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

At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.

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