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ALLEGHENY VALLEY HOSPITAL-PSYCH

NATRONA HEIGHTS, PA 150651152 (724) 224-5100 273R00000X

Published Procedure Prices

Procedure CPT Cash Price Insurance Range
HC MRI AMT 260 RESEARCH EA ADDL 45 MINUTES 00000 $1,900 N/A
PR IMM ADMN SARSCOV2 30MCG/0.3ML DIL RECON 1ST DOSE 0001A N/A N/A
CHG RBC DNA HEA 35 AG 11 BLD GRP WHL BLD CMN ALLEL 0001U N/A N/A
PR IMM ADMN SARSCOV2 30MCG/0.3ML DIL RECON 2ND DOSE 0002A N/A N/A
PR LIVER DIS 10 ASSAYS SERUM ALGORITHM W/ASH 0002M N/A N/A
CHG ONC CLRCT QUAN 3 UR METABOLITES ALG ADNMTS PLP 0002U N/A N/A
PR IMM ADMN SARSCOV2 30MCG/0.3ML DIL RECON 3RD DOSE 0003A N/A N/A
PR LIVER DIS 10 ASSAYS SERUM ALGORITHM W/NASH 0003M $362 N/A
CHG ONC OVARIAN ASSAY 5 PROTEINS SERUM ALG SCOR 0003U N/A N/A
PR IMM ADMN SARSCOV2 30MCG/0.3ML DIL RECON BST DOSE 0004A N/A N/A
PR SCOLIOSIS DNA ALYS SALIVA ALGORITHM 0004M N/A N/A
CHG ONCO PRST8 GENE XPRS PRFL 3 GENE UR ALG RSK SCOR 0005U N/A N/A
PR ONCOLOGY HEP MRNA 161 GENES RISK CLASSIFIER 0006M N/A N/A
CHG DETCJ IA MEDS SBST SUPPL & FOODS 120+ ANALYTES 0006U N/A N/A
PR ONCOLOGY GASTRO 51 GENES NOMOGRAM DISEASE INDEX 0007M N/A N/A
CHG RX TEST PRESUMPTIVE URINE W/DEF CONFIRMATION 0007U N/A N/A
CHG HPYLORI DETECTION & ANTIBIOTIC RESISTANCE DNA 0008U N/A N/A
CHG ONC BRST CA ERBB2 COPY NUMBER FISH AMP/NONAMP 0009U N/A N/A
PR ANESTHESIA ELECTROCONVULSIVE THERAPY 00104 N/A N/A
CHG NFCT DS STRN TYP WHL GENOME SEQUENCING PR ISOL 0010U N/A N/A
PR IMM ADMN SARSCOV2 100 MCG/0.5 ML 1ST DOSE 0011A N/A N/A
PR ONC PRST8 CA MRNA 12 GENES BLD PLSM &/UR ALG 0011M N/A N/A
CHG RX MNTR DRUGS PRESENT LC-MS/MS ORAL FLUID PR DOS 0011U N/A N/A
PR IMM ADMN SARSCOV2 100 MCG/0.5 ML 2ND DOSE 0012A N/A N/A
PR ONC URTHL MRNA 5 GENES UR ALG RISK UROTHELIAL CA 0012M N/A N/A
PR IMM ADMN SARSCOV2 100 MCG/0.5 ML 3RD DOSE 0013A N/A N/A
PR ONC URTHL MRNA 5 GENES UR ALG RSK RECR URTHL CA 0013M N/A N/A

Prices shown are published rates from hospital chargemaster files and insurer rate data. Your actual cost depends on your insurance plan, deductible status, and services rendered.