Ambulatory Surgical Facilities

Fee Schedule

Fee types and amounts

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 types and amounts

Accredited or Medicare certified – $12,900

State licensed only – $17,550

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

Fee types and amounts

Accredited or Medicare certified – $16,000

State licensed only – $22,000

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

Fee types and amounts

Accredited or Medicare certified – $19,650

State licensed only – $27,200