Bronchoscopy
Mount Sinai Rehabilitation Center
What goes into a price?
Prices across providers
Self pay or cash prices vary by provider when paying out of pocket without insurance benefits. The chart shows you how the lowest and highest amounts providers charge for this service if you were paying without insurance benefits. If you're uninsured or not submitting a claim to insurance, you also have the right to a Good Faith Estimate under federal law. Contact the provider for a copy of your Good Faith Estimate or to better understand payment options available to you.
Procedures included in this package
This list includes the services and fees bundled into the Bronchoscopy Standard Service Package (SSP PU000). The final price for the procedure will depend on which services your provider ultimately performs, your insurance plan and your medical benefits.
| Code | Code Type | Description |
|---|---|---|
| HCPCS 31624 | Base Code | Bronchoscopy |
| HCPCS 31624 | Professional Fee | Bronchoscopy |
| RC 0636 | Facility Fee | Pharmacy - Extension of 025X - Drugs requiring detailed coding |
| RC 0250 | Facility Fee | Pharmacy (Also see 063X, an extension of 250X) - General |
| RC 0710 | Facility Fee | Recovery Room - General |
| HCPCS 87206 | Facility Fee | Microscopically Evaluated Fluorescent/Acid Fast Bacterial/Fungal/Parasitic/Viral/cell Sample |
| RC 0370 | Facility Fee | Anesthesia - General |
| HCPCS 87070 | Facility Fee | Bacterial culture of non-urine, non-blood, non-stool sample, with identification |
| HCPCS J2704 | Facility Fee | Intramuscular injection of 10mg propofol |
| HCPCS 88112 | Facility Fee | Liquid Based Cytology with Focused Cellular Analysis and Interpretation |
| HCPCS J3010 | Facility Fee | Intramuscular injection of fentanyl citrate, 0.1mg |
| HCPCS 87205 | Facility Fee | Microscopy Assessment of Bacteria/Fungi/cell Types on Microscopy Slide with Gram/Giemsa Stain |
| HCPCS J2405 | Facility Fee | Intramuscular injection of ondansetron hydrochloride, 1mg |
| HCPCS 87116 | Facility Fee | Microscopic Identification of Acid-fast Bacilli with Isolation of Any Source |
| HCPCS 87102 | Facility Fee | Fungal Culture Isolation with Presumptive Identification From Non-blood Sample |
| HCPCS 88305 | Facility Fee | Microscopic/gross-exam of surgical pathology biopsies/exam/resections |
| RC 0306 | Facility Fee | Laboratory - Bacteriology and Microbiology |
| HCPCS J1100 | Facility Fee | Intramuscular injection of 1mg dexamethasone sodium phosphate |
| HCPCS J2250 | Optional Fee | Intramuscular injection of 1mg midazolam hydrochloride |