2. Orthopedics was the fourth most-represented surgical specialty and was represented in 36 percent of all (single- and multi-specialty) centers in 2007, behind plastic surgery, ophthalmology and gastroenterology.
3. Orthopedics represented 8 percent of the total case volume at surgery centers, ranking it fourth behind gastroenterology, ophthalmology and pain management.
4. The average net revenue for an orthopedic procedure was $2,192 in 2008.
5. Here is the average net revenue for orthopedic procedures by region:
- West: $2,265
- Southwest: $2,312
- Midwest: $2,182
- Southeast: $1,865
- Northeast: $1,813
6. Here is the average net revenue for orthopedic procedures by an ASC’s number of operating rooms:
- 1-2 ORs: $1,935
- 3-4 ORs: $2,155
- More than 4 ORs: $2,261
7. Here is the average net revenue for orthopedic procedures by an ASC’s total number of cases:
- Less than 3,000: $2,136
- 3,000-5,999: $2,313
- More than 5,999: $2,031
8. Here is the average net revenue for orthopedic procedures by an ASC’s total net revenue:
- Less than $4.5 million: $1,645
- $4.5-$7 million: $2,179
- More than $7 million: $2,512
9. In surgery centers with more than 50 percent of cases in orthopedics, the average net revenue for an orthopedic procedure was $2,328.
10. Here is the 2008 cash compensation earned by orthopedic surgeons by percentile and region:
20-25th percentile
- National: $335,000
- North: $360,000
- South: $282,000
- East: $294,000
- West: $356,000
50th percentile
- National: $437,000
- North: $475,000
- South: $369,000
- East: $383,000
- West: $444,000
75-80th percentile
- National: $561,000
- North: $606,000
- South: $562,000
- East: $518,000
- West: $530,000
90th percentile
- National: $706,000
- North: $730,000
- South: $668,000
- East: $669,000
- West: $699,000
Medicare charges and payments
Here is the average 2007 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.
11. Obtaining small amount of bone for graft (CPT 20900):
- average sub charge: $2,060
- average allow charge: $294
- average payment: $231
12. Open surgical partial removal of collar bone (CPT 23120):
- average sub charge: $3,793
- average allow charge: $477
- average payment: $376
13. Partial repair or removal of shoulder bone (CPT 23130):
- average sub charge: $4,027
- average allow charge: $478
- average payment: $377
14. Open repair of rotator cuff, recent (CPT 23410):
- average sub charge: $4,947
- average allow charge: $671
- average payment: $530
15. Open repair of rotator cuff, old (CPT 23412):
- average sub charge: $5,556
- average allow charge: $984
- average payment: $777
16. Reconstruction rotator cuff, old (CPT 23420):
- average sub charge: $5,653
- average allow charge: $984
- average payment: $777
17. Open repair elbow fracture involving ulnar bone (CPT 24685):
- average sub charge: $3,965
- average allow charge: $502
- average payment: $396
18. Wrist fracture pinning through skin (CPT 25606):
- average sub charge: $2,886
- average allow charge: $487
- average payment: $386
19. Open surgical treatment wrist fracture (radius) (CPT 25607):
- average sub charge: $4,240
- average allow charge: $706
- average payment: $560
20. Shoulder scope, repair cartilage tear (CPT 29807):
- average sub charge: $4,426
- average allow charge: $309
- average payment: $241
21. Shoulder scope, partial removal collar bone (CPT 29824):
- average sub charge: $4,605
- average allow charge: $562
- average payment: $442
22. Shoulder scope, bone shaving (CPT 29826):
- average sub charge: $4,680
- average allow charge: $409
- average payment: $244
23. Shoulder scope, rotator cuff repair (CPT 29827):
- average sub charge: $5,272
- average allow charge: $693
- average payment: $547
24. Injection of lower back joint (HCPCS G02060):
- average sub charge: $1,290
- average allow charge: $281
- average payment: $222
At the Becker's 23rd Annual Spine, Orthopedic and Pain Management-Driven ASC + The Future of Spine Conference, taking place June 18–20 in Chicago, spine surgeons, orthopedic leaders and ASC executives will come together to explore minimally invasive techniques, ASC growth strategies and innovations shaping the future of outpatient spine care. Apply for complimentary registration now.
