Cash Pay Fee Schedule
This is a list of our common services with professional fees*
Anoscopy; diagnostic, with or without collection of specimen
Colonoscopy flexible w/biopsy single/multiple
Colonoscopy flexible w/control bleeding any method
Colonoscopy flexible with band ligation(s)
Colonoscopy flexible with decompression
Colonoscopy flexible with directed submucosal injection
Colonoscopy flexible w/ removal of polyp by snare technique
Colonoscopy stoma control bleeding
Colonoscopy stoma including collection of specimen
EGD flexible foreign body removal
EGD; w/balloon dilation, (< 30 mm diameter)
EGD; w/band ligation, esophageal &/or gastric varices
EGD; w/control, bleeding, any method
EGD; w/dilation, gastric outlet, obstruction
EGD; w/directed submucosal injection(s), any substance
EGD; w/injection, esophageal sclerosis &/or gastric varices
EGD; w/insertion, guide wire/dilation over guide wire
EGD; w/placement, gastrostomy tube
EGD; w/removal, lesion, snare
EGD w/wo specimen collection, brushing/washing
Established Pt Office Visit, Level 1
Established Pt Office Visit, Level 2
Established Pt Office Visit, Level 3
Established Pt Office Visit, Level 4
Established Pt Office Visit, Level 5
Hemorrhoidectomy internal rubber band ligations
New Patient Office Visit, Level 2
New Patient Office Visit, Level 3
New Patient Office Visit, Level 4
New Patient Office Visit, Level 5
Prolonged Service, 30-60 Min
Prolonged Service, Additional 30 Min
Sigmoidoscopy flexible control bleeding
Sigmoidoscopy, flexible; w/ biopsy
Sigmoidoscopy flexible with band ligation(s)
Sigmoidoscopy flexible w/removal of tumor using hot biopsy forceps
*Note that these cash pay rates do not include the facility fee, anesthesia fee or pathology fee.
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