20 St George Surgical Center
PRI PRICE CE LI LIST ST 21 NPI - 1881770592
E f f e c t i v e 3 / 10/ 2 0 2 1
TABLE OF CONTENTS SPINE ----------------------------------------------------------------------------------------- 2 PAIN ----------------------------------------------------------------------------------------- 2 SHOULDER -------------------------------------------------------------------------------- 2 HIP ----------------------------------------------------------------------------------------- 2-3 KNEE ----------------------------------------------------------------------------------------- 3 ARM & ELBOW ------------------------------------------------------------------------------ 3 HARDWARE REMOVAL ---------------------------------------------------------------- 3 FRACTURE REPAIR ------------------------------------------------------------------------ 3-4 HAND & WRIST ----------------------------------------------------------------------------- 4 FOOT & ANKLE ------------------------------------------------------------------------------ 4-5 UROLOGY -------------------------------------------------------------------------------- 5 EAR ----------------------------------------------------------------------------------------- 5-6 NOSE & SINUS ------------------------------------------------------------------------------- 6 NECK & THROAT ------------------------------------------------------------------------ 6 EYES ----------------------------------------------------------------------------------------- 6-7 GYNECOLOGY ------------------------------------------------------------------------------ 7 GENERAL SURGERY ------------------------------------------------------------------------ 7 HERNIA REPAIRS ------------------------------------------------------------------------ 7-8 BREAST SURGERY ------------------------------------------------------------------------ 8 FACIAL COSMETIC ------------------------------------------------------------------------ 8 BODY - COSMETIC ------------------------------------------------------------------------ 8 INCLUSIONS & EXCLUSIONS ------------------------------------------------------------- 9
CPT CODE* 22551 22552 22554 22612 22856 22858 63020 63030 63042 63045 63046 63047 63055 63056 63030
PROCEDURE DESCRIPTION
SPINE Anterior Cervical Discectomy with Fusion, 1 level (Includes Implants) Anterior Cervical Discectomy with Fusion, 2 levels (Includes Implants) Cervical Spine Fusion--Arthrodesis (Includes Implants & Hardware) Lumbar Spine Fusion--Arthrodesis (Includes Implants & Hardware) Cervical Disc Replacement--One Level (Includes Implants & Hardware) Cervical Disc Replacement--Two Levels (Includes Implants & Hardware) Cervical Discectomy (Neck Spine Disc Surgery) Lumbar Discectomy (Low Back Spine Disc Surgery) Lumbar Laminotomy Cervical Laminectomy--Open Thoracic Laminectomy--Open Lumbar Laminectomy--Open Spinal Cord Decompression (Thoracic) Spinal Cord Decompression (Lumbar) Microdiscectomy PAIN Cervical Epidural Steroid Injection Epidural Blood Patch Lumbar Epidural Steroid Injection Lumbar Epidural Steroid Injection (w/ sedation) Lumbar Sympathetic Re-block for Acute Postop Pain Stellate Ganglion Block SHOULDER Acromioclavicular Joint Reconstruction (Includes Implants & Hardware) Bankart Repair (Open / Arthroscopic)--Includes Implants & Hardware) Bicep Repair (Arthroscopic)--Tenodesis (Includes Implants & Hardware) Distal Clavicle Excision (Mumford, Arthroscopic) Distal Clavicle Excision (Open) Extensive Debridement, Shoulder (Arthroscopic) Pectoralis Muscle Rupture Repair (Includes Implants & Hardware) Rotator Cuff Repair (Arthroscopic)--Includes Implants & Hardware Rotator Cuff Repair (Open)--Includes Implants & Hardware
PRICE $ $ $ $ $ $ $ $ $ $ $ $ $ $ $
17,890 22,870 17,960 23,870 18,990 25,950 8,995 9,945 8,985 7,995 7,995 8,495 7,995 7,995 7,995
$ $ $ $ $ $ $
1,050 990 890 1,050 1,350 825 890
$ $ $ $ $ $ $ $ $
7,985 6,985 7,260 5,985 4,955 5,965 5,895 8,255 6,985
Rotator Cuff Repair (Open) with Biceps Tenodesis (Incl. Implants & Hardware)
$
9,965
29805 23700 23472 23472 29826
Shoulder Arthroscopy Shoulder Manipulation (with Anesthesia) Shoulder Replacement --Total (Includes Implants & Hardware) Shoulder Replacement --Reverse (Includes Implants & Hardware) Subacromial Decompression (Arthroscopic)
$ $ $ $ $
5,485 1,585 16,985 18,995 5,985
29807
SLAP Repair (Sup. Labrum Ant. & Post., Arthroscopic)--Incl. Implants & Hardware
$
7,585
38221 27033
HIP Bone Marrow Biopsy (includes Pathology) Gluteus Medius Tendon Repair (Includes Implants & Hardware)
$ $
4,985 5,985
Hip Arthroscopy, Complex--(Debridement / Synovectomy)--Incl. Implants & Hardware
$
8,765
Hip Arthroscopy, Simple (diagnostic/removal of foreign body) Hip Decompression--Bilateral Hip Decompression--Unilateral Hip Injection--Fluoroscopic, with Anesthesia
$ $ $ $
5,985 12,500 8,515 2,565
62310 62275 62311 62311 64520 64415 64510 23552 23455 / 29806 29828 29824 / 23120 23170 29823 24341 29827 23410 / 23412 23410, 23412, 23430
29862 / 29863 29861 27299 27299 20610
PAGE 2
29916 27130 29999 / 29862
29877 27385 29870, 29871 29870, 29871
Hip Labrum Reconstruction--Arthroscopic (Includes Implants & Hardware) Hip Replacement (Arthroplasty) (Includes Implants & Hardware) Trochanteric Bursectomy KNEE Anterior Cruciate Ligament (ACL) Reconstruction (Autograft)--Includes Implants & Hardware Anterior Cruciate Ligament (ACL) Reconstruction with Allograft (Arthroscopic / Open)-Includes Implants & Hardware Chondroplasty (Cartilage Debridement, Arthroscopic) Hamstring Repair (Include Implants & Hardware) Knee Arthroscopy (Both) Knee Arthoscopy (One)
29882, 29883
Knee Arthroscopy with Meniscal Repair (Arthroscopic)--Includes Implants & Hardware
$
5,485
27570
Knee Manipulation (under Anesthesia)
$
1,585
27446
Knee Replacement --Unicompartmental / Partial Knee (Incl. Implants & Hardware)
$
15,985
Knee Replacement --Total (Includes Implants & Hardware) Knee with Lateral Release or Microfracture (Arthroscopic) Medial or Lateral Meniscectomy (Arthroscopic) Medial Collateral Ligament (MCL) Reconstruction (Incl. Implants & Hardware)
$ $ $ $
15,985 4,455 3,985 5,985
27422
Medial Patellofemoral Ligament (MPFL) Reconst.--with Allograft (Incl. Implants)
$
7,950
27420 / 27422
Medial Patellofemoral Ligament (MPFL) Repair (Includes Implants & Hardware)
$
5,985
27420 27380
Patella Reconstruction (Dislocating Patella)--Includes Implants & Hardware Patella Tendon Repair (Includes Implants & Hardware)
$ $
6,485 5,895
27409
Posterior Cruciate Ligament (PCL) Reconstruction--Includes Implants & Hardware
$
8,765
Prepatellar Bursa Excision (Includes Hardware) Quadricep Repair (Includes Implants & Hardware) Subchrondoplasty (under surface cementing) Synovectomy--Complete (Arthroscopic) Tibial Tubercle Osteotomy (Includes Implants & Hardware) ARM/ELBOW Bicep/Tricep Repair--Tendon or Muscle, (Exc. Rotator Cuff) Bursectomy (Elbow) Cubital Tunnel Release Distal Biceps Re-attachment (Includes Implants & Hardware) Distal Radius Fracture Repair--Open (Includes Plates or Screws) Elbow Arthroscopy Elbow Manipulation (under Anesthesia) Tennis Elbow Repair (Lateral Debridement) Total Elbow Arthroplasty (Replacement) Ulnar Nerve Release / Epicondylectomy HARDWARE REMOVAL Complex (Deep) Simple (Superficial) FRACTURES Clavicle Fracture Repair (Includes Implants & Hardware) Closed Reduction and Casting
$ $ $ $ $
4,985 6,985 6,945 3,985 5,985
$ $ $ $ $ $ $ $ $ $
5,285 3,735 3,695 5,385 7,985 3,985 1,575 3,985 11,285 4,455
$ $
4,295 3,565
$ $
6,985 2,450
Complex Fracture- (Rod of Humerus, Tibia, or Femur)--Incl. Plates and Hardware)
$
8,950
Distal Radius Fracture Repair--Open (Includes Plates or Screws)
$
7,985
29888 29888 / 27427
27447 29873 29880, 29881 27405
27340 27385 29855 / 29856 29876 27455 23430 24105 64718 24342 25607 / 25608 29830 24300 24357 24363 64718, 24358 20680 20670 23515 25605 / 25606 23615 25607 / 25608
PAGE 3
$ $ $
16,845 17,985 5,965
$
7,985
$
9,875
$ $ $ $
3,985 5,655 5,255 3,875
26735 26727 23600
25111 26952 26437
Finger Fracture Repair--ORIF (Includes Implants & Hardware) Percutaneous Pinning – Finger 1-2 Pins (Includes Hardware) Simple Fracture Requiring Open Reduction HAND & WRIST Carpal Tunnel Release (Open) Carpal Tunnel Release--Arthroscopic Carpel Tunnel Release--Bilateral (Open) Carpel Tunnel Release with Cubital Tunnel Release (Open) Digital Nerve Repair, Hand Digital Nerve Repair, Thumb Distal Radius Fracture Repair--Open (Includes Plates or Screws) Dupuytrens Contracture (Release) Excision of Lesion of Tendon Sheath or Joint Capsule (e.g. Cyst, Mucous Cyst, or Ganglion) Fasciectomy, Partial Palmar with Release of Single Digit including Proximal Interphalangeal Joint, with or without Z-plasty, other Local Tissue Rearrangement, or Skin Grafting Ganglion Excision Ray Amputation (Hand) Saggital Band Repair (Finger)
$ $ $
6,995 2,985 6,385
$ $ $ $ $ $ $ $
2,790 2,895 3,985 5,895 4,285 4,650 7,985 3,950
$
2,925
$
5,990
$ $ $
2,925 4,625 4,625
25447
Suspensionplasty, Arthroplasty, Interposition, Intercarpal or Carpometacarpal Joints
$
4,495
$
3,735
$ $ $
2,585 9,765 7,395
$
5,985
$ $
4,265 8,795
$ $ $ $
5,785 3,495 3,985 8,965
Big Toe Repair (Metatarsophalangeal Joint Fusion)--Implants & Hardware Included
$
4,255
28108, 28120
Bone Spur Removal--Toe
$
2,985
27695, 27696
Brostrom Procedure (Ligament Reconstruction)--Implants & Hardware Included
$
7,945
Bunionectomy--Both Sides Bunionectomy--One Side Calcaneocuboid Fusion (Includes Implants & Hardware) Cheilectomy (Foot) Extensor Tendon Repair (Foot)--Includes Implants & Hardware Foot Fracture Fragment Excision (Simple) Ganglion Excision (Foot) Gastrocnemius Recession Hallux Rigidus Repair with Cartiva Implant (Includes Implants & Hardware) Hallux Rigidus Repair (Includes Implants & Hardware) Hammertoe Correction (1 Toe) Hammertoe Correction (2 Toes) Hammertoe Correction (3 Toes)
$ $ $ $ $ $ $ $ $ $ $ $ $
5,985 4,115 7,635 3,985 4,985 2,985 2,985 4,125 7,895 7,895 2,785 3,385 3,985
24721 29848 64721-50 64718, 64721, 64708 64910 64831 25607 / 25608 26040, 26045 26160 26123
26145 26055 25445, 25447 253650 25440 29840, 29846 25800 / 25810 27650 28820 29891, 29898 27870 28750
28290, 28292, 29296 28290, 28292, 28296 27870 28289 28208 28124 28090 27387 28291 28291 28285 28285 28285
Synovectomy, Tendon Sheath, Radical (Tenosynovectomy), Flexor Tendon, Palm and/or Finger, Each Tendon Trigger Finger Repair Thumb Arthroplasty Ulnar Shortening Osteotomy Wrist Revision / Reconstruction (Open Reduction, Internal Fixation of Scaphoid nonunion with Local Bone Graft Wrist Arthroscopy Wrist Fusion FOOT & ANKLE Achilles Tendon Repair Amputation, Toe Ankle Arthroscopy Ankle Fusion (Includes Implants & Hardware)
PAGE 4
28119 11750 28238
Heel Spur Removal Ingrown Toenail Excision Kindner Procedure
$ $ $
3,545 1,695 5,485
28740
Mid-Foot Fusion (Midtarsal/Tarsometatarsal Fusion)--Incl Implants & Hardware
$
7,985
Neuroma Excision--Intermetatarsal Ostectomy--Partial Excision Osteotomy Plantar Fasciitis Laser Treatment Plantar Fasciotomy (Heel Pain Treatment) Plantar Granuloma Excision Sesamoidectomy (Foot) Subtalar Joint Arthroscopy Subtalar Joint Fusion (Includes Implants & Hardware) Tarsal Tunnel Release Tailor's Bunion Removal Talonavicular Fusion (Includes Implants & Hardware) Tendon Transfer (Includes Implants & Hardware) Transmetatarsal Amputation Verruca Removal (Warts, Feet) UROLOGY Anterior Colporrhaphy Repair (Cystocele Repair)--with or without Mesh Bladder Repair (for Incontinence)--Includes Sling Bladder Tumor Removal Circumcision Corpora Cavernosa Shunt Cystoscopy for Stone / Stent Placement Cystoscopy with Pyelography Cystoscopy with Stent Removal Epididymectomy – Partial Epididymectomy – Total Hydrocelectomy Hydrocelectomy--Bilateral Interstim Battery Change Interstim Placement (Sacral Nerve Stimulator) Interstim Trial Orchiectomy Orchiectomy--Radical Orchiopexy Perineal Urethrostomy Spermatocelectomy Mini-Arc Urethral Suspension Testicular Biopsy Transurethral Resection, Bladder Tumor Transurethral Resection, Prostrate Urethral Meatoplasty Varicolectomy--Microsurgical Vasovasostomy (Vasectomy Reversal) EAR Bilateral Myringotomy with Tubes (BMT) Ear Tube Placement (Tympanostomy) Inner Ear – Stapedectomy Mastoidectomy--Simple Myringoplasty (Perforated Eardrum Repair)
$ $ $ $ $ $ $ $ $ $ $ $ $ $ $
2,985 4,195 4,115 3,650 3,325 4,385 3,985 3,985 7,495 2,985 2,945 7,395 6,495 6,935 1,985
$ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $
5,985 5,745 4,860 1,800 3,945 3,495 2,485 2,075 3,455 4,065 3,695 4,625 4,315 24,400 2,950 3,555 4,245 3,565 3,585 3,595 4,415 1,800 2,985 3,545 2,985 3,545 7,985
$ $ $ $ $
1,675 1,675 5,985 6,385 2,985
28080 28110 28308 97026 28060 28043 28315 29906 28725 28035 28308 28730 / 28740 28813 28805 17000 / 17003 / 17004 57240 57288 52234 54160 54420, 54430 52332 52351 52310 54860 54860 55040 55041 64581 64581, 64590, 76000 64561 54530 54640 53010, 53400 54840 57288 54500 52234 52601 53410 55535 55400 69420, 69421 69436 69660 69715 69620
PAGE 5
69661 69300 69645 69641 31255 + 30802 21325 21320 30520 30520 + 30140 30850 30150 42830 72830 69436 40819 38510 42415 60280 60210 60240 42825, 42826 42825 42826 69436 42820 42821 42820 69436 42145 66174, 66175 0191T 66982, 66984 66984, 0191T 67800 65710, 65730 15822, 15823 15822, 15823 15820, 15822, 15823 67917, 67923 67311 67312 67314, 67316 66179 66180 67041 / 67042 67042 68810 68815 65426 65420 67036 67113 67121 66172 66170
Ossiculoplasty (Middle Earbone Repair) Otoplasty (Repair Protruding Ears) Tympanoplasty--Complex (Ear Drum Reconstruction) Tympanoplasty with Mastoidectomy--Simple NOSE/SINUS Complex Sinus Procedure, Bilateral w. Turbinates Reduction Nasal Fracture Complex Open Nasal Fracture Simple Closed w/ Stabilization Septoplasty (Nasal Septum Repair) Septoplasty and Sinus / Turbinates Reduction Sinus / Turbinates Reduction--Both Sides Submucosal Resection of Turbinates NECK / THROAT Adenoid Removal (Adenoidectomy) Adenoidectomy with BMT Frenulectomy (Repair Tongue Tie) Lymph Node Excision / Biopsy Parotidectomy (Salivary Gland Removal) Thyroglossal Duct Cyst Excision
$ $ $ $
4,965 3,895 5,965 8,985
$ $ $ $ $ $ $
6,985 3,975 1,895 3,895 4,985 4,485 2,785
$ $ $ $ $ $
2,545 2,995 1,500 2,825 7,845 3,985
Thyroidectomy Total or Partial Thyroid Lobectomy, Unilateral; including Isthmusectomy $
5,985
Thyroidectomy, Complex Tonsillectomy Tonsillectomy with BMT Tonsillectomy and Adenoidectomy Tonsillectomy & Adenoidectomy with BMT UPPP--Uvulopalatopharyngoplasty (Palatoplasty) EYES Ab-Interno Canaloplasty Aqueous Drainage Device (iStent) Cataract Surgery--Standard Lens (One Eye) Cataract Surgery & Glaucoma (With iStent)--One Eye Chalazion Removal Keratoplasty--Corneal Transplant Droopy Eyelid Revision (Bleph)--Both Upper lids with Ptosis Repair Droopy Eyelid Revision (Blepharoplasty)--Upper (One Side) Droopy Eyelid Revision (Blepharoplasty)--Upper & Lower (Bilateral) Ectropican/Entropion Repair Eye Muscle Surgery, 1 Muscle Eye Muscle Surgery, 2 Muscles Eye Muscle Surgery, 3 or more Muscles Glaucoma Drainage Device (without Graft) Glaucoma Drainage Device (with Graft) Macular Pucker Repair Macular Hole Repair (Includes Gas or Oil) Nasolacrimal Duct Probe – Both Sides Nasolacrimal Duct Probe – One Side Pterigium Excision--w/ Amnionic Membrane Pterigium Excision--w/ Autograft Pars Plana Vitrectomy Repair Detached Retina (Incl. Gas or Oil) Silicone Oil Removal--Retina Surgery Trabeculectomy Revision (with previous surgery in eye) Trabeculectomy (without previous surgery in eye)
$ $ $ $ $ $
8,465 2,545 2,995 2,965 3,565 5,695
$ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $
4,950 5,795 3,245 6,145 2,195 9,985 4,495 2,985 5,945 4,445 3,985 4,925 5,865 5,350 5,900 4,650 4,850 4,865 3,495 4,400 3,765 3,955 4,950 3,985 5,450 4,985
PAGE 6
66710 57240 57260 57260, 57288 58600, 58670 57288 57288, 57240 57520 57120 52000 58120 58353 58563 58563, 58670 57268 56700 58555 58558 56620 49320 58662 58550 58572 58552, 57288 58552, 57283 58550 57240/57250 58550 57260 58552, 58288, 57260 58545 11982, 76000 58925 58661 57250 58570 57530 58750 44900 38525 36589 36561 47562 47563 46250, 46255 55040 49418 11770 11400 49570, 49652 49560, 49654 49505, 49650 49505, 49650
Transcleral Cyclophotocoagulation
GYNECOLOGY Anterior Colporrhaphy Repair (Cystocele Repair)--with or without Mesh Anterior & Posterior Repair Anterior & Posterior Repair, with Bladder Repair--includes Sling Bilateral Tubal Ligation (BTL)--Block or Cut Fallopian Tubes Bladder Repair (for Incontinence)--Includes Sling Bladder Repair (for Incontinence)--Includes Sling, with Cystocele Repair Cervical Cone Biopsy Colpoclesis (Le Fort Technique)--Vaginal Vault Prolapse Cystoscopy Dilation and Curettage (D & C) Endometrial Ablation Endometrial Abalation--Thermal, with Hysteroscopy D&C Endometrial Abalation--Thermal, with Bilateral Tubal Ligation (BTL) Enterocele Repair Hymenectomy Hysteroscopy Hysteroscopy with D&C Labiaplasty Laparoscopy--Diagnostic Laparoscopy with Excision of Endometriosis Laparoscopically Assisted Vaginal Hysterectomy (LAVH) Laparoscopic Hysterectomy with Bladder Repair--Includes Sling Laparoscopic Hysterectomy with Colpopexy (Culdoplasty) Laparoscopic Hysterectomy w/ Anterior Repair OR Posterior Repair (No Mesh) Laparoscopic Hysterectomy with Anterior Repair (Cystocele) AND Posterior Repair (Rectocele)--(No Mesh) Laparoscopic Vaginal Hysterectomy with Bladder Repair and A&P Repair Myomectomy--Laparotomy (Remove Uterine Fibroid) Nexplanon Removal Ovarian Cystectomy Ovary Removal (Laparscopic Oopherectomy) Posterior Repair (Rectocele) Total Laparoscopic Hysterectomy (TLH) Trachelectomy (Cervix Removal) Tubal Reanastomosis (Tubal Reversal) GENERAL SURGERY Appendectomy--Laparoscopic Biopsy or Excision Open Deep Axillary Nodes Central IV Access Port Removal Central IV Acess Port--Install Gall Bladder Removal (Laparoscopic Cholecystectomy) Hemorrhoidectomy Hydrocelectomy Peritoneal Dialysis Catheter Placement Pilonidal Cyst Removal Sub-Cutaneous Mass Removal HERNIA [Open, Laparoscopic] Epigastric Hernia Repair (Add $450.00 for Laparscopy) Incisional Hernia Repair (Add $450.00 for Laparscopy) Inguinal Hernia Repair--Single (Add $450.00 for Laparscopy) Inguinal Hernia Repair--Bilateral (Add $450.00 for Laparscopy) PAGE 7
$
4,965
$ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $
5,985 7,295 8,985 3,685 5,745 7,985 2,865 3,985 3,490 1,600 3,485 3,985 5,985 4,185 1,525 2,445 2,985 3,975 3,985 5,495 7,725 9,795 8,395
$
8,485
$
9,385
$ $ $ $ $ $ $ $ $
10,565 4,985 2,685 4,985 5,245 5,985 7,895 3,985 7,995
$ $ $ $ $ $ $ $ $ $
5,285 3,985 1,800 3,125 5,585 3,255 3,695 4,555 3,155 1,950
$ $ $ $
3,350 4,150 3,250 4,450
49585, 49652 49565, 49652 19325 19325 19316 19342 19342 19357 19357 19318 19318 19300 19350 19302 19120 19301 67900 12051 15824, 15826 15826 69300 30400 15836 15835 + 15877 15830 15877 15830
Umbilical Hernia Repair (Add $450.00 for Laparscopy) Ventral Hernia Repair (Add $450.00 for Laparscopy) BREAST Breast Augmentation--Saline Breast Augmentation--Silicon Breast Lift--Mastopexy Breast Reconstruction (1st Stage) With Expanders, Both Breast Reconstruction (1st Stage) with Expanders, Single Breast Reconstruction (2nd Stage) with Implant, Bilateral Breast Reconstruction (2nd Stage) with Implant, Single Breast Reduction--Both Sides Breast Reduction--One Side Gynocomastia (Breast Reduction--Men) Nipple Reconstruction--Both Sides Mastectomy w/ or w/o Node Dissection Removal of Benign Lesion Removal of Benign Mass FACE--COSMETIC/PLASTIC SURGERY Browlift (Endoscopic) Earlobe Repair (Close Earlobe Holes) Facelift--(Rhytidectomy) Mini-Face Lift Otoplasty (Fix Protruding Ears) Rhinoplasty (Nose Job) BODY--COSMETIC PLASTIC SURGERY Brachioplasty (Tighten Arm Skin) Brazilian Buttlift (includes one area liposuction) Circumfrential Body Lift Liposuction (Two Areas) Tummy Tuck (Abdominoplasty)
REMAINDER OF PAGE LEFT INTENTIONALLY BLANK
PAGE 8
$ $
3,250 3,550
$ $ $ $ $ $ $ $ $ $ $ $ $ $
3,905 5,255 5,580 6,985 4,915 5,855 3,985 8,450 5,580 4,195 4,670 4,490 1,850 2,195
$ $ $ $ $ $
4,820 1,625 7,965 6,445 3,935 4,995
$ $ $ $ $
5,905 7,175 13,985 3,875 7,465
COMING SOON - INTERVENTIONAL CARDIOLOGY
Our goal is for the surgery or procedure price to be as transparent as possible so you as the healthcare consumer can make the most informed decision about your surgery.
Some Surgery Centers advertise “Total Price Transparency”, quoting Cash-Prices for surgical procedures that EXCLUDE implants, hardware, and/ or the 23-hour Overnight/Extended stay, resulting in additional hidden costs. Implants often cost several thousand dollars extra. A list of what is NOT included in the surgical fee is as follows:
The Cash Prices listed only apply to patients, employers, unions, or insurers who pay the entire fee in advance, prior to the surgery. In part, we are able to offer these prices due to the lack of expense in processing and collecting on claims as well as the absence of risk for nonpayment. Call us to discuss your unique situation. If you aren’t prepared to pay in full on or before your surgery, financing may be available to you from a number of lenders we work with.
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If you are working with an attorney because you were injured in an accident, we can also introduce you to medical financing partners who may be able to help and wait for their payment when your case settles.
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•
•
•
• •
The prices for the procedures listed on this website include the following: • • • • • •
St. George Surgical Center Fees—Operating Room and Recovery Areas Physician/Surgeon’s Fees Anesthesia Fees All standard Implants and Hardware Robotic-assisted joint replacement technology (as applicable) Overnight Stay (up to 23-hour Overnight/ Extended Stay for applicable procedures)
Any necessary diagnostic studies prior to the surgery such as lab work, MRI, and/or X-rays, or other diagnostic imaging. Any unanticipated Lab Fees or Pathology Reports for Biopsies or Tissue samples that are collected during the surgery. Consultations with specialists to determine medical risk/management. Physical therapy and rehabilitation after the surgery. Long-term acute care and rehab care facilities (beyond the 23-hour Overnight/Extended stay that is included in the surgical fee). Lodging and travel expenses. Expenses or fees resulting from complications subsequent to the completion of surgery and discharge from the facility.
PRICES EFFECTIVE MARCH 8, 2021 PRICES SUBJECT TO CHANGE WITHOUT ADVANCE NOTICE IN THE ABSENCE OF A FULLY EXECUTED CONTRACT.
9
Address SYXL 'PYǺ XVIIX St George, Utah 84770
8411 +7**
St George, Utah is accessible with direct flights on Delta, American and United Airlines
AMERICAN Phoenix
844-673-0095 431.3* stgeorgesurgical com :MI[ SYV =4989'* (LERRIP X,ISVKI YVKMGEP
(438&(8 Maria K Todd PhD, MHA Dir, Business Development (435) 522-7260 mariat@sgsc.net
UNITED Denver
DELTA Salt Lake City
Car rentals are available at the airport Las Vegas is our alternate 112 miles south of St George