But again, we are investing much of the benefit of contract labor back into our existing employees.Operator Your next question comes from the line of Stephen Baxter from Wells Fargo. Your line is open.Stephen Baxter Hi, thanks. I just wanted to follow-up on another question. You mentioned having a pretty decent amount of visibility on 2024 contracting at this point. I mean, can you just remind us how the two-thirds, compared to where you might have been in a more typical pre-COVID environment? And I think you also alluded that the commercial rate dynamics continuing to be acknowledged by payers at the same general magnitude. Just want to confirm if that was what you meant by those comments? Thanks.Sam Hazen I’m not sure I understood the second part of that question.
But the first part of the question, we’re, like I said, running mid-single-digits on our renewed contracts. We were running 3.5 or so prepandemic with our commercial contracting. So it is up a little bit. Again, it’s reflective of, I think, the overall inflationary environment that most organizations find themselves. But we think it’s a responsible ask and it’s been received reasonably well by the payers that we’ve renewed. What was the second question?Bill Rutherford Well, I think the other one was around the percentage of our contracts that are completed for ’24? Is it consistent with where its historical.Sam Hazen Oh, yes, it is.Bill Rutherford And if it is consistent with where we would have historically been.Operator Your next question comes from the line of Jamie Perse from Goldman Sachs.
Your line is open.Jamie Perse Hey, thank you. Good morning. I wanted to ask a question about the procedure shift to outpatient. First, can you help us quantify what the headwind from that shift has been to revenue and EBITDA over the last couple of years?And then two, categories like knees and hips, so a little bit more homogenous, how do we think about the shift of categories like cardiology? You mentioned that was up 7% in the outpatient setting in the quarter. Are there big categories in cardiology that are analogous to total joints that you think are a big category that is amenable to that shift out patients that we should be thinking about impacting the transition in the near-term? Thank you.Sam Hazen We don’t see any particular procedural category facing the same type of pressure as total joints did.
I think our company is somewhere around 80% of our total joints today are done as an outpatient with 20% done as an inpatient. That was reversed pre-pandemic. So we’ve absorbed all of that. And it was a headwind with respect to a P&L impact over this time period. The rest of the categories are not as discrete as total joints. And in cardiac, particularly, a large piece of our cardiac volumes today are already in the outpatient setting. And so we don’t anticipate anything in that particular category shifting like total joints have shifted.We’ve seen some shift over time in spine, and that’s more incremental than it is holistic like total joints. We’ve seen some in cardiac over the years. We’ve seen some with our robotics platform. Those continue, sort of, on the margin.
They’re not structurally repositioning like total joints did. And so our company has effectively navigated that transition. Again, we have a multifaceted offering for patients and physicians, both in our facilities, outpatient within our facilities, ambulatory surgery centers so forth. And that’s — one of those settings is the right setting for just about every patient.And I think our organization has been able to grow as a result of that multifaceted offering. And our total joints, like I said earlier, are actually up year-over-year and they were up last year, compared to the previous year, so we’ve seen good growth in our orthopedic programs, and we continue to work with our surgeons and our service line leaders to advance our capabilities as well.Operator And there are no further questions at this time.
Mr. Frank Morgan. I turn the call back over to you for some final closing remarks.Frank Morgan Rob, thank you for your help today, and thanks for everyone for joining the call. We hope you have a great weekend. I’m around this afternoon. If we can answer any additional questions you might have for this. Thank you.Operator This concludes today’s conference call. Thank you for your participation.
