Facility Charges for ASC, HOPD and Hospital

Below are 2021 charges for Code 29848 and 64721.

Reimbursement InformationWrist Endoscopy / SurgeryCarpal Tunnel Surgery (Open)
CPT™ Code:2984864721
PFS Relative Value Units:15.1212.37
Medicare Allowable (Physician Services Fee):$490.04$446.43
Facility Fee Payment Weight: ASC:14.780316.6878
Facility Fee Reimbursement: ASC:$723.53$796.79
Facility Fee Payment Weight: HOPD:16.955121.2809
Facility Fee Reimbursement: HOPD:$1,419.09$1,719.35
Facility Fee Reimbursement Hospital (MS-DRG=502)$7,957.84 
Total Reimbursement ASC (Pro Fee + Facility):$1,213.57$ 1,243.22
Total Reimbursement HOPD (Pro Fee + Facility):$1,909.13$ 2,165.78
Total Reimbursement Hospital (Pro Fee + Hospital):$8,447.88 

Note: that there are GPCI variances to the professional fees and other factors that impact the hospital fees so use the values above as estimates. Each locality will have slightly different numbers. The main takeaway is that facility charges increase from ASC to HOPD to hospital.

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