OUTPATIENT Surgery Estimates APPENDECTOMY-laparoscopic: $17, Open-none in 2018 in OPS setting OBS PTS (laparoscopic) $27,973.

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1 OUTPATIENT Surgery Estimates 2019 APPENDECTOMY-laparoscopic: $17, Open-none in 2018 in OPS setting OBS PTS (laparoscopic) $27, BILATERAL TUBAL LIGATION Laparoscopic using clips: $17, Laparoscopic division of tubes (ligation or cauterization): $16, Open salpingectomy - $14, (only 1 done) BONE MARROW BIOPSY $ (2) Biopsy and aspiration $ (6) BREAST MASS EXCISION $14, With radiologic localization $17, BREAST BIOPSY-CLOSED stereotactic: $3, Ultrasound guided: $4, BREAST BIOPSY-OPEN $13,198 (none in 2018) BRONCHOSCOPY-DIAGNOSTIC $4, With bronchial biopsy $12, Bronchial brush biopsy $9, Lavage $7, With lung biopsy $18, (Often the patient has several types of specimens removed during the bronchoscopy, so the price could be higher) BURSECTOMY (not hand) Elbow-$18, Knee-$15, CARDIAC CATHETERIZATION Left $12, Right $9, Right and Left $13, CORONARY ANGIOGRAPHY ONLY $10, CARPAL TUNNEL RELEASE Endoscopic $14,125 (none in 2018) Open $15,385.56

2 CATARACT EXTRACTION with lens insertion $9, CHEMOTHERAPY INFUSION 1 HOUR-$11, (This could vary depending on different medications infused) COLONOSCOPY-diagnostic $2, With biopsy $5, With polypectomy or lesion excision: $7, (Sometimes during colonoscopies patients have biopsies and polyps removed, so the figure could be higher) CORONARY ARTERY STENT INSERTION WITH CARDIAC CATH One stent $27, OBS pt.-$41, (more common) CYSTOSCOPY-diagnostic $12, With biopsy kidney or ureter $18, With lesion destruction (bladder) $17, With stone removal $13, With laser lithotripsy $18, With stent insertion $15, CYSTOCELE REPAIR $16,496 (none in 2018) AND RECTOCELE REPAIR $19, (OBS patient, only 2) DEBRILLATOR INSERTION (AICD) $107, D&C (dilatation and curettage) $14, ECHOCARDIOGRAM $2,284 (none in 2018-mostly done in physician office) TEE (transesophageal echo) $ EGD (esophagogastroduodenoscopy) $2, With biopsy $5, (prob mult biopsy specimens) With dilation $7,169.68

3 EPIDURAL INJECTION $1, ESWL-kidney stone lithotripsy $15,150 (none in 2018) FLEXIBLE SIGMOIDOSCOPY $1, With biopsy $2, HEMORRHOIDECTOMY $14, (external 2+ groups)-only 1 case $ (internal and external 2+ groups)-only 2 cases HEMORRHOID LIGATION $11, HYSTEROSCOPY WITH CURETTAGE $13,320 (no new cases) HYSTEROSCOPY WITH ENDOMETRIAL ALBATION $17, With biopsy $17, INGUINAL HERNIA REPAIR $16, laparoscopic $18, open UMBILICAL HERNIA REPAIR less than 5 years of age-$12,729 (none in 2018) Older than 5 years of age -$15, Laparoscopic umbilical hernia repair-$17, GALLBLADDER REMOVAL LAPAROSCOPIC OPS-$17, With cholangiogram-$20, OBSERVATION-$25, With cholangiogram-$33, MASTECTOMY-modified radical-- $23,951 (none in 2018) Simple-complete (OBS pt) $22, Lumpectomy/partial mastectomy-$18, (ops) Lumpectomy/partial mastectomy with lymph node removal- $30, (OBS pt)

4 MYRINGOTOMY WITH TUBE INSERTION $9, PACEMAKER INSERTION single lead-$33, dual leads-$37, PARACENTESIS $577- for paracentesis only (none in 2018) $2, with imaging (more common) PILONIDAL CYST EXCISION Simple $13, Complex $13, ROTATOR CUFF REPAIR-OPEN -$22, ARTHROSCOPIC-$23, SLEEP STUDY $3, TONSILLECTOMY age less than 12-$12, age over 12 -$14, ADENOIDECTOMY ONLY age less than 12-$11, age over 12-$16, TONSILLECTOMY AND ADENOIDECTOMY age less than 12-$12, age over 12-$16, TOOTH EXTRACTION $13, TRANSFUSION $2, TRIGGER FINGER RELEASE $14, TURP (prostatectomy) $22, (usually OBS) VASECTOMY $13,514 (none lately)

5 INPATIENT PROCEDURES APPENDECTOMY, LAPAROSCOPIC $33, most common OPEN $44, (I definitely would not quote this to anyone) C-Section $18, CHOLECYSTECTOMY (GALLBLADDER REMOVAL)-OPEN $42, LAPAROSCOPIC $37, DEFIBRILLATOR INSERTION (AICD) $114,007 (no new cases) HYSTERECTOMY: TOTAL ABDOMINAL-OPEN $24, TOTAL- LAPAROSCOPIC-$25, PARTIAL ABDOMINAL-$35, PARTIAL LAPAROSCOPIC-$30, VAGINAL-$24, Laparoscopic assisted-$36, JOINT REPLACEMENTS: TOTAL HIP $39, $41, PARTIAL HIP $47, (most common charge) KNEE $37, $42, MASTECTOMY $33, TURP (PROSTATECTOMY) $19,165 (PRIOR YEAR DATA, NONE THIS YEAR, USUALLY OUTPT) VAGINAL DELIVERY $9, With forceps $8,080.16

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