A TRUSTED INDEPENDENT HEALTH INSURANCE GUIDE SINCE 1999.
Speak with a licensed insurance agent 866-553-3223
Speak with a licensed insurance agent 866-553-3223
A TRUSTED INDEPENDENT HEALTH INSURANCE GUIDE SINCE 1999.
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outpatient

Outpatient vs inpatient infographic

What does outpatient mean?

An individual (patient) who receives healthcare services (such as surgery) on an outpatient basis, meaning they are not admitted to a hospital or other inpatient facility. Outpatient care can be provided in a variety of settings, including a doctor's office, clinic, urgent care facility, surgery center, or a hospital.

In most cases, staying overnight in the hospital means that you're being treated as an inpatient rather than on an outpatient basis. However, patients sometimes receive "observation" services in the hospital, and are classified as outpatients despite staying overnight in the hospital.1

Especially for patients with Original Medicare, this can affect out-of-pocket costs, since Medicare Part A (inpatient) and Medicare Part B (outpatient, including observation) have very different out-of-pocket costs.

The term outpatient is also used synonymously with ambulatory to describe health care facilities where outpatient procedures are performed. So an outpatient surgery center means the same thing as an ambulatory surgery center.

Footnotes

  1. "FFS & MA MOON" CMS.gov. Oct. 15, 2024 

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