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Surgical Procedures

For the time period: 10/01/16 - 9/30/17

Surgical Procedures: CPT Codes 10000-19999

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Note

  1. The pricing on this page is for the surgical procedures listed. It is the average charge for the total procedure including any supplies, testing and other charges associated with the procedure.
  2. Charging is based on the length of stay, amount of supplies used, therapies provided, testing given as well as other care provided.
  3. This pricing is an average charge and not intended to be the exact charge for any particular patient.
  4. The average charge shown is an estimate and actual charges for the service depend on the circumstances at the time the service is provided and the patient.
  5. Any insurance discount is negotiated by the insurance carrier. Most insurance providers should be able to tell their members what financial responsibility they will have.
  6. The charges shown below is only for patients without insurance. 

List of Surgical Procedures: CPT Codes 10000-19999

CPTDESCRIPTIONPLAIN LANGUAGE DESCRIPTIONSelf-Pay Price
10022 FNA W/IMAGE FINE NEEDLE ASPIRATION W/IMAGE GUIDANCE $1,457.45
10060 DRAINAGE OF SKIN ABSCESS INCISION & DRAINAGE OF ABCESS $1,775.09
10061 DRAINAGE OF SKIN ABSCESS INCISION & DRAINAGE OF ABCESS - COMPLICATED OR MULTIPLE $2,461.98
10080 DRAINAGE OF PILONIDAL CYST  DRAINAGE OF PILONIDAL CYST SIMPLE​ $2,451.35
10120 REMOVE FOREIGN BODY INCISION AND REMOVAL OF FOREIGN BODY - SIMPLE $2,421.77
10140 DRAINAGE OF HEMATOMA/FLUID INCISION AND DRAINAGE OF HEMATOMA $6,106.22
10160 PUNCTURE DRAINAGE OF LESION PUNCTURE ASPIRATION OF ABCESS, HEMATOMA, BULLA OR CYST $2,243.15
11042 DEB SUBQ TISSUE 20 SQ CM/< DEBRIDEMENT, SUBCUTANEOUS TISSUE 1ST 20 CM OR LESS $1,433.04
11043 DEB MUSC/FASCIA 20 SQ CM/< DEBRIDEMENT, MUSCLE &/OR FASCIA 1ST 20 CM OR LESS $2,645.54
11044 DEB BONE 20 SQ CM/< DEBRIDEMENT, BONE - EPIDERMIS TO BONE 1ST 20CM $1,479.25
11045 DEB SUBQ TISSUE ADD-ON DEBRIDEMENT, SUBCUTANEOUS TISSUE 1ST 20 CM OR LESS $975.26
11406 EXC TR-EXT B9+MARG >4.0 CM EXCISION OF BENIGN LESSION GREATER THAN 4.1 $8,663.41
11730 REMOVAL OF NAIL PLATE REMOVAL OF NAIL PLATE -SIMPLE $1,172.60
11740 DRAIN BLOOD FROM UNDER NAIL DRAIN BLOOD FROM UNDER NAIL $1,322.92
11750 REMOVAL OF NAIL BED REMOVAL OF NAIL BED $3,582.50
11760 REPAIR OF NAIL BED REPAIR OF NAIL BED $1,815.97
11765 EXCISION OF NAIL FOLD TOE EXCISION OF NAIL FOLD TOE $2,464.81
12001 RPR S/N/AX/GEN/TRNK 2.5CM/< REPAIR SUPERFICIAL WOUNDS SKIN, NECK, AXILAE, GENITALIA, TRUNK 2.5 CM OR LESS $2,289.23
12002 RPR S/N/AX/GEN/TRNK2.6-7.5CM REPAIR SUPERFICIAL WOUNDS SKIN, NECK, AXILAE, GENITALIA, TRUNK 2.6 - 7.5 CM $2,685.09
12004 RPR S/N/AX/GEN/TRK7.6-12.5CM REPAIR SUPERFICIAL WOUNDS SKIN, NECK, AXILAE, GENITALIA, TRUNK 7.6 - 12.5 CM $3,415.41
12005 RPR S/N/A/GEN/TRK12.6-20.0CM REPAIR SUPERFICIAL WOUNDS SKIN, NECK, AXILAE, GENITALIA, TRUNK 12.5 - 20 CM $8,089.74
12011 RPR F/E/E/N/L/M 2.5 CM/< REPAIR SUPERFICIAL WOUNDS FACE, EARS, EYELIDS, NOSE, LIPS, MUCUS MEMBRANE 2.5 CM OR LESS $2,977.19
12013 RPR F/E/E/N/L/M 2.6-5.0 CM REPAIR SUPERFICIAL WOUNDS FACE, EARS, EYELIDS, NOSE, LIPS, MUCUS MEMBRANE 2.6 - 5.0 CM $4,097.62
12014 RPR F/E/E/N/L/M 5.1-7.5 CM REPAIR SUPERFICIAL WOUNDS FACE, EARS, EYELIDS, NOSE, LIPS, MUCUS MEMBRANE 5.1 - 7.5 CM $4,322.26
12031 INTMD RPR S/A/T/EXT 2.5 CM/< INTERMEDIATE WOUND REPAIR, SCALP, AXILAE, TRUNK, EXTREMITIES 2.5CM OR LESS $9,119.79
12032 INTMD RPR S/A/T/EXT 2.6-7.5 INTERMEDIATE WOUND REPAIR, SCALP, AXILAE, TRUNK, EXTREMITIES 2.6 - 7.5 CM $3,693.28
12034 INTMD RPR S/TR/EXT 7.6-12.5 INTERMEDIATE WOUND REPAIR, SCALP, AXILAE, TRUNK, EXTREMITIES 7.5 - 12.5 CM $3,678.83
12041 INTMD RPR N-HF/GENIT 2.5CM/< INTERMEDIATE WOUND REPAIR NECK, HANDS, FEET, GENITALIA 2.5 CM OR LESS $3,483.89
12051 INTMD RPR FACE/MM 2.5 CM/< INTERMEDIATE WOUND REPAIR FACE, EARS, EYELIDS, NOSE, LIPS, MUCUS MEMBRANES 2.5 CM OR LESS $4,606.28
12052 INTMD RPR FACE/MM 2.6-5.0 CM INTERMEDIATE WOUND REPAIR FACE, EARS, EYELIDS, NOSE, LIPS, MUCUS MEMBRANES 2.6 - 5.0 CM $4,116.55
12053 INTMD RPR FACE/MM 5.1-7.5 CM INTERMEDIATE WOUND REPAIR FACE, EARS, EYELIDS, NOSE, LIPS, MUCUS MEMBRANES 5.1 - 7.5 CM $5,760.29
13121 CMPLX RPR S/A/L 2.6-7.5 CM COMPLEX REPAIR SCALP,ARMS LEGS 2.6 -7.5 CM $6,472.63
13132 CMPLX RPR F/C/C/M/N/AX/G/H/F COMPLEX REPAIR, FOREHEAD, CHEEKS, CHIN, MOUTH, NECK, AXILAE, GENITALIA, HANDS &/OR FEET 1.1 - 2.5 CM $5,814.66
15275 SKIN SUB GRAFT FACE/NK/HF/G APPLICATION OF SKIN GRAFT SUBSTITUTE TO FACE, SCALP, EYELIDS, MOUTH, NECK, EARS, ORBITS, GENITALIA, HANDS, FEET, &/OR MULTIPLE DIGITS -1ST 25 CM UPTO 100CM $5,938.15
15777 ACELLULAR DERM MATRIX IMPLT APPLICATION OF SKIN GRAFT SUBSTITUTE TO FACE, SCALP, EYELIDS, MOUTH, NECK, EARS, ORBITS, GENITALIA, HANDS, FEET, &/OR MULTIPLE DIGITS MORE THAN 100 CM - INFANTS AND CHILDREN $30,292.09
16020 DRESS/DEBRID P-THICK BURN S DRESSING & DEBRIDEMENT OF PARTIAL THICKNESS BURNS; SMALL LESS THAN 5% TOTAL BODY SURFACE AREA $1,423.38
16025 DRESS/DEBRID P-THICK BURN M DRESSING & DEBRIDEMENT OF PARTIAL THICKNESS BURNS; MEDIUM;5% - 10% TOTAL BODY SURFACE AREA $1,722.22
17250 CHEMICAL CAUTERY TISSUE CHEMICAL CAUTERIZATION OF GRANULATION TISSUE (PROUD FLESH, SINUS OR FISTUAL) $403.08
19000 DRAINAGE OF BREAST LESION PUNTURE ASPIRATION OF CYST OF BREAST $1,468.38
19081 BX BREAST 1ST LESION STRTCTC BIOPSY, BREAST W/PLACEMENT OF LOCALIZATION DEVICE - 1ST LESION, INCLUDING STEREOTACTIC GUIDANCE $4,785.15
19083 BX BREAST 1ST LESION US IMAG BIOPSY, BREAST W/PLACEMENT OF LOCALIZATION DEVICE - 1ST LESION, INCLUDING ULTRASONIC GUIDANCE $1,646.87
19084 BX BREAST ADD LESION US IMAG BIOPSY, BREAST W/PLACEMENT OF LOCALIZATION DEVICE - EACH ADD'L LESION, INCLUDING ULTRASONIC GUIDANCE $1,868.55
19120 REMOVAL OF BREAST LESION EXCISION OF BREAST CYCST, OPEN, MALE OF FEMALE, 1 OR MORE LESIONS $7,502.25
19125 EXCISION BREAST LESION EXCISION OF BREAST CYCST, OPEN, IDENTIFIED BY PREOPERATIVE PLACEMENT OF RADIOLOGIC MARKER; SINGLE LESION $8,947.25
19281 PERQ DEVICE BREAST 1ST IMAG PLACEMENT OF BREAST LOCALIZATION DEVICE, PERCUTANEOUS, FIRST LESION; INCLUDING MAMMOGRAPHIC GUIDANCE $9,964.48
19285 PERQ DEV BREAST 1ST US IMAG PLACEMENT OF BREAST LOCALIZATION DEVICE, PERCUTANEOUS, FIRST LESION; INCLUDING ULTRUSONIC GUIDANCE $10,645.52
19301 PARTIAL MASTECTOMY PARTIAL MASTECTOMY (E.G. LUMPECTOMY) $12,225.81
19303 MAST SIMPLE COMPLETE MAST SIMPLE COMPLETE $23,171.07
19357 BREAST RECONSTRUCTION BREAST RECONSTRUCTION $29,769.99

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