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Common Outpatient Charges

Effective 12/18. Prices are subject to change without notice.

Outpatient Surgical Procedures

PROCEDURE AVERAGE CHARGES
Arthroscopy Shoulder with Rotator Cuff Repair $25,350.00
Arthroscopy Knee $9,560.00
Arhtorscopy Knee with meniscectomy $9,300.00
Carpal Tunnel Release $8,140.00
Insertion Spinal Neurostimulator via Laminectomy $122,970.00
Insertion Spinal Neurostimulator Pain Management - Trial $25,610.00
Insertion Spinal Neurostimulator via Percutaneous - 1 Lead $102,200.00
Insertion Spinal Neurostimulator via Percutaneous - 2 Lead $118,690.00
Insertion Pain Pump $65,230.00
Kyphoplasty $30,350.00
Laminotomy $15,390.00
Laminectomy $16,130.00
Microdiscectomy $15,390.00
Manipulation of Knee Joint $4,100.00
Partial Knee Replacement $50,220.00
Total Knee Arthroplasty (Replacement) $53,980.00
Anterior Cervical Discectomy and Fusion (ACDF) - 1 Level $37,440.00
Cystourethroscopy with Insertion of Stent $12,330.00
Cystourethroscopy with Biopsy $17,490.00
Cystourerthroscopy with Removal of Tumor Small $10,400.00
Cystourerthroscopy with Removal of Bladder Tumor $12,400.00
Anterior Colporrhapy (Repair of Cystocele) $12,950.00
Insertion of Penile Prosthesis $79,340.00
Vasectomy $7,120.00
Sling Operation $14,520.00
Lithotripsy $14,400.00
Cystouretroscopy with Stone Removal $13,770.00
Transurethral Resection of Prostate $15,130.00

Outpatient Pain Management Procedures

PROCEDURE AVERAGE CHARGES
Epidural Steroid Injection $1,159.45
Epidural Blood Patch $1,008.66
Trigger Point Injection 1-2 muscles $496.94
Trigger Point Injection 3+ muscles $496.94
Discogram, 1 level injection $7,253.08
Discogram, 2 level injection $12,778.11
Discogram, 3 level injection $18,379.24
Major joint injection - Hip, Knee, & Shoulder $810.00
Pain Pump Trial $2,100.00
Spinal Neurostimulator Trial $27,228.55
Botox Injection $5,316.88
**Each Additional $350.40
Radiofrequency Ablation of Facet Joint (RFA) - 1 level with sedation $2,885.17
**Each Additional $880.00
Medial Branch Facet Inj $1,599.99
** Each Additional $492.25
SI Joint Injection $2,413.60
Transforaminal Injection $1,175.46

Outpatient Diagnostic and Laboratory Services

PROCEDURE PRICE (LOW) PRICE (HIGH)
CT Abdomen $1,444.25 $1,920.85
CT Abdomen/Pelvis $1,512.03 $2,607.07
CT Brain $1,444.25 $1,902.85
CT Cervical Spine $1,444.25 $1,920.85
CT Chest $1,444.25 $1,920.85
CT Lower Extremity $1,444.25 $1,920.85
CT Upper Extremity $1,444.25 $1,920.85
CT Lumbar Spine $1,444.25 $1,920.85
CT Neck Soft Tissue $1,444.25 $1,920.85
CT Pelvis $1,444.25 $1,920.85
CT Thoracic Spine $1,444.25 $1,920.85
MRA Brain $2,719.31 $3,616.68
MRI Brain $2,719.31 $3,918.49
MRI Cervical Spine $2,719.31 $3,616.68
MRI Chest $2,719.31 $3,616.68
MRI Hip $1,133.05 $1,506.96
MRI Knee $1,133.05 $1,506.96
MRI Lumbar Spine $2,719.31 $3,616.68
MRI Pelvis $2,719.31 $3,616.68
MRI Shoulder $1,133.05 $1,506.96
MRI Thoracic Spine $2,719.31 $3,616.68
MRI Wrist $1,133.05 $1,632.71
Myelogram - Includes post myelogram CT $3,509.84 $3,660.25
XR Abdomen $332.05 $560.74
XR Ankle $332.05 $332.05
XR Cervical Spine $332.05 $560.74
XR Chest 2 Views $332.05 $332.05
XR Hip $332.05 $562.66
XR Hips Bilateral $562.66 $1,072.74
XR Knee $261.60 $332.05
XR Lumbar Spine 1 View $332.05 $560.74
XR Pelvis $332.05 $332.05
XR Ribs $261.60 $560.74
XR Shoulder $332.05 $332.05
XR Skull $332.05 $560.74
XR Thoracic Spine $332.05 $332.05
ECG $123.50 $123.50
Complete Blood Count (CBC) $47.26 $47.26
Metabolic Panel $86.02 $141.70
Drug Screen $116.31 $664.11