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Average Cost of Common Procedures

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2010 Top Procedures (Surgery) 
Procedure Name Frequency of
Service
 Avg. Professional Fees*   Avg. Hospital Fees* Avg. Anesthesia Fees* Avg. Cost
Remove Cataract 574  $               1,120.00  $         1,163.25  $            448.00  $                  2,731.25
Colonoscopy 319  $                 418.13  $            406.80  $            167.25  $                    992.18
Cystoscopy 220  $                 489.00  $            534.04  $            195.60  $                  1,218.64
Catheterization 153  $               1,397.36  $         4,743.43  $            558.94  $                  6,699.73
After Cataract Laser Surgery 75  $                 700.00  $            180.00  $            280.00  $                  1,160.00
Knee Arthroscopy 62  $               1,043.71  $         2,770.60  $            417.48  $                  4,231.80
Biopsy of Prostate 62  $                 150.90  $            264.80  $              60.36  $                    476.06
Total Knee Replacement 56  $               2,916.67  $       11,629.90  $          1,166.67  $                15,713.23
Laser Surgery of Prostate 48  $               1,108.88  $         4,056.06  $            443.55  $                  5,608.50
Laparoscopy, Cholecystectomy 47  $                 917.67  $         4,371.05  $            367.07  $                  5,655.79
Insertion of Heart Pacemaker 43  $                 902.52  $         3,488.70  $            361.01  $                  4,752.23
Repair Inguinal Hernia 38  $                 524.95  $         1,153.87  $            209.98  $                  1,888.80
Prostatectomy (TURP) 38  $                 900.00  $         2,316.98  $            360.00  $                  3,576.98
Laminectomy 26  $               8,576.99  $       14,249.93  $          3,430.80  $                26,257.71
Cystourethroscopy  26  $                 857.00  $         2,505.58  $            342.80  $                  3,705.38
Extensive Prostate Surgery 14  $               2,250.00  $         6,712.75  $            900.00  $                  9,862.75
Total Hysterectomy 13  $               1,173.27  $         1,777.04  $            469.31  $                  3,419.62
Total HIP Replacement  11  $               3,000.00  $         8,424.81  $          1,200.00  $                12,624.81
Total 1825  $             28,447.04  $       70,749.58  $        11,378.82  $              110,575.44
Only Includes the Frequency according to the Panama fees
*Average Calculation:  The Average is calculated based on our USUAL and CUSTOMARY rates negotiated with the contracted providers
Definitions
Procedure Name Type of surgery or procedure
Frequency of Service Includes the number of procedures that has been performed
Average Professional Fees Billed charges by medical professionals other than facilities.*It does not includes the anesthesia or hospital charges*
Average Hospital Fees Room and Board, Surgical, medications, supplies and other ancillary charges provided B62by the hospital or facility
Average Anesthesia Fees Professional fees of the anesthesiologists only. 
Average Cost Is the total cost of the procedure (surgery)

 

2010 Radiology
Procedure Name Frequency of
Service
Avg. Billed Charge Avg. Amount Paid by the PCABP
Electrocardiogram Complete 7953 30.34  $                     28.65
Heart Echo Doppler 1469 132.52  $                    118.33
Chest X-Ray 984 28.08  $                     22.24
Echo Exam of Pelvis 497 95.83  $                     64.43
X-Ray of Knee 427 55.39  $                     44.12
Outpatient Cardiovascular Stress Test 396 173.34  $                    163.98
X-Ray of Lower Spine 327 86.38  $                     68.83
Echo Exam of Breast 316 108.32  $                     86.47
Outpatient CAT SCAN 277 461.77  $                    366.88
Outpatient MRI 201 633.01  $                    511.08
Total 12847 1804.98  $                 1,475.01
*Average Calculation:  The Average is calculated based on our USUAL and CUSTOMARY rates negotiated with the contracted providers
Definitions
Procedure Name Type of surgery or procedure
Frequency of Service Includes the number of procedures that has been performed
Average Billed Charges Includes only the amount billed by the facility
Average Amount Paid by the PCABP The amount paid is based on the Negotiated Cost negotiated with the contracted providers

 

 

2010 Treatment Therapies
Procedure Name Frequency of
Service
 Avg. Professional Fees Per Session*   Avg. Facility Fees Per Session* Avg. Drug Fees Per Session* Avg. Cost Per Session
Outpatient Dialysis Treatment 6900  $                     60.00  $                  180.00  $        103.00  $                                      343.00
Chemotherapy  2165  $                   280.00  $                  162.00  $        554.00  $                                      996.00
Radiation Therapy 612  N/A   $                  273.00  N/A   $                                      273.00
Total 9677  $                   340.00  $                  615.00  $        657.00  $                                   1,612.00
*Average Calculation:  The Average is calculated based on our USUAL and CUSTOMARY rates negotiated with the contracted providers
Definitions
Procedure Name Type of surgery or procedure
Frequency of Service Includes the number of procedures that has been performed
Average Facility Fees Includes the supplies and other ancillary charges provided by the hospital or facility
Average Professional Fees Billed charges by medical professionals other than facilities.*It does not includes the anesthesia or hospital charges*
Average Drug Fees Includes the billed charge of the specialized drugs used during treatment
N/A Not Applicable