For self-insured employers
Routing employer surgeries to the right facility.
Elision helps self-insured employers pay for outpatient surgery differently. Instead of a hospital outpatient bill split across facility, surgeon, anesthesia, and implants, we arrange a single bundled price with an ambulatory surgery center — agreed before the procedure, with the post-op window included. The employer gets one invoice. The patient gets no balance bill.
Pricing transparency
Same procedure. Two very different invoices.
Below is a representative bundle for a common outpatient case — a knee arthroscopy with meniscectomy. Commercial insurers pay hospital outpatient departments roughly 279% of Medicare for outpatient surgery, and ambulatory surgery centers roughly 171%. That gap is what the bundle turns into a line item.
"If you can't tell your CFO what the surgery cost, you don't have a health plan — you have a mystery." — Elision working principle
Typical HOPD
Hospital outpatient department · same procedure
- Facility feeIncludes HOPD overhead & markup $6,200
- Surgeon professional feeBilled separately $2,450
- AnesthesiaThird-party billing, often out-of-network $1,380
- Implants & suppliesPass-through + markup $1,720
- Follow-up & complicationsUnbundled; billed as incurred $820
Billed total
$12,570
Elision bundle
In-network ASC · same clinical standard
- Facility feeAmbulatory surgery center $2,340
- Surgeon professional feeIn the bundle $1,180
- AnesthesiaIn the bundle · in-network $620
- Implants & suppliesAt cost, no pass-through markup $540
- Post-op windowComplications & readmissions included $140
All-in bundle
$4,820
Saved per procedure
$7,750
$12,570 HOPD → $4,820 bundle · 62% lower
One invoice, one in-network partner, one post-op window — for the same procedure your employees would've gotten anyway. Representative figures for a common bundle; the commercial ratio between ASC and HOPD pricing is documented by RAND Study 5.1 (2024). Your actual savings come from modeling against your claims.
Email us
Who you're emailing.
Elision is built by Max Rabaudi and Arias Deukmedjian. We came to this from the operator side of healthcare, after concluding the simplest way to improve a surgical bundle was to move the case out of the hospital. Either of us will reply directly.
