Direct Surgical Contracting for Surgery Centers
Atlas Billing gives surgery centers a steady stream of qualified cash-pay patients with guaranteed, timely payment and zero operational disruption, all at self-determined prices.
Why Direct Contracting Aligns Naturally With ASCs
Ambulatory surgery centers have long led the way in outpatient efficiency, cost transparency, and patient-centered surgical care. Direct contracting extends those strengths by meeting a growing demand among self-funded employers, cost-sharing ministries, third-party administrators, and cash-pay patients who want predictable, all-inclusive surgical fees.
While hospitals face operational complexity and payer-driven workflows, ASCs are uniquely positioned for bundled care due to:
Efficient care delivery
Predictable case pathways
Consistent clinical outcomes
Lower overall costs
Streamlined staffing and scheduling
The result is a perfect alignment between ASC capabilities and the needs of organizations and patients seeking transparent, cost-effective surgical solutions.
The Atlas Advantage for Surgery Centers
Atlas provides a fully managed, end-to-end approach to direct-contracted surgical care. You receive new surgical patients and operational simplicity, all at rates you supply -within the same direct-contracting framework we use for hospitals and surgeons & clinical partners.
Guaranteed, Timely Payment
ASCs, surgeons, and the anesthesia team each receive 100% payment for each bundled case. There are no claims, no denials, and no payer disputes – just predictable, timely payment.
Flat Fee – Paid by the Buyer
Atlas’s fee is paid by the buyer – the employer, plan, or TPA – never taken out of your bundle payment. It’s a single flat administrative fee per outpatient case, not a percentage of the surgery cost, so your economics stay transparent and predictable regardless of procedure type or complexity.
A Steady Stream of Qualified Patients
Through relationships with ministries, employers, and TPAs, Atlas brings patients who are ready to schedule and financially cleared, allowing ASCs to focus purely on care delivery.
Global Market Reach
ASCs are no longer limited to local referrals. Patients across state lines and internationally travel for transparent pricing and high-quality outcomes, opening new revenue opportunities without additional marketing spend. Recent examples include patients flying in from Europe and Canada to receive cost-effective, high-quality surgical care.
Zero Operational Disruption
Your systems, workflows, and staffing remain unchanged. Atlas manages contracting, billing, collection, and payment distribution at rates your team provides.
High-Performing Procedures for ASC Bundles
Atlas focuses on outpatient procedures where ASCs consistently demonstrate superior quality and value, including:
Orthopedic surgery (knees, shoulders, hands, ankles)
ENT
General surgery
GI
Pain procedures
Gynecology (outpatient appropriate)
Urology
These categories show the strongest demand from employer groups and benefit administrators seeking reliable, cost-efficient care pathways.
Explore Our Bundled Procedure Library
Atlas maintains one of the industry’s most comprehensive bundled-care catalogs, with nearly 1,000 outpatient procedures priced transparently and supported by clear inclusion criteria.
This resource helps ASCs understand:
Where demand is strongest
Competitive pricing levels
Which service lines employers prioritize
How bundled care aligns with your existing case mix
Our Onboarding Framework
A Streamlined Onboarding Experience
The onboarding process for ASCs is designed to be fast, structured, and minimally burdensome.
Step 1 – ASC Assessment
We evaluate your procedures, case volume capacity, outcome data, and scheduling patterns to determine bundle eligibility.
Step 2 – Contracted Pricing Development
Atlas collaborates with your team to set an all-inclusive bundle rate. You maintain full oversight and approve final pricing.
Step 3 – Partner Launch
Your bundled procedures are introduced across:
Our employer and ministry programs
TPA channels
Cash-pay and international referral pathways
Step 4 – Seamless Payment Distribution
Atlas collects the full bundled fee and distributes payments to all participating providers. You receive your contracted portion promptly and predictably.
Why ASCs Choose Atlas
ASCs partner with Atlas to:
Increase case volume without adding operational complexity
Attract patients actively seeking transparent pricing
Receive predictable, contracted payments
Expand visibility across national patient groups
Reduce administrative time spent on billing or claims
Leverage OR capacity for profitable outpatient procedures
Benefit from a proven, scalable referral model supported by roughly 2,000 bundled cases processed each month
One ASC partner noted that bundled cases “fit perfectly into the flow of outpatient operations – predictable, efficient, and financially consistent.”
Commitment to Quality and Transparency
Atlas supports ASC partners with:
Clearly documented bundle inclusions
Transparent pricing methodology
Outcome-driven surgeon and case selection
Secure data handling and communication
Consistent processes aligned with ASC operations
Outcome-Based Surgeon Selection
Atlas selects surgeons based on real-world performance indicators – infection rates, revision history, clinical outcomes, and physician-to-physician referrals – rather than broad industry data sets.
This ensures both clinical and financial integrity throughout each bundled episode of care.
Frequently Asked Questions
Do bundled cases affect our existing payer contracts?
No. Bundled cases operate independently of your existing payer agreements.
Who handles billing and coordination?
Atlas handles bundling, patient sourcing, collection of the bundled fee, and payment distribution to you.
Do we need new systems or workflows?
No. Bundled cases run alongside your existing operations with no new systems required.
Which procedures generate the strongest demand?
Outpatient orthopedic, ENT, general surgery, GI, ophthalmology, pain, and gynecology procedures are requested most.
How quickly do ASCs get paid?
Atlas collects the bundled fee and pays each contracted partner promptly.
Become an Atlas ASC Partner
Discover how bundled surgical pricing can increase volume, strengthen financial stability, and connect your ASC with patients seeking transparent, high-quality care.