Colonoscopy with surgery
What goes into a price?
Negotiated prices across insurers
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 Colonoscopy with surgery Standard Service Package (SSP GA002). 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 J2704 | Facility Fee | Intramuscular injection of 10mg propofol |
| HCPCS J7120 | Facility Fee | Intravenous infusion of 1000cc of ringer's lactate solution |
| HCPCS 82962 | Facility Fee | Fda-cleared Home Glucose Monitoring Device-measured Blood Glucose |
| HCPCS 45384 | Facility Fee | Flexible Endoscopic Colonoscopy with Hot Biopsy Forceps Excision of Lesion |
| HCPCS 45384 | Professional Fee | Flexible Endoscopic Colonoscopy with Hot Biopsy Forceps Excision of Lesion |
| HCPCS J2001 | Facility Fee | Injection of 10mg Lidocaine Hcl via IV Infusion |
| Revenue Code 710 | Facility Fee | Recovery Room - General |