Elliot Health System is a non-profit organization serving your healthcare needs since 1890.

Gastrology Endoscopy Price Lists

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


ABCD    IJKLMNOPQRSTUVWXYZ
1
CategoryCharge CodeDescription 1/1/2019
Unit Charge
2
GASTROLOGY & ENDOSCOPY
7500091034ACID REFLUX TEST $ 1,008
3
GASTROLOGY & ENDOSCOPY
7500091122ANORECTAL MANOMETRY $ 1,177
4
GASTROLOGY & ENDOSCOPY
7610046600ANOSCOPY DIAG INCL SPEC COLLECT BRUSH/WASHING W/CS $ 225
5
GASTROLOGY & ENDOSCOPY
7500043244BAND OF VARICES-EGD W/CS $ 3,028
6
GASTROLOGY & ENDOSCOPY
9104012BILILARY DRAIN CATH CHANGE $ 4,366
7
GASTROLOGY & ENDOSCOPY
3610049180BIOPSY ABD/RETRO PERC NDL $ 1,635
8
GASTROLOGY & ENDOSCOPY
7610040490BIOPSY OF LIP $ 407
9
GASTROLOGY & ENDOSCOPY
3610042400BIOPSY OF SALIVARY GLAND $ 1,090
10
GASTROLOGY & ENDOSCOPY
3610047000BIOPSY,LIVER,PERC NEEDLE W/CS $ 1,635
11
GASTROLOGY & ENDOSCOPY
3610048102BIOPSY,PANCREAS,PERC NEEDLE $ 3,504
12
GASTROLOGY & ENDOSCOPY
4886098BREATH HYDROGEN/METHANE TEST $ 480
13
GASTROLOGY & ENDOSCOPY
7500049446CHANGE G TUBE TO G-J PERC $ 2,180
14
GASTROLOGY & ENDOSCOPY
9103197CHG PERC TUBE/DRAIN CATH W CONTRAST $ 1,110
15
GASTROLOGY & ENDOSCOPY
3610047531CHOLANGIOGRAM THRU EXISTING TUBE $ 1,007
16
GASTROLOGY & ENDOSCOPY
7500044389COLON THRU STOMA/BIOP/SNG/MULTI W/CS $ 3,024
17
GASTROLOGY & ENDOSCOPY
7500044394COLON/COLOSTOMY/POLYPECTOMY W/CS $ 2,873
18
GASTROLOGY & ENDOSCOPY
7500045378COLONOSCOPY DIAG INCL SPEC COLLECT BRUSH/WASHING W/CS $ 3,024
19
GASTROLOGY & ENDOSCOPY
7500044388
COLONOSCOPY VIA STOMA INCL SPEC COLL BRUSH/WASHING W/CS
$ 2,420
20
GASTROLOGY & ENDOSCOPY
7500045382COLONOSCOPY W/ CONTROL BLEEDING W/CS $ 5,523
21
GASTROLOGY & ENDOSCOPY
7500045388COLONOSCOPY W/ABLAT TUMOR/POLYP/LESN $ 4,536
22
GASTROLOGY & ENDOSCOPY
7500045398COLONOSCOPY W/BAND LIGATION $ 3,315
23
GASTROLOGY & ENDOSCOPY
7500045380COLONOSCOPY W/BIOPSY SNGL/MULTI W/CS $ 3,300
24
GASTROLOGY & ENDOSCOPY
7500045381COLONOSCOPY W/INJ ANY SUBSTANCE W/CS $ 3,780
25
GASTROLOGY & ENDOSCOPY
7500045379COLONOSCOPY W/RMVL FB(S) W/CS $ 3,780
26
GASTROLOGY & ENDOSCOPY
7500045385COLONOSCOPY W/RMVL TMR/POLYP/LSN SNARE W/CS $ 4,536
27
GASTROLOGY & ENDOSCOPY
7500045386COLONOSCOPY W/TRANENDO BALLOON DILATION W/CS $ 3,780
28
GASTROLOGY & ENDOSCOPY
7500045390COLONOSCOPY WITH ENDO MUCOSAL RESECTION $ 3,808
29
GASTROLOGY & ENDOSCOPY
3610047542DILATE BILIARY DUCT/AMPULLA $ 5,328
30
GASTROLOGY & ENDOSCOPY
3610047490DRAINAGE GALLBLADDER $ 6,596
31
GASTROLOGY & ENDOSCOPY
7500043254EGD TRANSORAL ENDOSCOPIC MUCOSAL RESECTION $ 3,133
32
GASTROLOGY & ENDOSCOPY
7500043235EGD W/CS $ 2,089
33
GASTROLOGY & ENDOSCOPY
7500043266EGD W/ENDO STENT PLACEMENT $ 2,924
34
GASTROLOGY & ENDOSCOPY
7500043236EGD W/INJ ANY SUBSTANCE W/CS $ 2,846
35
GASTROLOGY & ENDOSCOPY
7500043270EGD, TRNSORAL W/TUMOR ABLATION $ 3,133
36
GASTROLOGY & ENDOSCOPY
7500043253EGD,TRNSORAL W/ENDO US GUID TRNSMURL INJ DX/THER $ 3,028
37
GASTROLOGY & ENDOSCOPY
7500043255EGD/BICAP CONTROL BLEED W/CS $ 3,655
38
GASTROLOGY & ENDOSCOPY
7500043239EGD/BIOPSY/SNGL/MULTI W/CS $ 2,846
39
GASTROLOGY & ENDOSCOPY
7500043249EGD/DIL BALLOON W/CS $ 2,611
40
GASTROLOGY & ENDOSCOPY
7500043248EGD/DIL OVER WIRE ESOPH W/CS $ 2,846
41
GASTROLOGY & ENDOSCOPY
7500043245EGD/DILATION/PYLORUS W/CS $ 2,611
42
GASTROLOGY & ENDOSCOPY
7500043251EGD/POLYPECTOMY W/CS $ 3,241
43
GASTROLOGY & ENDOSCOPY
4500043247EGD/TRNSORAL FB(S) REMOVAL W/CS $ 2,820
44
GASTROLOGY & ENDOSCOPY
7500043246EGDE PEG TUBE INSERTION W/CS $ 2,820
45
GASTROLOGY & ENDOSCOPY
7500043273
ENDO CANNULATION OF PAPILLA W/DIRECT VIS OF PANCREATIC/BILE DUCT(S)
$ 1,313
46
GASTROLOGY & ENDOSCOPY
7500044386ENDOSCOPY BOWEL POUCH (KOCH, ILEAL S/J RESV) W/BX(S) $ 1,800
47
GASTROLOGY & ENDOSCOPY
7500043277ERCP BALLOON DILATE BILIARY/PANC DUCT/AMPULLA EA $ 4,139
48
GASTROLOGY & ENDOSCOPY
7500043276ERCP BILIARY/PANC DUCT STENT EXCHANGE W/DIL&WIRE $ 4,715
49
GASTROLOGY & ENDOSCOPY
7500043274ERCP STENT PLACEMENT BILIARY/PANCREATIC DUCT $ 4,715
50
GASTROLOGY & ENDOSCOPY
7500043261ERCP W/BIOPSY SNGL/MULTI W/CS $ 3,603
51
GASTROLOGY & ENDOSCOPY
7500043260ERCP W/CS $ 2,089
52
GASTROLOGY & ENDOSCOPY
7500043275ERCP W/REMVL OF FB(S)/STENT(S) BILRY/PNCRTC DUCT $ 4,139
53
GASTROLOGY & ENDOSCOPY
7500043265ERCP/LITHOTRIPSY W/CS $ 2,611
54
GASTROLOGY & ENDOSCOPY
7500043262ERCP/SPHINCTEROTOMY W/CS $ 3,603
55
GASTROLOGY & ENDOSCOPY
7500043264ERCP/STONE REMOVAL W/CS $ 3,603
56
GASTROLOGY & ENDOSCOPY
4500241800ER-DRNG ABSCS CYST,HEMATMA-DENTLVLR $ 420
57
GASTROLOGY & ENDOSCOPY
7500043460ESOPG/GSTR TAMPONADE W/BALO $ 1,200
58
GASTROLOGY & ENDOSCOPY
7500043231ESOPH ENDOSCOPY W/ US EXAM $ 2,611
59
GASTROLOGY & ENDOSCOPY
7500043232ESOPH ENDOSCOPY W/ US EXAM FN NDL BX $ 2,924
60
GASTROLOGY & ENDOSCOPY
7500091037ESOPH FUNC TEST W/ INTERP $ 845
61
GASTROLOGY & ENDOSCOPY
7500091038ESOPH FUNC TEST W/INTERP UPTO 24HRS $ 1,352
62
GASTROLOGY & ENDOSCOPY
3602869ESOPH W/BAND LIG (VARIC) W/CS $ 2,089
63
GASTROLOGY & ENDOSCOPY
7500043197ESOPHAGOSCOP FLES DX BRUSH $ 2,043
64
GASTROLOGY & ENDOSCOPY
4500043200ESOPHAGUS DX W/CS $ 1,462
65
GASTROLOGY & ENDOSCOPY
7500091010ESOPHAGUS MOTILITY STUDY $ 2,000
66
GASTROLOGY & ENDOSCOPY
7500043220ESOPHAGUS W/BALLOON DIL W/CS $ 2,089
67
GASTROLOGY & ENDOSCOPY
3610049423EXCHANGE ABSCESS/CYST DRAINAGE CATH W/RAD GUIDANCE $ 3,504
68
GASTROLOGY & ENDOSCOPY
4500246320EXT THROMBOSED HEMORRHOID EXCISION $ 3,135
69
GASTROLOGY & ENDOSCOPY
7500045331FLEX SIGMOID W/BIOPSY SNGL/MULTI $ 2,435
70
GASTROLOGY & ENDOSCOPY
7500045338FLEX. SIGMOIDOSCOPY/POLYPECTOMY W/CS $ 3,204
71
GASTROLOGY & ENDOSCOPY
4500243753GASTR INTUBATION/ASP THERAP INCL LAVAGE $ 199
72
GASTROLOGY & ENDOSCOPY
6303528GASTR TUBE FLUORO EXAM $ 512
73
GASTROLOGY & ENDOSCOPY
7500091110
GASTRO TRACT IMAGING, INTRAMINAL ESOPHAGUS W/INTERP AND REPORT
$ 4,361
74
GASTROLOGY & ENDOSCOPY
3610049440GASTROSTOMY TUBE PLACEMENT W/CS $ 1,635
75
GASTROLOGY & ENDOSCOPY
6303527GASTROSTOMY TUBE REPLCMT PERC $ 1,090
76
GASTROLOGY & ENDOSCOPY
4500242720I&D ABSCESS, PARAPHARYNGEAL $ 2,050
77
GASTROLOGY & ENDOSCOPY
4500246050I&D PERIANAL ABSCESS $ 1,254
78
GASTROLOGY & ENDOSCOPY
4500246040I&D PERIRECTAL ABSCESS $ 3,417
79
GASTROLOGY & ENDOSCOPY
4500242700I&D PERITONSILLAR ABSCESS $ 826
80
GASTROLOGY & ENDOSCOPY
7500044380ILEOSCOPY VIA STOMA INCL SPEC COLL W/CS $ 1,800
81
GASTROLOGY & ENDOSCOPY
7500044381ILLEOSCOPY THRU STOMA WITH DILATION $ 2,400
82
GASTROLOGY & ENDOSCOPY
3610049406IMG GD PERC PERI/RETRPERI FLUID COLL/DRAIN BY CATH $ 5,564
83
GASTROLOGY & ENDOSCOPY
3610049405IMG GD PERC VISCERA FLUID COLL/DRAIN BY CATH $ 5,564
84
GASTROLOGY & ENDOSCOPY
3610049418INSRT TUNNELED INTRPERITNL CATH PERC COMPLETE W/CS $ 5,450
85
GASTROLOGY & ENDOSCOPY
3703303LAC 2.5CM/< ANTERIOR 2/3 TONGUE $ 261
86
GASTROLOGY & ENDOSCOPY
4500249083PERITONEOCENTESIS W/IMAGE GUIDE $ 1,978
87
GASTROLOGY & ENDOSCOPY
3610047533PLACE EXTERNAL BILIARY CATH COMPLETE $ 9,980
88
GASTROLOGY & ENDOSCOPY
3610047534PLACE LNTERNAL & EXTERNAL BILIARY CATH COMPLETE $ 10,738
89
GASTROLOGY & ENDOSCOPY
7500049441PLCMT DUODENOSTOMY/JEJ TUBE PERC W/CS $ 2,180
90
GASTROLOGY & ENDOSCOPY
7500091120RECTAL SENSATION TEST $ 2,816
91
GASTROLOGY & ENDOSCOPY
4500045915REM OF FECAL IMPACTION OF FB UNDER ANESTHESIA $ 3,417
92
GASTROLOGY & ENDOSCOPY
4500242809REMOVAL FB PHARYNX $ 342
93
GASTROLOGY & ENDOSCOPY
7610049422REMOVAL OF TUNNELED INTRAPERITONEAL CATHETER $ 2,800
94
GASTROLOGY & ENDOSCOPY
4500240650REPAIR LIP, FULL THICK, VERMILION $ 1,481
95
GASTROLOGY & ENDOSCOPY
7500049451REPLACE DUOD/JEJ TUBE PERC $ 1,308
96
GASTROLOGY & ENDOSCOPY
7500049452REPLACE G-J TUBE PERC $ 1,308
97
GASTROLOGY & ENDOSCOPY
75000G0104SCREENING FLEX SIG ROUTINE(MDCR,TRICARE,MP) $ 1,814
98
GASTROLOGY & ENDOSCOPY
75000G0105SCRN COLONOSCOPY HI RISK(F/H)(MDCR,TRI,MP) $ 3,024
99
GASTROLOGY & ENDOSCOPY
7500045350SGMDSC W/BAND LIGATION $ 2,283
100
GASTROLOGY & ENDOSCOPY
7500045335SIGMOID W/INJ ANY SUBSTANCE W/CS $ 2,435
101
GASTROLOGY & ENDOSCOPY
3602588
SIGMOIDOSCOPY DECOMP VOLVULUS INCL PLCMNT OF DECOMP TUBE
$ 3,204
102
GASTROLOGY & ENDOSCOPY
7500045330SIGMOIDOSCOPY DIAG INCL SPEC COLLECT BRUSH/WASHING $ 1,922
103
GASTROLOGY & ENDOSCOPY
7500045341SIGMOIDOSCOPY FLEX W/ US EXAM $ 3,204
104
GASTROLOGY & ENDOSCOPY
7500045334SIGMOIDOSCOPY INCL CONTROL OF BLEEDING W/CS $ 3,204
105
GASTROLOGY & ENDOSCOPY
3604767SIGMOIDOSCOPY W/ABLAT TUMOR/POLYP/LESN $ 3,331
106
GASTROLOGY & ENDOSCOPY
7500045340SIGMOIDOSCOPY W/TRANENDO BALLOON DILATION W/CS $ 2,234
107
GASTROLOGY & ENDOSCOPY
7500044366SM BOWEL CONTROL BLEED W/CS $ 2,500
108
GASTROLOGY & ENDOSCOPY
7500044382SM BOWEL ILEOSCOPY VIA STOMA W/BX W/CS $ 2,200
109
GASTROLOGY & ENDOSCOPY
7500044361SM BOWEL W/BIOPSY W/CS $ 1,900
110
GASTROLOGY & ENDOSCOPY
7500044364SM BOWEL W/REMOVAL SNARE W/CS $ 2,349
111
GASTROLOGY & ENDOSCOPY
7500044360SMALL BOWEL ENDOSCOPY INCL SPEC COLL W/CS $ 1,400
112
GASTROLOGY & ENDOSCOPY
3604756SMALL BOWEL ENDO W/O ILEUM, W/CS $ 1,900
113
GASTROLOGY & ENDOSCOPY
7500044369SMALL BOWEL W/ABLATION OF LESION $ 2,000
114
GASTROLOGY & ENDOSCOPY
4500246083THROMBOSED HEMORRHOID INCIS EXT $ 444
115
GASTROLOGY & ENDOSCOPY
7500043238UPPER GI ENDOSC W/ US FN NDL BX ESOPH $ 2,924
116
GASTROLOGY & ENDOSCOPY
7500043237UPPER GI ENDOSC W/US EXAM ESOPH $ 2,715
117
GASTROLOGY & ENDOSCOPY
7500043259UPPER GI ENDOSCOPIC US EXAM $ 2,924
118
GASTROLOGY & ENDOSCOPY
7500043242UPPER GI ENDOSCOPY W/US FINE NDL BX $ 3,028
119
GASTROLOGY & ENDOSCOPY
75000G0121SCREENING COLONSCOPY NON-RISK $ 3,326