to 100 minutes.
Depending on the
implant, you can get
by with 4 to 8 size-spe-
cific instrument trays.
And thanks to muscle-
and tendon-sparing
surgical techniques
and innovative pain
management proto-
cols, patients are back
in their recliners
before they know it.
They spend 2 hours in
PACU and 1 overnight
in an off-site recovery
suite before they're
discharged home.
"It's come a long
way since I first start-
ed doing hips 20 years
ago in the hospital,"
says Ms. Moretti,
director of the
Buffalo Surgery
Center in Amherst,
N.Y., which has devel-
oped one of the coun-
try's top same-day
joint replacement pro-
J U L Y 2 0 1 7 • O U T PA T I E N T S U R G E R Y. N E T • 3 7
Cost Service
$10,000 ASC facility fee and supply costs *
$4,000 Surgeon's fee
$400 Surgical assistant's fee
$1,800 Anesthesia fee
$1,500 15 physical therapy sessions
$200 Durable medical equipment
**
$6,600 Post-acute care ***
$2,000 Physical therapy
$235 Post-op care ****
* Facility fee includes $5,000 allowance
for implant.
** DME includes walkers, canes, ice
machines and DVT compression sleeves.
*** Post-acute care includes home care,
1 overnight at the recovery suite, meals
and nursing.
**** Post-op care includes 3 post-op office
visits and 2 X-rays.
Let's say Buffalo Surgery Center receives a
$26,735 bundled payment for each hip
arthroplasty. This all-in, fixed-price pay-
ment covers all services during an "episode
of care" that extends from the surgical dis-
cussion through 90 days global post-op.
Services excluded from the bundle include
pre-op testing and medical clearance,
MRIs, hospital re-admissions due to com-
plications, post-op pharmacy costs and
revision procedures. Here's a line item look
at what's included in the bundle.
$26,735 BUNDLE BREAKDOWN
Unraveling the Bundled Payment
