Ambulatory Surgical Facilities

Fee Schedule

Fee Type Fees
Change of Ownership $500
Late Fee per Day $50 ($1,000 maximum)

Initial and Renewal License (valid for three years)

Performs 1,000 or fewer surgical procedures on an annual basis

Fee Type Fee Amount
Accredited or Medicare certified $12,900
State licensed only $17,550

Performs 1,001–5,000 surgical procedures on an annual basis

Fee Type Fee Amount
Accredited or Medicare certified $16,000
State licensed only $22,000

Performs more than 5,000 surgical procedures on an annual basis

Fee Type Fee Amount
Accredited or Medicare certified $19,650
State licensed only $27,200