Longmont, CO Gastroenterology Colorado Center for Digestive Disorders 205 South Main Street Longmont, CO 80501 (303) 776-6115

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

 

 

 

 

 

 

 

ASC – Ambulatory Surgery Center         HOPD- Hospital Out Patient Department

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.