Transparency in Health Care Prices Act

Senate Bill 17-065

Effective January 1, 2018

If you have health insurance coverage, you are strongly encouraged to consult with your health insurer to determine accurate information about your financial responsibility for a particular health care service provided by a health care provider at this office. If you do not have health insurance coverage, you are strongly encouraged to contact our business office personnel at (720) 979-0010 to discuss payment options and/or financial resources prior to receiving a health care service from a health care provider at this office since posted health care prices may not reflect the actual amount of your financial responsibility. Actual services provided during a surgical procedure may vary from the scheduled procedure and price quote, including but not limited to the medically necessary use of high cost drugs, implants, supplies and any procedures other than the original quote based on individual circumstances for each patient case.

The following is a list of the most commonly provided services at the Surgicare of Wichita.
Billed CPT Code Billed CPT Name Self Pay Rate
64483 INJECTION EPIDURAL MIDDLE OR LOW SPINE $ 340.32
69436 CREATE EARDRUM OPENING $ 1,011.32
41899 DENTAL SURGERY PROCEDURE $ 2,188.04
43239 UPPER GI-DIAGONISTIC WITH BIOPSY, SINGLE OR MULTIPLE $ 859.43
29826 SHOULDER ARTHROSCOPY/SURGERY WITH LIGAMENT RELEASE $ 1,578.20
62323 SPINAL INJECTION MIDDLE AND LOW SPINE $ 328.38
29827 ROTATOR CUFF REPAIR $ 1,316.12
30140 NASAL SURGERY/REMOVAL OF INFERIOR TURBINATE $ 919.20
58558 EXAM OF THE UTERUS WITH SCOPE WITH OR W/OUT BIOPSY OR D&C $ 1,064.18
42820 REMOVE TONSILS AND ADENOIDS-UNDER 12 YEARS $ 913.64
45380 COLONOSCOPY AND BIOPSY $ 859.43
30520 REPAIR OF NASAL SEPTUM $ 1,555.93
29881 KNEE SURGERY WITH MENISCUS REPAIR/REMOVAL $ 913.64
45378 DIAGNOSTIC COLONOSCOPY $ 859.43
62321 SPINAL INJECTION NECK OR UPPER SPINE $ 328.38
29824 SHOULDER ARTHROSCOPY/SURGERY WITH PARTIAL SHOULDER BLADE REMOVAL $ 1,450.54
45385 COLONOSCOPY WITH LESION REMOVAL BY SNARE $ 859.43
20680 REMOVAL OF DEEP IMPLANT - PIN, PLATE, SCREW, WIRE $ 996.71
31267 EXPLORATION NASAL/MAXILLARY SINUS WITH TISSUE REMOVAL $ 1,379.16
20926 REMOVAL OF TISSUE FOR GRAFTING $ 873.34
29828 REPAIR BICEPS TENDON INJURY $ 2,796.82
29822 SHOULDER ARTHROSCOPY/SURGERY, WITH REMOVAL OF DAMAGED TISSUE OR FOREIGN OBJECT $ 1,347.84
31255 REMOVAL OF ETHMOID SINUS-TOTAL $ 1,510.51
68815 PROBE TEAR DUCT $ 731.35
42826 REMOVAL OF TONSILS-OVER 12 YEARS $ 913.64
59820 CARE OF MISCARRIAGE $ 725.27
64721 CARPAL TUNNEL SURGERY $ 1,922.31