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CMS Releases Price Comparison Tool for Certain Surgical Procedures

November 30, 2018—The Centers for Medicare and Medicaid Services (CMS) Nov. 27 released an online price comparison tool to allow beneficiaries to compare Medicare payments for certain procedures that are performed in both hospital outpatient departments (HOPDs) and ambulatory surgical centers (ASCs).  

The tool, the Procedure Price Lookup, was mandated by Congress in the 21st Century Cures Act (P.L. 114-255) to facilitate price transparency for items and services furnished in an HOPD or an ASC. 

Medicare statutes require that CMS maintain separate payment systems for different types of health care providers, meaning both CMS and patients may pay different amounts for the same service, depending on the site of care.  

Of note, the tool does not take into account complexity of the case or a patient’s health status, which could be a reason for choosing an OPD rather than an ASC.

Contact:

Mary Mullaney
Director, Hospital Payment Policies
Telephone: 202-909-2084
Email: mmullaney@aamc.org

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Washington Highlights, a weekly electronic newsletter, features brief updates on the latest legislative and regulatory activities affecting medical schools and teaching hospitals.


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For More Information

Jason Kleinman
Sr. Legislative Analyst, Govt. Relations
Telephone: 202-903-0806
Email: jkleinman@aamc.org