Documented Quality at less cost.
Ambulatory Surgical Center Cost are significantly lower than hospital owned Ambulatory Surgical Centers
Colorado Endoscopy Centers, LLC (an independently owned ASC) consistently provides superior endoscopic procedural services at a significantly reduced cost compared to hospital owned endoscopy centers (HOPD).
The differences in reimbursement rates are much more significant for commercial carriers than for Medicare. Commercial carrier facility fee reimbursement rates may be up to 3 times higher for HOPD when compared to ASC rates.
Facility fees are deducted from your annual insurance deductible. Depending on your policy this can represent a significant out of pocket expense. Professional fees are equal for both ASC and HOPD site of service. Facility fees are significantly different.
The following Medicare fees are provided as an illustration. These are averages from across the US and are not specific to Colorado Endoscopy Centers, LLC or Colorado.
CPT code |
Code Description |
MD fee HOPD |
HOPD Facility Fee 2014 |
MD fee ASC |
ASC Facility Fee 2014 |
Savings per procedure |
43239 |
EGD with biopsy |
$ 155 |
$670 |
$155 |
$370 |
$ 300 |
43249 |
EGD with balloon dilation |
$ 171 |
$1,013 |
$171 |
$560 |
$ 453 |
43244 |
EGD w/ band ligation of varices |
$ 271 |
$1,013 |
$271 |
$560 |
$ 453 |
45380 |
Colonoscopy-Diagnostic with Cold Biopsy |
$ 267 |
$737 |
$267 |
$407 |
$330 |
45384 |
Colonoscopy with Hot Biopsy |
$280 |
$737 |
$ 280 |
$407 |
$330 |
45385 |
Colonoscopy with snare resection of lesion |
$317 |
$737 |
$ 317 |
$ 407 |
$330 |
45382 |
Colonoscopy with control of bleeding |
$339 |
$737 |
$ 339 |
$407 |
$330 |
46221 |
Hemorrhoidectomy-internal-band ligation |
$200 |
$473 |
$ 200 |
$127 |
$346 |
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ASC – Ambulatory Surgery Center HOPD- H ospital O ut P atient D epartment
Hospital (HOPD) reimbursement rates are significantly higher than ASC rates. Facility fees are deducted from your annual insurance deductible. Depending on your policy this can represent a significant out of pocket expense.
Many HOPD facilities’ are owned by physician – hospital partnerships resulting in significantly higher reimbursement rates. Depending on your insurance policy, this may affect your personal costs.
Colorado Endoscopy Centers, LLC is independently owned by Jonathan E. Jensen MD FACP FACG AGAF and has not hospital associations. To determine the ownership of an ASC, please ask the facility for ownership details.