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New Patient Bundle 

Instructions/Diets/Waivers


99205​​             Office Surgical Consultation ......................................................................................    $    100
43200         Transnasal Esophagoscopy (TNE) includes office consultation ................................    $    400
43235         Upper GI Endoscopy (Esophagogastroduodenoscopy) .............................................     $    450

49587             Umbilical Hernia Repair (Open Procedure) ..............................................................     $    850      

49320             Laparoscopic Exploration of the Abdomen (Diagnostic) .........................................      $ 1,200

47562             Laparoscopic Cholecystectomy (Gallbladder Removal) ..........................................      $ 1,500      

44970             Laparoscopic Appendectomy  ..................................................................................      $ 1,500   

38120             Laparoscopic Splenectomy ......................................................................................      $ 2,500

60650             Laparoscopic Adrenalectomy ..................................................................................      $ 3,000

​44204             Laparoscopic Colon Resection ................................................................................      $ 3,000

49650             Laparoscopic Unilateral Inguinal Hernia Repair .....................................................      $ 1,200

49651             Laparoscopic Unilateral Inguinal Hernia Repair (Recurrent) .................................       $ 1,500

49650             Laparoscopic Inguinal Hernia Repair (Bilateral) ....................................................       $ 1,800          

49655             Laparoscopic Incisional Hernia Repair ...................................................................       $ 1,800 

49656             Laparoscopic Incisional Hernia Repair (Recurrent) ................................................      $ 2,500

43284             Laparoscopic LINX (Magnetic Sphincter Augmentation) ......................................      $ 2,500      

43280             Laparoscopic Hiatal Hernia Repair W/ LINX .........................................................      $ 3,000

43280             Laparoscopic Hiatal Hernia Repair W/ Fundoplication ..........................................      $ 3,000

43282             Laparoscopic Hiatal Hernia Repair W/ Mesh and Fundoplication .........................      $ 3,250 

43280             Laparoscopic Recurrent Hiatal Hernia Repair with Fundoplication .......................      $ 3,500       

43338             Laparoscopic Collis Gastroplasty (Add on to Hiatal Hernia Repair) ......................      $ 1,000         

43279             Laparoscopic Heller Myotomy with Fundoplication for Achalasia ........................      $ 3,500           

43775             Laparoscopic Sleeve Gastrectomy ...........................................................................      $ 3,000           

43775             Laparoscopic Revision of Sleeve Gastrectomy .......................................................      $ 2,500

43774             Laparoscopic Removal of Lap Band .......................................................................      $ 2,000

43775             Laparoscopic Conversion of Lap Band to Sleeve Gastrectomy ..............................      $ 3,000         



Listed below are Dr. Sewell's surgeon fees for the most common procedures he performs. Each fee includes all routine postoperative follow-up care related to the procedure. Payment is expected prior to the procedure unless other arrangement are made. Fees for procedures not listed are available upon request.

While Dr. Sewell is "Out of Network" the hospital, anesthesiologists, radiologists, pathologists, dietitian and other providers of services associated with your surgery will be "In Network" and in most instances their fees are covered under most health insurance policies and government programs. Coverage should be confirmed in advance of any elective surgical procedure.

CPT Code          Procedure Description                                                                                                    Surgeon's Fee

We recognize that surgical procedure are often quite expensive, making insurance coverage a necessity for many patients. However, over the last few decades insurance companies and government sponsored payment programs, like Medicare and Tricare, have seized control of healthcare, including many decisions that should be between the patient and their doctor. To reduce the risk of your care being adversely effected by any third party using financial manipulation, Dr. Sewell does not contract with any insurance companies, and does not participate in any government program (i.e. Medicare, Medicaid, or Tricare). By maintaining an independent practice, he is able to offer his patients surgical recommendations based on his unbiased clinical judgement and experience. If patients have confirmed "Out of Network" benefits, our office will assist with filing an insurance claim, and will consider any anticipated insurance payments at the time payment is requested. 

TNE - Transnasal Esophagoscopy

LINX - Antireflux System

Hiatal Hernia Repair

Gastric Sleeve

Our Fees are Posted Online

The Surgical Practice of Robert Sewell, M.D., F.A.C.S.

Unique Services We Offer

Call 817-749-0206
for your appointment

Seeing patients in the offices of

Wise County Medical & Surgical Associates

1001 W. Eagle Dr.

Decatur, Texas 76234