ALL HOSPITAL CHARGES 2020 Charge Description CPT-4 code Price "L" PLATES - LEFT C1713 $645.47 (PT) CONTACT PRODUCT 85730 $14.67 (TB) DIRECT SMEAR 87206 $13.18 **FB REMOVAL RECTUM 45307 $6,043.36 .062 X 7 LONG GUIDE WIRE C1713 $86.25 .99MM TURBO ELITE LASER CATH C1885 $3,150.00 .99MM TURBO ELITE LASER CATHETER C1887 $2,200.00 .MTP JNT CAPSULOTOMY;EA SNG JN 28270 $7,057.23 0 27 GUT CHROMIC SH $14.87 0 30 ETHIBOND BRAIDED CT-1 $103.50 0 30 PROLENE MONO CTX $105.10 0 36 ETHIBOND BRAIDED V-7 $310.52 0 54 COATED VICRYL $33.80 0 54 GUT CHROMIC $33.02 0 54 GUT CHROMIC PLAIN $54.98 0 8-18 ETHIBOND EXTRA GRN MO-7 $240.30 0 8-18ETHIBOND EXTRA GRN CT-2 $206.51 0 PROLENE BL SH $129.30 0 SILK SUTUPAK 13 STRANDS 24 C1713 $35.55 0.8MM OFFSET PLATE C1713 $636.00 0.9MM CATH RAPD-EXCHANGE 150CM C1885 $3,150.00 0.9MM CATH X-80, CONT.ON RAPID-EXCHG 150 C1885 $3,150.00 02 SATURATION DIRECT 82810 $21.49 1 25-OH2D 82652 $94.12 1 27 GUT CHROMIC CT-1 $155.71 1 30 ETHIBOND BRAIDED DS-8 $157.52 1 30ETHIBOND BRAIDED CT-1 $87.92 1 36 GUT CHROMIC CTX $120.57 1 36 IN COATED VICRYL CTX $96.06 1 36 PDS II MONO CT $85.41 1 PDS II MONON TP-1 $72.48 1 PROLENE CTX $103.46 1 VERT MUSCLE 67314 $4,989.01 1 VICRYL 27CTB-1 $143.21 1.0MM 4 HOLE LARGE XLONG GAP C1713 $1,006.50 1.0MM 7HOLE PLATE STRGHT PLATE C1713 $1,158.00 1.1MM GUIDE WIRE C1713 $43.04 1.2 GUIDEWIRE C1713 $322.50 1.3 GUIDE PIN C1713 $30.12 1.3MM DRILL BIT MINI QC 55MM X C1713 $169.50 1.3MM TI T-PLATE C1713 $469.50 1.3MMTPLATE4HOLEHEAD/8HOLESHFT C1713 $562.50 1.4MM CATH 80HZ, CONT.ON RAPID-EX 150CM C1885 $4,200.00 1.4MM CATH OTW LASER 157L C1885 $3,150.00 1.4MM CATH RAPD-EXCHANGE 150CM C1885 $4,200.00 1.4MM CATHETER OTW LASER 157L C1885 $3,150.00 1.5 MM X50MM 5MM STOP BIT C1713 $78.75 1.5 MM X50MM 5MM STOP BIT $78.75 1.5mm Tapered Router $195.47 1.6x150MM WIRE C1713 $469.50 1.7 SUTUREFIX DISPOS DRILL BIT C1713 $338.34 1.7MM CATH 80HZ CONT.ON RAPID-EX RX 150C C1885 $3,150.00 1.7MM CATH 80HZ, CONT.ON OTW 150CM C1885 $3,150.00 1.7MM CATH OVER THE WIRE 150CM C1885 $3,150.00 1.7MM CATH RAPD-EXCHANGE 150CM C1885 $3,150.00 1.8M OLIVE WIRES C1713 $44.00 1.8MM SMOOTH WIRE 3/PK C1713 $111.00 1/2 CIRCLE TAPER NEEDLE MALE C2618 $494.96 1/2 CIRCLE VICRYL#1 SUTURE C1713 $225.92 1/2 CYLINDER 5MM-SILICONE SPONGE IMPLANT C1784 $75.90 1/2 NORMAL SALINE 250ML IV $0.39 1/3 RING - LARGE C1713 $1,228.50 1/8 X3 GEN TROCER PINS C1713 $34.92 1-0 30" ETHIBOND BRAIDED DS C1713 $157.52 10 HOLE CLAMP C1713 $1,263.38 10 X 20 WALL STENT $1,549.68 10-0 PROLENE BL MONO SUTURE C1713 $63.07 100MM CURVED CANNULA 10/BX A4615 $531.00 10CC SLS 21G 1 1/2 $0.99 10CC SLS ONLY $0.38 10CC VITOSS C1713 $7,110.45 10F NEPH CATHETER C1726 $114.98 10FR 97CM TRIPLE LUMEN CATH C1757 $656.93 10FR PINN INTRO SHEATH W/POUCH C1769 $321.75 10FR24CM DBLE PIGTAIL STNT SET C2617 $191.40 10FR26CM DBLE PIGTAIL STNT SET C2617 $167.64 10MM HUMERAL STEM $3,601.67 10MM/130 LEFT TROCH FIXATION NAIL C1713 $1,959.00 10MM/130 X 360MM TROCH NAIL $511.00 10x23 BIO INT SCREW C1713 $346.50 1-131 NAI ORAL SOLN EACH ADL 1 A9529 $116.90 11MM TI CANN TROCH FIXATION NAIL C1713 $2,124.00 11MM/130 X 170MM TROCH FIX NAIL C1713 $1,989.00 11x235MM TI CANN TRACH NAIL STRL C1713 $1,602.00 12 X 125MM, 26MM HEAD NEER C1776 $3,157.50 12/14 FEMORAL HEAD 36MM C1776 $1,564.50 12/14 TO TAPER SLEEVE C1776 $140.40 12MM NONBIAS SCREW C1713 $1,049.20 12MM SELF DRILL/ST SCREW C1713 $150.00 12MM SELF DRILLING SCREW C1713 $217.50 12MM SPIN SCREW C1713 $300.00 12MM VARIABLE SCREWS C1713 $300.00 12X12 COATED VICRYL MESH KNITTED C1781 $3,697.43 12X12 COATED VICRYL MESH WOVEN C1781 $3,697.43 12X12X7 PEEK C1713 $1,492.50 12X20X80 PTA BAL CATH OTW VASC C1725 $510.00 13.5 X 21MM CAGE C1713 $2,700.00 132 NECK ANGLE HIP STEM C1776 $3,600.00 14 DISTAL CENTRALIZER C1776 $147.15 14 HOLE PLATE C1713 $399.72 14-HOLE STEM C1713 $399.72 14MM SCREW C1713 $217.50 14MM SPHERE C1713 $780.00 14MM TRINICA VARABLE SCREW C1713 $300.00 150MM CRVE CANN W/ACTVE TIP C1725 $652.50 15CC MACRO MORSELS VITOSS C1713 $1,327.50 15MM ENDOBUTTON ULTRA CLFIXBUT C1749 $494.55 16 SYNERGY STEM C1776 $5,852.25 16FREPLACE GTUBE STRGHT ENTRL A4616 $51.65 16x3.0MM CANNULATED SCREW C1713 $429.00 17 HYDROXY PROGESTERONE 83498 $66.42 17 KETOGENIC STEROID/URINE 83582 $34.65 17 KETOSTEROIDS/URINE 83586 $31.28 17 OH CORTICOSTEROIDS 83491 $42.83 17-HYDROXYCORTICOSTEROIDS 24HR 83491 $42.83 17MM WASHER C1713 $399.00 17-OH-PREGNENOLONE 84143 $55.75 18FR SIGMOIDOSCOPIC SUCT INSTR A4624 $61.50 18G X0.038 ANGIOGRAPHIC NEEDLE C2618 $78.38 18-HYDROXYCORTICOSTERONE 82528 $55.04 18-OH-CORTICOSTERONE 82528 $55.04 1CC SLS INSULIN 29GX1/2 $0.24 1CC SLS TUBERCULIN 25GX5/8 $0.28 1ST /SBSQ PSYC COLLAB CARE 99494 $300.00 1ST DEGREE BURN-INIT TX 16000 $450.45 1ST PSYC COLLAB CARE MGMT 99492 $300.00 1ST PSYC COLLAB CARE MGMT YR 2 99492 $300.00 1STG DSTL HYPSPAD REP W/SIMP M 54322 $7,781.86 1x8 SUBCOMPACT LEAD KIT C1778 $3,585.00 2 30ETHIBOND BRAIDED LR LR $112.22 2 PAIRED SUBDERM ELECTROD-EAR A4556 $138.00 2' REPR/SUTR LEG FLEXOR TENDON 27659 $15,421.60 2 Single Stinging Insect Venoms 95146 $97.92 2.0 CARBIDE BURR C1713 $413.13 2.0 KWIRE C1713 $13.40 2.0 LCKING PLATE L, 2/4 HOLE; RIGHT/LEFT C1713 $558.00 2.0 X 10MM SCREW C1713 $225.00 2.0 X 14 LOCKING SCREWS C1713 $550.50 2.0MM CATH (OTW) 150CM C1885 $4,200.00 2.0MM CATH RAPID-EXCHANG 150CM C1885 $3,150.00 2.0MM CATHETER 80HZ CONT.ON OTW 150CM C1885 $4,200.00 2.0MM LCP PLATE 7HOLES SHAFT C1713 $607.50 2.0MM NON-LOCKING SCREW C1713 $787.50 2.0MM X 8MM NONLOCKING SCREW C1713 $133.50 2.15MM FLUTED ROUTER CUT BURS C1713 $149.04 2.2 DRILL BIT C1713 $175.50 2.2MM DRILL C1713 $393.00 2.3 PENCIL BURR C1713 $159.08 2.3 SUTURE ANCHR W1 UB COBRAID C1713 $508.31 2.3 X 12MM NON LOCKING SCREW C1713 $177.00 2.3MM CATH OTW LASER ABLAT TUBO ELITE C1885 $3,150.00 2.3MM CATH OTW LASER ABLATION C1885 $3,150.00 2.3MM DURG BURR DIA HEAD HILAN C1713 $142.10 2.3mm Tapered Router $195.47 2.3x16.3mm Tapered Router $159.08 2.5 DRILL BIT C1713 $642.00 2.5 WER PLATE C1713 $963.00 2.5 WER PLATE C1713 $963.00 2.5" MED MESH SURG HERN PTCH C1781 $1,117.50 2.5FIXOS MARK TIP TROCAR KWIRE C1769 $55.12 2.5MM DIAMOND C1725 $139.73 2.5MM T PLATE C1713 $865.50 2.5MM TURBO ELITE LASER CATH C1885 $3,000.00 2.5MM TURBO ELITE LASER CATHETER C1887 $3,000.00 2.5X100 POLAR DCATH BALLOON C1725 $1,350.00 2.5X100 POLAR DCATH BALLOON, EA C1725 $1,350.00 2.6 DRILL C1713 $211.50 2.7FR SINGLE LUMEN CV CATHETER C1757 $312.08 2.7MM CORTICAL BONE SCREW X C1713 $124.32 2.7MM CORTICAL BONE SCREW x VARIOUS C1713 $1,456.37 2.7MM DRILL BIT C1713 $136.29 2.7MM LOCK SCREW, 20MM C1713 $118.13 2.7MM LOCKING SCREW 18MM C1713 $241.50 2.7MM LOCKING SCREW X 18MM C1713 $195.00 2.7MM LOCKING SCREWS C1713 $241.50 2.7MM LOCKING SCREWS 36MM C1713 $157.50 2.7MM X 18MM MD SCREW C1713 $327.00 2.9MM LOCKING SCREW C1713 $315.00 2/0 18 ETHILON MONO PS $187.37 2/0 27 CHROMIC SH $106.92 2/0 27 GUT CHROMIC CT-1 $102.08 2/0 27COATED VICRYL 0S-6 $123.47 2/0 30 ETHIBOND BRAIDE $155.03 2/0 30 ETHIBOND BRAIDED CT-1 $104.84 2/0 30 PROLENE MONO SH $119.85 2/0 30ETHICON MONO KS,628H $75.74 2/0 30SILK BRAIDED KS $1.94 2/0 36 PDS II MONO CT $138.11 2/0 36PROLENE MONO $256.27 2/0 48PROLENE MONO SHSH $205.95 2/0 54 GUT CHROMIC $64.20 2/0 54 GUT PLAIN $39.20 2/0 54COATED VICRYL $30.86 2-0 18" SILK BLACK BRAID PS-2 C1713 $159.10 2-0 30 ETHIBOND BRAID LRX496T C1713 $112.22 2-0 30" ETHIBOND BRAIDED CT-1 C1713 $104.84 2-0 30" V-7 SUTURE SILK NDL B C1713 $134.26 2-0 36" GUT CHROMIC #903H $105.71 2-0 COATED VICRYL RAPIDE 27 $42.54 2-0 COATED VICRYL RAPIDE 36 $45.30 2-0 FS SILK NEEDLE BLK BRD C2618 $84.14 2-0 SILK BLK BRD 24" SH NEEDLE C2618 $171.56 2-0 SILK BLK BRD CP-1 36MM CI C1713 $73.36 2-0 SILK PS NEEDLE 18"-45CM BL C2618 $186.29 2-0 SILK PSLX $5.95 2-0 SILK SH $135.47 2-0 SILK' SUTUPAK 13 STRAND 34 C1713 $106.65 2-0 SILK TIES $64.49 2-0 TAPER T-12 SUTURES W/FIBER C1713 $33.00 20 X 24G ANGLED STEPPED PROBE C2618 $290.00 20fr 8mm Vega Puncture Set $544.50 20MM CERVICAL PLATE C1713 $1,425.00 20MM ENDOBUTTON C1749 $494.55 20MM MINI AT2 SCREW C1713 $792.00 20MM TRINICA PLATE C1713 $1,500.00 2-0VICRYL +CIRCLE VIOLET BRAID C1713 $188.30 22MM STANDARD AT2 SCREW C1713 $792.00 22MM TRINICA PLATE C1713 $1,500.00 23G ADJST INTUTVE LASRPROBE C2618 $315.00 23G Greishabe Backflsh Sft Tip $912.87 23G VALVED ENTRY SYSTEM 4MM C1713 $864.00 23G X 3/4 HYPODERMIC NEEDLE C2618 $0.10 24MM CERVICAL PLATE C1713 $1,650.00 24MM HD LFT ANATOMIC RAD HD SYS CHROMIUM C1776 $3,000.00 24MM LOCKING SCREW C1713 $210.19 24MM TRINICA PLATE C1713 $1,875.00 25.4MM DIAMOND DISC C1713 $393.75 25G 8.0 SOFT TIP NEEDLE 10/BX C2618 $300.00 25G Trocar Plug $468.00 25mm Circular Staplr DST Serie $4,670.78 25mm ORVIL Circul Guide Staplr $1,034.19 25-OHD 82306 $72.36 25TUB INFLOW SET FLUID MGMT A4624 $97.65 26MM PLATE C1713 $1,725.00 28-30MM CROSSLINK C1713 $1,996.50 28MM +0 TAPER FEMORAL HEAD C1776 $781.65 28MM +4 FEMORAL HEAD C1776 $1,500.00 28MM +8 TAPER FEMORAL HEAD C1776 $781.65 28MM 12/14 TAPER FEMORAL HEAD C1776 $781.65 28MM ACP PLATE $4,041.00 2AGUS NRV BLCK OBESE ANL REPRG 0317T $108.79 2APAROSCOPE PROC INTESTINE 44238 $12,461.42 2MM CATH 80HZ CONT.CON RAPID-EX 150CM C1885 $3,150.00 2ND CLOS SURG WND/DEH;EXTENS 13160 $4,183.48 2PC INTRATHECAL CATHETER C1755 $1,042.50 2UTPAT E/M ESTAB MODHI;25MIN 99214 $403.00 2W FOLEY CATHETER 16FR 12/BX A4344 $16.15 2-WAY FOLEY 5CC, 16FR COUDE TIP C2627 $185.90 2WAY FOLEY CATH SILICON 12/BX A4344 $59.40 2X2+2HOLES, 3D PLATE C1713 $1,125.60 3 GUIDEWIRE 300CMX.014 5/BX C1769 $213.00 3 HOLE PLATE C1713 $1,520.44 3 HOLE PLATE HOMERUS L8699 $1,520.45 3 PIECE ASPHERIC IOL C1780 $120.00 3 Single Stinging Insect Venoms 95147