The ASC Reimbursement Tracker
A standing reference: the CY2026 update, the conversion-factor gap, and national rates for the sector's marquee codes. Updated with our reimbursement coverage.
Tracker preview · placeholder
Latest · Reimbursement
Reimbursement
Tracking the conversion factor, payer behavior, and the long-running parity gap between ASCs and hospital outpatient departments.
Edited by Brent Reilly · 2 reporters · Updated continuously
- Where ASC payment actually stands in 2026 — and what's queued for 2027
A 2.6% update, 560 procedures added to the covered list, the inpatient-only list phasing out, and a payment-parity bill in the House: the CY2026 rule reset the board.
Why it matters: Every line in your 2027 budget — rates, case mix, payer steering — traces back to decisions CMS finalized in this rule or queued for the next one. - Payers are cutting prior auth — and pointing the freed-up volume at ASCs
UnitedHealthcare is eliminating authorization for 30% of services that required it; Anthem's Colorado plan now requires precertification for hospital-outpatient surgery while waiving it for ASCs.
Why it matters: Site-of-care steering is becoming the default commercial posture — centers that make scheduling easy capture the redirected cases.