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Outpatient Charges for Healthcare Services

When comparing charges with other hospitals or provider practices, it is important to understand their charges may or may not include both the hospital 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).
 

Same Day Surgery

Procedure

Range

Average Charge Uninsured
Discounted Rate*
Discounted Rate with Prompt Pay**
Breast Surgery $10,736 $11,652 $11,194 $8,395 $6,297
Carpal Tunnel Surgery $8,418 $11,534 $9,976 $7,482 $5,611
Ear Surgery $8,396 $8,853 $8,624 $6,468 $4,851
Gall Bladder Removal $18,526 $19,618 $19,072 $14,304 $10,728
Hernia Repair $12,479 $14,018 $13,248 $9,936 $7,452
Knee Surgery $14,938 $16,391 $15,665 $11,748 $8,811
Neck Surgery $21,337 $28,937 $25,137 $18,853 $14,140
Shoulder Surgery $19,797 $24,787 $22,292 $16,719 $12,539
Sinus Surgery $18,418 $20,532 $19,475 $14,606 $10,955
Operation on Nose $13,196 $15,270 $14,233 $10,675 $8,006
Tonsillectomy $10,259 $10,925 $10,592 $7,944 $5,958
Tube Ligation $12,657 $14,214 $13,436 $10,077 $7,558
Stone Removal from Kidneys $20,334 $24,897 $22,616 $16,962 $12,721
Uterus Surgery $17,569 $18,513 $18,041 $13,531 $10,148
Operations On Skin $6,759 $8,141 $7,450 $5,588 $4,191
Uterus Procedure $9,577 $10,188 $9,882 $7,412 $5,559

* LMHS has a new policy for uninsured patients that do not qualify for Medicaid or Charity. The uninsured discount is calculated at a 25% reduction of billed charges.

** A prompt payment discount of 25% can be applied for payments made prior to or at the time of service for outpatient procedures, or for payments made within an agreed upon time frame for inpatient and non-scheduled services. This prompt pay discount can be given in addition to the uninsured discount and will be calculated on the uninsured balance.
 

The services you receive from your provider 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, or provider, in order to treat, diagnose or care for your individual needs.

 

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