2026 Final Payment Rule
The Centers for Medicare & Medicaid Services (CMS) released the 2026 final payment rule for ASCs and hospital outpatient departments (HOPD).
Find out how Medicare’s ASC payment rates will change in 2026 and which procedures are newly eligible. Get the insights your ASC needs now. This webinar is included in ASCA membership and is available for purchase by nonmembers.
Tune in for a summary of the key provisions of the Centers for Medicare & Medicaid Services’ 2026 final payment rule for ASCs as well as guidance, information and resources from ASCA.
The Centers for Medicare & Medicaid Services (CMS) released the 2026 final payment rule for ASCs and hospital outpatient departments (HOPD) today. Of note, CMS vastly expanded the ASC Covered Procedures List (ASC-CPL) for 2026.
This document identifies and briefly summarizes provisions of greatest interest to ASCA in Medicare's 2026 OPPS/ASC Payment System final rule.
This calculator shows 2026 national and local ASC payment rates as published in the Centers for Medicare & Medicaid Services (CMS) 2026 OPPS/ASC Payment System final rule.
Note: The calculator has been updated as of the addenda posted on December 19, 2025.
This workbook breaks out the codes on the final 2026 ASC Covered Procedures List (ASC-CPL) into groups, including all new codes, separately payable, office-based, device-intensive and more.
The attached spreadsheet compares national rates for procedures payable in both the ASC and hospital outpatient department (HOPD) setting. Rates are derived from the January 2026 ASC addenda and January 2026 Addendum B.
2026 Proposed Payment Rule
The Centers for Medicare & Medicaid Services (CMS) released the 2026 proposed payment rule for ASCs and hospital outpatient departments (HOPD).
This document identifies and briefly summarizes provisions of greatest interest to ASCA in Medicare’s 2026 OPPS/ASC Payment System proposed rule.
This calculator shows proposed 2026 national and local ASC payment rates as published in the Centers for Medicare & Medicaid Services (CMS) 2026 OPPS/ASC Payment System proposed rule.
ASCA staff have created template comment letters that can provide a starting point for you to submit comments on the 2026 OPPS/ASC Payment System proposed rule. You can add your letterhead and customize the letters to your facility’s needs. Templates currently available can help you advocate for the addition of codes to the ASC Covered Procedures List, removal of the ASC weight scalar and removal of measures from the ASC Quality Reporting Program.
This workbook breaks out the codes on the proposed 2026 ASC Covered Procedures List (ASC-CPL) into groups, such as separately payable, office-based, device-intensive and more.