The Centers for Medicare and Medicaid Services page on Ambulatory Surgical Center payment, last modified September 30, 2026, says its files contain the procedure codes that may be performed in an ASC under Medicare and the ASC payment group assigned to each code. The payment group determines the amount Medicare pays for facility services furnished in connection with a covered procedure. That is context for how an operator is paid. It is not a rent number, and this note does not copy a rate, a wage index, or a group dollar. The building loan is underwritten from the lease or from the owner-user's occupancy, the specialized build-out, and the sponsor. A health-system tenant and a physician-owned operator are different credits. Say which one is on the lease.
The Arizona Department of Health Services medical-facilities licensing page, opened October 28, 2026, is the state's licensing desk for medical facilities. The page says the Licensing Management System is how renewals and applications are submitted, and that the department no longer accepts the paper forms. It does not, in the text opened here, name a dollar fee or a processing time. A lender asks for the current facility license because a dark license can strand a special-purpose building. Confirm the license with the operator and with the department. This office does not issue it and does not interpret clinical rules. Statewide medical office, which includes buildings that are not surgery centers, is Arizona medical office. City notes that are not this page include Phoenix medical office and Scottsdale medical office.
Owner-user suite versus a leased surgery building
A practice that will occupy the building may ask an SBA lender and a CDC about 504, or an SBA lender about 7(a). Those institutions make the loans. The arrangement pages are Arizona SBA 504 and Arizona owner-occupied. Capital Market Funds is not an SBA lender and not a CDC. An investor who leases the shell to an operator is a commercial lease loan. Life-company debt, when the lease is long enough and the income is calm, is life company.
Imaging, gases, and operating rooms are expensive to remove. A lender asks what the building is if this operator leaves. Send the plans and the lease term. Do not describe the fit-out as ordinary office.
What this page will not do
It will not quote a Medicare payment, a commercial payer contract, or a case volume. It will not say a particular surgeon's outcomes support a loan. It will not treat a certificate or a license as a guaranty. Bring the license, the lease, and the rent roll.
No tombstone names an Arizona surgery center. Capital Market Funds is not a Fannie Mae DUS lender. The request is taken in Scottsdale under NMLS 1445066.
Arizona surgery centers market context
- A payment group, not a rent figure
- CMS says the ASC payment group on a procedure code determines the Medicare facility payment. No amount from that system is printed here. CMS, Ambulatory Surgical Center payment, page last modified September 30, 2026