Guides/Care Navigation

Hospital vs Surgery Center: Save 30-60% on Your Procedure

7 min readCare Navigation

The same surgery can cost 30-60% less at an ambulatory surgery center than a hospital. Learn when this option is safe and how to find one.

The Price Gap Is Enormous

For many common procedures, ambulatory surgery centers (ASCs) charge 30-60% less than hospital outpatient departments. A knee arthroscopy that costs $15,000 at a hospital may cost $6,000 at an ASC. The quality and safety outcomes are comparable for appropriate procedures.

Why Surgery Centers Cost Less

ASCs have lower overhead than hospitals — no emergency department, no ICU, no overnight staff. They specialize in high-volume outpatient procedures, which creates efficiency. They also tend to have more transparent pricing and are more willing to negotiate cash-pay rates.

Procedures Commonly Done at Surgery Centers

  • Knee and shoulder arthroscopy
  • Cataract surgery
  • Colonoscopy and endoscopy
  • Hernia repair
  • Carpal tunnel release
  • Tonsillectomy
  • Outpatient joint replacements (growing trend)

When You Need a Hospital

Choose a hospital for procedures with significant complication risks, when overnight stays are likely, for patients with complex medical conditions, and for emergency surgeries. Your surgeon will recommend the appropriate setting based on your specific situation.

How to Find an ASC

Ask your surgeon if the procedure can be done at an ASC. Check if ASCs are in your insurance network. Medicare's ASC Compare tool rates quality. Many ASCs are physician-owned, which can mean better surgeon availability and scheduling flexibility.

Disclaimer: This guide is for informational purposes only and does not constitute financial or medical advice. Always consult with qualified professionals before making healthcare or insurance decisions.