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Orthopaedics Price Lists

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


ABCD
1
CategoryCharge CodeDescription 1/1/2019
Unit Charge
2
ORTHOPEDICS
4500227840ANKLE DISLOCATION $ 598
3
ORTHOPEDICS
3610020605
ASP/INJ INTERMEDIATE JOINT/BURSA WO US GUIDANCE
$ 524
4
ORTHOPEDICS
7610020611ASP/INJ MAJOR JOINT/BURSA W/US GUIDANCE $ 658
5
ORTHOPEDICS
7610220610ASP/INJ MAJOR JOINT/BURSA WO US GUIDANCE $ 543
6
ORTHOPEDICS
3610020600ASP/INJ SMALL JOINT/BURSA WO US GUIDANCE $ 512
7
ORTHOPEDICS
3610020615ASPIRATION & INJ TX BONE CYST $ 1,990
8
ORTHOPEDICS
3610020206BIOPSY MUSCLE PERC NEEDLE $ 1,635
9
ORTHOPEDICS
7610021552BIOPSY SOFT TISSUE OF NECK OR THORAX >3CM $ 3,500
10
ORTHOPEDICS
3610020225BIOPSY,BONE,DEEP $ 2,725
11
ORTHOPEDICS
3610020220BIOPSY,BONE,SUPERFICIAL $ 1,308
12
ORTHOPEDICS
3610020245BONE BIOPSY OPEN DEEP $ 1,827
13
ORTHOPEDICS
4500227508CLD TX FML FX DIST END W/O MAN $ 399
14
ORTHOPEDICS
4500221310CLD TX NASAL BONE FX W/O MANIP $ 284
15
ORTHOPEDICS
4500223600CLD TX PROXI HUM FX W/O MAN $ 570
16
ORTHOPEDICS
4500227808CLD TX,BIM ANKLE FX W/O MANIP $ 570
17
ORTHOPEDICS
4500227520CLD TX,PATELLAR FX W/O MANIP $ 427
18
ORTHOPEDICS
4500227530CLD TX,TIBIAL FX PROX W/O MANIP $ 399
19
ORTHOPEDICS
4500227816CLD TX,TRIM ANKLE FX W/O MANIP $ 512
20
ORTHOPEDICS
4500227810CLO TX BIMALLEO ANK FX W/MANIP $ 1,024
21
ORTHOPEDICS
3703600CLO TX CARPOMTACRPL DIS W/M NO THMB $ 444
22
ORTHOPEDICS
3703337CLO TX FEMORAL SHFT W/MANIP $ 4,551
23
ORTHOPEDICS
3703634CLO TX RAD SHAFT FX W/MANIP $ 1,026
24
ORTHOPEDICS
4500227818CLO TX TRIMALLEO FX W/MANIP $ 986
25
ORTHOPEDICS
3703378CLO TX,FX PHALANX,PHALANG W/MAN $ 470
26
ORTHOPEDICS
4500225630CLOSED TX CARPAL BONE FX W/O MANIP EACH $ 658
27
ORTHOPEDICS
4500224530
CLOSED TX OF SUPRACONDYLAR HUMERAL FX W/O MANIP
$ 740
28
ORTHOPEDICS
4500227767CLOSED TX POST ANKLE FX $ 604
29
ORTHOPEDICS
4500225565CLSD RDCTN RAD/ULNAR SHFT W/MAN $ 1,054
30
ORTHOPEDICS
4500223620CLSD TX > HUMRL TUBEY FX W/O MA $ 314
31
ORTHOPEDICS
4500223500CLSD TX CLAVICULAR FX W/O MANIP $ 456
32
ORTHOPEDICS
4500228435CLSD TX FX TALUS W/MANIP $ 1,937
33
ORTHOPEDICS
4500223570CLSD TX SCAPULAR FX W/O MANIP $ 399
34
ORTHOPEDICS
4500227760CLSD TX,ANKLE FX W/O MANIP $ 427
35
ORTHOPEDICS
4500225622CLSD TX,CRPL SCAPHD FX W/O MANIP $ 427
36
ORTHOPEDICS
4500227786CLSD TX,DISTAL FIB FX W/O MANIP $ 541
37
ORTHOPEDICS
3704525CLSD TX,DISTL RADIOULNR DIS W/MANIP $ 911
38
ORTHOPEDICS
4500228490CLSD TX,FX GREAT TOE W/O MANIP $ 399
39
ORTHOPEDICS
4500228510CLSD TX,FX TOE W/O MANIP EA $ 399
40
ORTHOPEDICS
4500228400CLSD TX,HEEL FX W/O MANIP $ 371
41
ORTHOPEDICS
4500227252CLSD TX,HIP DISLOC,TRAUMA W/ANES $ 2,848
42
ORTHOPEDICS
4500224576CLSD TX,HUMRL CNDYLR FX W/O MANIP $ 371
43
ORTHOPEDICS
4500225690CLSD TX,LUNATE DISLOC W/MANIP $ 2,278
44
ORTHOPEDICS
4500227824CLSD TX,LWR LEG FX W/O MANIP $ 797
45
ORTHOPEDICS
3705134CLSD TX,METARSAL FX W/MANIP EA $ 456
46
ORTHOPEDICS
4500228470CLSD TX,METRSAL FX W/O MANIP EA $ 399
47
ORTHOPEDICS
4500226720CLSD TX,PHALANGEAL SHFT FX W/O MANI $ 399
48
ORTHOPEDICS
4500227780CLSD TX,PROX FIBULA/SHFT FX W/O MAN $ 1,595
49
ORTHOPEDICS
4500224650CLSD TX,RAD HEAD/NCK FX W/O MANI $ 627
50
ORTHOPEDICS
4500225500CLSD TX,RADIAL SHFT FX W/O MANIP $ 371
51
ORTHOPEDICS
4500225560CLSD TX,RDL&ULNR SHFT FX W/O MANIP $ 427
52
ORTHOPEDICS
4500228430CLSD TX,TALUS FX W/O MANIP $ 399
53
ORTHOPEDICS
4500227750CLSD TX,TIBIAL SHFT FX W/O MANIP $ 607
54
ORTHOPEDICS
4500225650CLSD TX,ULNAR STYLOID FX $ 826
55
ORTHOPEDICS
4500224670CLSD TX,ULNR FX,PROX END W/O MANIP $ 399
56
ORTHOPEDICS
4500225535CLSD TX,ULNR SHFT FX W/MANIP $ 484
57
ORTHOPEDICS
4500225530CLSD TX,ULNR SHFT FX W/O MANIP $ 427
58
ORTHOPEDICS
4500224600DISLOC ELBW W/MANIPULATION $ 598
59
ORTHOPEDICS
4500225605DISTAL RADIAL FX W/MANIPULATION $ 1,026
60
ORTHOPEDICS
4500225600DISTAL RADIAL FX W/O MANIPULATION $ 427
61
ORTHOPEDICS
4500226010DRNGE,FINGER ABSCESS;SIMPLE $ 399
62
ORTHOPEDICS
7610025071EXC FOREARM LES SC 3CM/> $ 3,200
63
ORTHOPEDICS
7610027043EXC TUMOR PELVIS/HIP SUBCU 3.0 CM OR > $ 4,500
64
ORTHOPEDICS
7610023075
EXC TUMOR SOFT TISS SHOULDER SUBCU < 3.0 CM
$ 2,500
65
ORTHOPEDICS
7610021555EXCISE LESN NECK/CHEST,SUBCUTAN $ 2,800
66
ORTHOPEDICS
7610022902
EXCISE TUMR SFT TISSUE ABDOMINAL WALL SUBQ <3CM
$ 2,000
67
ORTHOPEDICS
7610024071
EXCISE TUMR SFT TISSUE UPPER ARM/ELBOW >3CM
$ 3,500
68
ORTHOPEDICS
7610024075
EXCISE TUMR SFT TISSUE UPPR ARM/ELBOW SUBQ <3CM
$ 2,000
69
ORTHOPEDICS
4500220103EXPLORE PENETR.WND EXTREMITY $ 4,556
70
ORTHOPEDICS
4500226011FELON I&D $ 1,937
71
ORTHOPEDICS
4500226755FINGER FX EA W/MANIP $ 392
72
ORTHOPEDICS
4500226750FINGER FX EA W/O MANIP $ 371
73
ORTHOPEDICS
3610027266HIP ARTHROPLASTY DISLOCATION $ 4,097
74
ORTHOPEDICS
4500227250HIP DISLOCATION $ 512
75
ORTHOPEDICS
4500224500HUMERAL SHAFT FX W/O MANIP $ 399
76
ORTHOPEDICS
3610027093INJ ARTHROGRAM HIP $ 1,249
77
ORTHOPEDICS
3610023350INJ ARTHROGRAM SHOULDER $ 867
78
ORTHOPEDICS
3610025246INJ ARTHROGRAM WRIST $ 1,081
79
ORTHOPEDICS
3610020501INJ FISTULA/SINUS TRACT $ 789
80
ORTHOPEDICS
3610027096INJ SI JOINT W/IMAGE GUIDANCE $ 815
81
ORTHOPEDICS
3610020550INJ TENDON LIG GANGLION CYST $ 444
82
ORTHOPEDICS
3610020551INJ TENDON ORIGIN/INSERT $ 400
83
ORTHOPEDICS
3610020552INJ TRIG PTS, 1/2 MUSC GRPS $ 399
84
ORTHOPEDICS
3610020553INJ TRIG PTS, 3/+ MUSC GRPS $ 424
85
ORTHOPEDICS
7610020526INJ, THER, CARPAL TUNNEL $ 435
86
ORTHOPEDICS
4500226770INTERPHALANGEAL DISLOC TX $ 427
87
ORTHOPEDICS
4500227550KNEE DISLOCATION $ 484
88
ORTHOPEDICS
3610027570KNEE MANIP W/ANESTHESIA $ 3,270
89
ORTHOPEDICS
3610022515KYPHOPLASTY EA ADDL VERTEBRAL BDY $ 8,772
90
ORTHOPEDICS
3610022514KYPHOPLASTY LUMBAR $ 21,015
91
ORTHOPEDICS
3610022513KYPHOPLASTY THORACIC $ 21,015
92
ORTHOPEDICS
3610024300MANIP ELBOW UNDER ANESTHESIA $ 2,278
93
ORTHOPEDICS
3610026340MANIP, FINGER JOINT W/ANES EA $ 941
94
ORTHOPEDICS
4500226605MATACARPAL FX W/MANIP EA $ 512
95
ORTHOPEDICS
4500226600METACARPAL FRACTURE EA $ 427
96
ORTHOPEDICS
4500226700METACARPOPHALANG DISLOC $ 484
97
ORTHOPEDICS
4500228630METATARSOPHALANGEAL DISLOC $ 392
98
ORTHOPEDICS
3706885MONITOR INTERST FLUID PRESSURE $ 460
99
ORTHOPEDICS
4500227560PATELLAR DISLOCATION $ 512
100
ORTHOPEDICS
6202031PERQ VERTEBROPLASTY UNI IJX CERIVCOTHROACIC $ 17,352
101
ORTHOPEDICS
4500224640RADIAL HEAD SUBLUXATION CHIL $ 518
102
ORTHOPEDICS
4500225260REPAIR FOREARM TENDON/MUSCLE $ 2,307
103
ORTHOPEDICS
6604252RF ABLATION BONE TOMUR(S) INC GUIDANCE $ 2,795
104
ORTHOPEDICS
4500228190RMVL FB, FOOT;SUBCUT $ 1,139
105
ORTHOPEDICS
4500229125SHORT ARM SPLINT $ 284
106
ORTHOPEDICS
4500223650SHOULDER DISLOC/MANIPULATION $ 540
107
ORTHOPEDICS
4500229130SPLINT-FINGER (STATIC) $ 199
108
ORTHOPEDICS
4500229105SPLINT-LONG ARM $ 371
109
ORTHOPEDICS
4500229505SPLINT-LONG LEG $ 427
110
ORTHOPEDICS
4500229515SPLINT-SHORT LEG $ 409
111
ORTHOPEDICS
4500221480TMJ DISLOCATION $ 427
112
ORTHOPEDICS
4500228660TOE DISLOCATION EX $ 399
113
ORTHOPEDICS
3703071TREAT HUMERUS W/O MANIPULATN $ 366
114
ORTHOPEDICS
4500228450TX OF TARSAL BONE FRACTURE; W/O MANIP, EACH $ 350