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Self-Pay PricingExceptional care. Transparent pricing. No surprises.

We've designed our self-pay program for patients who value clarity and quality. Self- pay pricing is available to patients who do not have an insurance plan that we are contracted with. We encourage patients to consult with their insurers for specific questions about their coverage should they decide to consider self-pay pricing and have insurance. Prices listed are estimates for standard services. Additional diagnostic, supplies, or complexity may change the final cost. Please call (949) 586-3200 for more information.

Top MRI Procedure Codes
SCOS OrthoWest | Physicians Only | Sorted by CPT Code (Ascending)
CPT Code
Procedure Description
Cash Price
72141
Cervical Spine without Contrast
$326.00
72146
Thoracic Spine without Contrast
$325.00
72148
Lumbar Spine without Contrast
$327.50
72195
Pelvis without Contrast
$392.00
72195
SI Joints/Sacrum without Contrast
$392.00
73218
Hand/Finger/Forearm/Humerus (Non-Joint) without Contrast
$527.00
73221
Wrist/Elbow/Shoulder Joint without Contrast
$352.50
73222
Wrist/Elbow/Shoulder Joint Arthrogram without Contrast
$541.00
73718
Foot/Toes/Leg/Thigh/Femur (Non-Joint)
$384.00
73721
Ankle/Knee/Hip Joint without Contrast
$351.00
73722
Ankle/Knee/Hip Joint Arthrogram
$545.50
Biologic Treatment
Cash Price
Platelet Rich Plasma (PRP), 30 cc
$750.00
Platelet Rich Plasm (PRP), 60 cc
$1,500.00
Bone Marrow Aspirate Concentrate (BMAC)
$2,400.00

High concentration Harvest PRP system and Arthrex PRP systems are used

Top Office Visits Procedure Codes
SCOS OrthoWest | Physicians Only | Sorted by CPT Code (Ascending)
CPT Code
Procedure Description
Cash Price
99204
New Patient
$290.00
99214
Established Patient
$223.50

All prices are listed as level. The may be changed based on the level of service provided.

Top X-rays/ Ultrasound Procedure Codes
SCOS OrthoWest | Physicians Only | Sorted by CPT Code (Ascending)
CPT Code
Procedure Description
Cash Price
72052
Cervical Spine
$54.50
72072
Thoracic Spine
$33.50
72114
Lumbar Spine
$53.50
73000
Clavicle
$29.00
73030
Shoulder
$31.00
73060
Humerus
$27.75
73080
Elbow
$28.50
73090
Forearm
$25.00
73110
Wrist
$37.25
73130
Hand
$33.25
73523
Hip
$53.25
73564
Knee
$43.00
73610
Anke
$32.25
73630
Foot
$29.50
76882
Ultrasound, extremity, nonvascular, real-time with image documentation; limited, joint or other
$108

All x-rays are performed by a certified radiology technician, and images are personally interpreted by the medical provider.

All x-rays are 3 views minimum.

Top 20 Surgical Procedure Codes — Forearm & Wrist
SCOS OrthoWest | Physicians Only | Sorted by CPT Code (Ascending)
CPT Code
Procedure Description
Cash Price
25000
Incision of tendon sheath, wrist (DeQuervein's)
$578.00
25028
Incision and drainage, forearm or wrist
$1,336.92
25107
Mini- Open TFCC Repair
$990.50
25111
Excision of ganglion, wrist
$542.34
25115
Radical excision of bursa, synovia of wrist or forearm tendon sheath
$1,202.71
25118
Synovectomy, extensor tendon sheath, wrist
$684.30
25210
Carpectomy; one bone
$907.62
25215
Carpectomy; all bones of proximal row
$998.54
25230
Radial styloidectomy
$691.46
25240
Excision distal ulna (Darrach procedure)
$699.75
25440
Repair of scaphois nonunion, with graft if needed
$1,175.89
25448
Thumb CMC joint Suspensionplasty/ LRTI or similar
$1,400.42
25600
Closed treatment, distal radial fracture; without manipulation
$634.21
25605
Closed treatment, distal radial fracture; with manipulation
$950.34
25607
ORIF distal radial fracture; extraarticular
$1,188.27
25608
ORIF distal radial fracture; intraarticular, 2-part
$1,308.18
25609
ORIF distal radial fracture; intraarticular, 3 or more parts
$1,624.48
25825
Arthrodesis, wrist; without bone graft
$1,293.00
29846
Arthroscopy, wrist with joint debridement
$811.40
64772
Wrist Dennervation (Neurectomy, per Nerve)
$1,477.42
Top 20 Surgical Procedure Codes — General Musculoskeletal
SCOS OrthoWest | Physicians Only | Sorted by CPT Code (Ascending)
CPT Code
Procedure Description
Cash Price
20103
Exploration wound; extremity, major
$949.00
20240
Biopsy, bone; superficial
$217.00
20245
Biopsy, bone; deep
$527.00
20520
Removal of foreign body in muscle or tendon sheath; simple
$359.00
20525
Removal of foreign body in muscle or tendon sheath; deep or complicated
$777.12
20526
Injection, therapeutic (carpal tunnel)
$177.56
20552
Injection, trigger point(s); 1 or 2 muscle groups
$84.50
20605
Arthrocentesis, aspiration or injection; intermediate joint
$93.80
20606
Arthrocentesis, intermediate joint; with ultrasound guidance
$157.47
20670
Removal of implant; superficial
$907.00
20680
Removal of implant; deep
$1,035.12
20690
Application of uniplane external fixator
$948.50
20692
Application of multiplane external fixator
$1,728.07
20694
Removal of external fixator under anesthesia
$745.54
20900
Bone graft, any donor area; minor or small
$1,219.92
20902
Bone graft, any donor area; major or large
$403.21
20930
Allograft for spine surgery; morselized
$250.00
20936
Autograft for spine surgery; local (e.g., ribs, spinous process, or laminar fragments)
$500.00
20950
Monitoring of interstitial fluid pressure in muscle compartment
$431.50
20985
Computer-assisted musculoskeletal surgical navigational orthopedic procedure
$190.00
Top 20 Surgical Procedure Codes — Hand
SCOS OrthoWest | Physicians Only | Sorted by CPT Code (Ascending)
CPT Code
Procedure Description
Cash Price
26020
Drainage of tendon sheath, digit or palm
$983.18
26040
Needle Fasciotomy (Dupuytren's Contracture)
$525.25
26055
Tendon sheath incision; trigger finger or trigger thumb release
$1,184.17
26113
Excision, tumor or vascular malformation, hand or finger; 1.5 cm or greater
$963.22
26115
Excision, soft tissue tumor, hand or finger; less than 1.5 cm
$967.78
26116
Excision, soft tissue tumor, hand or finger; 1.5 cm or greater
$829.50
26121
Fasciectomy, palm only, partial (Dupuytren's)
$997.39
26123
Fasciectomy, partial with PIP joint (Dupuytren's contracture)
$1,386.44
26125
Fasciectomy; each additional digit (Dupuytren's)
$505.38
26160
Excision of finger or hand ganglion cyst
$1,088.44
26341
Manipulation post- Xiaflex, Dupuytren's
$199.74
26356
Flexor tendon repair, Zone 2
$1,785.65
26480
Hand or finger Tendon Transfer
$1,154.81
26525
Capsulectomy or capsulotomy; interphalangeal joint, each joint
$1,385.66
26615
ORIF metacarpal fracture; each bone
$1,118.56
26727
Percutaneous skeletal fixation of unstable phalangeal shaft fracture
$1,181.54
26735
ORIF phalangeal shaft fracture
$963.74
26746
ORIF articular fracture, base of middle or proximal phalanx
$1,182.66
26860
Arthrodesis, interphalangeal joint; each joint
$1,029.47
29848
Endoscopic Carpal Tunnel Release
$1,118.00
64708
Neuroplasty, major peripheral nerve, arm or leg
$815.20
64718
Cubital tunnel release
$978.12
64719
Guyon's Canal (ulnar nerve wrist) decompression
$663.90
64721
Mini-open carpal tunnel release
$761.18
64831
Suture of digital nerve, hand or foot; 1 nerve
$1,079.50
64912
Nerve repair with nerve allograft, each strand; first strand
$1,368.25
Top 20 Surgical Procedure Codes — Upper Arm & Elbow
SCOS OrthoWest | Physicians Only | Sorted by CPT Code (Ascending)
CPT Code
Procedure Description
Cash Price
24006
Arthrotomy of elbow, with exploration, drainage, or removal of foreign body
$1,331.50
24073
Excision, soft tissue tumor, upper arm or elbow; 5 cm or greater
$1,264.00
24075
Excision, tumor, soft tissue, upper arm or elbow; less than 3 cm
$1,056.29
24076
Excision, tumor, soft tissue, upper arm or elbow; 3 cm or greater
$1,101.25
24105
Excision olecranon bursa
$614.10
24130
Excision of head of radius
$842.00
24160
Implant removal, elbow joint
$1,982.50
24300
Manipulation, elbow, under general anesthesia
$746.50
24305
Tendon lengthening, upper arm or elbow, each tendon
$908.25
24341
Repair, tendon or muscle, upper arm or elbow, each tendon or muscle
$1,195.00
24342
Reinsertion of ruptured biceps or triceps tendon, distal
$1,215.02
24343
Repair lateral collateral ligament, elbow, with or without tissue graft
$1,137.20
24358
Tenotomy, elbow; lateral or medial, open
$854.02
24359
Tenotomy, elbow; open with tendon repair
$1,094.32
24363
Arthroplasty, elbow; with distal humeral prosthesis
$2,279.00
24366
Arthroplasty, elbow; total elbow replacement
$1,066.00
24515
ORIF humeral shaft fracture with plate/screws
$1,418.18
24650
Closed treatment, radial head or neck fracture; without manipulation
$472.50
24666
Replacement of radial head with implant
$1,161.88
24685
ORIF distal humeral fracture
$1,042.68
Top In-Office Procedure Codes
SCOS OrthoWest | Physicians Only | Sorted by CPT Code (Ascending)
CPT Code
Procedure Description
Cash Price
11750
Nail bed debridement
$265.50
11755
Nail bed and plate biopsy
$201.00
11760
Repair of nail bed
$315.50
11762
Reconstruction of nail bed
$493.00
11765
Ingrown Nail Treatment
$278.50
20525
Foreign body removal, hand
$841.00
20670
Superficial Wire Removal
$638.00
20680
Deep Buried Wire Removal
$1,052.50
23075
Excision of shoulder mass
$932.00
24075
Excision of arm or elbow mass
$958.00
24201
Foreign body removal, arm or elbow
$1,126.50
25000
First Dorsal Compartment/ Dequervain's Release
$563.00
25075
Excision of forearm mass
$932.00
26011
Drainage of finger abscess
$891.50
26055
Trigger finger release
$1,081.00
26115
Excision of hand/ finger mass
$997.50
26121
Dupuytren's fasciectomy (palm)
$906.50
26123
Dupuytren's fasciectomy (palm and finger)
$1,259.00
26356
Flexor tendon repair (each tendon)
$1,225.00
26410
Extensor tendon repair (each tendon)
$1,006.50
26160
Mucous Cyst/ Ganglion Cyst Excision Finger
$1,126.00
64721
Carpal tunnel Release
$796.50
Top Injections/ Aspirations Codes
SCOS OrthoWest | Physicians Only | Sorted by CPT Code (Ascending)
CPT Code
Procedure Description
Cash Price
20526
Injection, therapeutic (e.g., local anesthetic, corticosteroid), carpal tunnel
$145.50
20600
Arthrocentesis, aspiration and/or injection, small joint or bursa; without ultrasound guidance
$93.00
20604
Arthrocentesis, aspiration and/or injection, small joint or bursa; with ultrasound guidance
$146.00
20605
Arthrocentesis, aspiration and/or injection, intermediate joint or bursa; without ultrasound guidance
$95.00
20606
Arthrocentesis, aspiration and/or injection, intermediate joint or bursa; with ultrasound guidance
$157.50
20610
Arthrocentesis, aspiration and/or injection, major joint or bursa; without ultrasound guidance
$113.50
20611
Arthrocentesis, aspiration and/or injection, major joint or bursa; with ultrasound guidance
$174.00
20612
Aspiration and/or injection of ganglion cyst(s), any location
$113.50
64450
Peripheral Nerve Block
$136.50

Self-Pay Pricing – Frequently Asked Questions

What does "self-pay" mean?

Self-pay means you are choosing to pay for your care directly, rather than using insurance. This may apply if you do not have insurance we are contracted with, or if you prefer not to use your insurance benefits.

What is included in the listed price?

The listed price includes professional fees for SCOS physicians only.

What is NOT included in the price?

The listed price does not include charges from other providers or facilities. These may include:

  • Surgical facility or hospital fees (if applicable). In-office procedure pricing is inclusive of facility fees.
  • Physical therapy or hand therapy
  • Durable Medical Equipment
  • Splints or Casts

These services are billed separately and are your responsibility.

Will you bill my insurance if I choose self-pay?

No. By choosing self-pay, you are agreeing that we will not bill your insurance for these services.

Can I submit the bill to my insurance myself?

You may choose to submit your bill to your insurance; however, reimbursement is not guaranteed and depends entirely on your insurance plan. We do not guarantee any reimbursement.

What if I have insurance but still want self-pay pricing?

You are welcome to elect self-pay. However, we strongly recommend checking with your insurance provider first, as using self-pay may affect your benefits and reimbursement eligibility.

Will I receive a cost estimate before my procedure?

Yes. Under the No Surprises Act, you have the right to receive a Good Faith Estimate outlining expected charges before your service.

Can the final cost change from the estimate?

Yes. Prices are based on standard procedures. Your final cost may vary depending on your specific medical needs, complexity of the consultation, or any additional services required.

When is payment due?

Payment is typically required in full the same day of your consultation and treatment.

Are deposits required?

Yes, deposits may be required to schedule certain procedures. Details will be provided during scheduling.

What if additional services are needed during my procedure?

If additional medically necessary services are required, they may result in additional charges that are not included in your initial estimate.

Do you offer refunds if I cancel my procedure?

Cancellation and refund policies may apply. Depending on timing, deposits may be non-refundable or subject to administrative fees.

Are results guaranteed?

No. All medical procedures carry risks, and outcomes cannot be guaranteed.

Who can I contact for more information or a detailed estimate?

Please call 949-586-3200 or email info@scosortho.com to request a Good Faith Estimate or speak with our team.

  • American Academy of Orthopaedic Surgeons
  • American Society for Surgery of the Hand
  • American Association for Hand Surgery
  • Alpha Omega Alpha
  • Florida Orthopaedic Society