American College Of Surgeons - Inspiring Quality: Highest Standards, Better Outcomes

Fees and Invoices

Fee Structure

As of January 1, 2017, the Trauma Quality Improvement Program (TQIP) will be moving to the fee structure outlined below. This fee will be assessed to hospitals with annual renewals on or after January 1, 2017, at the time of their next regular renewal.

In addition, the American College of Surgeons (ACS) Committee on Trauma is planning for the ongoing stability of TQIP by establishing a long-term price structure, designed to support advancements in technology, analytics, and training for participants. We expect this strategic financial model to sustain the platform required to help hospitals measure performance and improve patient care. Please refer to the table below for TQIP pricing through 2019.

ACS TQIP Pricing Structure

Program Type

Beginning January 1, 2017

Beginning July 1, 2017

Beginning July 1, 2018

Beginning July 1, 2019

Annual Fee

Adult Level I & II TQIP Only





Pediatric TQIP Only





Level III TQIP Only





ACS TQIP Collaboratives Pricing Structure

To accommodate Collaboratives of various sizes and organizational structures, TQIP offers two options for the administration and pricing for Collaboratives: 

1. Third Party Paid and Administered

The Third Party (for example, health department, foundation, hospital system) is an entity that has a lead role in the trauma system development and oversight. The Third Party engages in contracting and payment directly with TQIP to administer the Collaborative.

The annual Collaborative fee is based on the number of Level I & II centers that will participate in your Collaborative. See the chart below to determine the appropriate fee for your Collaborative tier.


Number of Hospitals












25 and above


2. Hospital Paid and Administered

  • A group of hospitals that do not fall under the scope of a third party entity will engage in contracting and payment directly with TQIP.
  • Each participating hospital will sign an Addendum to the TQIP Hospital Participation Agreement that will serve as the Collaborative contracting agreement.
  • The Collaborative fee is paid by individual hospitals with an annual participation fee of $500 per hospital. This fee is in addition to the annual TQIP hospital participation fee.

Note: All Collaborative fees are separate from the annual Level I and II TQIP participation fee.

If you have any questions regarding TQIP Collaborative fees, please e-mail

Program Discounts Phase Out

If your hospital has received a special discount for participating in both adult and pediatric TQIP or a TQIP State Collaborative, please note these discounts will be phased out by June 30, 2018. We realize that hospitals need time to plan for budget increases, so we will extend your current discount structure through June 30, 2018.

Starting July 1, 2018, non-ACS verified hospitals participating in both adult and pediatric TQIP will pay full price for both adult and pediatric TQIP, for a total of $24,000 that year. Adult TQIP hospitals will no longer receive the collaborative discount effective July 1, 2018.

Discounts will not be issued for new TQIP centers beginning the enrollment process on or after January 1, 2017.


Hospitals with TQIP renewal dates of January 1, 2017, or later, will receive their first invoice reflecting the price increase 60 days prior to their renewal.

In order to simplify billing, we will be moving all fully enrolled TQIP centers to an annual July 1 invoicing date. Most hospitals will therefore receive prorated invoices to align billing cycles.

Hospitals participating in both TQIP and the Verification, Review, and Consultation Program will pay one Trauma Quality Program fee. Invoicing for the Trauma Quality Program fee (encompassing fees for both TQIP and VRC) will begin after a hospital has received a prorated TQIP and/or VRC invoice in order to align their billing cycles with a July 1 renewal date. For more information about this combined fee structure, please visit the VRC Fees and Invoices page.