2023 Ambulatory Surgical Center (ASC) Fee Schedules
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Questions regarding overpayments associated with MSP related debt
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USPS Mailing Address
WPS GHA
Medicare Provider Enrollment
P.O. Box 8248
Madison, WI 53708-8248
Overnight Delivery
WPS GHA
Medicare Provider Enrollment
1717 W. Broadway
Madison, WI 53713-1834
(866) 234-7331
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USPS Mailing Address
WPS GHA
Medicare Provider Enrollment
P.O. Box 8248
Madison, WI 53708-8248
Overnight Delivery
WPS GHA
Medicare Provider Enrollment
1717 W. Broadway
Madison, WI 53713-1834
(866) 518-3285
7:00 AM - 5:00 PM CT, Monday - Friday
USPS Mailing Address
WPS GHA
Medicare Provider Enrollment
P.O. Box 8248
Madison, WI 53708-8248
Overnight Delivery
WPS GHA
Medicare Provider Enrollment
1717 W. Broadway
Madison, WI 53713-1834
(866) 234-7331
8:00 AM - 5:00 PM ET, Monday - Friday
USPS Mailing Address
WPS GHA
Medicare Provider Enrollment
P.O. Box 8248
Madison, WI 53708-8248
Overnight Delivery
WPS GHA
Medicare Provider Enrollment
1717 W. Broadway
Madison, WI 53713-1834
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Contact us about Form CMS-588 Electronic Funds Transfer (EFT)
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Contact us about Form CMS-588 Electronic Funds Transfer (EFT)
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WPS GHA
ATTN: Audit Supervisor
P.O. Box 8696
Madison, WI 53708-8696
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WPS GHA
ATTN: Audit Supervisor
1717 W. Broadway
Madison, WI 53713-1834
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WPS GHA
ATTN: Audit Supervisor
P.O. Box 14172
Madison, WI 53708-0172
When using a delivery service:
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ATTN: Audit Supervisor
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Madison, WI 53713-1834
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2023 Ambulatory Surgical Center (ASC) Fee Schedules
You currently have jurisdiction selected, however this page only applies to these jurisdiction(s): .
County/Core Based Statistical Area (CBSA) Crosswalks
ASC Drug Rates
Drugs and biologicals may be paid separately when provided integral to a surgical procedure on the ASC list. Drugs and biologicals eligible for separate payment have a K2 indicator on Addendum BB of the quarter ASC payment rate files. Payment is based on the Outpatient Prospective Payment System (OPPS) rate.
ASC Fee Schedules
The ASC fee schedules include three payment fields reflecting Ambulatory Surgical Center Quality Reporting (ASCQR) penalty amounts. ASCs that do not successfully meet ASCQR Program requirements will be subject to a payment reduction. For further information about the ASCQR penalties, see the CMS Change Request 8349 .
For more information regarding the January 2022 ASC Fee Schedule updates, see MM13041 .
Instructions for Downloading
Important: You must select J5 MAC Part B at the top of this page to view fee schedule files for Iowa, Kansas, Missouri, and Nebraska. You must select J8 MAC Part B to view fee schedules files for Indiana and Michigan. To change your selection, use the “Click here to change” link at the top of this web page.
ASC Fee Schedule Files Effective January 1, 2023, through December 31, 2023
State/Locality | Excel Files | PDFs |
---|---|---|
Iowa CBSA 16 | Excel File | |
Iowa CBSA 11180 | Excel File | |
Iowa CBSA 16300 | Excel File | |
Iowa CBSA 19340 | Excel File | |
Iowa CBSA 19780 | Excel File | |
Iowa CBSA 20220 | Excel File | |
Iowa CBSA 26980 | Excel File | |
Iowa CBSA 36540 | Excel File | |
Iowa CBSA 43580 | Excel File | |
Iowa CBSA 47940 | Excel File | |
Kansas CBSA 17 | Excel File | |
Kansas CBSA 28140 | Excel File | |
Kansas CBSA 29940 | Excel File | |
Kansas CBSA 31740 | Excel File | |
Kansas CBSA 41140 | Excel File | |
Kansas CBSA 45820 | Excel File | |
Kansas CBSA 48620 | Excel File | |
Missouri CBSA 26 | Excel File | |
Missouri CBSA 16020 | Excel File | |
Missouri CBSA 17860 | Excel File | |
Missouri CBSA 22220 | Excel File | |
Missouri CBSA 27620 | Excel File | |
Missouri CBSA 27900 | Excel File | |
Missouri CBSA 28140 | Excel File | |
Missouri CBSA 41140 | Excel File | |
Missouri CBSA 41180 | Excel File | |
Missouri CBSA 44180 | Excel File | |
Nebraska CBSA 28 | Excel File | |
Nebraska CBSA 24260 | Excel File | |
Nebraska CBSA 30700 | Excel File | |
Nebraska CBSA 36540 | Excel File | |
Nebraska CBSA 43580 | Excel File |
State/Locality | Excel Files | PDFs |
---|---|---|
Indiana 15 | Excel File | |
Indiana 14020 | Excel File | |
Indiana 17140 | Excel File | |
Indiana 18020 | Excel File | |
Indiana 21140 | Excel File | |
Indiana 21780 | Excel File | |
Indiana 23060 | Excel File | |
Indiana 23844 | Excel File | |
Indiana 26900 | Excel File | |
Indiana 29020 | Excel File | |
Indiana 29200 | Excel File | |
Indiana 31140 | Excel File | |
Indiana 33140 | Excel File | |
Indiana 34620 | Excel File | |
Indiana 43780 | Excel File | |
Indiana 45460 | Excel File | |
Michigan 23 | Excel File | |
Michigan 11460 | Excel File | |
Michigan 12980 | Excel File | |
Michigan 13020 | Excel File | |
Michigan 19804 | Excel File | |
Michigan 22420 | Excel File | |
Michigan 24340 | Excel File | |
Michigan 27100 | Excel File | |
Michigan 28020 | Excel File | |
Michigan 29620 | Excel File | |
Michigan 33220 | Excel File | |
Michigan 33780 | Excel File | |
Michigan 34740 | Excel File | |
Michigan 35660 | Excel File | |
Michigan 40980 | Excel File | |
Michigan 43780 | Excel File | |
Michigan 47664 | Excel File |
Additional ASC Resources
Visit the CMS Website for National ASC pricing information, ASC Drug rates, CBSA information, and more.
global-tags: Specialty Pricing,J8B,Fees and Reimbursement,J5B,Ambulatory Surgical Center
Questions about Payments and Incentive Programs
(866) 518-3285
7:00 am to 5:00 pm CT (8:00 am to 5:00 pm ET) M-F
Contact us about Form CMS-588 Electronic Funds Transfer (EFT)
(866) 518-3285
7:00 am to 5:00 pm CT (8:00 am to 5:00 pm ET) M-F
Financial.Reporting.Inquiry@wpsic.com
Do not submit PHI/PII through email
Questions about Payments and Incentive Programs
(866) 234-7331
7:00 am to 5:00 pm CT (8:00 am to 5:00 pm ET) M-F
Contact us about Form CMS-588 Electronic Funds Transfer (EFT)
(866) 234-7331
7:00 am to 5:00 pm CT (8:00 am to 5:00 pm ET) M-F
Financial.Reporting.Inquiry@wpsic.com
Do not submit PHI/PII through email
Questions about Payments, Fee Schedules, and Incentive Programs
(866) 518-3285
7:00 am to 5:00 pm CT (8:00 am to 5:00 pm ET) M-F
Contact us about Form CMS-588 Electronic Funds Transfer (EFT)
(866) 518-3285
7:00 am to 5:00 pm CT (8:00 am to 5:00 pm ET) M-F
Financial.Reporting.Inquiry@wpsic.com
Do not submit PHI/PII through email
Questions about Payments, Fee Schedules, and Incentive Programs
(866) 234-7331
7:00 am to 5:00 pm CT (8:00 am to 5:00 pm ET) M-F
Contact us about Form CMS-588 Electronic Funds Transfer (EFT)
(866) 234-7331
7:00 am to 5:00 pm CT (8:00 am to 5:00 pm ET) M-F
Financial.Reporting.Inquiry@wpsic.com
Do not submit PHI/PII through email
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