Hospital executives reviewing the budget

Independent. Impartial. Not a staffing company.

Find out what your anesthesia coverage should cost.

Most hospitals cannot say why their subsidy is the number it is. We show you, line by line, what you are paying for and what the market pays for it, then help you and your current group reach a figure that holds for both of you.

We are not a staffing company. Our first objective is that you keep the providers you already have.

See What We Analyze Request a Benchmark Review

What a benchmark review includes · What an anesthesia subsidy is

Anesthesia is the only service line we measure, and this is what we measure in it.

Clinical coverage model · care-team mix · staffing ratios

Operations OR utilisation · block design · call & relief

Financial subsidy per case · market rate · collections per unit

$420K+

in annual revenue leakage a charge-capture and denial audit is built to surface

14%

difference between a subsidy set by history and one set against market rate for the same coverage

18%

more throughput from the same rooms, by fixing block design and staffing ratios

Modelled figures from representative engagements, not results attributed to a named client.

Strategic Solutions

DIAGNOSTIC

Anesthesia Service Line Assessment

What your anesthesia spend actually buys, reconciled against the surgical schedule as it ran rather than as it was contracted — the baseline every other conversation is argued from.

Details

CLINICAL

Anesthesia Coverage and Staffing Review

Whether the coverage model matches the list you actually run — sites, care-team mix, ratios, and how call and relief are covered.

Details

FINANCIAL

Anesthesia Revenue Cycle Consulting

Where collections fall short of what the work billed: under-coding, mispriced payer contracts, and denials traced back to the documentation gap that caused them.

Details

STRATEGIC

Bilateral Anesthesia Arbitration

The market-rate evidence package, built to NSA/IDR standards — including telling you plainly when the position will not hold.

Details

STRATEGIC

Anesthesia Stipend and Contract Review

What the coverage costs against the schedule you actually run, what comparable facilities pay per anesthetizing site, and what each term in the agreement is worth in dollars.

Details

OPERATIONAL

Anesthesia Employment Model Transitions

What a change of employment model would actually cost and involve — modelled before anyone commits to it, including the option of not changing.

Details

See all eight services

Our Mission

Most of these arguments are about numbers nobody can see.

Anesthesia economics are opaque to both sides. The hospital cannot explain its own subsidy; the group cannot show why the coverage costs what it does. We put one set of figures on the table that both of you can check — and in most cases the answer is a workable number with the same providers, not a different group.

Impartial by construction

No staffing arm, no placement fees, and nothing in our fee that moves with the outcome — including when the ask turns out to be justified.

Anesthesia data, not healthcare data

Benchmarks built from the anesthesia market itself, not a general healthcare set with a filter over it. One service line, measured closely.

KPI TRACKER

+14.2%

REVENUE EFFICIENCY

X:42.1 Y:88.4

RETURN ON SPEND

SUBSIDY: Δ

OR EFFICIENCY

EBITDA MAPPING

COVERAGE MODEL

DEEP SCAN: ACTIVE

What your peers are reading

On subsidy pressure, in plain numbers

SUBSIDY

Why Your Hospital’s Anesthesia Subsidy Keeps Growing and How to Reduce It Before Your FY 2027 Budget

If your anesthesia service line has become one of the fastest-growing expenses in your hospital budget, you’re not alo…

SUBSIDY

Anesthesia Payer Negotiations: A Strategic Imperative for CFOs and COOs

Hospitals and healthcare systems nationwide are facing unprecedented pressure from rising anesthesia subsidies. Driven…

SUBSIDY

Managing Rising Anesthesia Subsidy Pressures in 2026

Anesthesia services are undergoing significant change, creating new challenges for hospitals as they work to manage gr…

All insights

Representative scenarios

What the analysis is worth in practice

                        412-bed community hospital · Midwest
                    

$1.4M

annual subsidy reduction

The group’s ask was benchmarked against regional market rate and rebuilt around a coverage model the hospital could actually staff.

                        Three-site regional health system · Southeast
                    

$680K

revenue recovered in year one

A charge-capture and denial audit found consistent under-coding on obstetric anesthesia and a payer contract billed at the wrong base units.

                        Level II trauma center · Mountain West
                    

subsidy increase at renewal

Modelling showed the existing stipend was already above market, and the analysis held through arbitration without the relationship breaking down.

Representative scenarios illustrating the shape of the work — not results attributed to a specific client.

Find out where your spend actually sits

Partner with the experts who understand the nuances of anesthesia operations.

Request a Benchmark Review