top of page

ACG
​
h.o.l.M.E.S.

Automated Clinical Guidelines

Site of Service Criteria

Medicare

medicare05.png
Procedure Pride Lookup
Planning an outpatient procedure?
You may have options for where you have your outpatient procedure.

Compare national average prices for procedures done in both ambulatory surgical centers and  hospital outpatient departments.

Aetna

ipsubacute.jpg
Inpatient Admission Prior to Surgery (Preop Days)

Anthem

outptsurg02.png
gastophoto.png
skeletal.jpg
pt.png
drugs.png
sitehypertherm.jpg
Anthem Ambulatory or Outpatient Surgery Center Procedures
Anthem Hospital-Based Ambulatory Surgical Procedures & Endoscopic Services
Level of Care for Musculoskeletal Surgery & Procedures
Outpatient Physical Therapy, Occupational Therapy,  & Speech-Language Pathology Services Site of Care
Anthem Site of Care for Specialty Pharmaceuticals
Advanced Radiologic Imaging Site of Service Criteria

Cigna

pet-nondxonco.jpg
providerinfuse.png
skeletal.jpg
skin.jpg
Site of Care: High-tech Radiology - Cigna
Medication Administration Site of Care
Site of Care: Outpatient Hospital for Select Musculoskeletal Procedures - Cigna
Site of Care Outpatient Hospital Setting for Physical & Occupational Therapy

Florida Blue

drugs.png
Site of Care Considerations for Select Specialty Medications

Humana

drugs.png
sitehypertherm.jpg
Site of Care and Specialty Medication Sourcing for Injectable Drugs
Site of Service - Advanced Radiologic Imaging

Michigan Blue

lymph2.jpg
Outpatient Hospital Setting Site of Care

UHC

auditorysystem.png
cardisystem.jpg
service-ct.jpg
digestsystem.jpg
eyesystem.jpg
female.jpg
lymph2.jpg
UHC Outpatient Surgical Procedures - Site of Service Criteria: Auditory System
UHC Outpatient Surgical Procedures - Site of Service Criteria: Cardiovascular System
UHC Computed Tomography (CT) Scan - Site of Service
UHC Outpatient Surgical Procedures - Site of Service Criteria: Digestive System
UHC Outpatient Surgical Procedures - Site of Service Criteria: Eye/Ocular Adnexa System
UHC Outpatient Surgical Procedures - Site of Service Criteria: Female Genital System
UHC Outpatient Surgical Procedures - Site of Service Criteria: Hemic and Lymphatic System
skin.jpg
sitehypertherm.jpg
male.jpg
skeletal.jpg
nervousesys.jpg
respiratory.jpg
urinarysystem.jpg
UHC Outpatient Surgical Procedures - Site of Service Criteria: Integumentary System
UHC Magnetic Resonance Imaging (MRI) - Site of Service
UHC Outpatient Surgical Procedures - Site of Service Criteria: Male Genital System
UHC Outpatient Surgical Procedures - Site of Service Criteria: Musculoskeletal System
UHC Outpatient Surgical Procedures - Site of Service Criteria: Nervous System
UHC Outpatient Surgical Procedures - Site of Service Criteria: Respiratory System
UHC Outpatient Surgical Procedures - Site of Service Criteria: Urinary System

VA

outptsurg02.png
Site of Service Criteria for Outpatient Surgical Procedures
bottom of page