A surgery center's malpractice liability premiums can vary widely: from $22,000 a year for a center in rural Indiana to $100,000 for a moderate sized multi-specialty center in New York to as much as $200,000 for a larger multi-specialty center in such high-risk cities as Miami or Ft. Lauderdale. Rates are based on your specialties, number of procedures, staff size, claims history and limits of liability purchased. When it's time to renew your malpractice insurance, consider these seven tips.