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 |