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
Colorectal45378Colonoscopy w/biopsy$1,706
Colorectal46257Fissurectomy$3,921
Colorectal46221Hemorroidectomy$3,921
Colorectal46275 45378Fissurectomy & Colonoscopy$2,403
Ear, Nose and Throat42830Adenoidectomy$3,335
Ear, Nose and Throat31256, 31276, 31287, 30115B-Maxillary Antrostomy, B-Frontal Sinus, B- Sphenoidotomy, Extensive Nasal Polyp Removal$8,837
Ear, Nose and Throat21320Closed reduction Nasal Fracture$2,587
Ear, Nose and Throat21030-21049Excision Mass$3,921
Ear, Nose and Throat40819Frenectomy$1,945
Ear, Nose and Throat69421Myringotomy w/ tubes, Bilateral$2,805
Ear, Nose and Throat69421/31231Myringotomy w/ tubes, Bilateral & Nasal Endoscopy$2,903
Ear, Nose and Throat30520Septoplasty (Simple)$5,071
Ear, Nose and Throat30520Septoplasty & Bilateral Turbinate$5,646
Ear, Nose and Throat42825Tonsillectomy$4,726
Ear, Nose and Throat42820Tonsillectomy & Adenoidectomy$4,841
Ear, Nose and Throat42820, 30140, 31231Tonsils/Adenoids, Bilateral Turbinectomy, Direct Nasal Endoscopy$7,946
Ear, Nose and Throat69631Tympanoplasty w/graft$6,037
Ear, Nose and Throat69436Tympanostomy w/ tube insertion & Adenoidectomy$3,875
Gastroenterology45380Colonoscopy w/biopsy$1,706
Gastroenterology43239Esophagogastroduodenoscopy w/biopsy$1,369
Gastroenterology45378, 43235Esophagogastroduodenoscopy w/Colonoscopy$2,369
Gastroenterology45330Sigmoidoscopy$1,706
General46270Anal Fistula - Fistulectomy/ Fistulotomy, subcutaneous$3,921
General21501Excision of Mass$3,921
General46260Hemorroidectomy$3,921
General49652Hernia Repair Laparoscopic$6,037
General49650Hernia Repair, Inguinal$5,187
General49650Hernia Repair, Inguinal Bilateral$6,273
General49587Hernia Repair, Ventral/Umbilical$4,675
General44960, 44970Laparoscopic Appendectomy$6,215
General47562Laparoscopic Cholecystectomy$6,215
General19303Mastectomy, Bilateral$8,061
General19305-19306Mastectomy, Radical$8,061
General19301-19303Mastectomy, Simple Complete$5,416
General19303Mastectomy, Single$5,416
General11770, 11771, 11772Pilonidal Cyst$4,496
General36568Port Placement$3,507
General36590Port Removal$2,587
General60240Thyroidectomy, Total$7,486
General55250Vasectomy$3,162
Gynecology58661Diagnostic Laparoscopy$5,410
Gynecology58120Dilation & Curettage$3,231
Gynecology58558Dilation & Curettage, Hysteroscopy$3,967
Gynecology58563Endometrial Ablation$5,462
Gynecology58563Hysterectomy, Laparoscopic$10,683
Gynecology58150Hysterectomy, open$12,259
Gynecology56620Labiaplasty$3,864
Gynecology58661Laparoscopic Bilateral Salpingectomy$5,301
Gynecology58145Myomectomy$7,256
Gynecology58260Total Vaginal Hysterectomy, anterior & posterior repair, and perineal repair$12,086
Gynecology58671Tubal Ligation$4,082
Gynecology58750Tubal Reversal, Open$6,037
Gynecology58260Vaginal Hysterectomy$9,269
Gynecology57550Vaginal Removal of Cervical Stump$5,240
Orthopedic27650Achilles tendon repair$7,848
Orthopedic29888Anterior Cruciate Ligament Repair/Reconstruction without graft$10,919
Orthopedic29888Anthroscopic Cruciate Ligament Repair/Reconstruction w/ graft$15,519
Orthopedic64721/64718Carpel Tunnel Release & Cubital Tunnel Release$7,750
Orthopedic29848Carpel Tunnel Release Open vs Endo$4,370
Orthopedic25565Closed Reduction/Casting$3,277
Orthopedic26540CMC Arthroplasty-Repair of collateral ligament, metacarpophalangeal or interphalangeal joint$4,191
Orthopedic28525Complex Fracture Repair, Plates/Screws (ORIF)$8,159
Orthopedic26040Dupuytrens Contracture Release$4,140
Orthopedic26160Excision Ganglion cyst$4,013
Orthopedic28080Excision of neuroma$4,094
Orthopedic22915Hip Arthroscopy$11,091
Orthopedic29866Knee Arthroscopy$6,670
OrthopedicKnee Arthroscopy - Bilateral$5,744
Orthopedic29882/ 29883Knee Arthroscopy w/meniscal repair$8,395
Orthopedic23700Manipulation under anesthesia$2,081
Orthopedic29916Shoulder Arthroscopy (Labral repair)$10,666
Orthopedic23410Shoulder Arthroscopy Rotator Cuff Repair (arthroscopic)$12,031
Orthopedic29824Shoulder Arthroscopy(Subacromial decompression)(Distal clavicle)$9,731
Orthopedic26608Simple Fracture Repair, Percutaneous Pinning$5,290
Orthopedic27130Total Hip Arthroplasty$21,154
Orthopedic27445Total Knee Arthroplasty$20,981
OrthopedicTotal Knee Arthroplasty - Bilateral$29,377
Orthopedic23472Total Shoulder Replacement$27,306
Orthopedic26055Trigger Finger release$4,025
Orthopedic29843Wrist Arthroscopy$5,060
Pain64530Celiac Plexus Nerve Block$1,219
Pain62321, 62323Epidural Steriod Injection (Cervical)$1,380
Pain62321, 62323Epidural Steriod Injection (Thoracic, Lumbar, Caudal)$1,265
Pain64633Facet Joint Radiofrequency Ablation$1,955
Pain64633 x 2Facet Joint Radiofrequency Ablation, Bilateral$2,047
Pain66454Genicular Nerve Block$1,495
Pain64624Genicular Radiofrequency Ablation$2,817
Pain64520Lumbar Sympathetic Nerve Block$1,219
Pain64490, 64493Medial Branch Block (Cervical/Lumbar) 1 Level$1,391
Pain64490, 64491, 64493, 64494Medial Branch Block (Cervical/Lumbar) 2 Level$1,518
Pain64490, 64491, 64493, 64494, 64495Medial Branch Block (Cervical/Lumbar) 3 Level$1,529
Pain64405Occipital Nerve Block for headaches$690
Pain27096Sacroiliac Joint Injection$1,219
Pain64625Sacroiliac Joint Radiofrequency Ablation$2,047
Pain63688Spinal Cord Stimulator Explant$3,875
Pain64510Stellate Ganglion Nerve Block$1,219
Pain20610Steroid Injection Knee-w/o Ultrasound Guidance 1 Side$598
Pain22869Superion Indirect Decompression System$14,490
Pain64483Transforaminal Epidural Steroid Injection$1,265
Pain20552Trigger Point Injection$660
Plastic1 hour$4,427
Plastic1.5 hours$5,347
Plastic2 hours$6,497
Plastic2.5 hours$7,417
Plastic3 hours$9,487
PlasticGynocomastiaCall for pricing
Podiatry28292Bunionectomy$5,002
Podiatry64774, 64784Excision of neuroma$4,094
Podiatry28118Haglunds Deformity$4,082
Podiatry28285Hammertoe x 1$3,392
Podiatry28285Hammertoe x 2$3,967
Podiatry28285Hammertoe x 3$4,542
Podiatry28008Instep/ Fasciotomy$3,162
Podiatry28113Osteotomy$3,967
Podiatry0232TPlasma-rich plasma injection$2,875
Podiatry28820Toe amputation$3,576
Podiatry27687Gastrocnemius Resection$3,852
Podiatry28297Cotton Osteotomy-Correction, hallux valgus (bunionectomy), with sesamoidectomy, when performed; with first metatarsal and medial cuneiform joint arthrodesis, any method$8,682
Podiatry29891Ankle Arthroscopy-excision of osteochondral defect of talus and/or tibia, including drilling of the defect$2,587
Podiatry28060Endoscopic Plantar Fascia Release$7,228
Podiatry28119Heel Spur Excision$2,587
Podiatry28297Lapidus Bunionectomy$11,212
Spine63075Anterior Cervical discectomy and fusion$30,475
Spine63075Anterior Cervical discectomy and fusion$40,089
Spine49215Excision of Coccyx Mass$3,922
Spine63047Laminectomy, Lumbar 1 Level$14,030
Spine63030Microdiscectomy 1 Level$18,176
Urology54161Circumcision$3,162
Urology52356Cysto w/lithotripsy$5,520
Urology52010Cystoscopy$4,255
Urology52356, C1776ESWL (Lithotripsy Extracorporeal Shockwave)$6,635
Urology54530Orchiectomy$4,496
Urology53854Rezum System-includes cystoscopyCall for Pricing
Urology55110Scrotal ExplorationCall for Pricing
Urology52601Transurethral Electrosurgical resection of Prostate$5,900
Urology53252Ureteroscopy$3,967
Urology51715Urethral Bulking$3,601
Urology52442Urolift-each additional implantCall for Pricing
Urology52441Urolift-initial system-includes cystoscopy$8,721
Urology52441/53854Urolift/Rezum/Cystoscopy$8,721
Urology55250Vasectomy$3,162
Urology55250Vericocele Single$3,358
Cash Price Surgery Price Includes :
  • Pre-operative consultation
  • Surgery
  • Anesthesia
  • Pathology *
  • All medications and supplies for surgery

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