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Surgical Procedures

Surgical Procedures: CPT Codes 40000-49999

Averages are based on all charges for the previous year.

Pricing

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Note

  1. The pricing on this page is for inpatient care only
  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 that actual charges for the service depend on the circumstances at the time the service is provided
  5. Any discount is negotiated by the insurance provide. Most insurance providers should be able to tell their members what financial responsibility they will have.
  6. Patients without insurance are able to receive a discount to the insurance provider with the lowest negotiated discount.

Diagnosis-Related Group (DRG)

A system that classifies inpatient cases into the one of 999 groups. A single patient may have from 1 to 30 diagnosis' which can be grouped into a single DRG. The purpose of the DRG grouping is to aid in providing statistical, epidemiological and reimbursement data for a user of the data. It is mostly commonly used for reimbursement by most government and commercial payers (insurance companies). What is provided in this table indicates what is charged according to that particular DRG. It is in no way an indication of what is paid.

List of Top Surgical Procedures: CPT Codes 40000-49999

CPT DESCRIPTION Average Charge Self-Pay Price
41250 REPAIR TONGUE LACERATION $6,520.75 $2,477.89
41800 DRAINAGE OF GUM LESION $4,179.59 $1,588.24
42415 EXCISE PAROTID GLAND/LESION $45,959.39 $17,464.57
42700 DRAINAGE OF TONSIL ABSCESS $8,872.27 $3,371.46
42826 REMOVAL OF TONSILS $20,365.98 $7,739.07
42962 CONTROL THROAT BLEEDING $21,485.30 $8,164.41
43235 EGD DIAGNOSTIC BRUSH WASH $7,622.15 $2,896.42
43237 ENDOSCOPIC US EXAM ESOPH $7,389.67 $2,808.07
43238 EGD US FINE NEEDLE BX/ASPIR $8,844.31 $3,360.84
43239 EGD BIOPSY SINGLE/MULTIPLE $9,676.21 $3,676.96

Click here to see full list of top Surgical Procedures: CPT Codes 40000-49999 treated by Parkview.

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