PLASTIC/COSMETIC BUNDLED FEES**
PLASTIC/COSMETIC SURGERY
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CPT | Procedure/Surgery* | Out-of-Pocket/Self-Pay/Cash-Only Facility Costs | |
15001 & 15100 | Prep body wound for graft <100cm2 & split skin graft <100cm2 | Coming Soon | |
15002, 15100, & 15101 | Prep body wound for graft >100cm2, split skin graft >100cm2, & additional 100cm2 | Coming Soon | |
15003 & 15100 | Prep face/hand wound for graft <100cm2 & split skin graft <100cm2 | Coming Soon | |
15003, 15004, 15100, & 15101 | Prep face/hand wound for graft >100cm2, split skin graft >100cm2, & additional 100cm2 | Coming Soon | |
BUNDLED PLASTIC/COSMETIC SURGERY | |||
Surgery for 1 Hour | Bundle (facility fee = $680 plus anesthesia fee = $360) | Total = $1,040 | |
Surgery for 1 1/2 Hours | Bundle (facility fee = $830 plus anesthesia fee = $480) | Total = $1,310 | |
Surgery for 2 Hours | Bundle (facility fee = $980 plus anesthesia fee = $600) | Total = $1,580 | |
Surgery for 2 1/2 Hours | Bundle (facility fee = $1,130 plus anesthesia fee = $720) | Total = $1,850 | |
Surgery for 3 Hours | Bundle (facility fee = $1,280 plus anesthesia fee = $840) | Total = $2,120 | |
Surgery for 3 1/2 Hours | Bundle (facility fee = $1,430 plus anesthesia fee = $960) | Total = $2,390 | |
Surgery for 4 Hours | Bundle (facility fee = $1,580 plus anesthesia fee = $1,080) | Total = $2,660 | |
Surgery for 4 1/2 Hours | Bundle (facility fee = $1,730 plus anesthesia fee = $1,200) | Total = $2,930 | |
Surgery for 5 Hours | Bundle (facility fee = $1,880 plus anesthesia fee = $1,320) | Total = $3,200 | |
Surgery for 5 1/2 Hours | Bundle (facility fee = $2,030 plus anesthesia fee = $1,440) | Total = $3,470 | |
Surgery for 6 Hours | Bundle (facility fee = $2,180 plus anesthesia fee = $1,560) | Total = $3,740 | |
* Discount not available (costs do not include surgeon or, if needed, lab/pathology/imaging fees) | |||
** Procedures under plastic/cosmetic bundles (not all inclusive): Mastopexy (CPT 19316), Placement of acellular dermal matrix for breast reconstruction (CPT 15777+), Reduction mammoplasty (CPT 19318), Augmentation mammoplasty/breast implants (CPT 19325), Removal of intact breast implants (CPT 19328), Removal of ruptured breast implants (CPT 19330), Delayed insertion of implant for breast reconstruction (CPT 19342), Nipple/areola reconstruction (CPT 19350), Tissue expander placement for breast reconstruction (CPT 19357), Revision of reconstruction breast/includes large volume fat grafting (CPT 19380), Autologous fat grafting to breast/small volume (CPT 20926) | |||
NOTE 1: If extraordinary items are added such as long-lasting anesthesia, an additional charge will be applied to the bundled fee NOTE 2: Implants will be provided by the surgeon for self-pay/cash-only/bundled surgeries so please contact surgeon for details |
The examples above are the out-of-pocket/self-pay/cash-only (or if you have a high deductible insurance plan) FACILITY FEE costs for the most common surgeries and procedures performed at the Surgery Center of Idaho (SCI). These costs do not include surgeon or anesthesia fees (you will receive those as separate bill). If the procedure you are having is not listed, please contact us at 208-639-4900 to see if a cash price is offered. Compare our prices and see how we can provide a safe, convenient, and affordable alternative to traditional hospital outpatient or inpatient surgical facilities.
Every health insurance plan is different. The costs on this website are out-of-pocket/self-pay/cash only FACILITY FEES and do not take into account coverage of a health insurance provider. To be sure you are making an educated decision, check with your own insurance company to determine what the cost of your procedure will be.