Pricing for Surgical Procedures

Welcome to Abington Surgical Center’s Self-Pay or Cash pay website.

If you are with a self-funded or self-insured company, looking for a potentially less expensive option than what is available under the Affordable Care Act, or know that you will not make your deductible for the year and desire one simple bundled payment for your procedure, it is worthwhile to consider paying a cash rate and forego submitting to your insurance. Please see our Pricing Disclaimer for details on what is included in the cash price provided on this website. Please Contact Us with any questions you have and we look forward to caring for you.

Click on an area of the body where a surgery or procedure is needed. Find a price and request a specialist to contact you.

Procedures

  • Breast
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    Procedure/Surgery Description Cost
    Sentinel Lymph Node Biopsy

    CPT: 38525

    Biopsy or excision of lymph node(s); open, deep axillary node(s). Includes all costs associated with surgeons(s); facility charges; anesthesia; implants; supplies and drugs necessary during surgery as well as routine post procedure care until discharge.

    		 $2,940.00
    Revise Breast Reconstruction

    CPT: 19380

    Revision of reconstructed breast. Includes all costs associated with surgeons(s); facility charges; anesthesia; implants; supplies and drugs necessary during surgery as well as routine post procedure care until discharge.

    		 $4,936.00
    Delayed Breast Prosthesis

    CPT: 19342

    Delayed insertion of breast prosthesis following mastopexy, mastectomy or in reconstruction. Includes all costs associated with surgeons(s); facility charges; anesthesia; implants; supplies and drugs necessary during surgery as well as routine post procedure care until discharge.

    		 $7,153.00
    Breast-Surgical removal of lesion

    CPT: 19120

    Excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue, duct lesion, nipple or areolar lesion (except 19300), open, male or female, 1 or more lesions.

    		 $2,885.00
    Breast-Partial Mastectomy with removal of nodes

    CPT: 19302

    Mastectomy, including all costs associated with surgeon(s); facility charges; anesthesia; supplies and drugs necessary during surgery and until discharge. Also includes routine post operative care until discharge.

    		 $5,159.00
  • Ear
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    Procedure/Surgery Description Cost
    Transcanal Type I T-Plasty

    CPT: 69631

    Reconstruction of the tympanic membrane, or eardrum, to repair a perforation. Includes all costs associated with surgeons(s); facility charges; anesthesia; implants; supplies and drugs necessary during surgery as well as routine post procedure care until discharge.

    		 $5,052.00
    Excision External Ear Lesion

    CPT: 11621

    Excision, malignant lesion including margins, excised diameter 0.6 to 1.0 cm. Includes all costs associated with surgeons(s); facility charges; anesthesia; implants; supplies and drugs necessary during surgery as well as routine post procedure care until discharge.

    		 $512.00
    Myringotomy Tube Removal

    CPT: 69424

    Ventilating tube removal requiring general anesthesia. Includes all costs associated with surgeons(s); facility charges; anesthesia; implants; supplies and drugs necessary during surgery as well as routine post procedure care until discharge.

    		 $1,891.00
    Ear Tube Placement – Bilateral (General Anesthesia)

    CPT: 69436

    Surgery for placement of ear tubes, including all costs associated with surgeon(s); facility charges; anesthesia; implants; imaging, supplies and drugs necessary during surgery and until discharge. Also includes routine post operative care until discharge.

    		 $2,834.00
    Ear Tube Placement (local anesthesia)

    CPT: 69420

    Surgery for placement of ear tubes, including all costs associated with surgeon(s); facility charges; anesthesia; imaging, supplies and drugs necessary during surgery and until discharge.  Also includes routine post operative care until discharge.

    		 $1,617.00
    Ear Tube Placement – Unilateral (general anesthesia)

    CPT: 69436

    Surgery for placement of ear tubes, including all costs associated with surgeon(s); facility charges; anesthesia; implants; imaging, supplies and drugs necessary during surgery and until discharge. Also includes routine post operative care until discharge.

    		 $1,889.00
  • Elbow
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    Procedure/Surgery Description Cost
    Tennis Elbow

    CPT: 24359

    Surgical incision the medial or lateral site of a tenotomy for debridement of the fibrosed tissue to relieve the contracture of the tendon. Includes all costs associated with surgeons(s); facility charges; anesthesia; implants; supplies and drugs necessary during surgery as well as routine post procedure care until discharge.

    		 $3,494.00
    Elbow-Ulnar Nerve Transposition

    CPT: 64718

    Elbow surgery, including all costs associated with surgeon(s); facility charges; anesthesia; pathology as needed; imaging, supplies and drugs necessary during surgery and until discharge, and routine post operative care until discharge.

    		 $2,378.00
    Elbow-Tennis Elbow (Tenotomy)

    CPT: 24359

    Surgical treatment of Tennis Elbow, including all costs associated with surgeon(s); facility charges; anesthesia; implants; pathology as needed; imaging, supplies and drugs necessary during surgery and until discharge, and routine post operative care until discharge.

    		 $3,494.00
  • Eye
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    Procedure/Surgery Description Cost
    Insertion of Anterior Segment Draining Device

    CPT: 0191T

    Insertion of anterior segment aqueous drainage device, without extraocular reservoir, internal approach, into the trabecular meshwork; initial insertion. Includes all costs associated with surgeons(s); facility charges; anesthesia; implants; supplies and drugs necessary during surgery as well as routine post procedure care until discharge.

    		 $4,794.00
    Ptosis – Bilateral

    CPT: 67908

    Surgical repair of abnormal drooping of the eyelid which can interfere with the patient’s field of vision and cosmetic appearance. Surgical repair or reconstruction is aimed at removing the extra skin and providing a normal look and functionality to the eyelid. Includes all costs associated with surgeons(s); facility charges; anesthesia; implants; supplies and drugs necessary during surgery as well as routine post procedure care until discharge.

    		 $3,144.00
    Ptosis – Unilateral

    CPT: 67908

    Surgical repair of abnormal drooping of the eyelid which can interfere with the patient’s field of vision and cosmetic appearance. Surgical repair or reconstruction is aimed at removing the extra skin and providing a normal look and functionality to the eyelid. Includes all costs associated with surgeons(s); facility charges; anesthesia; implants; supplies and drugs necessary during surgery as well as routine post procedure care until discharge.

    		 $2,096.00
    Eye Muscle Surgery – Bilateral

    CPT: 67311

    Procedure realigns an imbalance in the eye muscles by either recession, which weakens the eye muscle or resection, which strengthens the muscles so as to restore normal vision. Includes all costs associated with surgeons(s); facility charges; anesthesia; implants; supplies and drugs necessary during surgery as well as routine post procedure care until discharge.

    		 $3,563.00
    Eye Muscle Surgery – Unilateral

    CPT: 67311

    Procedure realigns an imbalance in the eye muscles by either recession, which weakens the eye muscle or resection, which strengthens the muscles so as to restore normal vision. Includes all costs associated with surgeons(s); facility charges; anesthesia; implants; supplies and drugs necessary during surgery as well as routine post procedure care until discharge.

    		 $2,375.00
    Naso Lacrimal Probe

    CPT: 68811

    Probing of nasolacrimal duct, with or without irrigation; requiring general anesthesia. Includes all costs associated with surgeons(s); facility charges; anesthesia; implants; supplies and drugs necessary during surgery as well as routine post procedure care until discharge.

    		 $1,678.00
    Chalazion

    CPT: 67808

    Excision of chalazion; under general anesthesia, single or multiple. Includes all costs associated with surgeons(s); facility charges; anesthesia; implants; supplies and drugs necessary during surgery as well as routine post procedure care until discharge.

    		 $2006.00
    Revision of Upper Eyelid – Bilateral

    CPT: 15823

    Surgery to remove excess skin of two upper eyelids; including all costs associated with surgeon(s); facility charges; anesthesia; supplies and drugs necessary during surgery and until discharge, and routine post operative care until discharge.

    		 $3,430.00
    Glaucoma Surgery

    CPT: 66170

    Glaucoma surgery, including all costs associated with surgeon(s); facility charges; anesthesia; supplies and drugs necessary during surgery and until discharge, and routine post operative care until discharge.

    		 $3,325.00
    Revision of Upper Eyelid – Unilateral

    CPT: 15823

    Surgery to remove excess skin of upper eyelid; including all costs associated with surgeon(s); facility charges; anesthesia; supplies and drugs necessary during surgery and until discharge, and routine post operative care until discharge.

    		 $2,287.00
    Cataract Surgery

    CPT: 66984

    Cataract surgery, including all costs associated with surgeon(s); facility charges; implants; anesthesia; supplies and drugs necessary during surgery and until discharge, and routine post operative care until discharge.

    		 $2,787.00
  • Foot
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    Procedure/Surgery Description Cost
    Foot-Removal of Heel Spurs

    CPT: 28119

    Surgical treatment to remove heel spur(s), including all costs associated with surgeon(s); facility charges; anesthesia; imaging, supplies and drugs necessary during surgery and until discharge. Also includes routine post operative care until discharge.

    		 $2,999.00
    Foot-Hammertoe Surgery

    CPT: 28285

    Surgical treatment of Hammertoe, including all costs associated with surgeon(s); facility charges; anesthesia; implants; imaging, supplies and drugs necessary during surgery and until discharge. Also includes routine post operative care until discharge.

    		 $2,081.00
    Foot-Bunionectomy

    CPT: 28296

    Surgical treatment for removal of bunion(s), including all costs associated with surgeon(s); facility charges; anesthesia; imaging, supplies and drugs necessary during surgery and until discharge. Also includes routine post operative care until discharge.

    		 $3,257.00
    Ankle-Achilles Tendon repair

    CPT: 27650

    Ankle surgery to repair ruptured Achilles tendon, including all costs associated with surgeon(s); facility charges; anesthesia; implants; imaging, supplies and drugs necessary during surgery and until discharge. Also includes routine post operative care until discharge.

    		 $3,494.00
    Ankle-Arthroscopic surgery

    CPT: 29898

    Arthroscopic ankle surgery, including all costs associated with surgeon(s); facility charges; anesthesia; implants; imaging, supplies and drugs necessary during surgery and until discharge. Also includes routine post operative care until discharge.

    		 $3,340.00
  • General
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    Procedure/Surgery Description Cost
    Hernia Incarcerated Complex – Laparoscopic

    CPT: 49650

    Laparoscopy, surgical, repair, incisional hernia (includes mesh insertion, when performed); incarcerated or strangulated. Includes all costs associated with surgeons(s); facility charges; anesthesia; implants; supplies and drugs necessary during surgery as well as routine post procedure care until discharge.

    		 $7,611.00
    Umbilical Hernia Reduction – Over Age 5

    CPT: 49585

    Repair umbilical hernia, age 5 years or older; reducible. Includes all costs associated with surgeons(s); facility charges; anesthesia; implants; supplies and drugs necessary during surgery as well as routine post procedure care until discharge.

    		 $3,367.00
    Inguinal Hernia Repair – Open

    CPT: 49505

    Implantation of mesh or other prosthesis for open incisional or ventral hernia repair or mesh for closure of debridement for necrotizing soft tissue infection. Includes all costs associated with surgeons(s); facility charges; anesthesia; implants; supplies and drugs necessary during surgery as well as routine post procedure care until discharge.

    		 $3,071.00
    Laparoscopic Hernia Repair – Bilateral

    CPT: 49650

    Surgery to repair a bilateral hernia laparoscopically, including all costs associated with surgeon(s); facility charges; anesthesia; imaging, supplies and drugs required during procedure and until discharge and routine post-procedure care until discharge.

    		 $6,489.00
    Hernia repair-Incisional (Laparoscopic)

    CPT: 49654

    Surgery to repair a hernia, including all costs associated with surgeon(s); facility charges; anesthesia; imaging, supplies and drugs required during procedure and until discharge and routine post-procedure care until discharge.

    		 $7,299.00
    Hernia repair-Ventral/Umbilical/Spigelian/Epigastric

    CPT: 49652

    Laparoscopy, surgical, repair, ventral, umbilical, spigelian or epigastric hernia (includes mesh insertion, when performed); reducible. Includes all costs associated with surgeon(s); facility charges; anesthesia; imaging, supplies and drugs required during procedure and until discharge and routine post-procedure care until discharge.

    		 $4,854.00
    Laparoscopic Hernia Repair-Inguinal

    CPT: 49650

    Surgery to repair a hernia, including all costs associated with surgeon(s); facility charges; anesthesia; imaging, supplies and drugs required during procedure and until discharge and routine post-procedure care until discharge.

    		 $4,326.00
    Hernia Repair-Umbilical (age 5 years or older)

    CPT: 49585

    Surgery to repair a hernia, including all costs associated with surgeon(s); facility charges; anesthesia; imaging, supplies and drugs required during procedure and until discharge and routine post-procedure care until discharge.

    		 $3,367.00
    Hernia Repair-Umbilical (5 years and under)

    CPT: 49580

    Surgery to repair a hernia, including all costs associated with surgeon(s); facility charges; anesthesia; imaging, supplies and drugs required during procedure and until discharge and routine post-procedure care until discharge.

    		 $3,179.00
    Epigastric Hernia Repair

    CPT: 49570

    Surgery to repair a hernia, including all costs associated with surgeon(s); facility charges; anesthesia; imaging, supplies and drugs required during procedure and until discharge and routine post-procedure care until discharge.

    		 $3,320.00
    Ventral/Incisional Hernia Repair

    CPT: 49560

    Surgery to repair a hernia, including all costs associated with surgeon(s); facility charges; anesthesia; imaging, supplies and drugs required during procedure and until discharge and routine post-procedure care until discharge.

    		 $3,854.00
    Femoral Hernia Repair

    CPT: 49550

    Surgery to repair a femoral hernia, including all costs associated with surgeon(s); facility charges; anesthesia; imaging, supplies and drugs required during procedure and until discharge and routine post-procedure care until discharge.

    		 $3,584.00
    Lumbar Hernia Repair

    CPT: 49540

    Surgery to repair a lumbar hernia, including all costs associated with surgeon(s); facility charges; anesthesia; imaging, supplies and drugs required during procedure and until discharge and routine post-procedure care until discharge.

    		 $3,745.00
    Inguinal Sliding Hernia Repair

    CPT: 49525

    Surgery to repair an inguinal hernia, including all costs associated with surgeon(s); facility charges; anesthesia; imaging, supplies and drugs required during procedure and until discharge and routine post-procedure care until discharge.

    		 $3,580.00
    Inguinal Hernia Repair (5 years or older)

    CPT: 49505

    Surgery to repair an inguinal hernia, including all costs associated with surgeon(s); facility charges; anesthesia; imaging, supplies and drugs required during procedure and until discharge and routine post-procedure care until discharge.

    		 $3,493.00
    Inguinal Hernia Repair Ages 6 Months to 5 Years

    CPT: 49500

    Surgery to repair an inguinal hernia, including all costs associated with surgeon(s); facility charges; anesthesia; imaging, supplies and drugs required during procedure and until discharge and routine post-procedure care until discharge.

    		 $3,218.00
    Gall Bladder Removal (Laparoscopic)

    CPT: 47562

    Removal of the Gall Bladder through a laparoscope, including all costs associated with the surgeon(s); all facility charges; anesthesia; contrast material; supplies and drugs necessary during procedure and until discharge, and routine post operative car until discharge.

    		 $4,710.00
  • GI
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    Procedure/Surgery Description Cost
    EGD – Esophagoscopy with Biopsy

    CPT: 43235

    An esophagogastroduodenoscopy is a procedure to view the esophagus, stomach and duodenum by means of a flexible endoscope through the mouth. The physician also performs one or more biopsies. Includes all costs associated with surgeons(s); facility charges; anesthesia; implants; supplies and drugs necessary during surgery as well as routine post procedure care until discharge.

    		 $990.00
    Esophagus Endoscopy-Diagnostic

    CPT: 43200

    Performance of exam to view the esophagus through an endoscope, including all costs associated with physician; facility charges; anesthesia; imaging, supplies and drugs required during procedure and until discharge; routine post-procedure care until discharge, and interpretation and written report by physician.

    		 $906.00
    Colonoscopy

    CPT: 44378

    Performance of Colonoscopy, including all costs associated with physician; facility charges; anesthesia; imaging, supplies and drugs necessary during the procedure and until discharge and interpretation and written report by physician.

    		 $1,747.00
    Hemorrhhoidectomy

    CPT: 46255

    Hemorrhoidectomy; including all costs associated with surgeon(s); facility charges; anesthesia; imaging, supplies and drugs required during procedure and until discharge and routine post-procedure care until discharge.

    		 $2,257.00
  • Gynocology
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    Procedure/Surgery Description Cost
    Laser Conizations of Cervix

    CPT: 57513

    Cautery of cervix; laser ablation. Includes all costs associated with surgeons(s); facility charges; anesthesia; implants; supplies and drugs necessary during surgery as well as routine post procedure care until discharge.

    		 $2,087.00
    D&C

    CPT: 58120

    Dilation and curettage, diagnostic and/or therapeutic (nonobstetrical). Includes all costs associated with surgeons(s); facility charges; anesthesia; implants; supplies and drugs necessary during surgery as well as routine post procedure care until discharge.

    		 $2,224.00
    Hysteroscopy

    CPT: 58558

    Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C. Includes all costs associated with surgeons(s); facility charges; anesthesia; implants; supplies and drugs necessary during surgery as well as routine post procedure care until discharge.

    		 $2,299.00
    Tubal Ligation-Laparoscopic

    CPT: 58670

    Surgery for tubal ligation, including all costs associated with surgeon(s); facility charges; anesthesia; supplies and drugs necessary during surgery and until discharge. Also includes routine post operative care until discharge.

    		 $4,202.00
  • Hand
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    Procedure/Surgery Description Cost
    Tendon Repair of Hand

    CPT: 26370

    Repair or advancement of profundus tendon, with intact superficialis tendon; primary, each tendon. Includes all costs associated with surgeons(s); facility charges; anesthesia; implants; supplies and drugs necessary during surgery as well as routine post procedure care until discharge.

    		 $3,638.00
    Dupytrens Contracture

    CPT: 26123

    Incision the palmar fascia in an open procedure. The palmar fascia is connective tissue under the skin in the palm of the hand. Includes all costs associated with surgeons(s); facility charges; anesthesia; implants; supplies and drugs necessary during surgery as well as routine post procedure care until discharge.

    		 $2,236.00
    CMC Arthroplasty

    CPT: 25447

    Surgical immobilization of the carpometacarpal joint of the thumb with or without the help of internal fixation devices. Includes all costs associated with surgeons(s); facility charges; anesthesia; implants; supplies and drugs necessary during surgery as well as routine post procedure care until discharge.

    		 $5,744.00
    Hand-Fasciotomy

    CPT: 26045

    Hand surgery, including all costs associated with surgeon(s);including all costs associated with surgeon(s); facility charges; anesthesia; imaging, implants, supplies and drugs necessary during surgery and until discharge. Also includes routine post operative care until discharge.

    		 $3,782.00
    Wrist-Arthroscopic surgery

    CPT: 29846

    Exploratory visualization of the wrist joint through an arthroscopy, including all costs associated with surgeon(s); facility charges; anesthesia; imaging, supplies and drugs necessary during surgery and until discharge.  Also includes routine post operative care until discharge.

    		 $3,266.00
    Trigger Finger Release

    CPT: 26055

    Trigger Finger Release surgery, including all costs associated with surgeon(s); facility charges; anesthesia; imaging, supplies and drugs necessary during surgery and until discharge.  Also includes routine post operative care until discharge.

    		 $1,973.00
    Wrist-Carpal Tunnel Surgery- Open

    CPT: 64721

    Carpal Tunnel surgery, including all costs associated with surgeon(s); facility charges; anesthesia; imaging, supplies and drugs necessary during surgery and until discharge.  Also includes routine post operative care until discharge.

    		 $2,105.00
    Ganglion Cyst Removal – Wrist

    CPT: 25111

    Surgery to remove Ganglion cyst, including all costs associated with surgeon(s); facility charges; anesthesia; imaging, supplies and drugs necessary during surgery and until discharge. Also includes routine post operative care until discharge.

    		 $1,991.00
  • Implant Removal
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    Procedure/Surgery Description Cost
    Removal of Implant wire, pin, or rod

    CPT: 20680

    Surgery to remove an implant (such as a screw, nail or rod)including all costs associated with surgeon(s); facility charges; anesthesia; imaging, supplies and drugs required during procedure and until discharge; routine post-procedure care until discharge, and interpretation and written report by physician.,

    		 $1,663.00
  • Knee
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    Procedure/Surgery Description Cost
    Knee Bursa Excision

    CPT: 27340

    Surgical procedure to remove kneecap bursa ; including all costs associated with surgeon(s); facility charges; anesthesia; imaging, supplies and drugs necessary during surgery and until discharge, and routine post operative care until discharge.

    		 $3,023.00
    Knee Fixation/Manipulation

    CPT: 27570

    Surgical procedure to manipulate the knee joint ; including all costs associated with surgeon(s); facility charges; anesthesia; imaging, supplies and drugs necessary during surgery and until discharge, and routine post operative care until discharge.

    		 $1,354.00
    Knee-Arthroscopic Surgery

    CPT: 29881

    Arthroscopic knee surgery, including all costs associated with surgeon(s); facility charges; anesthesia; imaging, supplies and drugs necessary during surgery and until discharge, and routine post operative care until discharge.

    		 $3,305.00
    Knee – Baker’s Cyst

    CPT: 27345

    Surgery for removal of knee cyst, including all costs associated with surgeon(s); facility charges; anesthesia; imaging, supplies and drugs necessary during surgery and until discharge, and routine post operative care until discharge.

    		 $3,569.00
    Knee – Complex Arthroscopic Surgery

    CPT: 29880 (29883 29887 29879 29875 29876 29873 29874 29884)

    Arthroscopic knee surgery, including all costs associated with surgeon(s); facility charges; anesthesia; imaging, supplies and drugs necessary during surgery and until discharge, and routine post operative care until discharge.

    		 $3,224.00
    Knee – Arthroscopic ACL repair with Allograft

    CPT: 29888

    Arthroscopic knee surgery, including all costs associated with surgeon(s); facility charges; anesthesia; implants; imaging, supplies and drugs necessary during surgery and until discharge, and routine post operative care until discharge.

    		 $7,982.00
    Knee-Arthroscopic ACL repair

    CPT: 29888 (29889)

    Arthroscopic knee surgery, including all costs associated with surgeon(s); facility charges; anesthesia; implants; imaging, supplies and drugs necessary during surgery and until discharge, and routine post operative care until discharge.

    		 $7,982.00
    Knee-Arthroscopic Meniscus repair

    CPT: 29882

    Arthroscopic knee surgery, including all costs associated with surgeon(s); facility charges; anesthesia; implants; imaging, supplies and drugs necessary during surgery and until discharge. Also includes routine post operative care until discharge.

    		 $3,571.00
  • Nose
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    Procedure/Surgery Description Cost
    Nasal Septal Cautery

    CPT: 30905

    Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; initial. Includes all costs associated with surgeons(s); facility charges; anesthesia; implants; supplies and drugs necessary during surgery as well as routine post procedure care until discharge.

    		 $305.00
    Closed Reduction Nasal Fracture

    CPT: 21320

    Closed treatment of nasal bone fracture; with stabilization. Includes all costs associated with surgeons(s); facility charges; anesthesia; implants; supplies and drugs necessary during surgery as well as routine post procedure care until discharge.

    		 $1,849.00
    Endoscopic Sinus Surgery (Frontal – Bilateral)

    CPT: 31276

    Nasal/sinus endoscopy, surgical with frontal sinus exploration, with or without removal of tissue from frontal sinus. Includes all costs associated with surgeons(s); facility charges; anesthesia; implants; supplies and drugs necessary during surgery as well as routine post procedure care until discharge.

    		 $5,868.00
    Endoscopic Sinus Surgery (Frontal – Unilateral)

    CPT: 31276

    Nasal/sinus endoscopy, surgical with frontal sinus exploration, with or without removal of tissue from frontal sinus. Includes all costs associated with surgeons(s); facility charges; anesthesia; implants; supplies and drugs necessary during surgery as well as routine post procedure care until discharge.

    		 $3,912.00
    Septal Perforation Repair

    CPT: 30630

    Septoplasty or submucous resection, with or without cartilage scoring, contouring or replacement with graft. Includes all costs associated with surgeons(s); facility charges; anesthesia; implants; supplies and drugs necessary during surgery as well as routine post procedure care until discharge.

    		 $2,651.00
    Turbinectomy – Bilateral

    CPT: 30140

    Submucous resection of the inferior turbinate (partial or complete by any method). Includes all costs associated with surgeons(s); facility charges; anesthesia; implants; supplies and drugs necessary during surgery as well as routine post procedure care until discharge.

    		 $3,529.00
    Turbinectomy – Unilateral

    CPT: 30140

    Submucous resection of the inferior turbinate (partial or complete by any method). Includes all costs associated with surgeons(s); facility charges; anesthesia; implants; supplies and drugs necessary during surgery as well as routine post procedure care until discharge.

    		 $2,353.00
    Endoscopic Sinus Surgery (Maxillary) – Bilateral

    CPT: 31267

    Sinus surgery through an endoscope, including all costs associated with surgeon(s); facility charges; anesthesia; imaging, supplies and drugs necessary during surgery and until discharge. Also includes routine post operative care until discharge.

    		 $5407.00
    Endoscopic Sinus with Balloon – Bilateral

    CPT: 31295

    Nasal/sinus endoscopy, surgical; with dilation of maxillary sinus ostium (eg, balloon dilation), transnasal or via canine fossa. Includes all costs associated with surgeon(s); facility charges; anesthesia; imaging, supplies and drugs necessary during surgery and until discharge. Also includes routine post operative care until discharge.

    		 $5027.00
    Septoplasty – Nasal Septum Repair

    CPT: 30520

    Surgery to repair the nasal septum; including all costs associated with surgeon(s); facility charges; anesthesia; imaging, supplies and drugs necessary during surgery and until discharge.  Also includes post operative care until discharge.

    		 $2,651.00
    Endoscopic Sinus with Balloon – Unilateral

    CPT: 31295

    Nasal/sinus endoscopy, surgical; with dilation of maxillary sinus ostium (eg, balloon dilation), transnasal or via canine fossa. Includes all costs associated with surgeon(s); facility charges; anesthesia; imaging, supplies and drugs necessary during surgery and until discharge. Also includes routine post operative care until discharge.

    		 $3,351.00
    Endoscopic Sinus surgery (Maxillary) Unilateral

    CPT: 31267

    Sinus surgery through an endoscope, including all costs associated with surgeon(s); facility charges; anesthesia; imaging, supplies and drugs necessary during surgery and until discharge.  Also includes routine post operative care until discharge.

    		 $3,605.00
  • Oral
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    Procedure/Surgery Description Cost
    Biopsy of Lip

    CPT: 40490

    Biopsy of lip. Includes all costs associated with surgeons(s); facility charges; anesthesia; implants; supplies and drugs necessary during surgery as well as routine post procedure care until discharge.

    		 $149.00
    Odontectomy

    CPT: 41899

    Surgery performed on the teeth and adjoining alveolar structures. Price varies based on number of teeth involved. Please contact us at 267-960-1401 to determine accurate cost. Cost quoted will include all costs associated with surgeons(s); facility charges; anesthesia; implants; supplies and drugs necessary during surgery as well as routine post procedure care until discharge.

    		 Call
  • Pain Management
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    Procedure/Surgery Description Cost
    Pain Management Follow Up Appointment

    CPT:

    		$248.00
    Sympathetic Block

    CPT: 64510

    Injection, anesthetic agent; stellate ganglion (cervical sympathetic). Includes all costs associated with surgeons(s); facility charges; anesthesia; implants; supplies and drugs necessary during surgery as well as routine post procedure care until discharge.

    		 $708.00
    Spinal Cord Stimulator Trial – Additional Lead

    CPT: 63650

    Percutaneous implantation of neurostimulator electrode array, epidural. Includes all costs associated with surgeons(s); facility charges; anesthesia; implants; supplies and drugs necessary during surgery as well as routine post procedure care until discharge.

    		 $3,926.00
    Spinal Cord Stimulator Trial – First Lead

    CPT: 63650

    Percutaneous implantation of neurostimulator electrode array, epidural. Includes all costs associated with surgeons(s); facility charges; anesthesia; implants; supplies and drugs necessary during surgery as well as routine post procedure care until discharge.

    		 $7,851.00
    Cooled Lumbar Radiofrequency

    CPT: 64635

    Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, single facet joint. Includes all costs associated with surgeons(s); facility charges; anesthesia; implants; supplies and drugs necessary during surgery as well as routine post procedure care until discharge.

    		 $1,765.00
    Rhizotomy

    CPT: 64635

    Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, single facet joint. Includes all costs associated with surgeons(s); facility charges; anesthesia; implants; supplies and drugs necessary during surgery as well as routine post procedure care until discharge.

    		 $1,765.00
    Lumbar Foraminal Injection

    CPT: 64483

    Injection(s), anesthetic agent and/or steroid, transforaminal epidural, with imaging guidance (fluoroscopy or CT); lumbar or sacral, single level. Includes all costs associated with surgeons(s); facility charges; anesthesia; implants; supplies and drugs necessary during surgery as well as routine post procedure care until discharge.

    		 $771.00
    Lumbar Epidural Steroid Injection

    CPT: 62323

    Injection(s), of diagnostic or therapeutic substance(s) (including anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, includes contrast for localization when performed, epidural or subarachnoid; lumbar or sacral (caudal). Includes all costs associated with surgeons(s); facility charges; anesthesia; implants; supplies and drugs necessary during surgery as well as routine post procedure care until discharge.

    		 $734.00
    Pain Management – Consult

    CPT: 99203

    Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components:

    • A detailed history;
    • A detailed examination;
    • Medical decision making of low complexity.

    Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are of moderate severity. Typically, 30 minutes are spent face-to-face with the patient and/or family.

    Visit to a pain management physician as a new patient, including detailed history detailed examination; counseling or coordination of care. Evaluation of headaches.

    This does not include lab testing or any other diagnostic testing associated with the visit.

    		 $375.00
    Injection

    CPT: 20610

    Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance. Includes all costs associated with physician; all facility charges; all injectables and any supplies necessary to perform the exam and injection.

    		 $129.00
    SI Joint Injection-both sides

    CPT: 60260

    Injection into Sacroiliac joint, including all costs associated with physician; all facility charges; all injectables; contrast; imaging; and all supplies necessary to perform the exam and injection.

    		 $1,087.00
    SI Joint Injection-one side

    CPT: 60260

    Injection into Sacroiliac joint, including all costs associated with physician; all facility charges; all injectables; contrast; imaging; and all supplies necessary to perform the exam and injection.

    		 $725.00
    Trigger Point Injection

    CPT: 20552

    Trigger Point Injection(s), including all costs associated with physician; all facility charges; all injectables; contrast; imaging; and all supplies necessary to perform the exam and injection.

    		 $116.00
    Cervical Epidural Injection

    CPT: 62310

    Injection(s), of diagnostic or therapeutic substance(s) (including anesthetic, antispasmodic, opioid, steroid, other solution), includes contrast for localization when performed, epidural or subarachnoid; cervical or thoracic epidural injection.  Includes all costs associated with physician; all facility charges; all injectables; contrast; imaging; and all supplies necessary to perform the exam and injection.

    		 $765.00
    Cervical Facet Injection

    CPT: 64490

    Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; single level Facet injection.  Includes all costs associated with physician; all facility charges; all injectables; contrast; imaging; and all supplies necessary to perform the exam and injection.

    		 $1,002.00
    Lumbar Facet Injection/Medial Branch Block

    CPT: 64493

    Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single levelFacet injection.  Includes all costs associated with physician; all facility charges; all injectables; contrast; imaging; and all supplies necessary to perform the exam and injection.

    		 $976.00
    Facet Injection- 1 Level

    CPT: 64490 (64493)

    Facet injection, including all costs associated with physician; all facility charges; all injectables; contrast; imaging; and all supplies necessary to perform the exam and injection.

    		 $1,002.00
    Bursa Injection – Wrist, Elbow, Ankle

    CPT: 20605

    Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); without ultrasound guidance. Includes all costs associated with physician; all facility charges; all injectables and any supplies necessary to perform exam and injection.

    		 $105.00
  • Shoulder
    Request A Specialist
    Procedure/Surgery Description Cost
    Shoulder Arthroscopy

    CPT: 29823

    Surgical examination of the tissue inside the shoulder joint with an arthroscope. Additional instruments are inserted to excise extensive damaged tissues in the shoulder joint caused by trauma to the shoulder. Includes all costs associated with surgeons(s); facility charges; anesthesia; implants; supplies and drugs necessary during surgery as well as routine post procedure care until discharge.

    		 $3,430.00
    Biceps Tendon Repair

    CPT: 24340

    Surgical repair of a rupture of the distal biceps tendon to restore elbow function. Includes all costs associated with surgeons(s); facility charges; anesthesia; implants; supplies and drugs necessary during surgery as well as routine post procedure care until discharge.

    		 $5,478.00
    Shoulder Arthroscopy – Diagnostic

    CPT: 29805

    Arthroscopy, shoulder, diagnostic, with or without synovial biopsy (separate procedure). Includes all costs associated with surgeons(s); facility charges; anesthesia; implants; supplies and drugs necessary during surgery as well as routine post procedure care until discharge.

    		 $3,190.00
    Shoulder-Rotator Cuff-Open Repair

    CPT: 23410

    Surgery to repair the rotator cuff, including all costs associated with surgeon(s); facility charges; anesthesia; implants if needed; imaging, supplies and drugs necessary during surgery and until discharge, and routine post operative care until discharge.

    		 $5,828.00
    Shoulder Fixation

    CPT: 23700

    Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded). includes all costs associated with surgeon(s); facility charges; anesthesia; supplies and drugs necessary during surgery and until discharge, and routine post operative care until discharge.

    		 $1,427.00
    Shoulder Arthroscopy Surgery – Complex

    CPT: 29807 29806

    Arthroscopy, shoulder, surgical; repair of SLAP lesion. Includes all costs associated with surgeon(s); facility charges; anesthesia; implants if needed; imaging, supplies and drugs necessary during surgery and until discharge, and routine post operative care until discharge.

    		 $6,186.00
    Shoulder-Rotator Cuff – Arthroscopic Repair

    CPT: 29827

    Arthroscopy, shoulder, surgical; with rotator cuff repair. Includes all costs associated with surgeon(s); facility charges; anesthesia; implants if needed; imaging, supplies and drugs necessary during surgery and until discharge, and routine post operative care until discharge.

    		 $6,212.00
  • Skin
    Request A Specialist
    Procedure/Surgery Description Cost
    Skin Biopsy

    CPT: 11100

    Biopsy of skin, subcutaneous tissue and/or mucous membrane (including simple closure), unless otherwise listed; single lesion. Includes all costs associated with the physician; any office or facility charges; and all supplies and drugs required to perform the procedure.

    		 $209.00
    Wart Removal

    CPT: 17110

    Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), of benign lesions (to include removal of warts) other than skin tags or cutaneous vascular proliferative lesions; up to 14 lesions. Includes all costs associated with the physician; any office or facility charges; and all supplies and drugs required to perform the procedure.

    		 $204.00
    Nevus Removal

    CPT: 11400

    Removal of a benign skin lesion(s), including all costs associated with the physician; any office or facility charges; and all supplies and drugs required to perform the procedure.

    		 $280.00
    Skin Tag Removal

    CPT: 11200

    Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions. Includes all costs associated with the physician; any office or facility charges; and all supplies and drugs required to perform the procedure.

    		 $267.00
  • Spine
    Request A Specialist
    Procedure/Surgery Description Cost
    Spinal Cord Stimulator Placement

    CPT: 63685

    Insertion or replacement of spinal neurostimulator pulse generator or receiver, direct or inductive coupling. Includes all costs associated with surgeon(s); facility charges; anesthesia; implants; supplies and drugs necessary during surgery and until discharge; and routine post operative care until discharge.

    		 $38,792.00
  • Throat
    Request A Specialist
    Procedure/Surgery Description Cost
    Excision Vocal Cord Lesion

    CPT: 31512

    Laryngoscopy, indirect; with removal of lesion. Includes all costs associated with surgeons(s); facility charges; anesthesia; implants; supplies and drugs necessary during surgery as well as routine post procedure care until discharge.

    		 $2,214.00
    Microlaryngoscopy

    CPT: 31535

    Laryngoscopy, direct, operative, with biopsy. Includes all costs associated with surgeons(s); facility charges; anesthesia; implants; supplies and drugs necessary during surgery as well as routine post procedure care until discharge.

    		 $2,315.00
    Frenulectomy

    CPT: 41115

    Excision of lingual frenum (frenectomy). Includes all costs associated with surgeons(s); facility charges; anesthesia; implants; supplies and drugs necessary during surgery as well as routine post procedure care until discharge.

    		 $575.00
    Excision Cervical Lymph Node

    CPT: 38700

    Excision of the lymph nodes from the top of the hyoid bone, a small bone in the midline near the base of the tongue and above the thyroid. Includes all costs associated with surgeons(s); facility charges; anesthesia; implants; supplies and drugs necessary during surgery as well as routine post procedure care until discharge.

    		 $5,000.00
    Excision Tongue Lesion

    CPT: 41112

    Glossectomy; less than one-half tongue. Includes all costs associated with surgeons(s); facility charges; anesthesia; implants; supplies and drugs necessary during surgery as well as routine post procedure care until discharge.

    		 $2,054.00
    Excision Salivary Gland

    CPT: 42408

    Excision of sublingual salivary cyst (ranula). Includes all costs associated with surgeons(s); facility charges; anesthesia; implants; supplies and drugs necessary during surgery as well as routine post procedure care until discharge.

    		 $2,168.00
    Adenoidectomy – Under Age 12

    CPT: 42830

    Adenoidectomy, primary; younger than age 12. Includes all costs associated with surgeons(s); facility charges; anesthesia; implants; supplies and drugs necessary during surgery as well as routine post procedure care until discharge.

    		 $3,929.00
    Excision of Neck Mass

    CPT: 38542

    Dissection, deep jugular node(s). Includes all costs associated with surgeons(s); facility charges; anesthesia; implants; supplies and drugs necessary during surgery as well as routine post procedure care until discharge.

    		 $4,472.00
    Tonsillectomy with Adenoidectomy age 12 or over

    CPT: 42821

    Surgery to remove tonsils and adenoids, including all costs associated with surgeon(s); facility charges; anesthesia; supplies and drugs necessary during surgery and until discharge. Also includes routine post operative care until discharge.

    		 $2,126.00
    Tonsillectomy with Adenoidectomy Under age 12

    CPT: 42820

    Surgery to remove tonsils and adenoids, including all costs associated with surgeon(s); facility charges; anesthesia; supplies and drugs necessary during surgery and until discharge. Also includes routine post operative care until discharge.

    		 $2,107.00
    Tonsillectomy age 12 or over

    CPT: 42826

    Surgery to remove tonsils, including all costs associated with surgeon(s); facility charges; anesthesia; supplies and drugs necessary during surgery and until discharge; and routine post operative care until discharge.

    		 $2,044.00
    Tonsillectomy Under age 12

    CPT: 42825

    Surgery to remove tonsils, including all costs associated with surgeon(s); facility charges; anesthesia; supplies and drugs necessary during surgery and until discharge; and routine post operative care until discharge.

    		 $4,020.00
  • Urology
    Request A Specialist
    Procedure/Surgery Description Cost
    Vasectomy

    CPT: 55250

    Surgical procedure involving the cutting of the vas deferens and suturing the ends, on both the left and right sides.

    		 $1,886.00
    Bladder- Sling repair

    CPT: 57288

    Sling operation for stress incontinence. Surgery to repair the bladder, including all costs associated with surgeon(s); facility charges; anesthesia; imaging, supplies and drugs required during procedure and until discharge; routine post-procedure care until discharge.

    		 $4,409.00
    Bladder-Scope

    CPT: 52000

    Procedure to visualize the bladder through a scope, including all costs associated with physician; facility charges; anesthesia; imaging, supplies and drugs required during procedure and until discharge; routine post-procedure care until discharge.

    		 $733.00
    Bladder- Scope with biopsy

    CPT: 52204

    Procedure to visualize the bladder through a scope with biopsy including all costs associated with physician; facility charges; anesthesia; imaging, supplies and drugs required during procedure and until discharge; routine post-procedure care until discharge.

    		 $1,745.00

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