Typical costs for 31 procedures

Group Procedure
Ambulatory Surgical Center
Inpatient
Outpatient
Physician Office

Medicare-Ambulatory Surgical Center

Medicare-Outpatient
Medicare-Inpatient
Medicare-Physician Office
Surgical Procedures Angioplasty
 
$23,071.65
$7,454.23
 
 
 
 
 
Radiology/Other Ankle X-Ray
 
93.55
$36.24
Surgical Procedures Arthrocentesis Shoulder/Hip/Knee
$853.97
 
582.86
Surgical Procedures Arthroscopic Knee Surgery
1,617.36
 
2,484.59
Radiology/Other Bone Density Scan  
203.47
135.05
$64-$76
Surgical Procedures Breast Biopsy  
1,212.74
548.07
$291
351-448
Maternity Cesarean Delivery
6,782.42
Radiology/Other Chest X-Ray
84.00
37.56
39-77
Preventive Health Colonoscopy
669.12
1,039.58
451.80
336
477-610
Imaging CT-Abdomen    
697.34
322.65
Imaging CT-Head/Brain    
529.30
224.40
Surgical Procedures Destruction of Lesion    
795.03
63.49
$59
Emergency Room Visits Emergency Room Visit- Medium    
414.13
Emergency Room Visits Emergency Room Visit- Very Minor    
158.49
Radiology/Other Endoscopy
467.60
 
900.45
375.37
Radiology/Other Foot X-Ray
 
90.11
36.79
Surgical Procedures Gall Bladder Surgery-Laparoscopy
2,880.29
 
3,912.33
1,870 *
2,372-2,834
Surgical Procedures Hernia Repair
1,988.26
 
2,572.08
946 *
1,591-2,035
Surgical Procedures Hip Replacement - Total  
19,749.72
9,601-10,822
Preventive Health Intermediate (Adult) Office Visit    
63.26
57
Surgical Procedures Kidney Stone Removal-Lithotripsy
3,194.79
 
3,853.95
1,149.29
Surgical Procedures Knee Replacement -Total  
19,915.56
9,601-10,822
Preventive Health Mammogram    
102.67
87.94
Imaging MRI-Back    
1,004.32
566.39
309-395
Imaging MRI-Knee    
921.63
479.17
Radiology/Other Non-Maternity Ultrasound    
243.93
124.80
Surgical Procedures Rotator Cuff Surgery  
7,460.34
Surgical Procedures Tonsilectomy w/ Adenoidectomy
1,264.91
 
1,999.26
748 *
1,635
Maternity Ultrasound- Pregnancy    
216.75
160.17
Maternity Vaginal Birth  
4,285.92
Preventive Health Well Child Visit-Office  
98.37

* The national average payment amount Medicare will pay. Not specific to Virginia.

Source: www.ethiconendosurgery.com