Pricing

Charges for Services at our Ambulatory Surgery Center

When comparing charges with other medical facilities or provider practices, it is important to understand their charges may or may not include both the medical facilities and the doctor or other provider services. Average charges are estimates; your out-of-pocket expense will depend on your individual insurance coverage (such as co-insurance or deductibles).

Ambulatory Surgery Center

Procedure Code

Procedure Description

Standard Rate

Prompt Pay*

45380 Colonoscopy $ 2,732 $ 921
15823 Blepharoplasty Upper Eyelid $ 2,750 $ 1,498
43239 Upper Gastrointestinal Endoscopy $ 2,732 $ 734
64483 LTFE 1 Transforminal Injection Lumbar Sacral $ 963 $ 670
62321 LESI Epidural Lumbar Block $ 963 $ 532
64493 LFNB 1 Injection, Anesthetic $ 963 $ 670
49505 Repair Initial Inguinal Hernia $ 4,351 $ 2,823
66984 Extracapsular Cataract Removal $ 3,168 $ 1,898
11440 Excision, Other Benign Lesion $ 1,980 $ 174
14060 Adjacent Tissue Transfer or Rearrangement $ 2,884 $ 1,498
36561 Insertion of Tunneled Centrally Inserted Central venous Access Device $ 3,991 $ 2,477
30520 Septoplasty or Submucous Resection $ 3,190 $ 1,826
67966 Excision and Repair of Eyelid $ 2,450 $ 1,538
49650 Laparoscopic Inguinal Hernia Repair $ 5,566 $ 3,958
29824 Arthroscopy, Shoulder, Surgical; with Rotator Cuff Repair $ 3,782 $ 2,367

* Prompt Payment pricing is for patients who pay in full at the time of service and who will not be filing an insurance claim.

The services you receive from Bonita Community Health Center are based on your individual need and medical condition. Actual charges will vary based on services performed and medical condition. Additional tests or services not listed in the estimate may be ordered by your doctor, in order to treat, diagnose or care for your individual needs.

Facility Fee Schedule - Cosmetic Procedures

Effective May 15, 2017

Plastics

HOURS SCHEDULED

FACILITY FEE

1 $ 850
1.5 $ 1,150
2 $ 1,350
2.5 $ 1,550
3 $ 1,775
3.5 $ 1,900
4 $ 2,125
4.5 $ 2,275
5 $ 2,325
5.5 $ 2,475
6 $ 2,650
6.5 $ 2,800
7 $ 2,950
7.5 $ 3,200
8 $ 3,400
8.5 $ 3,600
9 $ 3,800

Time is calculated from "cut to close" plus 30 minutes for pre/postop care. There is a one hour minimum charge.

Fee is for OR time only, including general supplies. Anesthesia professional fees,Pathology, and implants are not included.

The services you receive from Bonita Community Health Center are based on your individual need and medical condition. Actual charges will vary based on services delivered and medical condition. Additional tests or services not listed in the estimate may be ordered by your doctor, in order to treat, diagnose or care for your individual needs.

For all other pricing inquires please contact our billing department at (239) 949-6152

© 2017 Bonita Community Health Center.