Procedures traditionally performed in hospital ORs have migrated to ambulatory settings over the past 10 years, but outpatient spine surgery remains a burgeoning concept. Here at the Medical District Surgery Center in Las Vegas, we perform between 10 and 20 procedures each month and are reimbursed from $3,000 to $35,000 per case. The specialty can be lucrative if you balance your search for profits against proper patient selection, talented and confident surgeons and a clear understanding of the costs involved.