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Package

Bronchoscopy with lung biopsy

Package

Bronchoscopy with lung biopsy

This type of bronchoscopy uses a thin, flexible camera inserted through the nose or mouth to view the airways and collect a tissue sample directly from the lung, rather than from surrounding lymph nodes. This approach is used to evaluate abnormalities within the lung tissue itself, such as masses, infections, or inflammatory conditions identified on imaging. The procedure is done under sedation, and most patients go home the same day. The tissue sample is analyzed in a laboratory to help confirm a diagnosis.
You'd pay up to
$34,741 / Case Rate

A single, all-inclusive pricing methodology for a procedure in healthcare contracts, instead of separate charges for each service.

The estimated total cost of care without any insurance coverage or discounts.

$34,741

Without insurance

What goes into a price?

Negotiated prices across insurers

Lowest
$15,718
Highest
$49,906
Cash price
up to $34,741

Self pay or cash prices vary by facility when paying out of pocket without insurance benefits. The chart shows you how the lowest and highest amounts facilities charge for this service if you were paying without insurance benefits. If you're uninsured or not submitting a claim to insurance, you also have the right to a Good Faith Estimate under federal law. Contact the provider for a copy of your Good Faith Estimate or to better understand payment options available to you.

Procedures included in this package

This list includes the services and fees bundled into the Bronchoscopy with lung biopsy Standard Service Package (SSP EN002). The final price for the procedure will depend on which services your provider ultimately performs, your insurance plan and your medical benefits.

Code Code Type Description
HCPCS 87015 Facility Fee Quantitative Detection of Infectious Agents by Concentration Method
HCPCS J3490 Facility Fee Pharmaceuticals without Categories
HCPCS 87116 Facility Fee Microscopic Identification of Acid-fast Bacilli with Isolation of Any Source
HCPCS J7030 Facility Fee Intravenous infusion of 1000cc of normal saline
HCPCS 71045 Facility Fee X-ray of chest for viewing single structure
HCPCS 87070 Facility Fee Bacterial culture of non-urine, non-blood, non-stool sample, with identification
HCPCS J1100 Facility Fee Intramuscular injection of 1mg dexamethasone sodium phosphate
HCPCS 88112 Facility Fee Liquid Based Cytology with Focused Cellular Analysis and Interpretation
HCPCS 71250 Facility Fee CT scan of chest without contrast
HCPCS J2250 Facility Fee Intramuscular injection of 1mg midazolam hydrochloride
HCPCS J2405 Facility Fee Intramuscular injection of ondansetron hydrochloride, 1mg
HCPCS J3010 Facility Fee Intramuscular injection of fentanyl citrate, 0.1mg
HCPCS J2704 Facility Fee Intramuscular injection of 10mg propofol
HCPCS J7120 Facility Fee Intravenous infusion of 1000cc of ringer's lactate solution
HCPCS 31628 Facility Fee Rigid/flexible Bronchoscopy with X-ray Guidance, Single Lobe Transbronchial Biopsy
HCPCS 87101 Facility Fee Mold/fungal Identification and Isolation From Skin, Hair, or Nail
HCPCS J2372 Facility Fee INJECTION, PHENYLEPHRINE HYDROCHLORIDE (BIORPHEN), 20 MICROGRAMS
HCPCS 87206 Facility Fee Microscopically Evaluated Fluorescent/Acid Fast Bacterial/Fungal/Parasitic/Viral/cell Sample
HCPCS 31653 Facility Fee Rigid or Flexible Bronchoscopy with Ebus-guided Transtracheal Aspirates/Biopsies From 3+ Lymph Nodes
HCPCS 31629 Facility Fee Rigid or Flexible Bronchoscopy with Fluoroscopy and Transbronchial Needle Aspiration Biopsies
HCPCS 31623 Facility Fee Rigid or Flexible Bronchoscopy with Fluoroscopic Guidance, Including Brushing or Protected Brushings
HCPCS 31627 Facility Fee Computer-assisted Bronchoscopy with Image-guided Navigation
HCPCS 31654 Facility Fee Rigid or Flexible Bronchoscopy with Ebus and Fluoroscopic Guidance for Peripheral Lesions
HCPCS 31627 Professional Fee Computer-assisted Bronchoscopy with Image-guided Navigation
HCPCS 31629 Professional Fee Rigid or Flexible Bronchoscopy with Fluoroscopy and Transbronchial Needle Aspiration Biopsies
Revenue Code 250 Facility Fee Pharmacy (Also see 063X, an extension of 250X) - General
HCPCS 31653 Professional Fee Rigid or Flexible Bronchoscopy with Ebus-guided Transtracheal Aspirates/Biopsies From 3+ Lymph Nodes
HCPCS 31628 Professional Fee Rigid/flexible Bronchoscopy with X-ray Guidance, Single Lobe Transbronchial Biopsy
HCPCS 31623 Professional Fee Rigid or Flexible Bronchoscopy with Fluoroscopic Guidance, Including Brushing or Protected Brushings
HCPCS 31654 Professional Fee Rigid or Flexible Bronchoscopy with Ebus and Fluoroscopic Guidance for Peripheral Lesions

Disclaimer

Southern Ohio Medical Center is committed to empowering our patients to make informed decisions about their healthcare. This includes helping patients understand the cost of care and the availability of financial assistance.

In compliance with federal law, we provide a list of standard charges that are reviewed on an annual basis. Charges for hospital services are not equivalent to the actual amount paid by insurance companies or patients. The amount paid for services is based on many factors, including health insurance benefit plans, applicable discounts, and services provided based on each patient's unique needs.

You'd pay up to
$34,741 / Case Rate

A single, all-inclusive pricing methodology for a procedure in healthcare contracts, instead of separate charges for each service.

The estimated total cost of care without any insurance coverage or discounts.

Disclaimer

Southern Ohio Medical Center is committed to empowering our patients to make informed decisions about their healthcare. This includes helping patients understand the cost of care and the availability of financial assistance.

In compliance with federal law, we provide a list of standard charges that are reviewed on an annual basis. Charges for hospital services are not equivalent to the actual amount paid by insurance companies or patients. The amount paid for services is based on many factors, including health insurance benefit plans, applicable discounts, and services provided based on each patient's unique needs.

What’s the difference between an individual procedure and a Standard Service Package (SSP)?

Individual Procedure

Individual procedures, like blood tests, each have unique prices and billing codes (like a CPT or HCPCS code). While they can be billed alone, they're usually grouped with other procedures on a claim. This grouping is what determines the total cost of your care.

Standard Service Package (SSP)

A SSP combines all medical services, materials, and fees associated with a healthcare visit or procedure into a single bundle to offer a more comprehensive estimate.

Contact us to verify your estimate

Have your service name, codes, and payment preference ready. If you’re using insurance, you may be asked for insurance details like your Member or Group ID.

Service Bronchoscopy with lung biopsy
Service Codes HCPCS 87015, HCPCS J3490, HCPCS 87116, HCPCS J7030, HCPCS 71045
Insurance I'm not using insurance
Location Southern Ohio Medical Center
When you contact us, you can say:
"Hi, I'm calling to verify a price for Bronchoscopy with lung biopsy I found through Southern Ohio Medical Center's price estimate tool. Here are the codes I’m looking at: HCPCS 87015, HCPCS J3490, HCPCS 87116, HCPCS J7030, HCPCS 71045. I'm not using insurance, can you confirm the cash pay estimate and help me schedule if needed?"
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