Cardiac procedure reimbursement: Inpatient vs outpatient

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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
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