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       Cost of Procedures and Patient Responsibility

IMPORTANT INFORMATION ABOUT PRICE ESTIMATES:

The  information below provides an estimated price for the top 20 minor surgical procedures performed on an outpatient basis at University of Washington Medical Center clinics located within the main hospital and at UWMC's Eastside Specialty Center, UWMC at Roosevelt, UW Medicine Regional Heart Center - Alderwood, UWMC Prosthetics and Orthotics Clinic, and the Center on Human Development and Disability. These estimated prices are only for the facility portion of a patient bill.To obtain a pre-service estimated average price for services or procedures not listed below, please contact the clinic or location where the services are provided. You may request that staff provide you with an estimated average price for both the facility portion and professional part of the service(s) or procedures(s) you are expected to receive.   

You will be billed separately by the University of Washington Physicians (UWP) for the professional part of the procedure. The information provided below is only an estimate for the specific procedures listed. Many factors will influence the actual amount you will be billed, including whether the practitioner finds it necessary to perform more, less, or different procedures at the time of service. There may also be radiology, laboratory, pathology, or other services required that will result in additional charges.

If your procedure is covered by insurance benefits, the insurance company will decide the amount you are responsible for paying. Your actual final financial responsibility will likely vary greatly from the estimated price.

In order to understand the full impact of patient financial responsibility, it is important that you, as the patient, coordinate with your insurance company once the practitioner has identified the procedures likely to be performed.

Patients who do not have insurance coverage or are unable to pay the patient responsibility portion of their bill, and who meet certain income criteria, may qualify for financial assistance. UWMC staff can also help patients apply for public health insurance programs such as Medicaid, Basic Health, or the Washington State Health Insurance.

UWMC Top 20 Outpatient Minor Surgery CPT Codes by Number of Encounters

HCPCs Code Full Description  FY10 FEE 
59025 Fetal non-stress test  $    202.00
17003 Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses); second through 14 lesions, each (List separately in addition to code for first lesion)  $       41.00
51798 Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging  $    103.00
36600 Arterial puncture, withdrawal of blood for diagnosis  $       53.00
11100 Biopsy of skin, subcutaneous tissue and/or mucous membrane (including simple closure), unless otherwise listed; single lesion  $    159.00
17000 Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses); first lesion  $    107.00
31579 Laryngoscopy, flexible or rigid fiberoptic, with stroboscopy  $    685.00
17110 Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), of benign lesions other than skin tags or cutaneous vascular proliferative lesions; up to 14 lesions  $    132.00
45378 Colonoscopy, flexible, proximal to splenic flexure; diagnostic, with or without collection of specimen(s) by brushing or washing, with or without colon decompression (separate procedure)  $ 1,468.00
43239 Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with biopsy, single or multiple  $ 1,266.00
45380 Colonoscopy, flexible, proximal to splenic flexure; with biopsy, single or multiple  $ 1,440.00
20610 Arthrocentesis, aspiration and/or injection; major joint or bursa (eg, shoulder, hip, knee joint, subacromial bursa)  $    369.00
11101 Biopsy of skin, subcutaneous tissue and/or mucous membrane (including simple closure), unless otherwise listed; each separate/additional lesion (List separately in addition to code for primary procedure)  $       98.00
64613 Chemodenervation of muscle(s); neck muscle(s) (eg, for spasmodic torticollis, spasmodic dysphonia)  $    325.00
51741 Complex uroflowmetry (eg, calibrated electronic equipment)  $    174.00
51702 Insertion of temporary indwelling bladder catheter; simple (eg, Foley)  $       95.00
17311 Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens, microscopic examination of specimens by the surgeon, and histopathologic preparation including routine stain(s) (  $    557.00
43235 Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure)  $ 1,118.00
58300 Insertion of intrauterine device (IUD)  $    368.00
52000 Cystourethroscopy (separate procedure)  $    918.00


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