2017 Workers' Compensation Fee Schedule

Table E: Amublatory Surgical Centers

Table E provides the Facility Medicare provider number, MSA # and Workers’ Compensation payment rates for each of the nine Medicare payment groups.

The geographical areas include the 15 Metropolitan Statistical Areas (MSAs) and all rural areas as defined by HCFA.

The Medicare program adjusts the payment amount to reflect varying labor costs by geographic region. The table of ASC payment rates includes the rate for the 16 geographic regions in the Commonwealth, fully adjusted for these varying labor costs using the Medicare wage index and methodology.

The 16 regions are summarized as follows:

Region Location MSA#
1 Allentown 240
2 Altoona 280
3 Erie 2360
4 Hbg/Lebanon/Carlisle 3240
5 Johnstown 3680
6 Lancaster 4000
7 Binghamton, NY 960
8 Philadelphia 6160
9 Pittsburgh 6280
10 Reading 6680
11 Scranton/WB/Hazelton 7560
12 Sharon 7610
13 State College 8050
14 Williamsport 9140
15 York 9280
16 Rural Pennsylvania 39


ASC Group # Region 1 Region 2 Region 3 Region 4 Region 5 Region 6 Region 7 Region 8
Implied Decimal 2
1
67483 65374 64807 66362 64010 65700 65330 69834
2
90360 87533 86777 88854 85711 87976 87474 93508
3
103627 100387 99518 101901 98298 100891 100318 107239
4
127649 123657 122586 125526 121083 124279 123569 132092
5
145719 141165 139946 143293 138226 141875 141066 150797
6
171370 167083 165934 169088 164315 167750 167053 176136
7
201992 195679 193986 198632 191606 196665 195543 209031
8
201092 195879 194478 198315 192512 196690 195840 206901
9
223971 216969 215093 220243 212451 218060 216814 231772
                 
                 
ASC Group # Region 9 Region 10 Region 11 Region 12 Region 13 Region 14 Region 15 Region 16
Implied Decimal 2
1 66815 65271 64067 64730 66995 63576 64913 63947
2 89465 87396 85785 86674 89707 85122 86916 85629
3 102600 100227 98378 99395 102880 97622 99675 98197
4 126385 123460 121185 122440 126726 120249 122780 120966
5 144278 140941 138338 139772 144665 137276 140163 138088
6 170008 166868 164427 165773 170378 163423 166140 164191
7 199995 195368 191763 193757 200534 190287 194293 191422
8 199438 195616 192643 194287 199883 191426 194734 192361
9 221751 216624 212627 214831 222351 210990 215431 212244