What is the ASC prospective payment system?

It is the Medicare methodology that pays ASCs a predetermined rate per covered procedure, rather than reimbursing itemised charges. It sets the facility side of the claim; the patient-responsibility portion that remains afterwards is what Patriot Pay handles.

How can ASCs explain facility fees and patient responsibility clearly?

Name what the facility fee covers and what it does not, on the estimate and again on the statement. "Why did I get three bills for one surgery?" is the most common ASC billing call, and it is entirely preventable.

What payment options can ASCs offer for same-day surgery?

Pre-procedure payment or deposit at scheduling, one-tap payment afterwards, and self-service installment plans for balances that qualify — all through the same checkout, with payments posting back to your ASC system automatically.

All specialties

Facility & Ancillary

ASC Payment Solutions for Ambulatory Surgery Centers

Q: How can ambulatory surgery centers simplify patient payments?

Estimate before the procedure while there is still a scheduling window, and make explicit that the ASC facility fee is separate from the surgeon and anaesthesia bills the patient will also receive.

Simplify patient payments for U.S. ambulatory surgery centers across ASC facility fees, surgeon and anesthesia charges, pre-procedure estimates, and same-day surgery payments.

How It Works

Why ASCs choose Patriot Pay

Patient collections in ambulatory surgery centers deserve a purpose-built approach.

ASC patient payments can involve facility fees, surgeon charges, anesthesia services, and procedure-specific costs across same-day surgery. With multiple specialties and varying case types, patients need clear financial communication. Patriot Pay helps U.S. ambulatory surgery centers simplify patient responsibility with clear statements, digital payments, text-to-pay, flexible plans, automated outreach, and 24/7 AI-powered support.

The challenges

Why ASC Patient Payments Need More Clarity

Separate facility, surgeon, and anesthesia charges plus varied case pricing can make same-day surgery payments difficult for patients to navigate.

Separate facility, surgeon, and anesthesia charges

Multi-specialty procedures with varied case pricing

Self-pay, short pre-procedure windows, and payment workflows

Patriot Pay solution

A Smarter Payment Experience for Ambulatory Surgery

Predict

Provide clear facility-fee statements and pre-service estimates where scheduling allows.

Engage

Support consistent payment outreach across specialties, procedures, visiting providers, and same-day surgery.

Assist

Help patients understand bundled, self-pay, and out-of-network payment responsibility where applicable.

Resolve

Enable post-procedure digital payments and flexible plans for eligible ASC balances.

Real outcomes

Turn ASC Payment Friction Into Measurable Results

See how clearer patient responsibility, digital payments, and flexible plans can improve payment engagement across same-day surgical care.

+28%

Higher digital payment engagement

+22%

More pre-procedure payment activity

-18%

Fewer delayed ASC patient payments

+24%

Greater flexible-plan adoption

Everything ASCs Need for Better Patient Payments

Connect facility-fee statements, case-rate pricing, pre-service estimates, and post-procedure payments across every specialty in your ASC.

Clear facility-fee statements distinct from physician and anesthesia charges
Consistent payment workflows across hosted specialties
Bundled and self-pay case-rate payment presentation
Pre-service estimates where scheduling allows
Fast post-procedure payment engagement
PM/ASC system integration for payment workflows
Real-time payment reporting and reconciliation

Frequently asked questions

Card, ACH bank transfer, and HSA/FSA funds, with installment plans on larger balances. Many ASCs also collect a pre-procedure payment at scheduling, which is where the biggest improvement in collection rates usually comes from.

Make Every ASC Procedure Easier to Pay For

Give patients a clearer way to manage facility fees and post-surgery balances across your multi-specialty ASC.