Reimbursement Samples

Liver billing examples
Case 1: 67 yo WM, colon CA mets to liver Billed Collected
Right hepatic lobectomy (47130) (Security Blue) $9,075 $2,846
Wedge resection left lobe lesion (47120-59) $6,188 $ 968
Open RFA L lobe tumor (47380) $3,472 $ 607
Open cholecystectomy with IOC (47605) $2,271 $ 410
TOTAL $21,006 $4,831 (23%)
Case 2: 51 yo Asian F, colon CA mets to liver Billed Collected
Right hepatic lobectomy (47130) (Blue Shield Indemnity) $9,075 $2,765
Wedge resection left lobe lesion (47120-59) $6,188 $1,005
Open RFA L lobe (47380) $3,472 $ 374
Open cholecystectomy with IOC (47605) $2,271 $ 428
Aspirate liver cyst (47015) $1,947 $ 349
TOTAL $22,953 $4,921 (21%)
Case 3: 55 yo WM, BD stricture/intrahepatic stones Billed Collected
Roux Y hepaticojejunostomy, extrahepatic to GI tract (47780) $4,056 $1,219
Bile duct resection (47711) (Medicare) $2,920 $ 638
Choledochotomy w/ w/expl.,drainage, removal calc (47420) $2,812 $ 554
Revise, reinsert transhepatic tube (47530) $ 839 $ 145
Intraop choledochoscopy (47550) $ 515 $ 200
IOC (47505) $ 146 $ 19
Radiologic interpretation of cholangiogram with flouro (74305) $ 83 $ 21
TOTAL $11,371 $ 2,796 (25%)
Case 4: 69 yo WM, cholelith, abn LFTs Billed Collected
Lap cholecystectomy (47562) (UPMC For Life) $2,163 $ 627
Lap. liver biopsy R lobe (4737902) $1,730 $ 779