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Outpatient Procedures

Estimated Average Prices for Procedures

These prices are for John C. Lincoln Health Network services performed at hospitals and facilities and DO NOT INCLUDE physicians' fees. If you would like an estimated average price for a specific location, please call: 623-434-6287.

The chart includes the following information:

  • The average charge for the procedure.
  • The average Arizona Health Care Cost Containment System (AHCCCS) payment John C. Lincoln Health Network receives for this procedure.
  • The average Medicare payment John C. Lincoln Health Network receives for this procedure.

Please select your procedure from the list below.

CPT Code CPT Code Description
45378 COLONOSCOPY, DIAGNOSTIC
45380 COLONOSCOPY, BIOPSY
43239 UPPER GI ENDOSCOPY, BIOPSY
47562 LAP, CHOLECYSTECTOMY
29881 KNEE SCOPE, MED/LAT MENISECTOMY
64721 REVISE MEDIAN N/CARPAL TUNNEL SURG
93005 ELECTROCARDIOGRAM, TRACING
29880 KNEE SCOPE, SINGLE MENISECTOMY
42820 REMOVE TONSILS/ADENOIDS, < 12 Y/O
49650 LAP, INGUINAL HERNIA REPR, INITIAL
45385 COLONOSCOPY, REMV LESN, SNARE
49505 REPAIR ING HERNIA, 5+Y/O, REDUCIBL
20680 REMOVAL DEEP IMPLANT
19125 EXCISE BREAST LES W XRAY MARKER
19120 EXCISE BREAST CYST
36590 REMOVAL TUNNELED CV CATH W SUBQ PORT OR PUMP
69436 CREATE EARDRUM OPENING,GEN ANESTH
58558 HYSTEROSCOPY,W/ENDO BX
46260 HEMORRHOIDECTOMY,INT/EXT, 2+ COLUMNS/GROUPS
26055 INCISE FINGER TENDON SHEATH
29888 KNEE SCOPE,AID ANT CRUCIATE REPAIR
50590 FRAGMENT KIDNEY STONE/ ESWL
49587 REPAIR UMBILICAL HERN,5+Y/O,STRANG
32405 PERCUT BX, LUNG/MEDIASTINUM
29877 KNEE SCOPE,SHAVE ARTICULAR CART
49585 REPAIR UMBILICAL HERN,5+Y/O,REDUC

Average Costs and Payments

45378 - COLONOSCOPY,DIAGNOSTIC
Average Charge: $2,909
Average Payment with AHCCCS: $637
Average Payment with Medicare: $715

45380 - COLONOSCOPY, BIOPSY
Average Charge: $4,364
Average Payment with AHCCCS: $685
Average Payment with Medicare: $778

43239 - UPPER GI ENDOSCOPY, BIOPSY
Average Charge: $4,922
Average Payment with AHCCCS: $853
Average Payment with Medicare: $809

47562 - LAP, CHOLECYSTECTOMY
Average Charge: $10,931
Average Payment with AHCCCS: $3,257
Average Payment with Medicare: $3,482

29881 - KNEE SCOPE, MED/LAT MENISECTOMY
Average Charge: $11,591
Average Payment with AHCCCS: $2,227
Average Payment with Medicare: $2,278

64721 - REVISE MEDIAN N/CARPAL TUNNEL SURG
Average Charge: $8,600
Average Payment with AHCCCS: $1,407
Average Payment with Medicare: $1,402

93005 - ELECTROCARDIOGRAM, TRACING
Average Charge: $20,150
Average Payment with AHCCCS: $2,408
Average Payment with Medicare: $5,140

29880 - KNEE SCOPE, SINGLE MENISECTOMY
Average Charge: $13,060
Average Payment with AHCCCS: $2,214
Average Payment with Medicare: $2,269

42820 - REMOVE TONSILS/ADENOIDS, < 12 Y/O
Average Charge: $6,477
Average Payment with AHCCCS: $1,889

49650 - LAP, INGUINAL HERNIA REPR, INITIAL
Average Charge: $15,207
Average Payment with AHCCCS: $4,048
Average Payment with Medicare: $4,347

45385 - COLONOSCOPY, REMV LESN, SNARE
Average Charge: $3,867
Average Payment with AHCCCS: $642
Average Payment with Medicare: $799

49505 - REPAIR ING HERNIA, 5+ Y/O, REDUCIBL
Average Charge: $10,161
Average Payment with AHCCCS: $2,362
Average Payment with Medicare: $2,488

20680 - REMOVAL DEEP IMPLANT
Average Charge: $11,894
Average Payment with AHCCCS: $1,765
Average Payment with Medicare: $1,835

19125 - EXCISE BREAST LES W XRAY MARKER
Average Charge: $9,352
Average Payment with AHCCCS: $2,762
Average Payment with Medicare: $2,253

19120 - EXCISE BREAST CYST
Average Charge: $6,954
Average Payment with AHCCCS: $1,789
Average Payment with Medicare: $1,926

36590 - REMOVAL TUNNELED CV CATH W SUBQ PORT OR PUMP
Average Charge: $3,539
Average Payment with AHCCCS: $633
Average Payment with Medicare: $824

69436 - CREATE EARDRUM OPENING,GEN ANESTH
Average Charge: $3,253
Average Payment with AHCCCS: $1,703
Average Payment with Medicare: $1,587

58558 - HYSTEROSCOPY, W/ENDO BX
Average Charge: $6,151
Average Payment with AHCCCS: $1,659
Average Payment with Medicare: $1,729

46260 - HEMORRHOIDECTOMY,INT/EXT, 2+ COLUMNS/GROUPS
Average Charge: $7,221
Average Payment with AHCCCS: $1,766
Average Payment with Medicare: $1,867

26055 - INCISE FINGER TENDON SHEATH
Average Charge: $5,976
Average Payment with AHCCCS: $1,182
Average Payment with Medicare: $1,288

29888 - KNEE SCOPE, AID ANT CRUCIATE REPAIR
Average Charge: $45,199
Average Payment with AHCCCS: $6,467
Average Payment with Medicare: $6,318

50590 - FRAGMENT KIDNEY STONE/ ESWL
Average Charge: $7,795
Average Payment with AHCCCS: $1,311
Average Payment with Medicare: $3,115

49587 - REPAIR UMBILICAL HERN,5+Y/O,STRANG
Average Charge: $8,761
Average Payment with AHCCCS: $2,287
Average Payment with Medicare: $2,420

32405 - PERCUT BX, LUNG/MEDIASTINUM
Average Charge: $7,995
Average Payment with AHCCCS: $1,349
Average Payment with Medicare: $1,050

29877 - KNEE SCOPE,SHAVE ARTICULAR CART
Average Charge: $13,685
Average Payment with AHCCCS: $2,036
Average Payment with Medicare: $2,150

49585 - REPAIR UMBILICAL HERN,5+Y/O,REDUC
Average Charge: $7,917
Average Payment with AHCCCS: $2,268
Average Payment with Medicare: $2,374

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