Peak One Surgery Center

Cash prices

1. Neuroplasty And/Or Transposition; Median Nerve At Carpal Tunnel - 64721

   Standard service: Carpal tunnel release

   Code 64721

   Ask what's included
   $2,745

   2021 listed procedure fee; the page does not confirm a current cash-pay price.

   Source: peakoneasc.com · checked Oct 2026
2. Extracapsular Cataract Removal With Insertion Of Intraocular Lens Prosthesis (1 Stage Procedure)

   Standard service: Cataract surgery with lens implant

   Code 66984

   Ask what's included
   $3,583

   2021 listed procedure fee; the page does not confirm a current cash-pay price.

   Source: peakoneasc.com · checked Oct 2026
3. Diagnostic or therapeutic paravertebral facet joint or nerve injection — 64490

   Standard service: Cervical/thoracic facet joint injection, single level

   Code 64490

   Ask what's included
   $1,267

   2021 listed procedure fee; the page does not confirm a current cash-pay price.

   Source: peakoneasc.com · checked Oct 2026
4. Colonoscopy, Flexible, Proximal To Splenic Flexure; With Biopsy, Single Or Multiple - 45380

   Standard service: Colonoscopy with biopsy

   Code 45380

   Ask what's included
   $1,899

   2021 listed procedure fee; the page does not confirm a current cash-pay price.

   Source: peakoneasc.com · checked Oct 2026
5. Colonoscopy with removal of tumors, polyps, or other lesions — 45385

   Standard service: Colonoscopy with polyp removal (snare)

   Code 45385

   Ask what's included
   $2,058

   2021 listed procedure fee; the page does not confirm a current cash-pay price.

   Source: peakoneasc.com · checked Oct 2026
6. Colonoscopy, Flexible, Proximal To Splenic Flexure; Diagnostic, With Or Without Collection Of Specimen - 45378

   Standard service: Colonoscopy, diagnostic

   Code 45378

   Ask what's included
   $1,635

   2021 listed procedure fee; the page does not confirm a current cash-pay price.

   Source: peakoneasc.com · checked Oct 2026
7. Discission of secondary membranous cataract — 66821

   Standard service: Discission of secondary cataract (posterior capsule)

   Ask what's included
   $1,114

   2021 listed procedure fee; the page does not confirm a current cash-pay price.

   Source: peakoneasc.com · checked Oct 2026
8. Lithotripsy, Extracorporeal Shock Wave

   Standard service: Extracorporeal shock wave lithotripsy (ESWL)

   Code 50590

   Ask what's included
   $3,037

   2021 listed procedure fee; the page does not confirm a current cash-pay price.

   Source: peakoneasc.com · checked Oct 2026
9. Diagnostic or therapeutic paravertebral facet joint or nerve injection — 64493

   Standard service: Lumbar facet joint injection (single level)

   Code 64493

   Ask what's included
   $1,267

   2021 listed procedure fee; the page does not confirm a current cash-pay price.

   Source: peakoneasc.com · checked Oct 2026
10. Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid) - 62323

    Standard service: Lumbar/sacral interlaminar epidural injection

    Code 62323

    Ask what's included
    $1,267

    2021 listed procedure fee; the page does not confirm a current cash-pay price.

    Source: peakoneasc.com · checked Oct 2026
11. Open Treatment Of Clavicular Fracture, Includes Internal Fixation

    Standard service: ORIF clavicle fracture

    Code 23515

    Ask what's included
    $6,722

    2021 listed procedure fee; the page does not confirm a current cash-pay price.

    Source: peakoneasc.com · checked Oct 2026
12. Open Treatment Of Clavicular Fracture, Includes Internal Fixation - 23515

    Standard service: ORIF clavicle fracture

    Code 23515

    Ask what's included
    $6,722

    2021 listed procedure fee; the page does not confirm a current cash-pay price.

    Source: peakoneasc.com · checked Oct 2026
13. Open treatment of distal radial intra-articular fracture or epiphyseal separation with internal fixation — 25609

    Standard service: ORIF distal radius fracture, intra-articular 3+ parts

    Code 25609

    Ask what's included
    $7,754

    2021 listed procedure fee; the page does not confirm a current cash-pay price.

    Source: peakoneasc.com · checked Oct 2026
14. Destruction By Neurolytic Agent, Paravertebral Facet Joint Nerve(S), With Imaging Guidance (Fluoroscopy) - 64635

    Standard service: Radiofrequency ablation facet nerves, lumbar/sacral, single level

    Code 64635

    Ask what's included
    $1,373

    2021 listed procedure fee; the page does not confirm a current cash-pay price.

    Source: peakoneasc.com · checked Oct 2026
15. Removal Of Implant; Deep (Eg, Buried Wire, Pin, Screw, Metal Band, Nail, Rod Or Plate) - 20680

    Standard service: Removal of deep implant (wire, pin, screw, plate, rod)

    Code 20680

    Ask what's included
    $3,079

    2021 listed procedure fee; the page does not confirm a current cash-pay price.

    Source: peakoneasc.com · checked Oct 2026
16. Sacroiliac joint injection — G0260

    Standard service: Sacroiliac joint injection

    Code G0260

    Ask what's included
    $1,218

    2021 listed procedure fee; the page does not confirm a current cash-pay price.

    Source: peakoneasc.com · checked Oct 2026
17. Arthroscopy, Shoulder, Surgical; With Rotator Cuff Repair - 29827

    Standard service: Shoulder arthroscopy rotator cuff repair

    Code 29827

    Ask what's included
    $5,489

    2021 listed procedure fee; the page does not confirm a current cash-pay price.

    Source: peakoneasc.com · checked Oct 2026
18. Injection, Anesthetic Agent And/Or Steroid, Transforaminal Epidural, With Imaging Guidance (Fluoroscopy) - 64479

    Standard service: Transforaminal epidural injection cervical/thoracic (single level)

    Code 64479

    Ask what's included
    $1,267

    2021 listed procedure fee; the page does not confirm a current cash-pay price.

    Source: peakoneasc.com · checked Oct 2026
19. Injection, Anesthetic Agent And/Or Steroid, Transforaminal Epidural, With Imaging Guidance (Fluoroscopy) - 64483

    Standard service: Transforaminal epidural injection lumbar/sacral (single level)

    Code 64483

    Ask what's included
    $1,267

    2021 listed procedure fee; the page does not confirm a current cash-pay price.

    Source: peakoneasc.com · checked Oct 2026
20. Tendon Sheath Incision (Eg, For Trigger Finger) - 26055

    Standard service: Trigger finger release (tendon sheath incision)

    Code 26055

    Ask what's included
    $1,953

    2021 listed procedure fee; the page does not confirm a current cash-pay price.

    Source: peakoneasc.com · checked Oct 2026
21. Neuroplasty And/Or Transposition; Ulnar Nerve At Elbow

    Standard service: Ulnar nerve release at elbow (neuroplasty)

    Code 64718

    Ask what's included
    $3,583

    2021 listed procedure fee; the page does not confirm a current cash-pay price.

    Source: peakoneasc.com · checked Oct 2026
22. Neuroplasty And/Or Transposition; Ulnar Nerve At Elbow - 64718

    Standard service: Ulnar nerve release at elbow (neuroplasty)

    Code 64718

    Ask what's included
    $3,583

    2021 listed procedure fee; the page does not confirm a current cash-pay price.

    Source: peakoneasc.com · checked Oct 2026
23. Upper gastrointestinal endoscopy — 43235

    Standard service: Upper endoscopy (EGD) diagnostic

    Code 43235

    Ask what's included
    $1,267

    2021 listed procedure fee; the page does not confirm a current cash-pay price.

    Source: peakoneasc.com · checked Oct 2026
24. Upper gastrointestinal endoscopy — 43239

    Standard service: Upper endoscopy (EGD) with biopsy

    Code 43239

    Ask what's included
    $1,425

    2021 listed procedure fee; the page does not confirm a current cash-pay price.

    Source: peakoneasc.com · checked Oct 2026
25. Wrist arthroscopy with triangular fibrocartilage excision or repair and/or joint debridement

    Standard service: Wrist arthroscopy TFCC repair/debridement

    Code 29846

    Ask what's included
    $4,750

    2021 listed procedure fee; the page does not confirm a current cash-pay price.

    Source: peakoneasc.com · checked Oct 2026
26. Wrist arthroscopy with triangular fibrocartilage excision or repair and/or joint debridement — 29846

    Standard service: Wrist arthroscopy TFCC repair/debridement

    Code 29846

    Ask what's included
    $4,750

    2021 listed procedure fee; the page does not confirm a current cash-pay price.

    Source: peakoneasc.com · checked Oct 2026

Prices are published cash prices with their source and the date we last checked. Confirm with the provider before you book. Hospital prices for a billing code are often the facility charge only.