CONEMAUGH MEYERSDALE MEDICAL CENTER Hospital

Legal name: DLP CONEMAUGH MEYERSDALE MEDICAL CENTER LLC

MEYERSDALE, PA 155521249 (814) 634-5911 275N00000X

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	$11,330	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	$492	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	$474	N/A
Urinary incontinence plan of care documented (GER)	0509F	N/A	N/A
Falls plan of care documented (GER)	0518F	N/A	N/A
Obstetrics (preeclampsia), sFlt-1/PlGF ratio, immunoassay, utilizing serum or plasma, reported as a value	0524U	$247	N/A
Fine needle aspiration biopsy, without imaging guidance; first lesion	10021	$265	N/A
Acne surgery (eg, marsupialization, opening or removal of multiple milia, comedones, cysts, pustules)	10040	$51	N/A
Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); simple or single	10060	$153	N/A
Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); complicated or multiple	10061	$394	N/A
Incision and drainage of pilonidal cyst; simple	10080	$157	N/A
Incision and removal of foreign body, subcutaneous tissues; simple	10120	$156	N/A
Incision and removal of foreign body, subcutaneous tissues; complicated	10121	$856	N/A
Incision and drainage of hematoma, seroma or fluid collection	10140	$431	N/A
Puncture aspiration of abscess, hematoma, bulla, or cyst	10160	$157	N/A
Incision and drainage, complex, postoperative wound infection	10180	$857	N/A
Current tobacco non-user (CAD, CAP, COPD, PV) (DM) (IBD)	1036F	N/A	N/A
Presence or absence of urinary incontinence assessed (GER)	1090F	N/A	N/A
Debridement of extensive eczematous or infected skin; up to 10% of body surface	11000	$142	N/A
Patient screened for future fall risk; documentation of 2 or more falls in the past year or any fall with injury in the past year (GER)	1100F	N/A	N/A
Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin and subcutaneous tissues	11010	$857	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	$864	N/A
Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm or less	11043	$959	N/A
Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm or less	11044	$864	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	$186	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.