Procedures Price List with CPT Codes

Flat Rate Pricing / Cash Price Program. These prices do not apply if you use your insurance provider.
CategoryCPT CodeProcedure NamePrice
ColoRectal46270/46200Anal Fistulectomy/Fistulotomy$4,209
ColoRectal46260Hemorroidectomy$4,209
ColoRectal46275/45378Anal Fistulectomy/Fistulotomy/Colonoscopy$7,659
ColoRectal46922/45990Excision/Fulgaration Condyloma$5,359
ENT69436Bilateral Myringotomy w/tube$2,645
ENT69421Bilateral Myringotomy w/o tube$3,220
ENT69420/69421/69433Bilateral Myringotomy w/tube (In Office)$862
ENT69610/69620Tympanoplasty$3,450
ENT69631/69632/69633/63635/63636/69637/69641/69642/69643/69644/69645/69646Tympanoplasty w/Structural Repair$7,475
ENT69424Removal Myringotomy tube$1,093
ENT69205Removal Foreign Body Ear$1,668
ENT69436/69631Tympanostomy$2,875
ENT69501/69502/69604Mastoidectomy$6,670
ENT42950Pharyngoplasty$5,175
ENT42950/69436Pharyngoplasty/Bilateral Myringotomy w/tube$6,267
ENT42825Tonsilectomy$5,589
ENT42830Adenoidectomy$3,680
ENT42820Tonsilectomy/Adenoidectomy$5,704
ENT42140Uvulectomy$3,749
ENT30310Removal Foreign Body Intranasal$2,875
ENT31530Laryngoscopy w/Foreign Body Removal$2,070
ENT42800/42804/42806Biopsy Throat$3,404
ENT21320Closed Reduction Nasal Fracture$3,105
ENT40819Frenulectomy$2,300
ENT42410/42415/42420/42425/42440/42450Excision Salivary Gland$6,854
ENT31237Nasal Endoscopy (In Office)$626
ENT31231/92511Nasal Endoscopy$1,035
ENT31240Concha Bullosa Resection$2,875
ENT30520Septoplasty$4,025
ENT31256/31267/31287FESS$5,405
ENT30140Turbinate Reduction$4,025
ENT31295Balloon Sinuplasty$7,475
ENT31298Bilateral Maxillary, Sphenoid & Frontal$8,625
ENT30520/30140/31240/31231Septoplasty/Bilateral Turbinate Reduction/Direct Nasal Endoscopy$6,325
ENT42820/30140/31231Tonsilectomy/Adenoidectomy/Bilateral Turbinate Reduction/Direct Nasal Endoscopy$7,659
ENT31295/31298Balloon Sinuplasty/Bilateral Maxillary, Sphenoid, & Frontal (In Office)$7,216
ENT30520/31240/30140Septoplasty/Concha Bullosa/Inferior Turbinate Reduction$17,940
ENT30400/30465/30420Rhinoplasty/Repair of Nasal Vestibular Stenosis/Septal Repair$17,940
ENT30520/30140/42140Septoplasty/Inferior Turbinate Reduction/Uvulectomy$7,429
ENT95800Home Sleep Study$460
ENT21453Closed Reduction Mandibular Fracture w/Interdental Fixation$20,000
ENT60240/60260Thyroidectomy$8,809
General36568Mediport Placement$3,795
General36590Mediport Removal$2,875
General46260Hemorroidectomy$4,209
General46270Anal Fistulectomy/Fistulotomy$4,025
General11770/11771/11772Pilonidal Cystectomy$4,784
General47562Laparoscopic Cholecystectomy$6,733
General44960/44970Laparoscopic Appendectomy$6,733
General49587/49591Hernia Repair, Ventral/Umbilical$5,405
General49650Hernia Repair, Inguinal$6,325
General49650-50Hernia Repair, Inguinal Bilateral$9,775
General49652/49594Hernia Repair, Laparoscopic$7,130
General43281Hernia Repair, Hiatal w/mesh (Robotic)$39,953
General43282Hernia Repair, Hiatal w/o mesh (Robotic)$38,324
General60240Thyroidectomy Total$8,809
General21620/22903Xiphoidectomy/Excision of Chest Wall Mass$5,934
General55250Vasectomy$3,346
General19120Lumpectomy$3,059
General19303Mastectomy Single$3,864
General19303-50Mastectomy Bilateral$5,589
General21501Excision of Mass$2,484
Gastroenterology43235/43239, 45378/45380EGD with Colonoscopy$2,887
Gastroenterology43239EGD with Biopsy$1,564
Gastroenterology45378Diagnostic Colonoscopy procedure$1,936
Gastroenterology45380Diagnostic Colonoscopy with biopsy procedure single or multiple$1,936
Gastroenterology45385Colonoscopy procedure with lesion removal, tumor removal with snare technique$1,936
GastroenterologyG0121Colon cancer screening$1,921
Gastroenterology45331Sigmoidoscopy with Biopsy$1,821
Gyn58120Dilation & Curettage$4,370
Gyn58558D&C Hysteroscopy$5,359
Gyn58671Tubal Ligation$5,566
Gyn58563Hysteroscopy w/Endometrial Ablation$6,324
Gyn56620Excision of Labia Minora (Labiaplasty)$4,726
Gyn58301Removal IUD$690
Gyn58750Tubal Reversal Open$7,176
Gyn58145Myomectomy$6,256
Gyn58260Hysterectomy Vaginal$7,820
Gyn58150Hysterectomy Abdominal$12,995
Gyn58570Hysterectomy Laparoscopic$12,995
Gyn57550Vaginal Removal of Cervical Stump$5,988
Gyn58661Laparoscopic Bilateral Salpingectomy$6,210
Gyn49320Laparoscopy Diagnostic$5,750
Gyn49000Exploratory Laparotomy$9,959
Gyn58925Ovarian Cystectomy$5,359
Orthopedic29848Carpal Tunnel Release Open vs Endo$2,933
Orthopedic29848Carpal Tunnel Release Open vs Endo$2,525
Orthopedic64721/64718Carpal Tunnel Release/Cubital Tunnel Release$3,738
Orthopedic26040Dupuytrens Contracture Release$2,933
Orthopedic26160Excision of Ganglion Cyst$3,117
Orthopedic28080Excision of Neuroma$3,347
Orthopedic29843Arthroscopy Wrist$4,600
Orthopedic26055Trigger Finger Release$3,278
Orthopedic26540CMC Arthroplasty$4,313
Orthopedic26410/26480Tendon Repair Extensor$4,888
Orthopedic64721/64718/14040Carpal Tunnel Release/Decompression Ulnar Nerve/Hypothenar Fat Flap$5,003
Orthopedic64721/64718Carpal Tunnel Release/Decompression Ulnar Nerve$3,968
Orthopedic26951Amputation Finger Index$4,612
Orthopedic26951/15240Amputation Finger Index/FTSG$5,647
Orthopedic25565Closed Reduction/Casting Radial/Ulnar Shaft$2,875
Orthopedic26650/26608Percutaneous Pinning Digit$4,083
Orthopedic25607/25608/25609ORIF Distal Radius$9,430
Orthopedic25024Fasciotomy Elbow$4,543
Orthopedic27650Achilles Tendon Repair$7,705
Orthopedic20680Removal Hardware Deep$3,968
Orthopedic23700/27570Manipulation Under Anesthesia$1,898
Orthopedic29866/29870/29871/29875/29876/29880/29881Arthroscopy Knee$6,900
Orthopedic29882/29883Arthroscopy Knee w/Meniscal Repair$7,130
Orthopedic29866Arthroscopy Knee Bilateral$9,775
Orthopedic27445Arthroplasty Total Knee$20,528
Orthopedic27445Arthroplasty Total Knee Bilateral$27,600
Orthopedic29888Anterior Cruciate Ligament Repair/Reconstruction w/Graft$15,928
Orthopedic29888Anterior Cruciate Ligament Repair/Reconstruction w/o Graft$11,903
Orthopedic22915/29916Arthroscopy Hip$9,775
Orthopedic27130Arthroplasty Total Hip$21,620
Orthopedic27130Arthroplasty Total Hip Bilateral$28,865
Orthopedic23472Arthroplasty Total Reverse Shoulder$26,795
Orthopedic23410/29827Arthroscopy Shoulder Rotator Cuff Repair$11,851
Orthopedic29806/29807Arthroscopy Shoulder Labrum Repair$11,851
Orthopedic29824Arthroscopy Shoulder Distal Clavicle$9,551
Pain Management64520Lumbar Sympathetic Nerve Block$1,276
Pain Management64530Celiac Plexus Nerve Block$1,276
Pain Management64625SI Joint RFA$2,185
Pain Management62321Epidural Steriod Injection (Cervical)$1,437
Pain Management62321, 62323Epidural Steriod Injection (Thoracic, Lumbar, Caudal)$1,322
Pain Management64490, 64493Medial Branch Block (Cervical/Lumbar) 1 Level$1,621
Pain Management64490, 64491, 64493, 64494Medial Branch Block (Cervical/Lumbar) 2 Level$1,748
Pain Management64490, 64491, 64493, 64494, 64495Medial Branch Block (Cervical/Lumbar) 3 Level$1,759
Pain Management64633Facet Joint RFA$2,070
Pain Management64633Facet Joint RFA Bilateral$2,392
Pain ManagementG0260SI Joint$1,276
Pain Management20610Steroid injection knee$598
Pain Management64405Occipital nerve block for headache$690
Pain Management64400Supraorbital nerve block$690
Pain Management20552Trigger Point Injection$690
Pain Management22869Superion Indirect Decompression System$20,240
Pain Management63662SCS Explant$5,313
Pain Management64510Stellate Ganglion Nerve Block$1,276
Pain Management64483Transforaminal ESI$1,322
Pain Management64454Genicular Nerve Block$1,495
Pain Management64624Genicular RFA$2,990
Pain ManagementTrial Spinal Cord Stimulator$15,415
Pain ManagementTrial Spinal Cord Stimulator DRG$16,198
Pain ManagementPerm Spinal Cord Stimulator$49,800
Pain ManagementPerm Spinal Cord Stimulator DRG$39,716
Pain Management38222Sacral Bone Marrow Biopsy$2,599
Pain Management0232TPRP Injection$518
Podiatry28292Bunionectomy$5,750
Podiatry64774, 64784Excision of neuroma$4,197
Podiatry28118Haglunds$3,795
Podiatry28285Hammertoe (1)$4,370
Podiatry28285Hammertoe (2)$2,472
Podiatry28285Hammertoe (3)$2,472
Podiatry28008Instep/ Fasciotomy$4,255
Podiatry28113Osteotomy$4,255
Podiatry0232TPRP Injection (platelet-rich plasma inj)$2,242
Podiatry28820Toe amp$4,439
Podiatry27687Gastrocnemius Resection$4,255
Podiatry28304Cotton Osteotomy$6,670
Podiatry29897Ankle Arthroscopy$4,255
Podiatry29893Endoscopic Plantar Fascia Release$4,600
Podiatry28060Plantar Fasciotomy$4,600
Podiatry28119Heel Spur Excision$4,255
Podiatry28297, 28299Lapidus Bunionectomy$14,260
Podiatry17110Destruction Periungual wart/Laser$1,955
Podiatry27687-50/28465-50Bilateral Gastrocnemius Resection/ORIF Navicular$15,410
Podiatry28299First Metatarsal Prox Phalanx Osteotomy w/Screw Fixation$9,775
Podiatry28289Cheilectomy$4,600
Podiatry287501st Metatarsophalangeal Joint Fusion$10,350
Spine22551ACDF 1 level$28,520
Spine22552ACDF 2 level$33,695
Spine22552ACDF 3 level$39,445
Spine63030Microdisectomy 1 Level$19,895
Spine63047Laminectomy Lumbar Level 1$19,895
Spine22612Lumbar Fusion 1 level$34,845
Spine22612, 22614Lumbar Fusion 2 level$40,595
Urology54161Circumcision$3,450
Urology52356Cystourethroscopy$5,807
Urology52010Cystoscopy$3,507
Urology52000Cystoscopy (In Office)$402
Urology52356Cystoscopy w/Lithotripsy$5,807
Urology52351CystoUrethroscopy w/Ureteroscopy$4,658
Urology50590Extracorporeal Shockwave (ESWL)$5,191
Urology54530Orchiectomy$4,600
Urology55250Vasectomy$3,346
Urology55250Vasectomy (In Office) Anusionwu$1,012
Urology55250Vasectomy (In Office) Johnston$1,058
Urology55530Excision of Varicocele$4,381
Urology55110Scrotal Exploration$4,439
Urology52601Transurethral Resection of Prostate (TURP)$6,993
Urology57288Midurethral Bladder Sling$6,555
Urology52441Urolift$9,315
Urology53854Rezum$8,620
Urology64590Interstim Trial$8,050
Urology64590Interstim Placement$38,525
Urology64595Interstim Revision or Removal$9,200
Cash Price Surgery Price Includes :
  • Pre-operative consultation
  • Surgery
  • Anesthesia
  • Pathology *
  • All medications and supplies for surgery

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