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

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OUTPATIENT Surgery Estimates 2019 APPENDECTOMY-laparoscopic: $17,852.53 Open-none in 2018 in OPS setting OBS PTS (laparoscopic) $27,973.96 BILATERAL TUBAL LIGATION Laparoscopic using clips: $17,193.28 Laparoscopic division of tubes (ligation or cauterization): $16,343.66 Open salpingectomy - $14,999.47 (only 1 done) BONE MARROW BIOPSY $3185.99 (2) Biopsy and aspiration $5832.67 (6) BREAST MASS EXCISION $14,865.13 With radiologic localization $17,441.68 BREAST BIOPSY-CLOSED stereotactic: $3,798.72 Ultrasound guided: $4,426.08 BREAST BIOPSY-OPEN $13,198 (none in 2018) BRONCHOSCOPY-DIAGNOSTIC $4,140.92 With bronchial biopsy $12,491.96 Bronchial brush biopsy $9,928.40 Lavage $7,291.31 With lung biopsy $18,292.00 (Often the patient has several types of specimens removed during the bronchoscopy, so the price could be higher) BURSECTOMY (not hand) Elbow-$18,114.42 Knee-$15,762.60 CARDIAC CATHETERIZATION Left $12,996.96 Right $9,335.26 Right and Left $13,328.07 CORONARY ANGIOGRAPHY ONLY $10,803.76 CARPAL TUNNEL RELEASE Endoscopic $14,125 (none in 2018) Open $15,385.56

CATARACT EXTRACTION with lens insertion $9,481.68 CHEMOTHERAPY INFUSION 1 HOUR-$11,027.27 (This could vary depending on different medications infused) COLONOSCOPY-diagnostic $2,237.85 With biopsy $5,408.60 With polypectomy or lesion excision: $7,365.27 (Sometimes during colonoscopies patients have biopsies and polyps removed, so the figure could be higher) CORONARY ARTERY STENT INSERTION WITH CARDIAC CATH One stent $27,588.39 OBS pt.-$41,871.82 (more common) CYSTOSCOPY-diagnostic $12,775.68 With biopsy kidney or ureter $18,564.39 With lesion destruction (bladder) $17,542.70 With stone removal $13,723.26 With laser lithotripsy $18,134.54 With stent insertion $15,458.04 CYSTOCELE REPAIR $16,496 (none in 2018) AND RECTOCELE REPAIR $19,911.82 (OBS patient, only 2) DEBRILLATOR INSERTION (AICD) $107,840.83 D&C (dilatation and curettage) $14,602.37 ECHOCARDIOGRAM $2,284 (none in 2018-mostly done in physician office) TEE (transesophageal echo) $1546.86 EGD (esophagogastroduodenoscopy) $2,814.46 With biopsy $5,352.56 (prob mult biopsy specimens) With dilation $7,169.68

EPIDURAL INJECTION $1,140.83 ESWL-kidney stone lithotripsy $15,150 (none in 2018) FLEXIBLE SIGMOIDOSCOPY $1,803.88 With biopsy $2,653.49 HEMORRHOIDECTOMY $14,998.76 (external 2+ groups)-only 1 case $11.932.55 (internal and external 2+ groups)-only 2 cases HEMORRHOID LIGATION $11,854.09 HYSTEROSCOPY WITH CURETTAGE $13,320 (no new cases) HYSTEROSCOPY WITH ENDOMETRIAL ALBATION $17,711.21 With biopsy $17,087.49 INGUINAL HERNIA REPAIR $16,508.62-laparoscopic $18,023.55-open UMBILICAL HERNIA REPAIR less than 5 years of age-$12,729 (none in 2018) Older than 5 years of age -$15,557.83 Laparoscopic umbilical hernia repair-$17,343.82 GALLBLADDER REMOVAL LAPAROSCOPIC OPS-$17,341.82 With cholangiogram-$20,366.60 OBSERVATION-$25,822.25 With cholangiogram-$33,321.83 MASTECTOMY-modified radical-- $23,951 (none in 2018) Simple-complete (OBS pt) $22,858.05 Lumpectomy/partial mastectomy-$18,244.46 (ops) Lumpectomy/partial mastectomy with lymph node removal- $30,644.11 (OBS pt)

MYRINGOTOMY WITH TUBE INSERTION $9,120.01 PACEMAKER INSERTION single lead-$33,225.01 dual leads-$37,264.18 PARACENTESIS $577- for paracentesis only (none in 2018) $2,292.04 with imaging (more common) PILONIDAL CYST EXCISION Simple $13,008.35 Complex $13,506.74 ROTATOR CUFF REPAIR-OPEN -$22,455.76 ARTHROSCOPIC-$23,170.64 SLEEP STUDY $3,845.85 TONSILLECTOMY age less than 12-$12,036.58 age over 12 -$14,438.72 ADENOIDECTOMY ONLY age less than 12-$11,267.13 age over 12-$16,643.14 TONSILLECTOMY AND ADENOIDECTOMY age less than 12-$12,287.06 age over 12-$16,337.02 TOOTH EXTRACTION $13,207.12 TRANSFUSION $2,950.66 TRIGGER FINGER RELEASE $14,607.87 TURP (prostatectomy) $22,224.41 (usually OBS) VASECTOMY $13,514 (none lately)

INPATIENT PROCEDURES APPENDECTOMY, LAPAROSCOPIC $33,781.97-most common OPEN $44,885.54 (I definitely would not quote this to anyone) C-Section $18,666.08 CHOLECYSTECTOMY (GALLBLADDER REMOVAL)-OPEN $42,431.02 LAPAROSCOPIC $37,975.77 DEFIBRILLATOR INSERTION (AICD) $114,007 (no new cases) HYSTERECTOMY: TOTAL ABDOMINAL-OPEN $24,297.46 TOTAL- LAPAROSCOPIC-$25,701.33 PARTIAL ABDOMINAL-$35,012.68 PARTIAL LAPAROSCOPIC-$30,564.01 VAGINAL-$24,406.91 Laparoscopic assisted-$36,377.23 JOINT REPLACEMENTS: TOTAL HIP $39,564.47-$41,640.99 PARTIAL HIP $47,959.84 (most common charge) KNEE $37,615.90-$42,556.06 MASTECTOMY $33,627.37 TURP (PROSTATECTOMY) $19,165 (PRIOR YEAR DATA, NONE THIS YEAR, USUALLY OUTPT) VAGINAL DELIVERY $9,002.94 With forceps $8,080.16