CRICHTON REHABILITATION CENTER
Legal name: DLP CONEMAUGH MEMORIAL MEDICAL CENTER LLC
Published Procedure Prices
| Procedure | CPT | Cash Price | Insurance Range |
|---|---|---|---|
| Red blood cell antigen typing, DNA, human erythrocyte antigen gene analysis of 35 antigens from 11 blood groups, utilizing whole blood, common RBC alleles reported | 0001U | $1,049 | N/A |
| Oncology (thyroid), DNA and mRNA of 112 genes, next-generation sequencing, fine needle aspirate of thyroid nodule, algorithmic analysis reported as a categorical result (Positive, high probability of malignancy or Negative, low probability of malignancy) | 0026U | $2,610 | N/A |
| JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, targeted sequence analysis exons 12-15 | 0027U | $224 | N/A |
| Immunoglobulin paraprotein (M-protein), qualitative, immunoprecipitation and mass spectrometry, blood or urine, including isotype | 0077U | $66 | N/A |
| Oncology (breast cancer), DNA, PIK3CA (phosphatidylinositol-4,5-bisphosphate 3-kinase, catalytic subunit alpha) (eg, breast cancer) gene analysis (ie, p.C420R, p.E542K, p.E545A, p.E545D [g.1635G>T only], p.E545G, p.E545K, p.Q546E, p.Q546R, p.H1047L, p.H1047R, p.H1047Y), utilizing formalin-fixed paraffin-embedded breast tumor tissue, reported as PIK3CA gene mutation status | 0155U | $428 | N/A |
| Infectious disease (bacterial or viral respiratory tract infection), pathogen-specific nucleic acid (DNA or RNA), 22 targets including severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), qualitative RT-PCR, nasopharyngeal swab, each pathogen reported as detected or not detected | 0202U | $662 | N/A |
| Infectious disease (viral respiratory tract infection), pathogen-specific RNA, 4 targets (severe acute respiratory syndrome coronavirus 2 [SARS-CoV-2], influenza A, influenza B, respiratory syncytial virus [RSV]), upper respiratory specimen, each pathogen reported as detected or not detected | 0241U | $414 | N/A |
| Obstetrics (preeclampsia), sFlt-1/PlGF ratio, immunoassay, utilizing serum or plasma, reported as a value | 0524U | $133 | N/A |
| Fine needle aspiration biopsy, without imaging guidance; first lesion | 10021 | $292 | N/A |
| Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst), soft tissue (eg, extremity, abdominal wall, neck), percutaneous | 10030 | $711 | N/A |
| Acne surgery (eg, marsupialization, opening or removal of multiple milia, comedones, cysts, pustules) | 10040 | $144 | N/A |
| Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); simple or single | 10060 | $162 | N/A |
| Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); complicated or multiple | 10061 | $410 | N/A |
| Incision and drainage of pilonidal cyst; simple | 10080 | $164 | N/A |
| Incision and drainage of pilonidal cyst; complicated | 10081 | $518 | N/A |
| Incision and removal of foreign body, subcutaneous tissues; simple | 10120 | $170 | N/A |
| Incision and removal of foreign body, subcutaneous tissues; complicated | 10121 | $1,951 | N/A |
| Incision and drainage of hematoma, seroma or fluid collection | 10140 | $518 | N/A |
| Puncture aspiration of abscess, hematoma, bulla, or cyst | 10160 | $164 | N/A |
| Incision and drainage, complex, postoperative wound infection | 10180 | $936 | N/A |
| Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin, subcutaneous tissue, muscle fascia, muscle, and bone | 11012 | $2,228 | N/A |
| Patient screened for future fall risk; documentation of no falls in the past year or only 1 fall without injury in the past year (GER) | 1101F | N/A | N/A |
| Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or less | 11042 | $936 | N/A |
| Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm or less | 11043 | $936 | N/A |
| Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm or less | 11044 | $936 | N/A |
| Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure) | 11045 | $195 | N/A |
| Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure) | 11046 | $395 | N/A |
| Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure) | 11047 | $608 | N/A |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion | 11055 | $166 | N/A |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); 2 to 4 lesions | 11056 | $168 | 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.