QUAD A publishes one fee schedule for its outpatient, pediatric dentistry, Medicare surgical, physical therapy, rural health clinic and international programs, and it prices each in a different way. The figures below come from the schedule PDF that QUAD A links from its prospective facilities page, opened October 3, 2026. IHS's QUAD A accreditation page covers the programs and the survey process, and this page lays out the full tables.
Last reviewed: October 2026.
What QUAD A publishes and where
The schedule is a 10-page PDF at quada.org/hubfs/QA-3-2024-Fee-Schedule-v4.pdf. The file name carries "v4" and the document prints no other version number. It states that the fees apply to all invoices as of April 7, 2025.
IHS looked for a newer schedule on quada.org's program, prospective facility, FAQ, office-based surgery and standards news pages on October 3, 2026. The fee schedule links on the prospective facility and office-based surgery pages point to this same PDF, and the other pages list no other schedule, so it is the version used here. Verify current fees with QUAD A.
The fee tables
Non-Medicare programs (office-based surgery and procedural, and related programs)
Each row's annual fee depends on the physician count, the number of specialties and the facility class. The schedule's header counts physicians, dentists or diagnostic personnel toward that number. The Full Survey fee does not vary with size or class: $2,560.
| Physicians on staff | Specialties | Class A | Classes B and C |
|---|---|---|---|
| 1-2 | Up to 2 | $869 | $1,276 |
| 3-5 | Up to 2 | $1,210 | $1,771 |
| 3-5 | 3 or more | $1,518 | $2,079 |
| 6-9 | Up to 2 | $3,839 | $4,631 |
| 6-9 | 3 or more | $4,136 | $4,928 |
| 10 plus | Up to 2 | $5,401 | $6,820 |
| 10 plus | 3 or more | $5,698 | $7,755 |
Pediatric dentistry
Each row's annual fee depends on the dentist count and the facility class. The survey fee is $2,560 whatever the size or class.
| Dentists on staff | Class A | Classes B and C |
|---|---|---|
| 1-2 | $869 | $1,276 |
| 3-5 | $1,210 | $1,771 |
| 6-9 | $3,839 | $4,631 |
| 10 plus | $5,401 | $6,820 |
Medicare surgical (ASC)
The annual fee is the same for Classes A, B and C and varies with facility size.
| Physicians on staff | Specialties | Size | Annual fee | Full Survey fee |
|---|---|---|---|---|
| 1-2 | Up to 2 | Small | $1,980 | $4,130 |
| 3-5 | Up to 2 | Small | $2,475 | $4,130 |
| 3-5 | 3 or more | Small | $2,783 | $4,130 |
| 6-9 | Up to 2 | Medium | $5,313 | $5,480 |
| 6-9 | 3 or more | Medium | $5,610 | $5,480 |
| 10 plus | Up to 2 | Large | $7,491 | $6,280 |
| 10 plus | 3 or more | Large | $8,437 | $6,280 |
The ASC table also lists an additional $3,135 Life Safety Code survey fee for ASC facilities.
Other fees in the schedule
| Item | Figure |
|---|---|
| Start-Up survey | $1,103 per survey, up to two allowed, plus a Start-Up term fee of 50% of the published annual rate |
| Expedited survey (procedural, surgical, OMS and pediatric dentistry facilities) | $550 per request, plus the surveyor's time, travel and lodging as QUAD A bills them |
| Survey cancellation inside 30 days | $550 administrative fee, plus other cancellation costs, and a further survey fee if the surveyor has already traveled or the survey is within one week |
| Reactivation (not available to Medicare facilities) | $550 |
| Refund administrative deduction | $100 per refund |
How the fee structure works
Two charges make up most of what a facility pays. The annual fee follows the size of the clinical staff, and for most programs the number of specialties and the facility class. The survey fee is flat for non-Medicare programs and rises with facility size for ASCs.
The class is set by the anesthesia a facility uses. QUAD A's anesthesia class requirements document, opened October 3, 2026 (its pages are marked "Effective 02-02-2026"), places local anesthesia and minimal sedation in Class A, moderate sedation in Class B, and deeper techniques such as propofol, spinal, epidural and general anesthesia in Class C.
Plan for the two fees to arrive together on a single invoice once every three years, in the re-survey year, about six months before the facility's accreditation expires. Hiring or losing physicians or clinical staff during the term can change the annual fee.
An organization with 15 or more accredited facilities gets a discount on the annual fee, from 13% at 15 to 49 facilities up to 25% at 150 or more, and QUAD A resets the tier each quarter. The schedule also lists 10% discounts for members of certain associations in some programs, and those do not stack with the volume discount.
Charges that come on top of the tables
- Follow-up surveys, limited to two per facility. Each is priced from the same tables by program, class and size.
- Interim surveys. When something material changes between routine surveys, QUAD A can require an extra one, and the facility pays a separate invoice before it happens. The schedule lists the triggers, including a change of ownership, a change of facility class and new major equipment.
Reading the schedule
This is arithmetic on the published figures. It is not a quote, an estimate of any bill, or a prediction of what QUAD A will invoice a particular facility.
- A non-Medicare Class A facility with 1-2 physicians and up to 2 specialties: $869 annual fee plus $2,560 Full Survey fee equals $3,429 in a re-survey year. In Classes B or C the same row gives $1,276 plus $2,560, which is $3,836.
- A small ASC with 1-2 physicians and up to 2 specialties: $1,980 annual fee, $4,130 Full Survey fee and the $3,135 Life Safety Code fee add to $9,245. The re-survey paragraph ties the Life Safety survey to the every-third-year cycle, while the ASC table calls the $3,135 fee additional for all ASC facilities. The schedule also lists $3,135 as the charge for an extra Life Safety Code survey after a condition-level Life Safety deficiency. Confirm with QUAD A which years the fee is billed.
- One Start-Up survey for a Class A facility in the 1-2 physician row: $1,103 plus half of $869, which is $434.50, equals $1,537.50. The schedule does not say whether the term fee applies again if a second Start-Up survey is needed.
- A withdrawal after the application is processed but before the survey, on a $869 plus $2,560 invoice: half the annual fee ($434.50) plus the full survey fee ($2,560), minus the $100 administrative deduction, equals $2,894.50. Once the survey has taken place, only half the annual fee comes back.
The schedule does not explain how the annual fee is invoiced in the two years between surveys, whether the class is assigned at application or at survey, or how a facility's size is measured for the ASC table. Ask QUAD A before budgeting.
Where this fits
The QUAD A accreditation page covers the programs, the Portal application and what to have ready for the survey. For the other accreditor that surveys ambulatory surgery and office-based facilities, see AAAHC ambulatory accreditation. AAAHC's ambulatory accreditation page, opened October 3, 2026, lists no dollar amounts and invites cost questions to AAAHC, so this page cannot compare the two accreditors' fees.
What this is not
This page is not a copy of the QUAD A schedule and not IHS pricing. IHS does not set or collect accreditor fees, and nothing here predicts what a facility will be invoiced. IHS scopes each engagement after a free introductory call. Verify current fees with QUAD A.
Frequently asked questions
What does the QUAD A fee schedule cover?
It covers annual fees, survey fees and event fees for QUAD A's outpatient, pediatric dentistry, Medicare surgical (ASC), outpatient physical therapy, rural health clinic and international programs. The version IHS reviewed gives April 7, 2025 as the date its fees take effect on invoices. Verify current fees with QUAD A.
What is the lowest annual fee QUAD A lists?
In the grids reproduced here, $869 for a Class A facility with 1-2 physicians and up to 2 specialties.
Is the survey fee the same for every facility?
For non-Medicare programs and pediatric dentistry, the Full Survey fee is $2,560 for any size or class. For Medicare ASCs it is $4,130 for small, $5,480 for medium and $6,280 for large facilities, and a $3,135 Life Safety Code fee is listed in addition.
What decides which class column applies?
The class follows the anesthesia and sedation a facility uses, as set out in QUAD A's anesthesia class requirements document. Class A covers local anesthesia and minimal sedation, and Classes B and C cover deeper levels. Confirm your class with QUAD A before you budget.
Is there a fee for an expedited survey?
A procedural, surgical, oral and maxillofacial surgery or pediatric dentistry facility can ask for a survey within 30 days of submitting its completed materials. The schedule charges $550 for the request, and QUAD A also passes on its surveyor, travel and lodging costs. Facilities in Medicare programs cannot request an expedited survey.
What happens to the fee if a facility cancels a survey?
A written cancellation 31 or more days before the survey date costs nothing extra. Within 30 days the schedule lists a $550 fee plus QUAD A's other cancellation costs, and a cancellation after the surveyor has traveled, or within a week of the survey, adds a further survey fee. The schedule treats changing a survey date as a cancellation. Verify current fees with QUAD A.
Does IHS charge or collect QUAD A fees?
No. QUAD A invoices the facility directly, and the facility pays QUAD A. IHS scopes each engagement after a free introductory call.