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Chapters 2007 Medical Student Guide
 
Introduction
Chapter 1
Chapter 2
Chapter 3
Chapter 4
Chapter 5
Chapter 6
Chapter 7
Chapter 8
Chapter 9
Chapter 10
Chapter 11
Specialties
Fellowships
Reimbursement data

 
Charges & Reimbursement data by specialty (this data serves only as a general reference, is highly variable state to state, and year to year):

Pediatricians:

H&P normal newborn: Fee $135 Actual Reimbursement $100

Immunizations: Fee $35 Actual Reimbursement $25

MMR live virus vaccine: Fee $50 Actual Reimbursement $35

Circumcision (clamp, newborn): Fee $145 Actual Reimbursement $100

OBGYN:

Circumcision (clamp, newborn): Fee $150 Actual Reimbursement $100

Total Abdominal Hysterectomy (TAH): Fee $2500 Actual Reimbursement $1300

Complete OB care (Routine vaginal delivery): Fee $2400 Actual Reimbursement $1600

Complete OB care (Routine C-section): Fee $2800 Actual Reimbursement $1800

D&C (diagnostic or therapeutic): Fee $680 Actual Reimbursement $300

Laparoscopy, surgical with fulguration of oviducts: Fee $1200 Actual Reimbursement $600

Colposcopy (LEEP): Fee $535 Actual Reimbursement $291

General Surgeons:

Appendectomy: Fee $1200 Actual Reimbursement $600

Laparoscopy, surgical (Appendectomy): Fee $1375 Actual Reimbursement $610

Cholecystectomy: Fee $1800 Actual Reimbursement $800

Laparoscopy, surgical (Cholecystectomy): Fee $2325 Actual Reimbursement $850

Initial inguinal hernia repair (5yrs or older, reducible): Fee $1150 Actual Reimbursement $500

Gastrectomy/partial, distal with gastroduodenostomy: Fee $2500 Actual Reimbursement $1200

Modified radical mastectomy: Fee $2250 Actual Reimbursement $1000

Excision of cyst or fibroadenoma from breast tissues one or more lesions: Fee $695 Actual Reimbursement $380

Orthopedic Surgeons:

Colle’s fractures (closed reduction): Fee $680 Actual Reimbursement $410

Open treatment of hip fracture: Fee $2600 Actual Reimbursement $1200

Knee arthroscopy with meniscectomy: Fee $2100 Actual Reimbursement $950

Total knee arthroplasty: Fee $4550 Actual Reimbursement $1850

Lumbar arthodesis: Fee $4000 Actual Reimbursement $1950

Arthrocentesis of knee: Fee $100 Actual Reimbursement $55

Cardiothoracic surgeons:

Coronary artery bypass (with 3 coronary venous grafts): Fee $5250 Actual Reimbursement $2350

Aortic valve replacement(prosthetic valve): Fee $5500 Actual Reimbursement $2250

Mitral valve replacement: Fee $5500 Actual Reimbursement $2450

Ascending Aorta graft with coronary reconstruction: Fee $6000 Actual Reimbursement $3000

Lobectomy (single lobe): Fee $2800 Actual Reimbursement $1300

Bronchoscopy (diagnostic): Fee $500 Actual Reimbursement $200

Thoracoscopy (diagnostic) Fee $950 Actual Reimbursement $200

Neurosurgeons

Craniectomy or craniotomy for evacuation of hematoma (supratentorial; extra or subdural): Fee $5010 Actual Reimbursement $2010

Laminectomy (more than 2 vertebral segments; lumbar): Fee $4750 Actual Reimbursement $1850

Neuroplasty (median nerve at carpal tunnel): Fee $1200 Actual Reimbursement $510

Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace: Fee $4250 Actual Reimbursement $2000

Discectomy, anterior, including osteophytectomy cervical (single interspace): Fee $4000 Actual Reimbursement $1950

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