Procedures Price List with CPT Codes

Flat Rate Pricing / Cash Price Program. These prices do not apply if you use your insurance provider.
CPTMedical DescriptionTotalLocation
ColoRectal46270/46200Anal Fistulectomy/Fistulotomy$4,209NTTC
ColoRectal46260Hemorroidectomy$4,209NTTC
ColoRectal46275/45378Anal Fistulectomy/Fistulotomy/Colonoscopy$7,659NTTC
ColoRectal46922/45990Excision/Fulgaration Condyloma$5,359NTTC
ENT69436Bilateral Myringotomy w/tube$2,645NTTC
ENT69421Bilateral Myringotomy w/o tube$3,220NTTC
ENT69420/69421/69433Bilateral Myringotomy w/tube (In Office)$862
ENT69610/69620Tympanoplasty$3,450NTTC
ENT69631/69632/69633/63635/63636/69637/69641/69642/69643/69644/69645/69646Tympanoplasty w/Structural Repair$7,475NTTC
ENT69424Removal Myringotomy tube$1,093NTTC
ENT69205Removal Foreign Body Ear$1,668NTTC
ENT69436/69631Tympanostomy$2,875NTTC
ENT69501/69502/69604Mastoidectomy$6,670NTTC
ENT42950Pharyngoplasty $5,175NTTC
ENT42950/69436Pharyngoplasty/Bilateral Myringotomy w/tube$6,267NTTC
ENT42825Tonsilectomy$5,589NTTC
ENT42830Adenoidectomy$3,680NTTC
ENT42820Tonsilectomy/Adenoidectomy$5,704NTTC
ENT42140Uvulectomy$3,749NTTC
ENT30310Removal Foreign Body Intranasal$2,875NTTC
ENT31530Laryngoscopy w/Foreign Body Removal$2,070NTTC
ENT42800/42804/42806Biopsy Throat$3,404NTTC
ENT21320Closed Reduction Nasal Fracture$3,105NTTC
ENT40819Frenulectomy$2,300NTTC
ENT42410/42415/42420/42425/42440/42450Excision Salivary Gland$6,854NTTC
ENT31237Nasal Endoscopy (In Office)$626
ENT31231/92511Nasal Endoscopy $1,035NTTC
ENT31240Concha Bullosa Resection$2,875NTTC
ENT30520Septoplasty$4,025NTTC
ENT31256/31267/31287FESS$5,405NTTC
ENT30140Turbinate Reduction$4,025NTTC
ENT31295Balloon Sinuplasty $7,475NTTC
ENT31298Bilateral Maxillary, Sphenoid & Frontal $8,625NTTC
ENT30520/30140/31240/31231Septoplasty/Bilateral Turbinate Reduction/Direct Nasal Endoscopy$6,325NTTC
ENT42820/30140/31231Tonsilectomy/Adenoidectomy/Bilateral Turbinate Reduction/Direct Nasal Endoscopy$10,005NTTC
ENT31295/31298Balloon Sinuplasty/Bilateral Maxillary, Sphenoid, & Frontal (In Office)$7,216NTTC
ENT30520/31240/30140Septoplasty/Concha Bullosa/Inferior Turbinate Reduction$17,940NTTC
ENT30400/30465/30420Rhinoplasty/Repair of Nasal Vestibular Stenosis/Septal Repair$17,940NTTC
ENT30520/30140/42140Septoplasty/Inferior Turbinate Reduction/Uvulectomy$7,429NTTC
ENT95800Home Sleep Study$460
ENT21453Closed Reduction Mandibular Fracture w/Interdental Fixation$20,000NTTC
ENT60240/60260Thyroidectomy$8,809NTTC
General36568Mediport Placement$3,795NTTC
General36590Mediport Removal$2,875NTTC
General46260Hemorroidectomy$4,209NTTC
General46270Anal Fistulectomy/Fistulotomy$4,025NTTC
General11770/11771/11772Pilonidal Cystectomy$4,784NTTC
General47562Laparoscopic Cholecystectomy$6,733NTTC
General44960/44970Laparoscopic Appendectomy$6,733NTTC
General49587/49591Open Hernia Repair, Ventral/Umbilical$5,405NTTC
General49650Hernia Repair, Inguinal$6,325NTTC
General49650-50Hernia Repair, Inguinal Bilateral$9,775NTTC
General49652/49594Hernia Repair, Laparoscopic$7,130NTTC
General60240Thyroidectomy Total$8,809NTTC
General21620/22903Xiphoidectomy/Excision of Chest Wall Mass$5,934NTTC
General55250Vasectomy$3,346NTTC
General19120Lumpectomy$5,934 NTTC
General19303Mastectomy Single$7,314 NTTC
General19303-50Mastectomy Bilateral$11,339 NTTC
General21501Excision of Mass$2,484NTTC
Gastroenterology43235/43239, 45378/45380EGD with Colonoscopy$2,887NTTC
Gastroenterology43239EGD with Biopsy$1,564NTTC
Gastroenterology45378Diagnostic Colonoscopy procedure$1,936NTTC
Gastroenterology45380Diagnostic Colonoscopy with biopsy procedure single or multiple$1,936NTTC
Gastroenterology45385Colonoscopy procedure with lesion removal, tumor removal with snare technique$1,936NTTC
GastroenterologyG0121Colon cancer screening$1,936NTTC
Gastroenterology45331Sigmoidoscopy with Biopsy$1,821NTTC
Gyn58120Dilation & Curettage$4,370NTTC
Gyn58558D&C Hysteroscopy $5,359NTTC
Gyn58671Tubal Ligation$5,566NTTC
Gyn58563Hysteroscopy w/Endometrial Ablation$6,324NTTC
Gyn56620Excision of Labia Minora (Labiaplasty)$4,726NTTC
Gyn58301Removal IUD$690NTTC
Gyn58750Tubal Reversal Open$7,176NTTC
Gyn58145Myomectomy$6,256NTTC
Gyn58260Hysterectomy Vaginal$7,820NTTC
Gyn58150Hysterectomy Abdominal$12,995NTTC
Gyn58570Hysterectomy Laparoscopic$12,995NTTC
Gyn57550Vaginal Removal of Cervical Stump$5,988NTTC
Gyn58661Laparoscopic Bilateral Salpingectomy$6,210NTTC
Gyn49320Laparoscopy Diagnostic$5,750NTTC
Gyn49000Exploratory Laparotomy$9,959NTTC
Gyn58925Ovarian Cystectomy$5,359NTTC
Orthopedic29848Carpal Tunnel Release Open vs Endo$2,933NTTC
Orthopedic29848Carpal Tunnel Release Open vs Endo$2,525NTTC
Orthopedic64721/64718Carpal Tunnel Release/Cubital Tunnel Release$3,738NTTC
Orthopedic26040Dupuytrens Contracture Release$2,933NTTC
Orthopedic26160Excision of Ganglion Cyst$3,117NTTC
Orthopedic28080Excision of Neuroma$3,347NTTC
Orthopedic29843Arthroscopy Wrist$4,600NTTC
Orthopedic26055Trigger Finger Release$3,278NTTC
Orthopedic26540CMC Arthroplasty$4,313NTTC
Orthopedic26410/26480Tendon Repair Extensor$4,888NTTC
Orthopedic64721/64718/14040Carpal Tunnel Release/Decompression Ulnar Nerve/Hypothenar Fat Flap$5,003NTTC
Orthopedic64721/64718Carpal Tunnel Release/Decompression Ulnar Nerve $3,968NTTC
Orthopedic26951Amputation Finger Index$4,612NTTC
Orthopedic26951/15240Amputation Finger Index/FTSG$5,647NTTC
Orthopedic25565Closed Reduction/Casting Radial/Ulnar Shaft$2,875NTTC
Orthopedic26650/26608Percutaneous Pinning Digit$4,083NTTC
Orthopedic25607/25608/25609ORIF Distal Radius$9,430NTTC
Orthopedic25024Fasciotomy Elbow$4,543NTTC
Orthopedic27650Achilles Tendon Repair$7,705NTTC
Orthopedic20680Removal Hardware Deep$3,968NTTC
Orthopedic23700/27570Manipulation Under Anesthesia$1,898NTTC
Orthopedic29866/29870/29871/29875/29876/29880/29881Arthroscopy Knee$6,900NTTC
Orthopedic29882/29883Arthroscopy Knee w/Meniscal Repair$7,130NTTC
Orthopedic29866Arthroscopy Knee Bilateral$9,775NTTC
Orthopedic27445Arthroplasty Total Knee$20,528NTTC
Orthopedic27445Arthroplasty Total Knee Bilateral$27,600NTTC
Orthopedic29888Anterior Cruciate Ligament Repair/Reconstruction w/Graft$15,928NTTC
Orthopedic29888Anterior Cruciate Ligament Repair/Reconstruction w/o Graft$11,903NTTC
Orthopedic22915/29916Arthroscopy Hip$9,775NTTC
Orthopedic27130Arthroplasty Total Hip$21,620NTTC
Orthopedic27130Arthroplasty Total Hip Bilateral$28,865NTTC
Orthopedic23472Arthroplasty Total Reverse Shoulder$26,795NTTC
Orthopedic23410/29827Arthroscopy Shoulder Rotator Cuff Repair$11,851NTTC
Orthopedic29806/29807Arthroscopy Shoulder Labrum Repair$11,851NTTC
Orthopedic29824Arthroscopy Shoulder Distal Clavicle$9,551NTTC
Pain Management64520Lumbar Sympathetic Nerve Block$1,276NTTC
Pain Management64530Celiac Plexus Nerve Block$1,276NTTC
Pain Management64625SI Joint RFA$2,185NTTC
Pain Management62321Epidural Steriod Injection (Cervical)$1,437NTTC
Pain Management62321, 62323Epidural Steriod Injection (Thoracic, Lumbar, Caudal)$1,322NTTC
Pain Management64490, 64493Bilateral Medial Branch Block (Cervical/Lumbar) 1 Level$2,202NTTC
Pain Management64490, 64491, 64493, 64494Bilateral Medial Branch Block (Cervical/Lumbar) 2 Level$2,392NTTC
Pain Management64490, 64491, 64493, 64494, 64495Bilateral Medial Branch Block (Cervical/Lumbar) 3 Level$2,409NTTC
Pain Management64633Facet Joint RFA$2,070NTTC
Pain Management64633Facet Joint RFA Bilateral$2,392NTTC
Pain ManagementG0260SI Joint$1,276NTTC
Pain Management63662SCS Explant$5,313NTTC
Pain Management64510Stellate Ganglion Nerve Block$1,276NTTC
Pain Management64483Transforaminal ESI$1,322NTTC
Pain Management64454Genicular Nerve Block$1,495NTTC
Pain Management64624Genicular RFA$2,990NTTC
Pain ManagementTrial Spinal Cord Stimulator$16,198 NTTC
Pain ManagementTrial Spinal Cord Stimulator DRG$16,198NTTC
Pain ManagementPerm Spinal Cord Stimulator Rechargeable$55,551NTTC
Pain ManagementPerm Spinal Cord Stimulator Non-rechargeable$49,800NTTC
Pain ManagementPerm Spinal Cord Stimulator DRG$61,566 NTTC
Pain Management38222Sacral Bone Marrow Biopsy$2,599NTTC
Podiatry28292Bunionectomy$5,750NTTC
Podiatry64774, 64784Excision of neuroma$4,197NTTC
Podiatry28118Haglunds$3,795NTTC
Podiatry28285Hammertoe (1)$4,370NTTC
Podiatry28285Hammertoe (2)$6,842NTTC
Podiatry28285Hammertoe (3)$9,314NTTC
Podiatry28008Instep/ Fasciotomy$4,255NTTC
Podiatry28113Osteotomy$4,255NTTC
Podiatry0232TPRP Injection (platelet-rich plasma inj)$2,242NTTC
Podiatry28820Toe amp$4,439NTTC
Podiatry27687Gastrocnemius Resection$4,255NTTC
Podiatry28304Cotton Osteotomy $6,670NTTC
Podiatry29897Ankle Arthroscopy$4,255NTTC
Podiatry29893Endoscopic Plantar Fascia Release$4,600NTTC
Podiatry28060Plantar Fasciotomy$4,600NTTC
Podiatry28119Heel Spur Excision$4,255NTTC
Podiatry28297, 28299Lapidus Bunionectomy$14,260NTTC
Podiatry17110Destruction Periungual wart/Laser$1,955NTTC
Podiatry27687-50/28465-50Bilateral Gastrocnemius Resection/ORIF Navicular$15,410NTTC
Podiatry28299First Metatarsal Prox Phalanx Osteotomy w/Screw Fixation$9,775NTTC
Podiatry28289Cheilectomy$4,600NTTC
Podiatry287501st Metatarsophalangeal Joint Fusion$10,350NTTC
Spine22551ACDF 1 level$28,520NTTC
Spine22552ACDF 2 level$33,695NTTC
Spine22552ACDF 3 level$39,445NTTC
Spine63030Microdisectomy 1 Level$19,895NTTC
Spine63047Laminectomy Lumbar Level 1$19,895NTTC
Spine22612Lumbar Fusion 1 level$34,845NTTC
Spine22612, 22614Lumbar Fusion 2 level$40,595NTTC
Urology54161Circumcision$3,450NTTC
Urology52356Cystourethroscopy$5,807NTTC
Urology52010Cystoscopy$3,507NTTC
Urology52000Cystoscopy (In Office)$402NTTC
Urology52356Cystoscopy w/Lithotripsy$6,257NTTC
Urology52351CystoUrethroscopy w/Ureteroscopy$5,108NTTC
Urology50590Extracorporeal Shockwave (ESWL)$5,191NTTC
Urology54530Orchiectomy$4,600NTTC
Urology55250Vasectomy$3,346NTTC
Urology55250Vasectomy (In Office) Anusionwu$1,012NTTC
Urology55250Vasectomy (In Office) Johnston$1,058NTTC
Urology55530Excision of Varicocele$4,381NTTC
Urology55110Scrotal Exploration$4,439NTTC
Urology52601Transurethral Resection of Prostate (TURP)$6,993NTTC
Urology57288Midurethral Bladder Sling$6,555NTTC
Urology52441Urolift$9,315NTTC
Urology53854Rezum$8,620NTTC
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  • Surgery
  • Anesthesia
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  • All medications and supplies for surgery

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