Cardiac procedure reimbursement: Inpatient vs outpatient

Advertisement

Despite the volume of cardiovascular services performed in ASCs projected to grow 15% between 2023 and 2028, according to an article published July 7 in JACC, Medicare reimbursement for cardiovascular procedures varies across clinical settings.

Here are the Medicare reimbursement rates for common cardiovascular procedures, according to Boston Scientific’s 2025 Procedural Payment Guide:

Femoropopliteal stent

  • Hospital outpatient department: $11,341
  • ASC: $7,579
  • Office-based laboratory: $7,312

Femoropopliteal stent and atherectomy

  • Hospital outpatient department: $17,957
  • ASC: $12,540
  • Office-based laboratory: $10,091

Coronary stent

  • Hospital outpatient department: $11,341
  • ASC: $6,994

Coronary angioplasty

  • Hospital outpatient department: $5,702
  • ASC: $3,628

Pacemaker insertion

  • Hospital outpatient department: $10,465
  • ASC: $7,690

Implantable cardiac defibrillator insertion

  • Hospital outpatient department: $32,062
  • ASC: $24,924

At the Becker's 11th Annual IT + Revenue Cycle Conference: The Future of AI & Digital Health, taking place September 14–17 in Chicago, healthcare executives and digital leaders from across the country will come together to explore how AI, interoperability, cybersecurity, and revenue cycle innovation are transforming care delivery, strengthening financial performance, and driving the next era of digital health. Apply for complimentary registration now.

Advertisement

Next Up in Uncategorized

Advertisement