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
Colorectal45380Colonoscopy with Biopsy$1,610.00
Colorectal46200Fissurectomy$3,256.00
Colorectal46260Hemorroidectomy$3,256.00
ENT42830Adenoidectomy$2,915.00
ENT69436 Adenoidectomy/Tympanostomy with Tube Insertion$3,432.00
ENT69436Bilateral Myringotomy and Tubes$2,090.00
ENT21555Excision of mass$3,536.00
ENT30520Septoplasty (Simple)$3,476.00
ENT42826Tonsillectomy$3,465.00
ENT42821Tonsillectomy/Adenoidectomy$3,630.00
Gastro45380Colonoscopy with Biopsy$1,610.00
Gastro43239EGD with Biopsy$1,310.00
Gastro43235, 45378EGD with Colonoscopy$2,210.00
General46270Anal Fistula$3,476.00
GeneralnullExcision of mass$3,536.00
General46260Hemorroidectomy$3,256.00
General49572Hernia Repair, Epigastric$4,950.00
General49650Hernia Repair, Inguinal$4,950.00
General49650Hernia Repair, Inguinal Bilateral$6,000.00
General79652Hernia Repair, Laparoscopic$5,500.00
General49587Hernia Repair, Ventricular/Umbilical$4,400.00
General44960, 44970Laparoscopic Appendectomy$5,670.00
General47562Laparoscopic Cholecystectomy$5,670.00
General11770–11772Pilonidal Cyst$4,026.00
General36568Port Placement$3,630.00
General36590Port Removal$2,090.00
General60240Thyroidectomy, Total$6,336.00
GYN49320Diagnostic Laparoscopy$4,900.00
GYN58120Dilation & Curettage$2,816.00
GYN58563Hysterectomy, Laparoscopic$10,000.00
GYNnullHysteroscopy, Novasure$4,400.00
GYN58671Tubal Ligation$3,630.00
GYN58750Tubal Reversal, Open$5,500.00
Ortho27650Achilles tendon repair$6,798.00
Ortho29888Anterior Cruciate Ligament Repair/Reconstruction w/ graft$14,135.00
Ortho29888Anterior Cruciate Ligament Repair/Reconstruction without graft$9,735.00
Ortho64721Carpel Tunnel Release Open vs Endo$3,905.00
Ortho25608Closed Reduction/Casting$2,640.00
Ortho27766Complex Fracture Repair, Plates/Screws$7,095.00
Ortho26040, 26045Dupuytrens Contracture Release$3,685.00
Ortho27630Excision Ganglion cyst$3,564.00
Ortho64774, 64784Excision of neuroma$3,641.00
Ortho29882Knee Arthroscopy$4,939.00
Ortho23700Manipulation under anesthesia$2,145.00
Ortho23455Shoulder Arthroscopy (Labral repair)$7,568.00
Ortho29827Shoulder Arthroscopy Rotator Cuff Repair (arthroscopic)$7,568.00
Ortho29822, 29826Shoulder Arthroscopy(Subacromial decompression)(Distal clavicle resection)$7,568.00
Ortho26605Simple Fracture Repair, Perc Pinning$4,785.00
Ortho27447Total Knee Arthroplasty$17,435.00
Ortho26055Trigger Finger release$3,575.00
Ortho29845Wrist Arthroscopy$4,565.00
Pain Mgt64530Celiac Plexus Nerve Block$1,166.00
Pain Mgt62321, 62323Epidural Steriod Injection (Thoracic, Lumbar)$1,210.00
Pain Mgt64490, 64495Facet Joint Injection (Cervical/Lumbar) 1 Level$1,331.00
Pain Mgt64490, 64495Facet Joint Injection (Cervical/Lumbar) 2 Level$1,452.00
Pain Mgt64490, 64495Facet Joint Injection (Cervical/Lumbar) 3 Level$1,463.00
Pain Mgt64633Facet Joint RFA$1,870.00
Pain Mgt64633Facet Joint RFA Bilateral$1,980.00
Pain Mgt64520Lumbar Sympathetic Nerve Block$1,166.00
Pain Mgt64405Occipital nerve block for headache$660.00
Pain Mgt64640SI Joint$1,166.00
Pain Mgt64640SI Joint RFA$1,980.00
Pain Mgt29873Steroid injection knee$572.00
Pain Mgt64400Supraorbital nerve block$660.00
Pain Mgt20552Trigger Point Injection$660.00
Plastic15847Abdominoplasty$11,770.00
Plastic15822Blepharoplasty Upper and Lower$2,750.00
Plastic15822Blepharoplasty Upper or Lower$2,419.00
Plastic19325Breast Augmentation (Hybrid)$7,479.00
Plastic19325Breast Augmentation (Saline)$5,499.00
Plastic19325Breast Augmentation (Silicone)$6,599.00
Plastic30420Rhinoplasty$11,000.00
Podiatry28292Bunionectomy$4,510.00
Podiatry28080Excision of neuroma$3,641.00
Podiatry28118Haglunds$3,630.00
Podiatry28285Hammertoe (1)$2,970.00
Podiatry28285Hammertoe (2)$3,520.00
Podiatry28285Hammertoe (3)$4,070.00
Podiatry28008Instep / Fasciotomy$2,750.00
Podiatry28113Osteotomy$3,520.00
Podiatry0232TPlatelet-Rich Plasma Injection$2,255.00
Podiatry28820Toe Amputation$3,146.00
Spine 63075ACDF 1 level$19,800.00
Spine 63075ACDF 2 level$27,456.00
Spine 36355Laminectomy Lumbar 1 level$10,670.00
Spine nullLumbar Fusion 1 level$38,500.00
Spine nullLumbar Fusion 2 level$52,250.00
Spine 63030Microdisectomy 1 level$17,387.00
Spine 22869Superion Indirect Decompression System$13,860.00
Urology54161Circumcision$2,750.00
Urology52010Cystoscopy$3,520.00
Urology52353Cystoscopy with Lithotripsy$4,466.00
Urology50590ESWL (Lithotripsy Extracorporeal Shockwave)$6,072.00
Urology54520Orchiectomy$4,026.00
UrologynullUreteroscopy$3,520.00
UrologynullVasectomy$2,750.00
Cash Price Surgery Price Includes :

  • Pre-operative consultation
  • Surgery
  • Anesthesia
  • Pathology *
  • All medications and supplies for surgery

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