D E C E M B E R 2 0 1 7 • O U T PA T I E N TS U R G E R Y. N E T • 9 9
Inpatient v. Outpatient
Because the overall cost of doing outpatient total joint bundles is
lower than it would be in an inpatient setting, we can offer private
payers a discount from the bundled prices they're used to paying
in an inpatient total joint setting. If you want to start building your
own bundled payments for total joints at your facility, this guide-
line can help. It's important to note that this is not taken directly
from one of our bundles, but is merely an example that shows
that the outpatient bundle is 20% less than the inpatient bundle.
— Stephen Lucey, MD
$37,000 Inpatient Bundle
Hospital fee with implant $30,000
Surgeon $3,000
Anesthesia $1,500
Home health $1,000
Outpatient PT $1,500
$30,600 Outpatient Bundle
Facility fee to ASC with implant $14,600
Surgeon $3,000
Anesthesia $1,500
Home health $1,000
Outpatient PT $1,500
Risk insurance $1,000
Program fees & risk $8,000
The Cost of Bundles Is Lower in Outpatient
