Fees Structure

The information contained in this section is intended as a guide for patients and medical secretaries. If you have a query about our fees, please contact the group on 07732 674647.

The Worcestershire Anaesthetic Group is a Limited Liability Partnership that sets its fees for anaesthetic procedures based on the WPA Health Insurance fee schedule. The WPA fee schedule can be viewed at www.wpa.org.uk/healthcare-providers/medical-fees.

We bill our patients according to the Voluntary Code of Practice for Billing Private Patients published by The Association of Anaesthetists of Great Britain and Ireland. When more than one surgical procedure is involved we bill for these according to WPA guidelines: the primary code (the code carrying the highest fee) at the full fee, the secondary code at an additional 50% of the fee for that code, and any subsequent supplementary codes at 25% of those fees.

The majority of private health insurance companies cover our fees, but you are advised to check whether this is the case in advance. There can be differences between different insurers and also between different policies offered by the same insurer. In the event that your insurer does not cover the full fee, or there is an excess on your policy, you will be required to pay the shortfall to your anaesthetist.

A selection of procedures is listed below. If you cannot find your procedure code or description please contact the Worcestershire Anaesthetic Group on 0779 0917691.

ABDOMEN (other than urinary & reproductive organs)
OPCS Description Anaesthetic Cost
G2331 Laparoscopic repair of hiatus hernia with anti-reflux procedure (e.g. fundoplication) £490.00
G6080 Laparoscopically assisted resection of small intestine £550.00
G8082 Diagnostic oesophago-gastro-duodenoscopy (OGD) and immediate colonoscopy includes forceps biopsies, biopsy test and dye spray (as sole procedure) £175.00
H0210 Appendicectomy £260.00
H0280 Laparoscopic appendicectomy £260.00
H0610 Extended excision of right hemicolon £400.00
H0700 Right hemicolectomy £340.00
H0750 Laparoscopically assisted right hemicolectomy £350.00
H0800 Excision of transverse colon £240.00
H0900 Excision of left hemicolon £375.00
H1000 Excision of sigmoid colon £340.00
H1542 Closure of colostomy £260.00
H1581 Laparoscopic colostomy and stoma formation (including revision) £275.00
H1880 Laparoscopically assisted left colon resection £400.00
H2002 Diagnostic colonoscopy, includes forceps biopsy of colon and ileum £175.00
H2502 Diagnostic flexible sigmoidoscopy, including forceps biopsy and proctoscopy £175.00
H2503 Therapeutic sigmoidoscopy with snare loop biopsy or excision of lesion £160.00
H2510 Rigid sigmoidoscopy including proctoscopy and biopsy £105.00
H3320 Abdominoperineal resection of rectum and anus £605.00
H3322 Laparoscopic abdominoperineal resection £610.00
H3332 Anterior resection – high (i.e. colorectal anastomosis above the peritoneal reflection) £625.00
H3334 Anterior resection – low (i.e. colorectal anastomosis at or below the peritoneal reflection) £645.00
H3362 Hartmann’s procedure £540.00
H3363 Colectomy and colostomy and preservation of rectum £540.00
H3364 Laparoscopic anterior resection – high (i.e. colorectal anastomosis above the peritoneal reflection) £625.00
H3365 Laparoscopic anterior resection – low (i.e. colorectal anastomosis at or below the peritoneal reflection) £645.00
H3390 Reversal of Hartmann’s procedure £540.00
H3500 Fixation of rectum for prolapse £340.00
H3580 Laparoscopic rectopexy £340.00
H4130 Perianal excision of lesion of rectum (including sigmoidoscopy) £220.00
H4180 Full or partial thickness rectal biopsy £130.00
H4200 Perineal repair of prolapse of rectum £250.00
H4430 Examination of rectum under anaesthetic (as sole procedure) £130.00
H4480 Dilation of stricture of rectum £110.00
H4800 Excision of lesion of anus £120.00
H5020 Repair of anal sphincter (including sigmoidoscopy) £220.00
H5100 Haemorrhoidectomy (including sigmoidoscopy) £180.00
H5240 Banding of haemorrhoids £100.00
H5250 Circular Stapling Haemorrhoidectomy £150.00
H5510 Laying open of low anal fistula (including sigmoidoscopy) £175.00
H5520 Laying open of high anal fistula (including sigmoidoscopy) £210.00
H5620 Lateral sphincterotomy of anus £150.00
H5640 Excision of anal fissure £150.00
H5940 Excision of pilonidal sinus and suture/skin graft £220.00
H6020 Laying open of pilonidal sinus £125.00
J0900 Diagnostic laparoscopy (including any biopsy) £200.00
J1800 Cholecystectomy (including mini-cholecystectomy) £380.00
J1820 Cholecystectomy with exploration of common bile duct £390.00
J1830 Laparoscopic cholecystectomy £475.00
J1880 Laparoscopic cholecystectomy with peri-operative cholangiogram £525.00
J3500 Sphincterotomy of bile duct and pancreatic duct using duodenal approach £250.00
J3900 Therapeutic ERCP (including insertion of biliary or pancreatic prosthesis, sphincterotomy and stone extraction) £200.00
T1900 Simple excision of inguinal hernial sac (herniotomy) – unilateral £185.00
T1910 Simple excision of inguinal hernial sac (herniotomy) – bilateral £345.00
T2000 Primary repair of inguinal hernia £210.00
T2002 Laparoscopic repair of inguinal hernia – unilateral £195.00
T2010 Primary repair of inguinal hernia – bilateral £355.00
T2012 Laparoscopic repair of inguinal hernia – bilateral £350.00
T2080 Primary repair of strangulated inguinal hernia £345.00
T2100 Repair of recurrent inguinal hernia £240.00
T2102 Laparoscopic repair of recurrent inguinal hernia – unilateral £220.00
T2110 Repair of recurrent inguinal hernia – bilateral £340.00
T2112 Laparoscopic repair of recurrent inguinal hernia – bilateral £375.00
T2200 Primary repair of femoral hernia £215.00
T2280 Primary repair of strangulated femoral hernia £345.00
T2300 Repair of recurrent femoral hernia £220.00
T2400 Repair of umbilical hernia (irrespective of age) £200.00
T2500 Primary repair of incisional hernia £270.00
T2502 Laparoscopic repair of incisional hernia £280.00
T2600 Repair of recurrent incisional hernia £300.00
T2720 Repair of ventral hernia requiring mesh £185.00
T3010 Laparotomy for post-operative haemorrhage £375.00
T4130 Freeing of adhesions of peritoneum £235.00
T4300 Laparoscopic adhesiolysis (including biopsy) £210.00

 

BONES, JOINTS ETC (not elsewhere listed)
OPCS Description Cost
T5202 Dupuytren’s fasciectomy palm only £200.00
T5900 Excision of ganglion £155.00
T6000 Repeat excision of ganglion £150.00
T6220 Excision of bursa £150.00
T7230 Release of constriction of sheath of tendon (e.g. trigger finger) £165.00
T7910 Open sub acromial decompression and extensive, greater than 2cm tear rotator cuff repair with excision of distal clavicle £420.00
T7915 Arthroscopic rotator cuff repair greater than 2cm (as sole procedure) £575.00
T7982 Arthroscopic sub-acromial decompression and limited, less than 2cm tear rotator cuff repair (including arthroscopic procedures in glenohumeral joint) £400.00
T7983 Open sub acromial decompression and limited, less than 2cm tear rotator cuff repair £420.00
T7990 Revision rotator cuff repair £350.00
T8050 Surgical release of humeral epicondylitis (lateral or medial) (e.g. “Tennis Elbow”) £200.00
W0300 Multiple procedures on forefoot £280.00
W0330 Fusion of first metatarso-phalangeal joint £220.00
W0512 Interpositional silastic arthroplasty of MCP/PIP joint- single £135.00
W0513 Prosthetic interpositional silastic arthroplasty of MCP/PIP joints – multiple £155.00
W0630 Patellectomy £170.00
W0632 Prosthetic patello-femoral replacement (as sole procedure) £450.00
W0640 Total excision of sesamoid bone £145.00
W0860 Metatarso-phalangeal cheilectomy – unilateral £175.00
W0890 Excision distal clavicle, as sole procedure £220.00
W1040 Osteotomy of small bone of foot (including hallux valgus and including internal fixation) £225.00
W3712 Primary total hip replacement with or without cement £400.00
W3713 Complex primary total hip replacement (including bone grafting or femoral osteotomy) £520.00
W3714 Total hip replacement +/- cement, after excision arthroplasty or arthrodesis, including conversion of hemiarthroplasty or revision of other previous hip surgery involving internal fixation £480.00
W3715 Metal on metal hip resurfacing arthroplasty £500.00
W3732 Revision of uncemented or cemented total hip replacement without adjunctive procedures £750.00
W4200 Complex primary total knee replacement (i.e. including bone graft, augmentation or osteotomy) £400.00
W4210 Total prosthetic replacement of knee joint, with or without cement, +/- patella £400.00
W4230 Revision of total replacement of knee joint £650.00
W4900 Shoulder hemiarthroplasty, as sole procedure £450.00
W5000 Primary total shoulder replacement £465.00
W5030 Revision total shoulder replacement £540.00
W5200 Unicompartmental knee replacement £400.00
W5710 Excision arthroplasty of first metatarso-phalangeal joint, including Keller’s £175.00
W5940 Fusion of interphalangeal joint(s) of toe (including internal fixation) £165.00
W7420 Autograft anterior cruciate ligament reconstruction £420.00
W7430 Reconstruction of lateral collateral ligament complex £256.00
W7470 Revision of anterior cruciate ligament reconstruction £440.00
W7480 Posterior cruciate ligament reconstruction (including arthroscopic) £400.00
W7492 Arthroscopic lateral release £200.00
W7910 Metatarsal osteotomy (eg Scarf) for Hallux valgus, +/- internal fixation and soft tissue correction £265.00
W8193 Arthroscopic sub-acromial decompression as sole procedure £400.00
W8194 Arthroscopic sub-acromial decompression and excision of distal clavicle (including arthroscopic procedures in glenohumeral joint) £425.00
W8200 Arthroscopic meniscectomy (including debridement) £300.00
W8230 Arthroscopic meniscal repair £300.00
W8300 Therapeutic arthroscopic operation on articular cartilage (other than W8200 and W8230) (as sole procedure) £275.00
W8400 Repair of knee ligaments (open or arthroscopic) £200.00
W8500 Multiple arthroscopic operation on knee (including meniscectomy, chondroplasty, drilling or microfracture) £375.00
W8520 Arthroscopy of knee (including examination under anaesthetic, washout and biopsy) (as sole procedure) £260.00
W8600 Therapeutic arthroscopic operation on cavity of joint (not otherwise specified) (as sole procedure) £265.00
W8602 Therapeutic arthroscopy of wrist joint (as sole procedure) £300.00
W8603 Therapeutic arthroscopy of shoulder (as sole procedure) £245.00
W8620 Therapeautic arthroscopic examination of hip joint, with or without biopsy £335.00
W8630 Simple therapeutic arthroscopy of ankle with either soft tissue procedures or bony procedures +/- or joint surface procedures (as sole procedure) £245.00
W9112 Manipulation of joint (including intra-articular injection) for “Frozen Shoulder” (as sole procedure) £190.00
W9240 Examination/ manipulation of joint under anaesthetic +/- injection (as sole procedure) £125.00
W0300 Multiple Procedures on Forefoot £280.00

 

BREASTS
OPCS Description Cost
B2700 Subcutaneous mastectomy with immediate implant £245.00
B2742 Modified radical mastectomy including lymph node sampling £300.00
B2743 Modified radical mastectomy excluding lymph node sampling £250.00
B2744 Modified radical mastectomy including lymph node clearance £325.00
B2752 Subcutaneous mastectomy £200.00
B2760 Skin/nipple sparing mastectomy (including axillary node biopsy) £320.00
B2780 Simple mastectomy (including axillary node biopsy) £ unilateral £275.00
B2782 Prophylactic mastectomy – unilateral £275.00
B2783 Prophylactic mastectomy – bilateral £350.00
B2785 Mastectomy for gynaecomastia – bilateral £365.00
B2800 Excision/biopsy of breast lump/fibroadenoma of breast £190.00
B2820 Wide local excision of lesion of breast £285.00
B2830 Re-excision of lesion of breast if resection margins are not clear (as sole procedure) £175.00
B2880 Excision biopsy of breast lesion after localisation £285.00
B2912 Mastectomy and immediate reconstruction of breast using latissimus dorsi £700.00
B2913 Reconstruction of breast using latissimus dorsi including implantation of prosthesis (including delayed reconstruction) £450.00
B3012 Mastectomy and immediate reconstruction of breast using expandable prosthesis £400.00
B3032 Removal of prosthesis from breast, including capsulectomy £150.00
B3033 Simple removal of prosthesis from breast £135.00
B3100 Reduction mammoplasty – unilateral £300.00
B3110 Reduction mammoplasty – bilateral (greater than 500g each breast) £500.00
B3180 Implantation of prosthesis into breast as sole procedure £210.00
B3220 Core biopsy of lesion of breast £120.00
B3310 Drainage of breast abscess including haematoma and seroma £120.00
B3440 Microdochotomy £150.00
B3593 Microdochectomy or mammodochectomy (Hadfield’s procedure) £140.00
T9000 Sentinel node mapping with blue dye or radioactive probe for breast cancer £250.00
T9020 Sentinel node mapping with blue dye and radioactive probe for breast cancer £300.00

 

CHRONIC PAIN
OPCS Description Procedure Cost
25020 Intravenous regional sympathetic block (guanethidine block) – 1 injection £175.00
25022 Stellate ganglion block (Local Anaesthetic) £150.00
25030 Stellate ganglion block (neurolytic) £180.00
25120 Dorsal root ganglion block (local anaesthetic or neurolytic) £380.00
25130 Dorsal root ganglion block (radiofrequency) £480.00
A5200 Epidural injection (cervical) £250.00
A5210 Epidural injection (lumbar/caudal) £200.00
A5220 Epidural injection (thoracic) £245.00
A5720 Facet or sacroiliac joint (RF) radiofrequency thermocoagulation including rhizolysis (under X-ray control) – up to 3 joints £475.00
A5730 Facet or sacroiliac joint (RF) radiofrequency thermocoagulation including rhizolysis (under X-ray control) – 4 to 6 joints £700.00
A5750 Facet joint injection (under X-ray control) – up to 2 joints £255.00
A5760 Facet joint injection (under X-ray control) – 3 to 4 joints £375.00
A5770 Facet joint injection (under X-ray control) – 5 to 6 joints £495.00
A7352 Ultrasound guided nerve block as sole procedure £260.00
T7290 Trigger point injection/Enthesis – 1 injection £125.00
T7292 Trigger point injection/Enthesis – more than 1 injection £160.00

 

EAR, NOSE AND THROAT
OPCS Description Anaesthetic Cost
D0210 Excision of lesion of pinna £150.00
D1010 Radical mastoidectomy (including meatoplasty) £310.00
D1040 Simple mastoidectomy £260.00
D1060 Revision of mastoidectomy (including meatoplasty) £280.00
D1420 Myringoplasty £275.00
D1440 Combined approach tympanoplasty – intact canal wall tympanoplasty £325.00
D1510 Myringotomy and insertion of tube through tympanic membrane (and bilateral) £180.00
D1530 Myringotomy (and bilateral) £105.00
D2030 Removal of grommets £180.00
D2822 Examination of ear under general anaesthetic (as sole procedure) £100.00
E0230 Septorhinoplasty +/- graft/implant following trauma or excision of tumour £345.00
E0260 Rhinoplasty following trauma or excision of tumour £413.00
E0310 Submucous resection of nasal septum £145.00
E0360 Septoplasty of nose (including attention to inferior turbinate) £180.00
E0380 Nasal septum cauterisation (and bilateral) £102.00
E0412 Reduction turbinates of nose (laser, diathermy, out fracture etc) £150.00
E0810 Polypectomy of internal nose (and bilateral, including endoscopic) £145.00
E0910 Excision of lesion of external nose £135.00
E1310 Antral puncture and wash-out (and bilateral) £130.00
E1330 Intranasal antrostomy including endoscopic and antral wash-out (& bilateral) £175.00
E1432 Standard FESS: excision uncinate process and anterior ethmoid bulla, antrostomy/antral puncture, simple polypectomy, attention to middle turbinate (bilateral) £370.00
E2010 Adenoidectomy £150.00
E2500 Diagnostic endoscopic examination of pharynx/larynx (including biopsy) (as sole procedure) £145.00
E3520 Microlaryngoscopy/laryngoscopy +/- endoscopic excision of lesion of larynx £280.00
E4990 Panendoscopy +/- incisional biopsy £180.00
F3400 Tonsillectomy – child (and bilateral) £200.00
F3440 Tonsillectomy – adult (and bilateral) £200.00
F3480 Adenotonsillectomy (and bilateral) £220.00
W2620 Manipulation under anaesthesia of fractured nose £120.00

 

EYE AND ORBITAL CONTENTS
OPCS Description Anaesthetic Cost
C7122 Phakoemulsification of lens with implant – unilateral £325.00
C7920 Pars plana vitrectomy with internal tamponade, scleral buckling and retinopexy £500.00
C7922 Pars plana vitrectomy/vitreous biopsy £475.00
C7982 Pars plana vitrectomy with internal tamponade, scleral buckling and retinopexy, including dissection or excision of epiretinal membrane/macular surgery £725.00

 

SKIN AND SUBCUTANEOUS TISSUE
OPCS Description Anaesthetic Cost
S0632 Excision of lesion of skin or subcutaneous tissue – up to three, Head & Neck £170.00
S0633 Excision of lesion of skin or subcutaneous tissue – up to three, Trunk & Limbs £150.00
S0642 Excision of lesion of skin or subcutaneous tissue – four or more, Head & Neck £175.00
S0643 Excision of lesion of skin or subcutaneous tissue – four or more, Trunk & Limbs £190.00
S6400 Excision of nail bed (Zadeks) £170.00
T7790 Excision of benign soft tissue tumour (e.g. glomus, giant cell) £220.00

 

SPINE, SPINAL CORD AND PERIPHERAL NERVES
OPCS Description Anaesthetic Cost
A5210 Epidural injection (lumbar/caudal) £200.00
A5220 Epidural injection (thoracic) £245.00
A6510 Carpal tunnel release, including endoscopic £160.00
A6810 Neurolysis and transposition of peripheral nerve (includes ulnar at elbow) £175.00
V2500 Primary posterior fusion +/- decompression +/- discectomy (lumbar region) £500.00
V2540 Posterior excision of disc prolapse (including microdiscectomy +/- decompression) (lumbar region) £460.00
V2544 Revision of posterior excision of disc prolapse (lumbar region) £460.00
V2560 Decompression for central spinal stenosis (1 or 2 levels) £450.00
V2562 Decompression for central spinal stenosis (3 or more levels) £465.00

 

THORAX AND INTRA THORACIC ORGANS
OPCS Description Anaesthetic Cost
X5020 External cardioversion £150.00
XR915 Insertion of Hickmann Line £410.00

 

URINARY SYSTEM AND MALE REPRODUCTIVE ORGAN
OPCS Description Anaesthetic Cost
M0250 Nephrectomy – unilateral £240.00
M0280 Laparoscopic nephrectomy £540.00
M3000 Endoscopic examination of ureter (+/- cystoscopy and insertion/removal of stent) £145.00
M3202 Operations on ureteric orifice (including endoscopic) £175.00
M4210 Endoscopic resection of lesion of bladder (including cystoscopy) £300.00
M4230 Endoscopic destruction of lesion of bladder (including cystoscopy) £170.00
M4400 Sphincterotomy £150.00
M4410 Resection of bladder neck (including cystoscopy) £230.00
M4420 Endoscopic extraction of calculus of bladder (including cystoscopy) £150.00
M4510 Diagnostic endoscopic examination of bladder (including any biopsy) £165.00
M5820 Dilatation of outlet of female bladder (with cystoscopy) £150.00
M6180 Radical prostatectomy, reconstruction of bladder neck including bilateral pelvic lymphadenectomy (including cystoscopy) £550.00
M6530 Endoscopic resection of prostate (TUR) (including cystoscopy) £375.00
M7700 Diagnostic endoscopic examination of urethra (as sole procedure)(including cystoscopy) £95.00
M7920 Dilatation of urethra (including cystoscopy) £125.00
M7940 Internal urethrotomy (including cystoscopy) £160.00
M8120 Meatoplasty £150.00
N0630 Laparoscopic orchidectomy £190.00
N0680 Orchidectomy and excision of spermatic cord (+/- insertion of prosthesis) £160.00
N0820 Orchidopexy – bilateral £375.00
N0920 Orchidopexy £175.00
N1100 Correction of hydrocele £170.00
N1320 Fixation of testis £175.00
N1580 Excision of epididymal cyst £180.00
N1900 Operation(s) on varicocele £195.00
N2780 Operation for Peyronie’s disease (e.g. Nesbitt’s) £187.00
N2842 Frenuloplasty of penis £160.00
N3030 Circumcision £150.00

 

VASCULAR SYSTEM (other than intra-thoracic)
OPCS Description Anaesthetic Cost
L1680 Axillo-bifemoral bypass £555.00
L1940 Infrarenal abdominal aortic aneurysm tube graft £610.00
L1960 Infrarenal abdominal aortic aneurysm bifurcation graft £625.00
L2950 Carotid endarterectomy £555.00
L5180 Aorto-bifemoral bypass £750.00
L5922 Femoro-popliteal bypass using prosthesis £540.00
L5923 Femoro-popliteal bypass using vein £540.00
L5960 Femoro-distal calf bypass using vein £470.00
L6000 Endarterectomy of femoral artery £425.00
L6710 Biopsy of artery (including temporal) (as sole procedure) £95.00
L8510 Ligation/stripping of long or short saphenous vein (including local excision/multiple phlebectomy) £225.00
L8700 Ligation/stripping of long and short saphenous veins (including local excision/multiple phlebectomy) £270.00
L8750 Local excision (multiple phlebectomy) of varicose vein(s) of leg – unilateral £175.00
T8620 Sampling of axillary lymph nodes £130.00