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Surgical Procedures

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

Surgical Procedures: CPT Codes 20000-29999

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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 20000-29999

CPTDESCRIPTIONPLAIN LANGUAGE DESCRIPTIONSelf-Pay Price
20205 DEEP MUSCLE BIOPSY DEEP MUSCLE BIOPSY $10,163.06
20552 INJ TRIGGER POINT 1/2 MUSCL INJECTION(S); SINGLE OR MUPLTIPLE TRIGGER POINTS 1 OR 2 MUSCLES $2,153.41
20600 DRAIN/INJ JOINT/BURSA W/O US ATROCENTESIS, ASPIRATION AND OR INJECTION, SMALL JOINT OR BURSA(E.G. FINGERS, TOES) W/OUT UTRASONIC GUIDANCE $2,006.17
20605 DRAIN/INJ JOINT/BURSA W/O US ATROCENTESIS, ASPIRATION AND OR INJECTION, INTERMEDIATE JOINT OR BURSA(E.G. WRIST, ELBOW, ANKLE) W/OUT UTRASONIC GUIDANCE $3,372.59
20610 DRAIN/INJ JOINT/BURSA W/O US ATROCENTESIS, ASPIRATION AND OR INJECTION, MAJOR JOINT OR BURSA(E.G. HIP, KNEE, SHOULDER) W/OUT UTRASONIC GUIDANCE $1,886.88
20680 REMOVAL OF SUPPORT IMPLANT REMOVAL OF IMPLANT; DEEP (E.G. BURIED WIRE, PIN, SCREW) $11,660.05
20690 APPLY BONE FIXATION DEVICE APPLICATION OF A UNIPLANE, UNILATERAL, EXTERNAL FIXATION DEVICE $22,674.21
21931 EXC BACK LES SC 3 CM/> EXCISION, TUMOR, SOFT TISSUE OF BACK OR FLANK; 3 CM OR MORE $7,935.97
22513 PERQ VERTEBRAL AUGMENTATION PERCUTANEOUS VERTEBRAL AUGMENTATION, INCLUDING CAVITY CREATION; USING MECHANICAL DEVICE (E.G. KYPHOPLASTY), 1 VERTEBRAL BODY, INCLUSIVE OF ALL IMAGING - THORACIC $19,217.74
22514 PERQ VERTEBRAL AUGMENTATION PERCUTANEOUS VERTEBRAL AUGMENTATION, INCLUDING CAVITY CREATION; USING MECHANICAL DEVICE (E.G. KYPHOPLASTY), 1 VERTEBRAL BODY, INCLUSIVE OF ALL IMAGING - LUMBAR $20,197.38
23120 PARTIAL REMOVAL COLLAR BONE PARTIAL REMOVAL COLLAR BONE - CLAVICULECTOMY PARTIAL $15,928.10
23350 INJECTION FOR SHOULDER X-RAY INJECTION PROCEDURE FOR SHOULDER ARTHROGRAPHY OR ENHANCED CT/MRI ARTHROGRAPHY $3,855.31
23430 REPAIR BICEPS TENDON REPAIR BICEPS TENDON $16,727.29
23515 TREAT CLAVICLE FRACTURE OPEN TREATMENT OF CLAVICULAR FRACTURE, INCLUDES INTERNAL FIXATION (SETTING) $20,569.85
23650 TREAT SHOULDER DISLOCATION CLOSED TREATMENT OF SHOULDER DISLOCATION WITH MANIPULATION W/OUT ANESTHSIA $3,462.39
23700 FIXATION OF SHOULDER MANIPULATION UNDER ANTHESISIA, SHOULDER JOINT INCLUDING APPLICATION OF FIXATION APPARATUS $10,386.99
24340 REPAIR OF BICEPS TENDON REPAIR OF BICEPS TENDON $19,482.39
24341 REPAIR ARM TENDON/MUSCLE REPAIR OF TENDON OR MUSCLE, UPPER ARM OR ELBOW EACH TENDON OR MUSCLE  $16,104.36
24600 TREAT ELBOW DISLOCATION TREATMENT OF CLOSE ELBOW DISLOCATION W/OUT ANESTHESIA $4,537.72
24640 TREAT ELBOW DISLOCATION CLOSED TREATMENT OF RADIAL HEAD OR NECK FRACTURE W/OUT MANIPULATION $1,095.42
25605 TREAT FRACTURE RADIUS/ULNA CLOSED TREATMENT OF DISTAL RADIAL FRACTURE, PERFORMED W/OUT MANIPULATION $5,912.47
25606 TREAT FX DISTAL RADIAL PERCUTANEOUS SKELETAL FIXATION OF DISTAL RADIAL FRACTURE $15,296.7
25609 TREAT FX RADIAL 3+ FRAG OPEN TREATMENT OF DISTAL RADIAL INTRA-ARTICULAS FRACTURE WITH INTERNAL FIXATION OF 3 OR MORE FRAGMENTS $19,521.49
26010 DRAINAGE OF FINGER ABCESS DRAINAGE OF FINGER ABCESS; SIMPLE $2,493.66
26055 INCISE FINGER TENDON SHEATH TENDON SHEATH INCISION (E.G. TRIGGER FINGER) $7,923.50
26725 TREAT FINGER FRACTURE EACH CLOSED TREATMENT OF FINGER SHAFT WITH MANIPULATION; W OR W/OUT SKIN OR SKELETAL TRACTION $2,703.13
26770 TREAT FINGER DISLOCATION CLOSED TREATMENT OF FINGER JOINT DISLOCATION , SINGLE WITH MANIPULATION, W/OUT ANESTHESIA $3,530.34
27093 INJECTION FOR HIP X-RAY INJECTION PROCEDURE FOR HIP ARTHROGRAPHY $2,632.88
27570 FIXATION OF KNEE JOINT MANIPULATION OF THE KNEE JOINT UNDER ANESTHESIA $5,682.88
27792 TREATMENT OF ANKLE FRACTURE OPEN TRTEATMENT OF DISTAL FIBULAR FRACTURE; INCLUDES INTERNAL FIXATION $17,910.97
28285 REPAIR OF HAMMERTOE CORRECTION , HAMMERTOE $17,927.52
28485 TREAT METATARSAL FRACTURE OPEN TREATMENT OF METATARSAL FRACTURE, INCLUDES INTERNAL FIXATION, EACH $18,118.03
28740 FUSION OF FOOT BONES ARTHRODESIS, MIDTARSAL OR TARSOMETATARSAL, SINGLE JOINT $25,961.33
29105 APPLY LONG ARM SPLINT APPLICATION OF LONG ARM SPLINT; SHOULDER TO HAND $2,732.39
29125 APPLY FOREARM SPLINT APPLICATION OF SHORT ARM SPLINT ; FORARM TO HAND $1,790.42
29130 APPLICATION OF FINGER SPLINT APPLICATION OF FINGER SPLINT; STATIC $1,413.10
29505 APPLICATION LONG LEG SPLINT APPLICATION LONG LEG SPLINT; THIGH TO ANKLE/TOES $3,561.79
29515 APPLICATION LOWER LEG SPLINT APPLICATION OF SHORT LEG SPLINT; CALF TO FOOT $3,044.91
29581 APPLY MULTLAY COMPRS LWR LEG APPLICATION OF MULTI-LAYER COMPRESSION SYSTEM $154.00
29806 SHOULDER ARTHROSCOPY/SURGERY SHOULDER ARTHROSCOPY/SURGERY $19,437.98
29807 SHOULDER ARTHROSCOPY/SURGERY SHOULDER ARTHROSCOPY; REPAIR SLAP LESION $20,863.05
29822 SHOULDER ARTHROSCOPY/SURGERY SHOULDER ARTHROSCOPY; DEBRIDEMENT LIMITED $16,140.55
29823 SHOULDER ARTHROSCOPY/SURGERY SHOULDER ARTHROSCOPY; DEBRIDEMENT EXTENSIVE $15,139.96
29824 SHOULDER ARTHROSCOPY/SURGERY SHOULDER ARTHROSCOPY; DISTAL CLAVICULECTOMY $16,799.83
29826 SHOULDER ARTHROSCOPY/SURGERY SHOULDER ARTHROSCOPY; DECOMPRESION OF SUBCROMIAL SPACE IN ADDITION TO PRIMARY PROCEDURE $18,056.25
29827 ARTHROSCOP ROTATOR CUFF REPR SHOULDER ARTHROSCOPY; WITH ROTATOR CUFF REPAIR $19,634.20
29828 ARTHROSCOPY BICEPS TENODESIS SHOULDER ARTHROSCOPY; WITH BICEPS TENODESIS $19,508.79
29875 KNEE ARTHROSCOPY/SURGERY KNEE ARTHROSCOPY; SYNOVECTOMY, LIMITED $9,428.76
29877 KNEE ARTHROSCOPY/SURGERY KNEE ARTHROSCOPY; DEBRIDEMENT/SHAVING OF ARTICULAR CARTILAGE $11,165.82
29880 KNEE ARTHROSCOPY/SURGERY KNEE ARTHROSCOPY WITH MENISCECTOMY(MEDIAL & LATERAL) INCLUDING DEBRIDEMENT & SHAVING OF ATRICULAR CARTILAGE $12,950.23
29881 KNEE ARTHROSCOPY/SURGERY KNEE ARTHROSCOPY WITH MENISCECTOMY(MEDIAL OR LATERAL) INCLUDING DEBRIDEMENT & SHAVING OF ATRICULAR CARTILAGE; SAME OR SEPARATE COMPARTMENTS $11,354.39
29882 KNEE ARTHROSCOPY/SURGERY KNEE ARTHROSCOPY WITH MENISCUS REPAIR $23,992.31
29888 KNEE ARTHROSCOPY/SURGERY ARTHROSCOPY AIDED ANTERIOR CRUCIATE LIGAMENT REPAIR/AUGMENTATION OR RECONSTRUCTION $23,747.92

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