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e320 Ambulatory Surgery Centers Reduce Patient Out-of-Pocket Expenditures for Rotator Cuff Repair, but Patient Expenditures Increase at Higher Rate than Total Healthcare Utilization Reimbursement from Payers

e322 Medicare Procedural Costs in Ambulatory Surgery Centers vs. Hospital Outpatient Departments for Spine Surgeries

e324 Unveiling the Paradox: The Price of Open Access Orthopaedic Publications and the Elusive Impact Factor

e330 The Association between Academic Productivity and Sunshine Act Supplemental Income among Fellowship Programs for Shoulder and Elbow Orthopaedic Surgery: A Retrospective Analysis of the Open Payments Database