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/ removal of polyp by snare technique
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 stoma control bleeding
Colonoscopy stoma including collection of specimen
EGD flexible foreign body removal
EGD w/wo specimen collection, brushing/washing
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
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/removal of tumor using hot biopsy forceps
Sigmoidoscopy flexible with band ligation(s)
Sigmoidoscopy, flexible; w/ biopsy
*Note that these cash pay rates do not include the facility fee, anesthesia fee or pathology fee.
.svg){kind=small}
.svg){kind=small}
