Skip to Content

Surgical Procedures

Surgical Procedures: CPT Codes 40000-49999

IF YOU ARE COVERED BY HEALTH INSURANCE,YOU ARE STRONGLY ENCOURAGED TO CONSULT WITH YOUR HEALTH INSURER TO DETERMINE ACCURATE INFORMATION ABOUT YOUR FINANCIAL RESPONSIBILITY FOR A PARTICULAR HEALTH CARE SERVICE PROVIDED AT THIS HEALTHCARE FACILITY. IF YOU ARE NOT COVERED BY HEALTH INSURANCE YOU ARE STRONGLY ENCOURAGED TO CONTACT THE BUSINESS OFFICE AT (719)584-4508 OR TOLL FREE AT 800-543-4046 TO DISCUSS PAYMENT OPTIONS PRIOR TO RECEIVING A HEALTH CARE SERVICE FROM THIS HEALTH CARE FACILITY SINCE POSTED HEALTHCARE SERVICES MAY NOT REFLECT THE ACTUAL AMOUNT OF YOUR FINANCIAL RESPONSIBILITY.

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 40000-49999

CPTDESCRIPTIONPLAIN LANGUAGE DESCRIPTIONSelf-Pay Price
41800 DRAINAGE OF GUM LESION DRAINAGE OF ABCESS, CYST,HEMATOMA FROM GUMS $2,219.79
41899 DENTAL SURGERY PROCEDURE GENERAL DENTAL PROCEDURE $7,755.49
42700 DRAINAGE OF TONSIL ABSCESS DRAINAGE OF TONSIL ABSCESS $5,875.94
42826 REMOVAL OF TONSILS REMOVAL OF TONSILS; 12 YRS OR MORE $11,363.81
43235 EGD DIAGNOSTIC BRUSH WASH ESOPHAGASTRODUODENOSCOPY, DIAGNOSTIC; SPECIMEN(S) BY BRUSHING OR WASHING $3,568.98
43236 UPPR GI SCOPE W/SUBMUC INJ ESOPHAGASTRODUODENOSCOPY, DIAGNOSTIC; SPECIMEN(S) BY BRUSHING OR WASHING, W/SUBMUCOSAL INJECTIONS $5,939.73
43237 ENDOSCOPIC US EXAM ESOPH ESOPHAGASTRODUODENOSCOPY, DIAGNOSTIC; SPECIMEN(S) BY BRUSHING OR WASHING, W/ENDOSCOPIC ULTRASOUND OF ESOPHAGUS $2,730.29
43238 EGD US FINE NEEDLE BX/ASPIR ESOPHAGASTRODUODENOSCOPY, DIAGNOSTIC; SPECIMEN(S) BY BRUSHING OR WASHING, W/TRANSENDOSCOPIC ULTRASOUND GUIDED FINE NEEDLE ASPIRATION $3,565.59
43239 EGD BIOPSY SINGLE/MULTIPLE ESOPHAGASTRODUODENOSCOPY, DIAGNOSTIC; SPECIMEN(S) BY BRUSHING OR WASHING, W/BIOPSY, SINGLE OR MULTIPLE $3,980.21
43244 EGD VARICES LIGATION ESOPHAGASTRODUODENOSCOPY, DIAGNOSTIC; SPECIMEN(S) BY BRUSHING OR WASHING, W/LIGATION OF VARICES $3,093.81
43247 EGD REMOVE FOREIGN BODY ESOPHAGASTRODUODENOSCOPY, W/REMOVAL OF FOREIGN BODY(S) $7,112.29
43248 EGD GUIDE WIRE INSERTION ESOPHAGASTRODUODENOSCOPY, W/INSERTION OF GUIDE WIRE $3,393.03
43249 ESOPH EGD DILATION <30 MM ESOPHAGASTRODUODENOSCOPY, W/TRANSENDOSCOPIC BALLOON DILATION OF ESOPHAGUS $3,785.42
43251 EGD REMOVE LESION SNARE ESOPHAGASTRODUODENOSCOPY, W/REMOVAL OF TUMOR(S), POLYP(S) OR OTHER LESION(S); SNARE TECHIQUE $5,455.53
43262 ENDO CHOLANGIOPANCREATOGRAPH ENDOSCOPIC RETROGRADE CHOLANGIOPANCRATOGRAPHY (ERCP); W/SPINCTEROTOMY/PAPILLOTOMY $16,039.35
43264 ERCP REMOVE DUCT CALCULI ENDOSCOPIC RETROGRADE CHOLANGIOPANCRATOGRAPHY (ERCP); W/REMOVAL OF CALCULI/DEBRIS FROM DUCTS $13,016.03
43270 EGD LESION ABLATION ESOPHAGASTRODUODENOSCOPY, W/LESION ABLATION $4,277.04
43273 ENDOSCOPIC PANCREATOSCOPY ENDOSCOPIC PANCREATOSCOPY; W/ENDOSCOPIC ULTRASOUND $13,681.15
43274 ERCP DUCT STENT PLACEMENT ENDOSCOPIC PANCREATOSCOPY; W/PLACEMENT OF ENDOSCOPIC STENT $14,421.42
43275 ERCP REMOVE FORGN BODY DUCT ENDOSCOPIC PANCREATOSCOPY; W/REMOVAL OF FOREIGN BODY(S) OR STENT(S) $8,024.76
43753 TX GASTRO INTUB W/ASP GGASTRIC INTUBATION & ASPIRATION(S) THERAPEUTIC; REQUIRING PHYSICIAN SKILL $12,888.51
43760 CHANGE GASTROSTOMY TUBE CHANGE GASTROSTMY TUBE; PERCUTANEOUS W/OUT IMAGING OR GUIDANCE $1,761.77
44970 LAPAROSCOPY APPENDECTOMY LAPAROSCOPY APPENDECTOMY;SURGICAL $17,086.83
45330 DIAGNOSTIC SIGMOIDOSCOPY DIAGNOSTIC SIGMOIDOSCOPY $4,385.71
45331 SIGMOIDOSCOPY AND BIOPSY SIGMOIDOSCOPY DIAGNOSTIN W/BIOPSY SINGLE OR MULTIPLE $3,940.47
45378 DIAGNOSTIC COLONOSCOPY DIAGNOSTIC COLONOSCOPY W/SPECIMEN COLLECTION BY BRUSHIING OR WASHING $2,760.60
45380 COLONOSCOPY AND BIOPSY DIAGNOSTIC COLONOSCOPY W/BIOPSY $3,748.98
45381 COLONOSCOPY SUBMUCOUS NJX DIAGNOSTIC COLONOSCOPY W/DIRECTED SUBMUCOSAL INJECTION(S) $4,231.02
45384 COLONOSCOPY W/LESION REMOVAL DIAGNOSTIC COLONOSCOPY W/REMOVAL OF TUMOR(S), POLYP(S) OR LESION(S) BY HOT BIOPSY FORCEPS $5,813.84
45385 COLONOSCOPY W/LESION REMOVAL DIAGNOSTIC COLONOSCOPY W/REMOVAL OF TUMOR(S), POLYP(S) OR LESION(S) BY SNARE TECHNIQUE $3,634.67
45388 COLONOSCOPY W/ABLATION DIAGNOSTIC COLONOSCOPY W/ABLATION OF TUMOR(S), POLYP(S), OR OTHER LESION(S) $4,510.03
45390 COLONOSCOPY W/RESECTION DIAGNOSTIC COLONOSCOPY W/ENDOSCOPIC MUCSAL RESECTION $3,877.50
46050 INCISION OF ANAL ABSCESS INCISION & DRAINAGE OF PERIANAL ABCESS, SUPERFISCIAL $5,084.52
46600 DIAGNOSTIC ANOSCOPY SPX DIAGNOSTIC ANOSCOPY, INCLUDING SPECIMEN COLLECTION $3,459.92
47000 NEEDLE BIOPSY OF LIVER NEEDLE BIOPSY OF LIVER $2,968.24
47562 LAPAROSCOPIC CHOLECYSTECTOMY GALL BLADDER REMOVAL WITH LAPAROSCOPE $15,341.99
47563 LAPARO CHOLECYSTECTOMY/GRAPH GALL BLADDER REMOVAL WITH LAPAROSCOPE AND CHOLANGIOGRAPHY (GRAPH) $16,599.29
49082 ABD PARACENTESIS ABDOMINAL PARACENTESIS(DIAGNOSTIC OR THERAPEUTIC) W/OUT IMAGE GUIDANCE $5,593.32
49083 ABD PARACENTESIS W/IMAGING ABDOMINAL PARACENTESIS(DIAGNOSTIC OR THERAPEUTIC) W/IMAGE GUIDANCE $1,704.41
49320 DIAG LAPARO SEPARATE PROC LAPAROSCOPY, ABDOMEN,PERITONEUM; DIAGNOSTIC W/OUT SPECIMEN COLLECTION $13,392.93
49321 LAPAROSCOPY BIOPSY LAPAROSCOPY; SURGICAL W/BIOPSY $12,890.06
49322 LAPAROSCOPY ASPIRATION LAPAROSCOPY W/ASPIRATION OF CAVITY OR CYST (E.G. OVARIAN CYST) $14,797.58
49465 FLUORO EXAM OF G/COLON TUBE CONTRAST INJECTION(S) FOR RADIOLOGICAL EVAL OF COLON TUBE; IMAGE DOCUMENTATION AND REPORT $2,217.80
49505 PRP I/HERN INIT REDUC >5 YR REPAIR INGUINAL HERNIA; REDUCIBLE; AGE 5 OR MORE $9,448.06
49520 REREPAIR ING HERNIA REDUCE REPAIR RECURRENT INGUINAL HERNIA; REDUCIBLE; ANY AGE $8,957.10
49560 RPR VENTRAL HERN INIT REDUC REPAIR INITIAL INCISIONAL OR VENTRAL HERNIA; REDUCIBLE $11,102.29
49568 HERNIA REPAIR W/MESH REPAIR INITIAL INCISIONAL OR VENTRAL HERNIA; WITH IMPLANTABLE MESH $12,404.94
49585 RPR UMBIL HERN REDUC > 5 YR REPAIR UMBILICAL HERNIA; REDUCIBLE, AGE 5 OR MORE $10,514.66
49650 LAP ING HERNIA REPAIR INIT LAPAROSCOPY, SURGICAL REPAIR INITIAL INUINAL HERNIA $14,632.24
49652 LAP VENT/ABD HERNIA REPAIR LAPAROSCOPY, SURGICAL REPAIR ABDOMINAL HERNIA; INCLUDES MESH INSERTION; REDUCIBLE $17,288.03
49654 LAP INC HERNIA REPAIR LAPAROSCOPY, SURGICAL REPAIR OF INCISIONAL  HERNIA; INCLUDES MESH INSERTION; REDUCIBLE $17,817.05
43246 EGD PLACE GASTROSTOMY TUBE LAPAROSCOPY, REPLACEMENT OF GASTROSTOMY TUBE $7,048.94
43280 LAPAROSCOPY FUNDOPLASTY LAPAROSCOPY FUNDOPLASTY $18,999.87

Connect With Us

  • facebook
  • YouTube
  • twitter
  • GlassDoor
  • LinkedIn
  • Instagram
 

400 West 16th Street, Pueblo, CO 81003

719.584.4000