Surgery Center of Oklahoma Pricing Includes Surgeon, Anesthesia, and Facility
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1 Arthroscopy Knee (Arthroscopy) $3, Knee with lateral release or microfracture (Arthroscopy) $4, Shoulder (Arthroscopy) $5, Elbow (Arthroscopy) $3, Wrist (Arthroscopy) $4, Hip (Arthroscopy) $5, Ankle (Arthroscopy) $3, Arthroscopy, knee, diagnostic, with or without synovial biopsy $3, Anterior cruciate ligament repair (Knee) $6, Posterior cruciate ligament repair (Knee) $6, Medial Collateral Ligament (Knee) $6, Tibial Tubercle Osteotomy (Knee) $6, Complete Synovectomy (Knee) $3, Chondroplasty (Knee) $3, Med & lateral Meniscectomy (Knee) $3, Med OR lateral Meniscectory (Knee) $3, Open Rotator Cuff Repair (Shoulder) $6, Tenodesis of long tendon of biceps $4, Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary (excludes rotator cuff) (Shoulder) Bankhart Stabilization (Shoulder) $6, $4, Excision, tumor, soft tissue of shoulder area, subcutaneous; 3 cm or greater $2, Distal Clavicle Excision (Shoulder) $4, Distal Clavicle Excision (Shoulder) $4, Bankhart Stabilization (Shoulder) $6, Arthroscopic debridement shoulder $6, Arthroscopic rotator cuff repair shoulder $6, Extensive debridement $6, Distal Clavicle Excision $6, Subacromial decompression $6, /24358 Ulnar Nerve Trasposition / Epicondylectomy $4, Carpal Tunnel Release $2, Dupuytrens Contracture $2, Trigger Finger $2, OPEN PROCEDURES Knee Shoulder Scope Elbow Wrist/Hand Excision of lesion of tendon sheath or joint capsule (eg, cyst, mucous cyst, or ganglion), hand or finger $2, Fasciectomy, partial palmar with release of single digit including proximal interphalangeal joint, with or without Z-plasty, other local tissue rearrangement, or skin grafting $2, Ganglion Excision $2,750.00
2 26145 Synovectomy, tendon sheath, radical (tenosynovectomy), flexor tendon, palm and/or finger, each tendon $2, Suspenionplasty, Arthroplasty, interposition, intercarpal or carpometacarpal joints $4, Achilles Repair $5, Tenolysis, flexor or extensor tendon, leg and/or ankle; single, each tendon $2, Ankle scope w rem loose body $3, Brostrum Repair, secondary, disrupted ligament, ankle, collateral $4, Repair of nail bed $2, /28296 Bunion $4, Hammertoe (1) $2, Arthrodesis, great toe; metatarsophalangeal joint $4, Plantar fasciotomy / tarsal tunnel $3, Ostectomy partial excision $4, Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal Osteotomy $4, Hammertoe (2) $2, Hammertoe (3) $3, Ankle Podiatry $4, Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint $3, Gastrocnemius Recession $4, Plantar Fasciotomy $3, Neuroma Excision $2, Closed Reduction and Casting $1, Percutaneous Pinning - finger 1-2 pins $2, Open treatment of patellar fracture, with internal fixation and/or partial or complete patellectomy and soft tissue repair Simple $4, Complex $6, (includes rodding Humerus/Tibia/Femur) Fractures Open Reduction Internal Fixation Hardware Removal Simple $ 4, Complex $ 6, Miscellaneous Manipulation under anesthesia with block $2, Manipulation shoulder / anesthesia $2, Porta-cath removal $1, Hernia - Includes Mesh Inguinal $3, Bilateral $4, Umbilical $3, Incisional $4, , Laparoscopic Cholecystectomy $5, Ventral $3, Epigastric $3, $4,455.00
3 49652 Laparoscopic Incision hernia $3, Pilonidal cyst $3, Excision mass abdomen $3, Recurrent Inguinal hernia repair $3, Excision Benign Lesion $1, Mass - Excision / Biospy $2, Mastectomy $5, Mastectomy with or without Node Dissection $5, st stage: reconstruction w/expanders Single $5, Bilateral $7, nd stage: w/ implant placement, single $4, nd stage: w/implant placement, bilateral $5, Hemorrhoidectomy $3, Vein Stripping - single $3, Vein Stripping - right and left $4, Central IV Acess Port $3, Microdiscectomy $8, Lumbar Laminectomy $9, Anterior Cervical Discectomy with fusion 1 level $18, Anterior Cervical Discectomy with fusion 2 level $25, Lumbar Epidural Steroid $ Cervical Epidural $1, Lumbar Sympathetic $1, Stellate Ganglion Block $1, Reblock for Acute Postop pain $1, Epidural Blood Patch $1, Sacroilliac Joint Injection $ Nasolacrimal Duct Probe - Single $1, Nasolacrimal Duct Probe - Right and Left $2, Eye Muscle, 1 muscle $3, muscles $4, Eye Muscle - More than 2 muscles $4, Chalazion $1, Eye muscle, oblique muscle $3, Thyroidectomy Partial thyroid lobectomy, unilateral; with or without isthmuse $6, Thyroidectomy Total thyroid lobectomy, unilateral; with or without isthmusectomy $6, Breast Spine Thyroidectomy Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Pain Eye Neck Thyroidectomy w/ modified neck dissection $9, $6, Parathyroidectomy or exploration of parathyroid $6, Lymph Node Imagin $ Sentinal Node Injection $325.00
4 38500 Lymph Node Excision / Biopsy $2, Biopsy or excision of lymph node(s); open, deep cervical node(s) $2, Biopsy or excision open deep axillary nodes $4, Bilateral Myringotomy with tubes $1, Single Tube Placement $1, Tympanoplasty $5, Tymp-Mastoid $7, Mastoidectomy $6, Inner Ear - Stapedectomy $5, Tympanoplasty $5, Graft $5, Ossiculoplasty $5, Cochlear Implant $8, Foreign Body Removal $1, Sinus / Turbinates 1 side $3, complex $4, Sinus / Turbinates both sides $4, cmplex $5, Septoplasty $3, /31256/ Septoplasty / Nasal endoscopy / Maxillary Antrostomy / Excision of Concha Bullosa (equipment possible $1,100 additional charge) $5,885 + $1, /30124 Septoplasty and Sinus/Turbinates $5, /30140 Septoplasty and Sinus/Turbinates $5, Nasal/sinus endoscopy, surgical; with concha bullosa resection $2, /31267 Nasal/Sinus Endoscopy, surgical, with ethmoidectomy partial Nasal/Sinus Endoscopy, surgical with maxillary antrsotomy; with removal of tissue from maxillary sinus $5, /31237 Complex Sinus - Maxillary Antronstomy/Nasal Polypectomy $5, /31296/ Complex, balloon sinus surgery (equipment possible $1,100 additional charge) $5,885 + $1, Nasal Fracture Simple Closed $1, Nasal Fracture w/ Stabilization $1, Nasal Frature Complex Open $4, Parotidectomy with dissection and nerve preservation $7, Parotidectomy with dissection and nerve preservation with overnight stay $8, Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10 sq cm or less Ear Nose Head/Face Throat 42825/42826 Tonsillectomy $3, Adenoidectomy $2, Tonsillectomy and Adenoidectomy $3, $3, Tonsillectomy and Adenoidectomy; age 12 and over $3, /69436 Adenoidectomy and BMT $3, /69436 Tonsillectomy and Adenoidectomy and BMT $4, Frenulectomy $1,600.00
5 42145 UPP $5, Diagnostic Laryngoscopy with biopsy $2, Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis; with micro $2, Laryngoscopy, direct with injection into vocal cord. With operating microscope $2, /69436 Tonsillectomy/BMT $3, /69436 Tonsillectomy/BMT $3, Myringoplasty $2, Mini-Arc Urethral Suspension $4, Ant. Repair $6, Post. Repair $6, Penile Prosthesis $15, Hydrocelectomy $3, Epididymectomy Partial $3, Total $4, Testicular Biopsy $1, Vasovasostomy $5, Circumcision $2, Circumcision - 28 days or OLDER $2, w bilat ret. $2, w stone/stint $3, TURP $3, Quanta Laser TURP $4, TURBT $2, /30802 Bilateral SMRT $2, Urology Cystoscopy Gynecology Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) Sacropexy $11, Loop electrode excision, cervix $2, Hysteroscopy $1, $4, Hysteroscopy, surgical; with biopsy of endometrium and/or polypectomy $2, Hysteroscopy with biopsy, with or without D&C $2, Hysteroscopy/Ablation $3, Laparoscopy, surgical, with vaginal hysterectomy for uterus 250 g or less $8, Hysterectomy (includes overnight stay) $8, Dilation and Curretage $1, Laparoscopy w/ Lysis of Adhesion $5, Removal of ovary(s) $5, Removal of adhesions, lesion, cysts on ovary(s) $5, Ovarian Cystectomy $5,100.00
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