Facility placements turn on acuity and procedure mix far more than on square footage or headcount. An ambulatory surgery centre doing routine ophthalmics and one doing spine sit in completely different rating territory, and underwriters will price the highest-acuity procedure on the schedule rather than the average.

These risks also carry a stacked exposure that individual practitioners don't: the facility, the employed staff, the credentialled independent physicians, and the equipment all generate their own claims. Getting the corporate and vicarious pieces right at submission is usually where the value is.

What we place

The cover that actually responds.

Facility professional liability

Entity-level cover for the facility itself, separate from the practitioners working inside it, with the procedure schedule underwritten explicitly.

Vicarious and credentialling liability

Exposure created by independent contractors and credentialled physicians, including negligent-credentialling allegations.

General liability

Premises, patient and visitor injury, written to sit properly alongside the professional tower rather than duplicating or leaving a gap.

Equipment, imaging and diagnostics

Radiology, laboratory and diagnostic exposures where a missed or misread result is the claim, not a physical injury.

Emergency and transport services

Ground and air ambulance, including auto liability interaction and the emergency-response exposures standard forms exclude.

Market pricing — 2026

What it costs.

Indicative annual premium — by facility type

Professional liability unless marked. General liability for these facilities typically runs $1,500 to $30,000 depending on size and foot traffic.

OperationIndicative annual premium
Outpatient clinic — low acuity $3,000 – $8,000
Imaging or diagnostic center $5,000 – $12,000
Medical laboratory — small clinical $2,500 – $6,000
Medical laboratory — large / high volume $15,000 – $35,000
Urgent care center $8,000 – $20,000
Dialysis — 8 to 15 stations $8,000 – $18,000
Dialysis — large or multi-site network $30,000 – $75,000
Ambulatory surgery center $15,000 – $50,000
Multi-specialty outpatient facility $20,000 – $75,000
Ground ambulance / EMS — small $5,000 – $15,000
EMS — large regional or hospital-based $40,000 – $100,000
Cancer center — comprehensive $75,000 – $200,000

Indicative market ranges for 2026, shown to help you scope a risk before you submit it — they are not quotes and not an offer of coverage. Actual premium depends on venue, claims history, limits, staffing and documented controls, and can fall outside these ranges in either direction. Every risk is individually underwritten.

Premium drivers

What moves the number.

Pushes premium higher

  • High-acuity procedures on the schedule — spine, cardiac, bariatric
  • Overnight or extended-stay capability in a facility rated as outpatient
  • Credentialled independents without their own adequate limits
  • Obstetric services of any kind, including birthing centers
  • Emergency response and transport exposures

Keeps premium lower

  • A tightly-defined, accurately-declared procedure schedule
  • Robust credentialling files and documented peer review
  • Accreditation in good standing and clean survey history
  • Transfer agreements and escalation protocols in place
  • Facility and practitioner cover placed as one programme
Risks we place

Bring us the whole segment.

Have a risk in this class?

Send it over and we’ll get it in front of the right underwriters — matched to appetite, and before a competing broker locks the market.