Average Outpatient Procedure Price List Greenbaum and ...
Average Outpatient Procedure Price List Greenbaum and Piper Surgical Centers
CPT/HCPCS CODE
Procedure Description
14301 Tis trnfr any 30.1-60 sq cm
Average
(Estimated)
Prompt Pay Direct Pay Total Price (3)
Price (1)
Price (2)
$28,324 $36,821 $56,648
15830 Exc skin abd
$41,217 $53,582 $82,434
19120 Removal of breast lesion
$13,508 $17,561 $27,016
19125 Excision breast lesion
$15,714 $20,428 $31,427
19301 Partial mastectomy
$22,029 $28,638 $44,058
19303 Mast simple complete
$39,009 $50,711 $78,018
19316 Suspension of breast
$36,636 $47,627 $73,272
19318 Reduction of large breast
$34,903 $45,374 $69,805
19325 Enlarge breast with implant
$30,755 $39,982 $61,511
19340 Immediate breast prosthesis
$65,574 $85,246 $131,147
19342 Delayed breast prosthesis 19357 Breast reconstruction
$28,900 $60,700
$37,570 $78,910
$57,800 $121,401
19380 Revise breast reconstruction
$23,613 $30,697 $47,226
20680 Removal of support implant
$16,695 $21,704 $33,390
23430 Repair biceps tendon
$35,312 $45,906 $70,624
26055 Incise finger tendon sheath
$6,661
$8,659
$13,322
27698 Repair of ankle ligament
$26,150 $33,995 $52,301
29827 Arthroscop rotator cuff repr
$36,435 $47,366 $72,871
29876 Knee arthroscopy/surgery
$17,816 $23,161 $35,632
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CPT/HCPCS CODE
Procedure Description
29880 Knee arthroscopy/surgery
29881 Knee arthroscopy/surgery
29888 Knee arthroscopy/surgery
29916 Hip arthro w/labral repair
30140 Resect inferior turbinate
30465 Repair nasal stenosis
30520 Repair of nasal septum
31276 Nsl/sins ndsc frnt tiss rmvl
36561 Insert tunneled cv cath
38525 Biopsy/removal lymph nodes
42826 Removal of tonsils
47562 Laparoscopic cholecystectomy
49505 Prp i/hern init reduc >5 yr
50590 Fragmenting of kidney stone
57425 Laparoscopy surg colpopexy
58558 Hysteroscopy biopsy
58563 Hysteroscopy ablation
58571 Tlh w/t/o 250 g or less
58661 Laparoscopy remove adnexa
58662 Laparoscopy excise lesions
59820 Care of miscarriage
Average
(Estimated)
Prompt Pay Direct Pay Total Price (3)
Price (1)
Price (2)
$14,428 $18,756 $28,856
$14,687 $19,094 $29,375
$37,162 $48,310 $74,324
$37,876 $49,238 $75,752
$17,979 $23,372 $35,957
$20,808 $27,051 $41,616
$13,881 $18,045 $27,761
$24,738 $32,159 $49,475
$12,296 $15,985 $24,593
$24,911 $32,384 $49,822
$11,836 $15,387 $23,672
$14,970 $19,461 $29,940
$15,694 $20,402 $31,388
$8,572 $11,143 $17,143
$32,999 $42,899 $65,998
$12,223 $15,890 $24,446
$14,417 $18,742 $28,834
$25,961 $33,749 $51,922
$19,511 $25,364 $39,022
$19,167 $24,917 $38,334
$8,316 $10,811 $16,632
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CPT/HCPCS CODE
Procedure Description
62321 Njx interlaminar crv/thrc
62323 Njx interlaminar lmbr/sac
64483 Inj foramen epidural l/s
64493 Inj paravert f jnt l/s 1 lev
64635 Destroy lumb/sac facet jnt
64721 Carpal tunnel surgery
66821 After cataract laser surgery
66984 Cataract surg w/iol 1 stage
68720 Create tear sac drain
69436 Create eardrum opening
Average
(Estimated)
Prompt Pay Direct Pay Total Price (3)
Price (1)
Price (2)
$3,249
$4,224
$6,499
$3,427
$4,455
$6,855
$3,358
$4,365
$6,716
$4,128
$5,366
$8,255
$5,596
$7,275
$11,192
$7,734 $10,054 $15,468
$1,406
$1,828
$2,812
$9,655 $12,551 $19,310
$15,522 $20,179 $31,045
$4,545
$5,908
$9,089
The above prices do not include physicians' fees, which may be charged by your surgeon, anesthesiologist, pathologist or radiologist. Please contact your physicians' offices and health insurance provider directly for price information.
(1) Prompt Pay Price is the average price a self-pay patient will pay when paid-in-full in advance of having this procedure. This price is also available for emergency services, with no inpatient admission, if paid-in-full within 14 days of hospital visit.
(2) Direct Pay Price is the average price a self-pay patient will pay when having this procedure. Arrangements can be made to pay over time. (3) Average (Estimated) Total Price is the estimated average total charges a person will experience when having this procedure.
Locations
Greenbaum Surgical Specialty Hospital 3535 N. Scottsdale Road Scottsdale, AZ 85251 Tel (480) 882-4958
Virginia G. Piper Cancer Center at HonorHealth 10460 N. 92nd Street Scottsdale, AZ 85258 Tel (480) 323-1000
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