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)
OPCSDescriptionAnaesthetic Cost
G2331Laparoscopic repair of hiatus hernia with anti-reflux procedure (e.g. fundoplication)£490.00
G6080Laparoscopically assisted resection of small intestine£550.00
G8082Diagnostic oesophago-gastro-duodenoscopy (OGD) and immediate colonoscopy includes forceps biopsies, biopsy test and dye spray (as sole procedure)£175.00
H0210Appendicectomy£260.00
H0280Laparoscopic appendicectomy£260.00
H0610Extended excision of right hemicolon£400.00
H0700Right hemicolectomy£340.00
H0750Laparoscopically assisted right hemicolectomy£350.00
H0800Excision of transverse colon£240.00
H0900Excision of left hemicolon£375.00
H1000Excision of sigmoid colon£340.00
H1542Closure of colostomy£260.00
H1581Laparoscopic colostomy and stoma formation (including revision)£275.00
H1880Laparoscopically assisted left colon resection£400.00
H2002Diagnostic colonoscopy, includes forceps biopsy of colon and ileum£175.00
H2502Diagnostic flexible sigmoidoscopy, including forceps biopsy and proctoscopy£175.00
H2503Therapeutic sigmoidoscopy with snare loop biopsy or excision of lesion£160.00
H2510Rigid sigmoidoscopy including proctoscopy and biopsy£105.00
H3320Abdominoperineal resection of rectum and anus£605.00
H3322Laparoscopic abdominoperineal resection£610.00
H3332Anterior resection – high (i.e. colorectal anastomosis above the peritoneal reflection)£625.00
H3334Anterior resection – low (i.e. colorectal anastomosis at or below the peritoneal reflection)£645.00
H3362Hartmann’s procedure£540.00
H3363Colectomy and colostomy and preservation of rectum£540.00
H3364Laparoscopic anterior resection – high (i.e. colorectal anastomosis above the peritoneal reflection)£625.00
H3365Laparoscopic anterior resection – low (i.e. colorectal anastomosis at or below the peritoneal reflection)£645.00
H3390Reversal of Hartmann’s procedure£540.00
H3500Fixation of rectum for prolapse£340.00
H3580Laparoscopic rectopexy£340.00
H4130Perianal excision of lesion of rectum (including sigmoidoscopy)£220.00
H4180Full or partial thickness rectal biopsy£130.00
H4200Perineal repair of prolapse of rectum£250.00
H4430Examination of rectum under anaesthetic (as sole procedure)£130.00
H4480Dilation of stricture of rectum£110.00
H4800Excision of lesion of anus£120.00
H5020Repair of anal sphincter (including sigmoidoscopy)£220.00
H5100Haemorrhoidectomy (including sigmoidoscopy)£180.00
H5240Banding of haemorrhoids£100.00
H5250Circular Stapling Haemorrhoidectomy£150.00
H5510Laying open of low anal fistula (including sigmoidoscopy)£175.00
H5520Laying open of high anal fistula (including sigmoidoscopy)£210.00
H5620Lateral sphincterotomy of anus£150.00
H5640Excision of anal fissure£150.00
H5940Excision of pilonidal sinus and suture/skin graft£220.00
H6020Laying open of pilonidal sinus£125.00
J0900Diagnostic laparoscopy (including any biopsy)£200.00
J1800Cholecystectomy (including mini-cholecystectomy)£380.00
J1820Cholecystectomy with exploration of common bile duct£390.00
J1830Laparoscopic cholecystectomy£475.00
J1880Laparoscopic cholecystectomy with peri-operative cholangiogram£525.00
J3500Sphincterotomy of bile duct and pancreatic duct using duodenal approach£250.00
J3900Therapeutic ERCP (including insertion of biliary or pancreatic prosthesis, sphincterotomy and stone extraction)£200.00
T1900Simple excision of inguinal hernial sac (herniotomy) – unilateral£185.00
T1910Simple excision of inguinal hernial sac (herniotomy) – bilateral£345.00
T2000Primary repair of inguinal hernia£210.00
T2002Laparoscopic repair of inguinal hernia – unilateral£195.00
T2010Primary repair of inguinal hernia – bilateral£355.00
T2012Laparoscopic repair of inguinal hernia – bilateral£350.00
T2080Primary repair of strangulated inguinal hernia£345.00
T2100Repair of recurrent inguinal hernia£240.00
T2102Laparoscopic repair of recurrent inguinal hernia – unilateral£220.00
T2110Repair of recurrent inguinal hernia – bilateral£340.00
T2112Laparoscopic repair of recurrent inguinal hernia – bilateral£375.00
T2200Primary repair of femoral hernia£215.00
T2280Primary repair of strangulated femoral hernia£345.00
T2300Repair of recurrent femoral hernia£220.00
T2400Repair of umbilical hernia (irrespective of age)£200.00
T2500Primary repair of incisional hernia£270.00
T2502Laparoscopic repair of incisional hernia£280.00
T2600Repair of recurrent incisional hernia£300.00
T2720Repair of ventral hernia requiring mesh£185.00
T3010Laparotomy for post-operative haemorrhage£375.00
T4130Freeing of adhesions of peritoneum£235.00
T4300Laparoscopic adhesiolysis (including biopsy)£210.00

 

BONES, JOINTS ETC (not elsewhere listed)
OPCSDescriptionCost
T5202Dupuytren’s fasciectomy palm only£200.00
T5900Excision of ganglion£155.00
T6000Repeat excision of ganglion£150.00
T6220Excision of bursa£150.00
T7230Release of constriction of sheath of tendon (e.g. trigger finger)£165.00
T7910Open sub acromial decompression and extensive, greater than 2cm tear rotator cuff repair with excision of distal clavicle£420.00
T7915Arthroscopic rotator cuff repair greater than 2cm (as sole procedure)£575.00
T7982Arthroscopic sub-acromial decompression and limited, less than 2cm tear rotator cuff repair (including arthroscopic procedures in glenohumeral joint)£400.00
T7983Open sub acromial decompression and limited, less than 2cm tear rotator cuff repair£420.00
T7990Revision rotator cuff repair£350.00
T8050Surgical release of humeral epicondylitis (lateral or medial) (e.g. “Tennis Elbow”)£200.00
W0300Multiple procedures on forefoot£280.00
W0330Fusion of first metatarso-phalangeal joint£220.00
W0512Interpositional silastic arthroplasty of MCP/PIP joint- single£135.00
W0513Prosthetic interpositional silastic arthroplasty of MCP/PIP joints – multiple£155.00
W0630Patellectomy£170.00
W0632Prosthetic patello-femoral replacement (as sole procedure)£450.00
W0640Total excision of sesamoid bone£145.00
W0860Metatarso-phalangeal cheilectomy – unilateral£175.00
W0890Excision distal clavicle, as sole procedure£220.00
W1040Osteotomy of small bone of foot (including hallux valgus and including internal fixation)£225.00
W3712Primary total hip replacement with or without cement£400.00
W3713Complex primary total hip replacement (including bone grafting or femoral osteotomy)£520.00
W3714Total hip replacement +/- cement, after excision arthroplasty or arthrodesis, including conversion of hemiarthroplasty or revision of other previous hip surgery involving internal fixation£480.00
W3715Metal on metal hip resurfacing arthroplasty£500.00
W3732Revision of uncemented or cemented total hip replacement without adjunctive procedures£750.00
W4200Complex primary total knee replacement (i.e. including bone graft, augmentation or osteotomy)£400.00
W4210Total prosthetic replacement of knee joint, with or without cement, +/- patella£400.00
W4230Revision of total replacement of knee joint£650.00
W4900Shoulder hemiarthroplasty, as sole procedure£450.00
W5000Primary total shoulder replacement£465.00
W5030Revision total shoulder replacement£540.00
W5200Unicompartmental knee replacement£400.00
W5710Excision arthroplasty of first metatarso-phalangeal joint, including Keller’s£175.00
W5940Fusion of interphalangeal joint(s) of toe (including internal fixation)£165.00
W7420Autograft anterior cruciate ligament reconstruction£420.00
W7430Reconstruction of lateral collateral ligament complex£256.00
W7470Revision of anterior cruciate ligament reconstruction£440.00
W7480Posterior cruciate ligament reconstruction (including arthroscopic)£400.00
W7492Arthroscopic lateral release£200.00
W7910Metatarsal osteotomy (eg Scarf) for Hallux valgus, +/- internal fixation and soft tissue correction£265.00
W8193Arthroscopic sub-acromial decompression as sole procedure£400.00
W8194Arthroscopic sub-acromial decompression and excision of distal clavicle (including arthroscopic procedures in glenohumeral joint)£425.00
W8200Arthroscopic meniscectomy (including debridement)£300.00
W8230Arthroscopic meniscal repair£300.00
W8300Therapeutic arthroscopic operation on articular cartilage (other than W8200 and W8230) (as sole procedure)£275.00
W8400Repair of knee ligaments (open or arthroscopic)£200.00
W8500Multiple arthroscopic operation on knee (including meniscectomy, chondroplasty, drilling or microfracture)£375.00
W8520Arthroscopy of knee (including examination under anaesthetic, washout and biopsy) (as sole procedure)£260.00
W8600Therapeutic arthroscopic operation on cavity of joint (not otherwise specified) (as sole procedure)£265.00
W8602Therapeutic arthroscopy of wrist joint (as sole procedure)£300.00
W8603Therapeutic arthroscopy of shoulder (as sole procedure)£245.00
W8620Therapeautic arthroscopic examination of hip joint, with or without biopsy£335.00
W8630Simple therapeutic arthroscopy of ankle with either soft tissue procedures or bony procedures +/- or joint surface procedures (as sole procedure)£245.00
W9112Manipulation of joint (including intra-articular injection) for “Frozen Shoulder” (as sole procedure)£190.00
W9240Examination/ manipulation of joint under anaesthetic +/- injection (as sole procedure)£125.00
W0300Multiple Procedures on Forefoot£280.00

 

BREASTS
OPCSDescriptionCost
B2700Subcutaneous mastectomy with immediate implant£245.00
B2742Modified radical mastectomy including lymph node sampling£300.00
B2743Modified radical mastectomy excluding lymph node sampling£250.00
B2744Modified radical mastectomy including lymph node clearance£325.00
B2752Subcutaneous mastectomy£200.00
B2760Skin/nipple sparing mastectomy (including axillary node biopsy)£320.00
B2780Simple mastectomy (including axillary node biopsy) £ unilateral£275.00
B2782Prophylactic mastectomy – unilateral£275.00
B2783Prophylactic mastectomy – bilateral£350.00
B2785Mastectomy for gynaecomastia – bilateral£365.00
B2800Excision/biopsy of breast lump/fibroadenoma of breast£190.00
B2820Wide local excision of lesion of breast£285.00
B2830Re-excision of lesion of breast if resection margins are not clear (as sole procedure)£175.00
B2880Excision biopsy of breast lesion after localisation£285.00
B2912Mastectomy and immediate reconstruction of breast using latissimus dorsi£700.00
B2913Reconstruction of breast using latissimus dorsi including implantation of prosthesis (including delayed reconstruction)£450.00
B3012Mastectomy and immediate reconstruction of breast using expandable prosthesis£400.00
B3032Removal of prosthesis from breast, including capsulectomy£150.00
B3033Simple removal of prosthesis from breast£135.00
B3100Reduction mammoplasty – unilateral£300.00
B3110Reduction mammoplasty – bilateral (greater than 500g each breast)£500.00
B3180Implantation of prosthesis into breast as sole procedure£210.00
B3220Core biopsy of lesion of breast£120.00
B3310Drainage of breast abscess including haematoma and seroma£120.00
B3440Microdochotomy£150.00
B3593Microdochectomy or mammodochectomy (Hadfield’s procedure)£140.00
T9000Sentinel node mapping with blue dye or radioactive probe for breast cancer£250.00
T9020Sentinel node mapping with blue dye and radioactive probe for breast cancer£300.00

 

CHRONIC PAIN
OPCSDescriptionProcedure Cost
25020Intravenous regional sympathetic block (guanethidine block) – 1 injection£175.00
25022Stellate ganglion block (Local Anaesthetic)£150.00
25030Stellate ganglion block (neurolytic)£180.00
25120Dorsal root ganglion block (local anaesthetic or neurolytic)£380.00
25130Dorsal root ganglion block (radiofrequency)£480.00
A5200Epidural injection (cervical)£250.00
A5210Epidural injection (lumbar/caudal)£200.00
A5220Epidural injection (thoracic)£245.00
A5720Facet or sacroiliac joint (RF) radiofrequency thermocoagulation including rhizolysis (under X-ray control) – up to 3 joints£475.00
A5730Facet or sacroiliac joint (RF) radiofrequency thermocoagulation including rhizolysis (under X-ray control) – 4 to 6 joints£700.00
A5750Facet joint injection (under X-ray control) – up to 2 joints£255.00
A5760Facet joint injection (under X-ray control) – 3 to 4 joints£375.00
A5770Facet joint injection (under X-ray control) – 5 to 6 joints£495.00
A7352Ultrasound guided nerve block as sole procedure£260.00
T7290Trigger point injection/Enthesis – 1 injection£125.00
T7292Trigger point injection/Enthesis – more than 1 injection£160.00

 

EAR, NOSE AND THROAT
OPCSDescriptionAnaesthetic Cost
D0210Excision of lesion of pinna£150.00
D1010Radical mastoidectomy (including meatoplasty)£310.00
D1040Simple mastoidectomy£260.00
D1060Revision of mastoidectomy (including meatoplasty)£280.00
D1420Myringoplasty£275.00
D1440Combined approach tympanoplasty – intact canal wall tympanoplasty£325.00
D1510Myringotomy and insertion of tube through tympanic membrane (and bilateral)£180.00
D1530Myringotomy (and bilateral)£105.00
D2030Removal of grommets£180.00
D2822Examination of ear under general anaesthetic (as sole procedure)£100.00
E0230Septorhinoplasty +/- graft/implant following trauma or excision of tumour£345.00
E0260Rhinoplasty following trauma or excision of tumour£413.00
E0310Submucous resection of nasal septum£145.00
E0360Septoplasty of nose (including attention to inferior turbinate)£180.00
E0380Nasal septum cauterisation (and bilateral)£102.00
E0412Reduction turbinates of nose (laser, diathermy, out fracture etc)£150.00
E0810Polypectomy of internal nose (and bilateral, including endoscopic)£145.00
E0910Excision of lesion of external nose£135.00
E1310Antral puncture and wash-out (and bilateral)£130.00
E1330Intranasal antrostomy including endoscopic and antral wash-out (& bilateral)£175.00
E1432Standard FESS: excision uncinate process and anterior ethmoid bulla, antrostomy/antral puncture, simple polypectomy, attention to middle turbinate (bilateral)£370.00
E2010Adenoidectomy£150.00
E2500Diagnostic endoscopic examination of pharynx/larynx (including biopsy) (as sole procedure)£145.00
E3520Microlaryngoscopy/laryngoscopy +/- endoscopic excision of lesion of larynx£280.00
E4990Panendoscopy +/- incisional biopsy£180.00
F3400Tonsillectomy – child (and bilateral)£200.00
F3440Tonsillectomy – adult (and bilateral)£200.00
F3480Adenotonsillectomy (and bilateral)£220.00
W2620Manipulation under anaesthesia of fractured nose£120.00

 

EYE AND ORBITAL CONTENTS
OPCSDescriptionAnaesthetic Cost
C7122Phakoemulsification of lens with implant – unilateral£325.00
C7920Pars plana vitrectomy with internal tamponade, scleral buckling and retinopexy£500.00
C7922Pars plana vitrectomy/vitreous biopsy£475.00
C7982Pars plana vitrectomy with internal tamponade, scleral buckling and retinopexy, including dissection or excision of epiretinal membrane/macular surgery£725.00

 

SKIN AND SUBCUTANEOUS TISSUE
OPCSDescriptionAnaesthetic Cost
S0632Excision of lesion of skin or subcutaneous tissue – up to three, Head & Neck£170.00
S0633Excision of lesion of skin or subcutaneous tissue – up to three, Trunk & Limbs£150.00
S0642Excision of lesion of skin or subcutaneous tissue – four or more, Head & Neck£175.00
S0643Excision of lesion of skin or subcutaneous tissue – four or more, Trunk & Limbs£190.00
S6400Excision of nail bed (Zadeks)£170.00
T7790Excision of benign soft tissue tumour (e.g. glomus, giant cell)£220.00

 

SPINE, SPINAL CORD AND PERIPHERAL NERVES
OPCSDescriptionAnaesthetic Cost
A5210Epidural injection (lumbar/caudal)£200.00
A5220Epidural injection (thoracic)£245.00
A6510Carpal tunnel release, including endoscopic£160.00
A6810Neurolysis and transposition of peripheral nerve (includes ulnar at elbow)£175.00
V2500Primary posterior fusion +/- decompression +/- discectomy (lumbar region)£500.00
V2540Posterior excision of disc prolapse (including microdiscectomy +/- decompression) (lumbar region)£460.00
V2544Revision of posterior excision of disc prolapse (lumbar region)£460.00
V2560Decompression for central spinal stenosis (1 or 2 levels)£450.00
V2562Decompression for central spinal stenosis (3 or more levels)£465.00

 

THORAX AND INTRA THORACIC ORGANS
OPCSDescriptionAnaesthetic Cost
X5020External cardioversion£150.00
XR915Insertion of Hickmann Line£410.00

 

URINARY SYSTEM AND MALE REPRODUCTIVE ORGAN
OPCSDescriptionAnaesthetic Cost
M0250Nephrectomy – unilateral£240.00
M0280Laparoscopic nephrectomy£540.00
M3000Endoscopic examination of ureter (+/- cystoscopy and insertion/removal of stent)£145.00
M3202Operations on ureteric orifice (including endoscopic)£175.00
M4210Endoscopic resection of lesion of bladder (including cystoscopy)£300.00
M4230Endoscopic destruction of lesion of bladder (including cystoscopy)£170.00
M4400Sphincterotomy£150.00
M4410Resection of bladder neck (including cystoscopy)£230.00
M4420Endoscopic extraction of calculus of bladder (including cystoscopy)£150.00
M4510Diagnostic endoscopic examination of bladder (including any biopsy)£165.00
M5820Dilatation of outlet of female bladder (with cystoscopy)£150.00
M6180Radical prostatectomy, reconstruction of bladder neck including bilateral pelvic lymphadenectomy (including cystoscopy)£550.00
M6530Endoscopic resection of prostate (TUR) (including cystoscopy)£375.00
M7700Diagnostic endoscopic examination of urethra (as sole procedure)(including cystoscopy)£95.00
M7920Dilatation of urethra (including cystoscopy)£125.00
M7940Internal urethrotomy (including cystoscopy)£160.00
M8120Meatoplasty£150.00
N0630Laparoscopic orchidectomy£190.00
N0680Orchidectomy and excision of spermatic cord (+/- insertion of prosthesis)£160.00
N0820Orchidopexy – bilateral£375.00
N0920Orchidopexy£175.00
N1100Correction of hydrocele£170.00
N1320Fixation of testis£175.00
N1580Excision of epididymal cyst£180.00
N1900Operation(s) on varicocele£195.00
N2780Operation for Peyronie’s disease (e.g. Nesbitt’s)£187.00
N2842Frenuloplasty of penis£160.00
N3030Circumcision£150.00

 

VASCULAR SYSTEM (other than intra-thoracic)
OPCSDescriptionAnaesthetic Cost
L1680Axillo-bifemoral bypass£555.00
L1940Infrarenal abdominal aortic aneurysm tube graft£610.00
L1960Infrarenal abdominal aortic aneurysm bifurcation graft£625.00
L2950Carotid endarterectomy£555.00
L5180Aorto-bifemoral bypass£750.00
L5922Femoro-popliteal bypass using prosthesis£540.00
L5923Femoro-popliteal bypass using vein£540.00
L5960Femoro-distal calf bypass using vein£470.00
L6000Endarterectomy of femoral artery£425.00
L6710Biopsy of artery (including temporal) (as sole procedure)£95.00
L8510Ligation/stripping of long or short saphenous vein (including local excision/multiple phlebectomy)£225.00
L8700Ligation/stripping of long and short saphenous veins (including local excision/multiple phlebectomy)£270.00
L8750Local excision (multiple phlebectomy) of varicose vein(s) of leg – unilateral£175.00
T8620Sampling of axillary lymph nodes£130.00