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Gastrology Endoscopy Price Lists

Access to csv file
https://www.elliothospital.org/website/ehs-2020-price-lists/Gastrology-Endoscopy.csv


ABCD
1
CategoryCharge CodeDescription1/1/2020
Unit Charge
2
GASTROLOGY/ENDOSCOPY3610042400HC BIOPSY OF SALIVARY GLAND $ 1,264.00
3
GASTROLOGY/ENDOSCOPY4500242700HC I&D PERITONSILLAR ABSCESS $ 958.00
4
GASTROLOGY/ENDOSCOPY4500242720HC I&D ABSCESS, PARAPHARYNGEAL $ 2,378.00
5
GASTROLOGY/ENDOSCOPY4500242809HC REMOVAL FB PHARYNX $ 397.00
6
GASTROLOGY/ENDOSCOPY7500043197HC ESOPHAGOSCOP FLES DX BRUSH $ 2,156.00
7
GASTROLOGY/ENDOSCOPY4500043200HC ESOPHAGUS DX W/CS $ 1,543.00
8
GASTROLOGY/ENDOSCOPY4500243215HC ESOPHAGOSCOPY W/RMVL FB(S) W/CS $ 2,205.00
9
GASTROLOGY/ENDOSCOPY7500043220HC ESOPHAGUS W/BALLOON DIL W/CS $ 2,205.00
10
GASTROLOGY/ENDOSCOPY7500043231HC ESOPH ENDOSCOPY W/ US EXAM $ 2,756.00
11
GASTROLOGY/ENDOSCOPY7500043232HC ESOPH ENDOSCOPY W/ US EXAM FN NDL BX $ 3,086.00
12
GASTROLOGY/ENDOSCOPY7500043235HC EGD W/CS $ 2,205.00
13
GASTROLOGY/ENDOSCOPY7500043236HC EGD W/INJ ANY SUBSTANCE W/CS $ 3,004.00
14
GASTROLOGY/ENDOSCOPY7500043237HC UPPER GI ENDOSC W/US EXAM ESOPH $ 2,866.00
15
GASTROLOGY/ENDOSCOPY7500043238HC UPPER GI ENDOSC W/ US FN NDL BX ESOPH $ 3,086.00
16
GASTROLOGY/ENDOSCOPY7500043239HC EGD/BIOPSY/SNGL/MULTI W/CS $ 3,004.00
17
GASTROLOGY/ENDOSCOPY7500043240HC EGD W/TRANSMURAL DRAIN CYST $ 3,206.00
18
GASTROLOGY/ENDOSCOPY4900043241HC EGD TUBE/CATH INSERTION $ 1,965.00
19
GASTROLOGY/ENDOSCOPY7500043242HC UPPER GI ENDOSCOPY W/US FINE NDL BX $ 3,196.00
20
GASTROLOGY/ENDOSCOPY7500043244HC BAND OF VARICES-EGD W/CS $ 3,196.00
21
GASTROLOGY/ENDOSCOPY7500043245HC EGD/DILATION/PYLORUS W/CS $ 2,756.00
22
GASTROLOGY/ENDOSCOPY7500043246HC EGDE PEG TUBE INSERTION W/CS $ 2,976.00
23
GASTROLOGY/ENDOSCOPY4500043247HC EGD/TRNSORAL FB(S) REMOVAL W/CS $ 2,976.00
24
GASTROLOGY/ENDOSCOPY7500043248HC EGD/DIL OVER WIRE ESOPH W/CS $ 3,004.00
25
GASTROLOGY/ENDOSCOPY7500043249HC EGD/DIL BALLOON W/CS $ 2,756.00
26
GASTROLOGY/ENDOSCOPY7500043251HC EGD/POLYPECTOMY W/CS $ 3,524.00
27
GASTROLOGY/ENDOSCOPY7500043253HC EGD,TRNSORAL W/ENDO US GUID TRNSMURL INJ DX/THER $ 3,196.00
28
GASTROLOGY/ENDOSCOPY7500043254HC ENDOSCOPIC MUCOSAL RESECTION $ 3,307.00
29
GASTROLOGY/ENDOSCOPY7500043255HC EGD/BICAP CONTROL BLEED W/CS $ 3,858.00
30
GASTROLOGY/ENDOSCOPY7500043259HC UPPER GI ENDOSCOPIC US EXAM $ 3,086.00
31
GASTROLOGY/ENDOSCOPY7500043260HC ERCP W/CS $ 2,205.00
32
GASTROLOGY/ENDOSCOPY7500043261HC ERCP W/BIOPSY SNGL/MULTI W/CS $ 3,803.00
33
GASTROLOGY/ENDOSCOPY7500043262HC ERCP/SPHINCTEROTOMY W/CS $ 3,801.00
34
GASTROLOGY/ENDOSCOPY7500043264HC ERCP/STONE REMOVAL W/CS $ 3,801.00
35
GASTROLOGY/ENDOSCOPY7500043265HC ERCP/LITHOTRIPSY W/CS $ 2,756.00
36
GASTROLOGY/ENDOSCOPY7500043266HC EGD W/ENDO STENT PLACEMENT $ 3,086.00
37
GASTROLOGY/ENDOSCOPY7500043270HC EGD, TRNSORAL W/TUMOR ABLATION $ 3,305.00
38
GASTROLOGY/ENDOSCOPY7500043273HC ENDO CANNULATION OF PAPILLA W/DIRECT VIS OF PANCREATIC/BILE DUCT(S) $ 1,182.00
39
GASTROLOGY/ENDOSCOPY7500043274HC ERCP STENT PLACEMENT BILIARY/PANCREATIC DUCT $ 4,974.00
40
GASTROLOGY/ENDOSCOPY7500043275HC ERCP W/REMVL OF FB(S)/STENT(S) BILRY/PNCRTC DUCT $ 4,369.00
41
GASTROLOGY/ENDOSCOPY7500043276HC ERCP BILIARY/PANC DUCT STENT EXCHANGE W/DIL&WIRE $ 4,977.00
42
GASTROLOGY/ENDOSCOPY7500043277HC ERCP BALLOON DILATE BILIARY/PANC DUCT/AMPULLA EA $ 4,369.00
43
GASTROLOGY/ENDOSCOPY7500043460HC ESOPG/GSTR TAMPONADE W/BALO $ 1,200.00
44
GASTROLOGY/ENDOSCOPY3610043752HC NASO/ORO-GASTRIC TUBE PLCMNT W/FLUORO I&R $ 463.00
45
GASTROLOGY/ENDOSCOPY4500243752HC NASO/ORO GASTRIC TUBE PLCMT W/FLUORO $ 463.00
46
GASTROLOGY/ENDOSCOPY7610043752HC NASO/ORO-GASTRIC TUBE PLCMNT W/FLUORO I&R $ 463.00
47
GASTROLOGY/ENDOSCOPY4500243753HC GASTR INTUBATION/ASP THERAP INCL LAVAGE $ 231.00
48
GASTROLOGY/ENDOSCOPY7610043753HC GASTR INTUBATION/ASP THERAP INCL LAVAGE $ 231.00
49
GASTROLOGY/ENDOSCOPY7610043754HC GASTR INTUBATION/ASP DX SNGL SPECIMEN $ 242.00
50
GASTROLOGY/ENDOSCOPY3610043761HC REPOS NASO/ORO GASTR FEED TUBE THRU DUOD NUTR $ 1,982.00
51
GASTROLOGY/ENDOSCOPY4500043762HC RPLC GTUBE NO REVJ TRC $ 590.00
52
GASTROLOGY/ENDOSCOPY7610043762HC RPLC GTUBE NO REVJ TRC $ 590.00
53
GASTROLOGY/ENDOSCOPY7610143762HC RPLC GTUBE NO REVJ TRC $ 655.00
54
GASTROLOGY/ENDOSCOPY4500043763HC RPLC GTUBE REVJ GSTRST TRC $ 1,040.00
55
GASTROLOGY/ENDOSCOPY7610043763HC RPLC GTUBE REVJ GSTRST TRC $ 1,040.00
56
GASTROLOGY/ENDOSCOPY7500044360HC SMALL BOWEL ENDOSCOPY INCL SPEC COLL W/CS $ 1,260.00
57
GASTROLOGY/ENDOSCOPY7500044361HC SM BOWEL W/BIOPSY W/CS $ 1,710.00
58
GASTROLOGY/ENDOSCOPY7500044364HC SM BOWEL W/REMOVAL SNARE W/CS $ 2,114.00
59
GASTROLOGY/ENDOSCOPY7500044366HC SM BOWEL CONTROL BLEED W/CS $ 2,250.00
60
GASTROLOGY/ENDOSCOPY7500044369HC SMALL BOWEL W/ABLATION OF LESION $ 1,800.00
61
GASTROLOGY/ENDOSCOPY7500044380HC ILEOSCOPY VIA STOMA INCL SPEC COLL W/CS $ 1,620.00
62
GASTROLOGY/ENDOSCOPY7500044381HC ILLEOSCOPY THRU STOMA WITH DILATION $ 2,160.00
63
GASTROLOGY/ENDOSCOPY7500044382HC SM BOWEL ILEOSCOPY VIA STOMA W/BX W/CS $ 1,980.00
64
GASTROLOGY/ENDOSCOPY7500044385HC ENDOSCOPY BOWEL POUCH (KOCH, ILEAL S/J RESV) INCL SPEC COLL $ 1,350.00
65
GASTROLOGY/ENDOSCOPY7500044386HC ENDOSCOPY BOWEL POUCH (KOCH, ILEAL S/J RESV) W/BX(S) $ 1,620.00
66
GASTROLOGY/ENDOSCOPY7500044388HC COLONOSCOPY VIA STOMA INCL SPEC COLL BRUSH/WASHING W/CS $ 2,420.00
67
GASTROLOGY/ENDOSCOPY7500044389HC COLONOSCOPY THRU STOMA/BIOP/SNG/MULTI W/CS $ 3,024.00
68
GASTROLOGY/ENDOSCOPY7500044394HC COLON/COLOSTOMY/POLYPECTOMY W/CS $ 2,873.00
69
GASTROLOGY/ENDOSCOPY7500044401HC COLONOSCOPY STOMA W/ABLAT TUMOR/POLYP/LESN $ 3,024.00
70
GASTROLOGY/ENDOSCOPY7500044404HC COLONOSCOPY STOMA W/INJECTION $ 2,179.00
71
GASTROLOGY/ENDOSCOPY4900044405HC COLONOSCOPY STOMA W/DILATION $ 3,096.00
72
GASTROLOGY/ENDOSCOPY4500044500HC PASS INTESTINE BLEEDING TUBE W/CS $ 958.00
73
GASTROLOGY/ENDOSCOPY7500045330HC SIGMOIDOSCOPY DIAG INCL SPEC COLLECT BRUSH/WASHING $ 1,922.00
74
GASTROLOGY/ENDOSCOPY7500045331HC FLEX SIGMOID W/BIOPSY SNGL/MULTI $ 2,435.00
75
GASTROLOGY/ENDOSCOPY7500045334HC SIGMOIDOSCOPY INCL CONTROL OF BLEEDING W/CS $ 3,204.00
76
GASTROLOGY/ENDOSCOPY7500045335HC SIGMOID W/INJ ANY SUBSTANCE W/CS $ 2,435.00
77
GASTROLOGY/ENDOSCOPY7500045338HC FLEX. SIGMOIDOSCOPY/POLYPECTOMY W/CS $ 3,204.00
78
GASTROLOGY/ENDOSCOPY7500045340HC SIGMOIDOSCOPY W/TRANENDO BALLOON DILATION W/CS $ 2,234.00
79
GASTROLOGY/ENDOSCOPY7500045341HC SIGMOIDOSCOPY FLEX W/ US EXAM $ 3,204.00
80
GASTROLOGY/ENDOSCOPY7500045346HC SIGMOIDOSCOPY W/ABLAT TUMOR/POLYP/LESN $ 3,331.00
81
GASTROLOGY/ENDOSCOPY7500045347HC SIGMOIDOSCOPY W/ENDOCOPIC STENT PLCMNT $ 3,331.00
82
GASTROLOGY/ENDOSCOPY7500045350HC SGMDSC W/BAND LIGATION $ 2,283.00
83
GASTROLOGY/ENDOSCOPY7500045378HC COLONOSCOPY DIAG INCL SPEC COLLECT BRUSH/WASHING W/CS $ 3,024.00
84
GASTROLOGY/ENDOSCOPY7500045379HC COLONOSCOPY W/RMVL FB(S) W/CS $ 3,894.00
85
GASTROLOGY/ENDOSCOPY7500045380HC COLONOSCOPY W/BIOPSY SNGL/MULTI W/CS $ 3,399.00
86
GASTROLOGY/ENDOSCOPY7500045381HC COLONOSCOPY W/INJ ANY SUBSTANCE W/CS $ 3,780.00
87
GASTROLOGY/ENDOSCOPY7500045382HC COLONOSCOPY W/ CONTROL BLEEDING W/CS $ 5,523.00
88
GASTROLOGY/ENDOSCOPY7500045385HC COLONOSCOPY W/RMVL TMR/POLYP/LSN SNARE W/CS $ 4,536.00
89
GASTROLOGY/ENDOSCOPY7500045386HC COLONOSCOPY W/TRANENDO BALLOON DILATION W/CS $ 3,780.00
90
GASTROLOGY/ENDOSCOPY7500045388HC COLONOSCOPY W/ABLAT TUMOR/POLYP/LESN $ 4,536.00
91
GASTROLOGY/ENDOSCOPY7500045389HC COLONOSCOPY W/STENT PLCMT $ 4,536.00
92
GASTROLOGY/ENDOSCOPY7500045390HC COLONOSCOPY WITH ENDO MUCOSAL RESECTION $ 3,808.00
93
GASTROLOGY/ENDOSCOPY7500045398HC COLONOSCOPY W/BAND LIGATION $ 3,315.00
94
GASTROLOGY/ENDOSCOPY7500045910HC DILATION OF RECTAL NARROWING $ 1,990.00
95
GASTROLOGY/ENDOSCOPY4500045915HC REM OF FECAL IMPACTION OF FB UNDER ANESTHESIA $ 3,964.00
96
GASTROLOGY/ENDOSCOPY4500246040HC I&D PERIRECTAL ABSCESS $ 3,964.00
97
GASTROLOGY/ENDOSCOPY7610046040HC I & D ISCHIO/PERIRECTAL ABSCESS $ 3,964.00
98
GASTROLOGY/ENDOSCOPY4500246050HC I&D PERIANAL ABSCESS $ 1,455.00
99
GASTROLOGY/ENDOSCOPY7610046050HC I & D PERIANAL ABSCESS SUPERFICIAL $ 1,455.00
100
GASTROLOGY/ENDOSCOPY7610146050HC I&D PERIANAL ABSCESS SUPERFICIAL $ 1,254.00
101
GASTROLOGY/ENDOSCOPY4500246083HC THROMBOSED HEMORRHOID INCIS EXT $ 515.00
102
GASTROLOGY/ENDOSCOPY7610046083HC INCISION THROMBOSED HEMORRHOID EXT $ 515.00
103
GASTROLOGY/ENDOSCOPY7610146083HC INCISION THROMBOSED HEMORRHOID EXT $ 444.00
104
GASTROLOGY/ENDOSCOPY7500046221HC LIGATION HEMORRHOIDS BY RUBBER BAND $ 1,264.00
105
GASTROLOGY/ENDOSCOPY7610046250HC HEMORRHOID DESTRUCTION EXT 2 > GROUPS $ 4,243.00
106
GASTROLOGY/ENDOSCOPY4500246320HC EXT THROMBOSED HEMORRHOID EXCISION $ 3,637.00
107
GASTROLOGY/ENDOSCOPY7610046320HC EXCISION THROMBOSED HEMORRHOID EXT $ 3,637.00
108
GASTROLOGY/ENDOSCOPY4500246600HC ANOSCOPY DIAG INCL SPEC COLLECT BRUSH/WASHING W/CS $ 203.00
109
GASTROLOGY/ENDOSCOPY7610046600HC ANOSCOPY DIAG INCL SPEC COLLECT BRUSH/WASHING W/CS $ 203.00
110
GASTROLOGY/ENDOSCOPY7610146600HC ANOSCOPY DIAG INCL SPEC COLLECT BRUSH/WASHING W/CS $ 203.00
111
GASTROLOGY/ENDOSCOPY7610046608HC ANOSCOPY W/ FB REMOVAL $ 1,530.00
112
GASTROLOGY/ENDOSCOPY7610046614HC ANOSCOPY W/ CTRL OF BLEEDING $ 833.00
113
GASTROLOGY/ENDOSCOPY3610047000HC BIOPSY,LIVER,PERC NEEDLE W/CS $ 1,897.00
114
GASTROLOGY/ENDOSCOPY3610047490HC DRAINAGE GALLBLADDER $ 6,596.00
115
GASTROLOGY/ENDOSCOPY3610047531HC CHOLANGIOGRAM THRU EXISTING TUBE $ 1,072.00
116
GASTROLOGY/ENDOSCOPY3610047533HC PLACE EXTERNAL BILIARY CATH COMPLETE $ 9,980.00
117
GASTROLOGY/ENDOSCOPY3610047534HC PLACE LNTERNAL & EXTERNAL BILIARY CATH COMPLETE $ 10,738.00
118
GASTROLOGY/ENDOSCOPY3610047536HC BILILARY DRAIN CATH CHANGE $ 4,366.00
119
GASTROLOGY/ENDOSCOPY3610047538HC PERQ PLMT BILE DUCT STENT $ 2,673.00
120
GASTROLOGY/ENDOSCOPY3610047542HC DILATE BILIARY DUCT/AMPULLA $ 5,328.00
121
GASTROLOGY/ENDOSCOPY3610047556HC TRANSCATH PLACE,STENT,BILIARY $ 2,500.00
122
GASTROLOGY/ENDOSCOPY3610048102HC BIOPSY,PANCREAS,PERC NEEDLE $ 3,504.00
123
GASTROLOGY/ENDOSCOPY3610049083HC ABD PARACENTESIS W/IMAGING $ 1,978.00
124
GASTROLOGY/ENDOSCOPY4500249083HC PERITONEOCENTESIS W/IMAGE GUIDE $ 1,978.00
125
GASTROLOGY/ENDOSCOPY7610049083HC PERITONEOCENTESIS W/IMAGE GUIDE $ 1,978.00
126
GASTROLOGY/ENDOSCOPY3610049180HC BIOPSY ABD/RETRO PERC NDL $ 1,897.00
127
GASTROLOGY/ENDOSCOPY3610049185HC SCLEROTX FLUID COLLECTION $ 2,970.00
128
GASTROLOGY/ENDOSCOPY3610049405HC IMG GD PERC VISCERA FLUID COLL/DRAIN BY CATH $ 5,564.00
129
GASTROLOGY/ENDOSCOPY3610049406HC IMG GD PERC PERI/RETRPERI FLUID COLL/DRAIN BY CATH $ 5,564.00
130
GASTROLOGY/ENDOSCOPY3610049418HC INSRT TUNNELED INTRPERITNL CATH PERC COMPLETE W/CS $ 6,322.00
131
GASTROLOGY/ENDOSCOPY3610049421HC INSERT PERITONEAL ABD DRAIN $ 7,586.00
132
GASTROLOGY/ENDOSCOPY7610049422HC REMOVE TUNNELED INTRAPERITONEAL CATHETER $ 3,248.00
133
GASTROLOGY/ENDOSCOPY3610049423HC EXCHANGE ABSCESS/CYST DRAINAGE CATH W/RAD GUIDANCE $ 3,504.00
134
GASTROLOGY/ENDOSCOPY3610049424HC CHG PERC TUBE/DRAIN CATH W CONTRAST $ 793.00
135
GASTROLOGY/ENDOSCOPY3610049440HC GASTROSTOMY TUBE PLACEMENT W/CS $ 1,897.00
136
GASTROLOGY/ENDOSCOPY7500049441HC INSERT D TUBE/J TUBE WITH FLUORO $ 2,529.00
137
GASTROLOGY/ENDOSCOPY7500049446HC CONVERT G TUBE TO GJ TUBE WITH FLUORO $ 2,529.00
138
GASTROLOGY/ENDOSCOPY7500049450HC REPLACE G TUBE/C-TUBE WITH FLUORO $ 1,264.00
139
GASTROLOGY/ENDOSCOPY7500049451HC REPLACE D TUBE/J-TUBE WITH FLUORO $ 1,517.00
140
GASTROLOGY/ENDOSCOPY7500049452HC REPLACE GJ TUBE WITH FLUORO $ 1,517.00
141
GASTROLOGY/ENDOSCOPY7500049465HC INJ EVALUATION GI TUBE WITH GUIDANCE $ 594.00
142
GASTROLOGY/ENDOSCOPY7500091010HC ESOPHAGUS MOTILITY STUDY $ 2,000.00
143
GASTROLOGY/ENDOSCOPY7500091013HC ESOPH MOTILITY STDY W/I&R W/STIM/PERFUSION $ 1,017.00
144
GASTROLOGY/ENDOSCOPY7500091020HC GASTRIC MOTILITY STUDIES $ 2,182.00
145
GASTROLOGY/ENDOSCOPY7500091034HC ACID REFLUX TEST $ 1,169.00
146
GASTROLOGY/ENDOSCOPY7500091035HC G-ESOPH REFLX TST W/ELECTROD $ 1,740.00
147
GASTROLOGY/ENDOSCOPY7500091037HC ESOPH FUNC TEST W/ INTERP $ 980.00
148
GASTROLOGY/ENDOSCOPY7500091038HC ESOPH FUNC TEST W/INTERP UPTO 24HRS $ 1,568.00
149
GASTROLOGY/ENDOSCOPY4886098BREATH HYDROGEN/METHANE TEST $ 480.00
150
GASTROLOGY/ENDOSCOPY7500091110HC GI TRACT CAPSULE ENDOSCOPY $ 4,361.00
151
GASTROLOGY/ENDOSCOPY7500091112HC GI WIRELESS CAPSULE MEASURE $ 4,200.00
152
GASTROLOGY/ENDOSCOPY7500091120HC RECTAL SENSATION TEST $ 3,267.00
153
GASTROLOGY/ENDOSCOPY7500091122HC ANORECTAL MANOMETRY $ 1,283.00
154
GASTROLOGY/ENDOSCOPY7500091132ELECTROGASTROGRAPHY $ 403.00
155
GASTROLOGY/ENDOSCOPY7500091133HC ELECTROGASTROPHY W/TEST $ 433.00
156
GASTROLOGY/ENDOSCOPY9240095076HC INGESTION CHALLENGE TEST INITIAL 120 MINS $ 1,364.00
157
GASTROLOGY/ENDOSCOPY9240095079HC INGESTION CHALLENGE TEST EA ADDL 60 MINS $ 718.00
158
GASTROLOGY/ENDOSCOPY9200095249HC CONT GLUC MNTR PT PROV EQP $ 206.00
159
GASTROLOGY/ENDOSCOPY9200095250HC GLUCOSE MONITOR CONT (MIN 72 HRS) $ 592.00
160
GASTROLOGY/ENDOSCOPY75000G0104HC SCREENING FLEXIBLE SIGMOIDOSCOPY $ 1,814.00
161
GASTROLOGY/ENDOSCOPY75000G0105HC SCREENING COLONOSCOPY HIGH RISK $ 3,024.00
162
GASTROLOGY/ENDOSCOPY75000G0121HC SCREENING COLONOSCOPY LOW RISK $ 3,326.00