Cash Price List
| SURGERY | CPT Codes | Surgeon Fee | Facility Fee | Anesthesia Fee* | Total
(Excludes Anesthesia fee) |
| Pediatric Tonsil and Adenoidectomy
|
42820, 42821, 42826 | $550, $600
$450 |
$2,550, $1,148
$1,148 |
$3,100, $1,748
$1,598 |
|
| Sinus
Nasal/sinus endoscopy With tissue removal: With frontal sinus exploration With Sphenoidotomy Septoplasty Excision of the inferior turbinate |
31254, 31255 31256 31267 31276 31287 30520 30130 |
$600, $687 $400 $650 $900 $500 $1,200 $450 |
$2,175 $400 $2,175 $2,175 $2,175 $1,148 $1,148 |
$2,775, $2,862 $800 $2,825 $3,075 $2,675 $2,348 $1,598 |
|
| Ears
Bilateral myringotomy and tubes |
69436-50 |
$450 |
$590 |
$1,040 |
|
| Nose
Closed treatment of nasal bone fracture and stabilization |
21320, 21330 |
$1,000 |
$1,148 $2,550 |
$2,148 $3,550 |
|
| Thyroid
Unilateral total thyroid lobectomy |
60220 |
$1,750 |
$2,500 |
$4,250 |
|
| Parathyroidectomy | 60500 | $1,750 | $2,550 | $4,300 | |
- Anesthesia providers are not employed by ENTSC and bill separately for services. Your Surgery Scheduler will obtain this quote for you. You may also contact Patient Advocacy at USAP at 833-479-0697 or email [email protected] for a separate Good Faith Estimate for Anesthesia services. These prices are an estimate and may vary depending on the length of your surgery.
