procedures:
1. Knee arthroscopy with meniscus repair (CPT 29882):
• Medicare pays ASCs: $1,024
• Medicare pays HOPDs: $2,116
• Copay at ASCs: $256
• Copay at HOPDs: $529
2. Shoulder rotator cuff repair with endoscope (CPT 29827):
• Medicare pays ASCs: $2,177
• Medicare pays HOPDs: $4,485
• Copay at ASCs: $544
• Copay at HOPDs: $1,121
3. Spinal arthrodesis including discectomy (CPT 22551):
• Medicare pays ASCs: $5,870
• Medicare pays HOPDs: $8,783
• Copay at ASCs: $1,467
• Copay at HOPDs: $1,340
4. Laminectomy, facetectomy and foraminotomy (CPT 63047):
• Medicare pays ASCs: $2,177
• Medicare pays HOPDs: $4,485
• Copay at ASCs: $544
• Copay at HOPDs: $1,121
5. Hip socket reconstruction and repair of the thigh bone with an endoscope (CPT 29914):
• Medicare pays ASCs: $2,177
• Medicare pays HOPDs: $4,485
• Copay at ASCs: $544
• Copay at HOPDs: $1,121
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