Save on Surgeries and Tests with In-Network Bundled Services
The current fee-for-service health care system typically bills all services as separate line items, making it difficult to understand what a surgery or test will cost in advance and even harder to “shop” around. Bundled pricing by The Alliance is a great alternative for many inpatient and outpatient surgeries and tests. It allows you to:
- Pay a single price for multiple services.
- Know the price in advance.
- Pay a significantly lower overall price.
Between savings on specific surgeries, warranties offered, and whether employee incentives are required, bundle programs vary between providers and procedures. Use the below charts to compare your options and find the bundled provider that best meets your needs, or contact Alliance Customer Service at 800.223.4139 to request a price quote.
View Pricing of Bundled Services by Category
Back Surgery
| Spinal Fusions | |||||||
| NOVO Health | Twin Cities Orthopedic | OrthoIllinois | |||||
| Procedure | About | CPT | Rate (without PT) | Rate (with PT) | Rate (without PT) | Rate (with PT) | Rate (without PT) |
| Neck Spine Fuse&Remov Bel C2 | Fusion of spine bones with removal of disc at upper spinal column, anterior approach | 22551 | $21,700 - $27,750* | $22,950 - $29,000* | N/A | N/A | $20,500 |
| Addl Neck Spine Fusion | Fusion of spine bones with removal of disc at upper spinal column, anterior approach | 22552 | $41,000 | $42,750 | N/A | N/A | $28,300 |
| Neck Spine Fuse&Remove | Fusion of spine bones with removal of disc at upper spinal column, anterior approach, and each additional lumbar space | 22551, 22552 | N/A | N/A | $31,200 | $31,700 | N/A |
| Neck Spine Fusion | Fusion of spine bones with removal of disc at upper spinal column, anterior approach | 22554 | $27,750 | $29,000 | N/A | N/A | $20,500 |
| Lumbar Spine Fusion | Lumbar spine fusion | 22558-59 | $68,000 | $69,250 | N/A | N/A | N/A |
| Lumbar Spine Fusion | Fusion of lower spine bones, posterior or posterolateral approach | 22612 | $48,000 | $49,250 | $33,500 | $34,500 | $33,100 |
| Lumbar Spine Fusion | Fusion of lower spine bones with removal of disc, posterior approach | 22630 | $48,000 | $49,250 | N/A | N/A | $33,100 |
| Lumbar Spine Fusion | Fusion of lower spine bones with removal of disc, posterior approach | 22630 | $48,000 | $49,250 | N/A | N/A | $33,100 |
| Disk Surgery | |||||
| NOVO Health | OrthoIllinois | ||||
| Procedure | About | CPT | Rate (without PT) | Rate (with PT) | Rate (without PT) |
| Neck Spine Disk Surgery | Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in upper spine | 63020 | $13,000 | $14,250 | $9,000 |
| Low Back Disk Surgery | Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine | 63030 | $10,700 - $13,000* | $11,950 - $14,250* | $9,000 |
| Spinal Core and/or Nerves | ||||
| NOVO Health | ||||
| Procedure | About | CPT | Rate (without PT) | Rate (with PT) |
| Laminotomy Single Lumbar | Re-exploration of spine repair with release of lower spinal cord or nerves | 63042 | $13,500 | $14,750 |
| Remove Spine Lamina 1 Crvl | Partial removal of upper spine bone with release of spinal cord and/or nerves | 63045 | $14,250 | $15,500 |
| Remove Spine Lamina 1 Lmbr | Partial removal of middle spine bone with release of spinal cord and/or nerves | 63047 | $13,500 | $14,750 |
| Decompress Spinal Cord Lmbr | Release of lower spinal cord and/or nerves | 63056 | $14,250 | $15,500 |
Cardiology
| NOVO Health | |||
| Procedure | About | CPT | Rate (without PT) |
| EKG | Electrocardiogram, records electrical activity of the heart | 93000 | $100 |
| Treadmill Stress test | Exercise stress test | 93015 | $400 |
| Holter Monitor | Cardiac rhythm monitor | 93224 | $700 |
| Cardiac telemetry Monitoring | Mobile cardiovascular monitor | 93228 | $2,500 |
| Event Monitor | Cardiac event monitor | 93268 | $600 |
| Echocardiogram | Ultrasound of the heart | 93306 | $700 |
Diagnostics and Imaging
| NOVO Health | Bhatti GI | |||
| Procedure | About | CPT | Rate (without PT) | Rate (without PT) |
| Biopsies | Additional fee for each biopsy performed for colonoscopies, EGD, Liver Biopsy, endoscopic ultrasounds | 88305, 88342, 88173, 88341, 88161 | N/A | $90 per unit |
| Carotoid Artery Ultrasound | Scan of extracranial arteries | 93880 | $700 | N/A |
Gastroenterology
| Esophagogastroduodenoscopy (EGD) | ||||
| Minnesota Gastro | Bhatti GI | |||
| Procedure | About | CPT | Rate (without physical therapy) | Rate (without physical therapy) |
| Egd Diagnostic Brush Wash | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | 43235 | $1,700 | $1,400 |
| Uppr Gi Scope W/Submuc Inj | Injections of esophagus, stomach, and/or upper small bowel using an endoscope | 43236 | $1,700 | N/A |
| Endoscopic Us Exam Esoph | Ultrasound examination of esophagus, stomach, and/or upper small bowel using an endoscope | 43237 | $1,700 | N/A |
| Egd Us Fine Needle Bx/Aspir | Ultrasound guided needle aspiration or biopsies of esophagus using an endoscope | 43238 | $1,700 | N/A |
| Egd Biopsy Single/Multiple | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | 43239 | $1,700 | $1,750 |
| Egd W/Transmural Drain Cyst | Drainage of cyst of the esophagus, stomach, and/or upper small bowel using an endoscope | 43240 | $1,700 | N/A |
| Egd Tube/Cath Insertion | Insertion of catheter or tube in esophagus stomach and/or upper small bowel using an endoscope | 43241 | $1,700 | N/A |
| Egd Us Fine Needle Bx/Aspir | Ultrasound guided needle aspiration or biopsy of esophagus, stomach, and/or upper small bowel using an endoscope | 43242 | $1,700 | N/A |
| Egd Injection Varices | Injection of dilated veins of stomach and/or esophagus using an endoscope | 43243 | $1,700 | N/A |
| Egd Varices Ligation | Tying of dilated veins of stomach and/or esophagus using an endoscope | 43244 | $1,700 | N/A |
| Egd Dilate Stricture | Dilation of stomach outlet using an endoscope | 43245 | $1,700 | N/A |
| Egd Place Gastrostomy Tube | Insertion of stomach tube using an endoscope | 43246 | $1,700 | N/A |
| Egd Remove Foreign Body | Removal of foreign bodies of esophagus, stomach, and/or upper small bowel using an endoscope | 43247 | $1,700 | N/A |
| Egd Guide Wire Insertion | Insertion of guide wire with dilation of esophagus using an endoscope | 43248 | $1,700 | N/A |
| Esoph Egd Dilation <30 Mm | Balloon dilation of esophagus using an endoscope | 43249 | $1,700 | $2,550 |
| Egd Cautery Tumor Polyp | Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope | 43250 | $1,700 | N/A |
| Egd Remove Lesion Snare | Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope | 43251 | $1,700 | N/A |
| Egd Optical Endomicroscopy | Microscopic examination of esophagus, stomach, and/or upper small bowel using an endoscope | 43252 | $1,700 | N/A |
| Egd Us Transmural Injxn/Mark | Injection of diagnostic or therapeutic substances or markers in esophagus, stomach, and/or upper small bowel using an endoscope | 43253 | $1,700 | N/A |
| Egd Endo Mucosal Resection | Removal of tissue lining of esophagus, stomach, and/or upper small bowel using an endoscope | 43254 | $1,700 | N/A |
| Egd Control Bleeding Any | Control of bleeding of esophagus, stomach, and/or upper small bowel using an endoscope | 43255 | $1,700 | N/A |
| Egd W/Thrml Txmnt Gerd | Heat delivery to muscle at esophagus and/or stomach to treat gastric reflux using an endoscope | 43257 | $1,700 | N/A |
| Egd Us Exam Duodenum/Jejunum | Ultrasound examination of esophagus, stomach and/or upper small bowel using an endoscope | 43259 | $1,700 | $1,550 |
| Colonoscopies and Endoscopies | ||||
| Minnesota Gastro | Bhatti GI | |||
| Procedure | About | CPT | Rate (without physical therapy) | Rate (without physical therapy) |
| Diagnostic Colonoscopy | Diagnostic examination of large bowel using an endoscope | 45378 | $2,150 | N/A |
| Colonoscopy W/Fb Removal | Removal of foreign bodies in large bowel using an endoscope | 45379 | $2,150 | N/A |
| Colonoscopy And Biopsy | Biopsy of large bowel using an endoscope | 45380 | $2,150 | $1,700 |
| Colonoscopy Submucous Njx | Injections of large bowel using an endoscope | 45381 | $2,150 | N/A |
| Colonoscopy W/Control Bleed | Control of bleeding in large bowel using an endoscope | 45382 | $2,150 | N/A |
| Colonoscopy W/Lesion Removal | Removal of polyps or growths in large bowel using an endoscope | 45384 | $2,150 | N/A |
| Colonoscopy W/Lesion Removal | Removal of polyps or growths of large bowel using an endoscope | 45385 | $2,150 | N/A |
| Colonoscopy W/Balloon Dilat | Balloon dilation of large bowel using an endoscope | 45386 | $2,150 | N/A |
| Invalid Code Or Modifier | Colonoscopy with Stent | 45387 | $2,150 | N/A |
| Colonoscopy W/Ablation | Destruction of large bowel growths using an endoscope | 45388 | $2,150 | N/A |
| Upper Endoscopy | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | 43235-43259 | $1,700 | N/A |
| Colonoscopy Bundle Service | Diagnostic examination of large bowel using an endoscope | 45378-45388 | $2,150 | N/A |
| Colonoscopy & Upper Endoscopy During Same Procedure Episode For Same Patient And Same Practitioner | Diagnostic examination of large bowel using an endoscope | 45378-45388, 43235-43259 | $2,700 | $1,550 |
| Capsule Endoscopy | Gastrointestinal tract imaging including interpretation and report | 91110 | N/A | $2,050 |
Musculoskeletal
| Achilles Tendon | |||||
| NOVO Health | OrthoIllinois | ||||
| Procedure | About | CPT | Rate (without physical therapy) | Rate (with physical therapy) | Rate (without physical therapy) |
| Repair Achilles Tendon | Repair of ruptured Achilles tendon, open or through skin procedure | 27650 | $5,250 - $9,500* | $7,000 - $11,250* | $9,500 |
| Repair Of Achilles Tendon | Repair of ruptured Achilles tendon | 27654 | $9,500 | $11,250 | $9,500 |
| Ankle | ||||||
| NOVO Health | Twin Cities Orthopedic | |||||
| Procedure | About | CPT | Rate (without physical therapy) | Rate (with physical therapy) | Rate (without physical therapy) | Rate (with physical therapy) |
| Reconstruct Ankle Joint | Repair of ankle joint with prosthesis | 27702 | $28,500 | $30,750 | $23,000 | $24,500 |
| Fusion Of Ankle Joint Open | Fusion of ankle joint, open procedure | 27870 | $12,250 | $13,750 | N/A | N/A |
| Bicep | ||||
| NOVO Health | ||||
| Procedure | About | CPT | Rate (without physical therapy) | Rate (with physical therapy) |
| Repair Biceps Tendon | Anchoring of biceps tendon | 23430 | $8,250 | $10,250 |
| Repair Of Biceps Tendon | Anchoring of biceps tendon at elbow | 24340 | $8,250 | $10,250 |
| Bunion | ||||
| NOVO Health | ||||
| Procedure | About | CPT | Rate (without physical therapy) | Rate (with physical therapy) |
| Correction Hallux Valgus | Correction of bunion | 28296 | $6,500 | $7,500 |
| Correction Hallux Valgus | Correction of bunion | 28297 | $6,500 | $7,500 |
| Correction Hallux Valgus | Correction of bunion | 28298 | $6,500 | $7,500 |
| Correction Hallux Valgus | Correction of bunion | 28299 | $5,050 - $6,500* | $6,050 - $7,500* |
| Carpal Tunnel | |||||
| NOVO Health | OrthoIllinois | ||||
| Procedure | About | CPT | Rate (without physical therapy) | Rate (with physical therapy) | Rate (without physical therapy) |
| Carpal Tunnel Surgery | Release and/or relocation of median nerve of hand | 64721 | $3,000 - $3,750* | $4,250 - $5,000* | $4,000 |
| Diskectomy | |||||||
| NOVO Health | Twin Cities Orthopedic | OrthoIllinois | |||||
| Procedure | About | CPT | Rate (without physical therapy) | Rate (without physical therapy) | Rate (with physical therapy) | Rate (without physical therapy) | Rate (with physical therapy) |
| Cerv Artific Diskectomy | Insertion of artificial upper spine disc, anterior approach | 22856 | $27,750 | $29,000 | $25,500 | $26,000 | $19,100 |
| Lumbar Artif Diskectomy | Insertion of artificial lower spine disc, anterior approach | 22857 | $27,750 | $29,000 | N/A | N/A | $26,000 |
| Elbow | |||||
| NOVO Health | OrthoIllinois | ||||
| Procedure | About | CPT | Rate (without physical therapy) | Rate (with physical therapy) | Rate (without physical therapy) |
| Repair Elbow Deb/Attch Open | Removal of tissue and/or bone at elbow with tendon repair, open procedure | 24359 | $7,000 | $8,250 | N/A |
| Revise Ulnar Nerve At Elbow | Release and/or relocation of ulnar nerve at elbow | 64718 | $4,200 - $5,500* | $5,950 - $7,250* | $4,500 |
| Finger | |||||
| NOVO Health | OrthoIllinois | ||||
| Procedure | About | CPT | Rate (without physical therapy) | Rate (with physical therapy) | Rate (without physical therapy) |
| Incise Finger Tendon Sheath | Incision of tendon covering | 26055 | $2,350 - $3,750* | $3,600 - $5,000* | $3,000 |
| Hip | |||||||
| NOVO Health | Twin Cities Orthopedic | OrthoIllinois | |||||
| Procedure | About | CPT | Rate (without physical therapy) | Rate (with physical therapy) | Rate (without physical therapy) | Rate (with physical therapy) | Rate (without physical therapy) |
| Total Hip Arthroplasty | Replacement of thigh bone and hip joint prosthesis | 27130 | $20,550 - $26,000* | $22,050 - $27,500* | $24,000 | $25,000 | $22,000 |
| Total Hip Arthroplasty | Replacement of thigh bone and hip joint prosthesis | 27132 | $27,000 | $28,750 | N/A | N/A | $22,000 |
| Hip Arthr0 W/Debridement | Removal or shaving of hip joint socket cartilage using an endoscope | 29862 | $9,500 | $11,000 | N/A | N/A | $9,000 |
| Joint Injection | |||
| NOVO Health | |||
| Procedure | About | CPT | Rate (without physical therapy) |
| Joint Injection | Bilateral anesthetic or steroid injection in the sacroiliac joint (between the sacrum and pelvis) | 27096 w/ modifier 50 | $1,500 |
| Knee | |||||||
| NOVO Health | Twin Cities Orthopedic | OrthoIllinois | |||||
| Procedure | About | CPT | Rate (without physical therapy) | Rate (with physical therapy) | Rate (without physical therapy) | Rate (with physical therapy) | Rate (without physical therapy) |
| Removal Of Kneecap Bursa | Removal of fluid-filled sac (bursa) below knee joint | 27340 | $4,750 | $6,000 | N/A | N/A | $4,000 |
| Removal Of Knee Cyst | Removal of cyst of membrane covering behind knee joint | 27345 | $6,500 | $7,750 | N/A | N/A | $5,500 |
| Revision Of Knee Joint | Repair of knee joint | 27446 | $24,500 | $26,000 | $19,500 | $20,500 | $19,000 |
| Total Knee Arthroplasty | Repair of knee joint | 27447 | $20,100 - $26,000* | $21,600 - $27,500* | $22,750 | $24,250 | $21,000 |
| Total Knee Arthroplasty Bilateral | Repair of knee joint - Bilateral | 27447 | N/A | N/A | N/A | N/A | $21,000 |
| Revise/Replace Knee Joint | Revision of one component of total knee joint prosthesis | 27486 | $26,000 | $27,500 | N/A | N/A | $21,000 |
| Revise/Replace Knee Joint | Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component | 27487 | $49,750 | $52,250 | N/A | N/A | $21,000 |
| Removal Of Knee Prosthesis | Removal of total knee joint prosthesis | 27488 | N/A | N/A | N/A | N/A | $21,000 |
| Revision of Total Knee Arthroplasty | Bilateral procedure to replace a previous knee prosthesis | 27487 w/ modifier 50 | $52,250 | N/A | N/A | N/A | N/A |
| Fixation Of Knee Joint | Alignment of knee joint under anesthesia | 27570 | $2,500 - $3,500* | $3,750 - $4,750* | N/A | N/A | $2,100 |
| Knee Arthroscopy Dx | Diagnostic examination of knee using an endoscope | 29870 | $4,750 | $5,750 | N/A | N/A | $3,300 |
| Knee Arthroscopy/Surgery | Release of ligaments at outer aspect of knee joint using an endoscope | 29873 | $6,500 | $7,750 | N/A | N/A | $5,500 |
| Knee Arthroscopy/Surgery | Removal of loose or foreign body of knee joint using an endoscope | 29874 | $6,500 | $7,750 | N/A | N/A | $5,500 |
| Knee Arthroscopy/Surgery | Partial removal of knee joint lining using an endoscope | 29875 | $6,500 | $7,750 | N/A | N/A | $5,500 |
| Knee Arthroscopy/Surgery | Removal of joint lining from two or more knee joint compartments using an endoscope | 29876 | $6,500 | $7,750 | N/A | N/A | $5,500 |
| Knee Arthroscopy/Surgery | Removal or shaving of knee joint cartilage using an endoscope | 29877 | $6,500 | $7,750 | N/A | N/A | $5,500 |
| Knee Arthroscopy/Surgery | Repair of knee joint using an endoscope | 29879 | $4,440 - $6,500* | $5,800 - $7,750* | N/A | N/A | $5,500 |
| Knee Arthroscopy/Surgery | Removal of both knee cartilages using an endoscope | 29880 | $6,500 | $7,750 | N/A | N/A | $5,500 |
| Knee Arthroscopy/Surgery | Arthroscopic Knee Surgery (More Common) | 29881 | $6,500 | $7,750 | N/A | N/A | $5,500 |
| Knee Arthroscopy/Surgery | Repair of knee joint using an endoscope | 29882 | $8,500 | $10,250 | N/A | N/A | $6,000 |
| Knee Arthroscopy/Surgery | Repair of knee joint and removal of scar tissue using an endoscope | 29884 | $6,500 | $7,750 | N/A | N/A | $5,500 |
| Knee Arthroscopy/Surgery | Arthroscopic Knee Surgery, ACL Repair | 29888 | $10,600 - $12,000* | $12,850 - $14,250* | N/A | N/A | $13,000 |
| Knee Arthroscopy/Surgery | Repair of posterior cruciate ligament of knee with assistance of an endoscope | 29889 | $12,000 | $14,250 | N/A | N/A | $13,000 |
| Rotator Cuff | |||||
| NOVO Health | OrthoIllinois | ||||
| Procedure | About | CPT | Rate (without physical therapy) | Rate (with physical therapy) | Rate (without physical therapy) |
| Repair Rotator Cuff Acute | Repair of torn tendons of shoulder, open procedure | 23410 | $15,250 | $17,750 | $15,000 |
| Arthroscop Rotator Cuff Repr | Shoulder Rotator Cuff Surgery | 29827 | $12,000 - $15,250* | $14,500 - $17,750* | $15,000 |
| Repair Rotator Cuff Chronic | Repair of torn tendons of shoulder, open procedure | 23412 | $12,750 - $15,250* | $15,250 - $17,750* | $15,000 |
| Shoulder | |||||||
| NOVO Health | Twin Cities Orthopedic | OrthoIllinois | |||||
| Procedure | About | CPT | Rate (without physical therapy) | Rate (with physical therapy) | Rate (without physical therapy) | Rate (with physical therapy) | Rate (without physical therapy) |
| Shoulder Arthroscopy/Surgery | Incision of should joint capsule using an endoscope | 29806 | $11,300 - $13,500* | $13,550 - $15,750* | N/A | N/A | $11,000 |
| Shoulder Arthroscopy/Surgery | Repair of shoulder socket cartilage using an endoscope | 29807 | $8,100 - $13,500* | $10,350 - $15,750* | N/A | N/A | $9,500 |
| Shoulder Arthroscopy/Surgery | Removal of shoulder joint tissue using an endoscope | 29822 | $8,750 | $10,750 | N/A | N/A | $4,700 |
| Shoulder Arthroscopy/Surgery | Extensive removal of shoulder joint tissue using an endoscope | 29823 | $5,200 - $8,750* | $7,200 - $10,750* | N/A | N/A | $4,700 |
| Shoulder Arthroscopy/Surgery | Partial removal of collar bone at shoulder using an endoscope | 29824 | $6,400 - $12,250* | $8,400 - $14,250* | N/A | N/A | $7,500 |
| Reconstruct Shoulder Joint | Reconstruct shoulder joint | 23472-59 | $29,750 | $32,000 | N/A | N/A | N/A |
| Reconstruct Shoulder Joint | Prosthetic repair of shoulder joint | 23470 | $23,000 | $25,250 | N/A | N/A | N/A |
| Reconstruct Shoulder Joint | Prosthetic repair of shoulder joint | 23472 | $24,500 | $26,750 | $23,000 | $24,500 | N/A |
| Fixation Of Shoulder | Manipulation of shoulder joint under anesthesia | 23700 | $3,250 | $5,500 | N/A | N/A | N/A |
| Toe | |||||
| NOVO Health | OrthoIllinois | ||||
| Procedure | About | CPT | Rate (without physical therapy) | Rate (with physical therapy) | Rate (without physical therapy) |
| Repair Of Hammertoe | Correction of toe joint deformity | 28285 | $5,750 | $6,500 | N/A |
| Corrj Halux Rigdus W/O Implt | Correction of rigid deformity of first joint of big toe | 28289 | $6,500 | $7,500 | N/A |
| Fusion Of Big Toe Joint | Fusion of great toe | 28750 | $8,450 - $9,000* | $9,200 - $9,750* | $9,000 |
Nervous System
| NOVO Health | ||||
| Procedure | About | CPT | Rate (without physical therapy) | Rate (with physical therapy) |
| Neck Spine Disk Surgery | Removal of upper spine disc and release of spinal cord and/or nerves | 63075 | $14,250 | $15,500 |
| Inj Foramen Epidural C/T | Injections of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance | 64479 | $2,000 | $3,000 |
| Inj Foramen Epidural Add-On | Injections of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance | 64480 | $3,000 | $4,000 |
| Inj Foramen Epidural L/S | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 64483 | $900 - $2,000* | $1,900 - $3,000* |
| Inj Foramen Epidural Add-On | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 64484 | $3,000 | $4,000 |
| Joint Injection | Spinal Injection - Cervical/Thoracic | 64490 | $2,000 | N/A |
| Joint Injection | Spinal Injection - Cervical/Thoracic | 64491 | $3,000 | N/A |
Pain Management
| NOVO Health | |||
| Procedure | About | CPT | Rate (without physical therapy) |
| Njx Interlaminar Crv/Thrc | Injection of substance into spinal canal of upper or middle back using imaging guidance | 62321 | $1,000 - $2,000* |
| Njx Interlaminar Lmbr/Sac | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 62323 | $900 - $2,000* |
Plastic and Reconstructive Surgery
| Bone Implant | |||||
| NOVO Health | OrthoIllinois | ||||
| Procedure | About | CPT | Rate (without physical therapy) | Rate (with physical therapy) | Rate (without physical therapy) |
| Removal Of Support Implant | Removal of bone implant | 20670 | $3,750 | $4,500 | $2,500 |
| Removal Of Support Implant | Removal of deep bone implant | 20680 | $3,750 - $4,250* | $4,750 - $5,250* | $4,700 |
| Breast Reconstruction | |||
| NOVO Health | |||
| Procedure | About | CPT | Rate (without physical therapy) |
| Reduction Of Large Breast | Repositioning of breast on chest | 19318 | $10,500 |
| Breast Reconstruction | Reconstruction of nipple or area around nipple | 19350 | $5,750 |
| Revise Breast Reconstruction | Revision of reconstructed breast | 19380 | $5,750 |
| Breast Reconstruction - Bilateral | Breast reconstruction - Bilateral | 19350-50 | $7,250 |
| Revise Breast Reconstruction - Bilateral | Revise breast reconstruction - Bilateral | 19380-50 | $7,250 |
| Eyelid | |||
| NOVO Health | |||
| Procedure | About | CPT | Rate (without physical therapy) |
| Revision Of Upper Eyelid | Removal of excessive skin of upper eyelid | 15822 | $5,500 |
Revision Surgery
| NOVO Health | |||
| Procedure | About | CPT | Rate (without physical therapy) |
| Replace Tissue Expander | Replacement of tissue expander with permanent prosthesis | 11970 | $12,750 |
| Replace Tissue Expander - Bilateral | Replace tissue expander - Bilateral | 11970-50 | $15,000 |
About The Alliance Bundled Service Providers
Bhatti Surgery Center
Bhatti Heartburn Center is a premier comprehensive, patient-centered reflux and heartburn center in the Minneapolis area. Bhatti Heartburn Center offers a convenient, one-stop location for the evaluation, diagnosis, medical, and surgical treatment for patients with gastroesophageal reflux disease (GERD), heartburn, and esophageal symptoms.
The surgery center is a 6,000 square-foot state-of-the-art facility, featuring three operating suites, five pre-operative rooms and four comfortable post-operative rooms. This ambulatory surgery center offers the Minneapolis area with a convenient, cost-effective, high-quality, and safe environment for same-day, outpatient surgeries and procedures.
Services are offered at these locations:
1457 White Oak Dr
Chaska, MN 55318
(952) 368-3800
6600 France Ave South, Suite 660
Edina, MN 55435
(952) 368-3800
NOVO Health
NOVO Health, headquartered in Appleton, Wis., represents independent provider groups located in Wisconsin and Illinois that have agreed to bundle their pricing for select outpatient surgeries and related procedures. NOVO Health works with board-certified independent physicians and accredited facilities that offer specialty health care solutions.
Services include orthopedics, neurology, cardiology, plastics, physical therapy, primary care, chiropractic and dental.
Learn more about NOVO:
- Video: What is NOVO Health?
- Video: Welcome to NOVO
- Video: Care Navigation at NOVO
OrthoIllinois
OrthoIllinois provides select orthopedic procedures in outpatient settings. Its care delivery is founded on a one-stop, multi-specialty philosophy, so the convenience of diagnosis, clinical care, diagnostic imaging, and rehabilitation therapy is provided in one location. Since its founding in 1967, OrthoIllinois has grown to become one of the leading bone and joint providers in northern Illinois.
Smart Choice MRI
Smart Choice MRI offers MRIs for an all-inclusive price of $600 or less. Exams are performed using advanced GE technology and all equipment is rigorously tested and accredited by the American College of Radiology® (ACR). Scans are interpreted by board certified, sub-specialized Cleveland Clinic radiologists. Smart Choice MRI works with patient’s schedules by offering early morning, evening and weekend appointments.
Services include body, head, spine and musculoskeletal MRIs.
Twin Cities Orthopedics
Twin Cities Orthopedics (TCO) provides a full spectrum of orthopedic care for the diagnosis, treatment, rehabilitation and prevention of injuries and conditions that affect the body’s muscles, joints and bones. It has more than 115 orthopedic physicians who offer care at more than 35 state-of-the-art facilities in the Twin Cities of Minneapolis and St. Paul, Minn. TCO has provided musculoskeletal care for more than 75 years. Services are offered at the locations listed here.
Services include imaging, outpatient care, orthotics and prosthetics.
OakLeaf Medical Network
OakLeaf Medical Network is a physician-directed network providing high-value care in small, personalized settings by linking over 30 independent physician practices representing 190 clinicians and 40 specialties serving 30+ communities in western Wisconsin and eastern Minnesota. Current bundled services include orthopedics and gastroenterology procedures. To verify eligibility or for help finding a physician or participant facility, contact their patient engagement team at 888-503-0349 or visit their website.
Learn more about OakLeaf Medical Network: