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ALLEGHANY MEMORIAL HOSPITAL Hospital

SPARTA, NC 28675 (336) 372-5511 282NC0060X

Published Procedure Prices

Procedure CPT Cash Price Insurance Range
RBC DNA HEA 35 AG 11 BLD GRP 0001U N/A N/A
ONC THYR 10 MICRORNA SEQ ALG 0018U N/A N/A
TGSAP NSM LUNG NEO DNA&RNA23 0022U N/A N/A
ONC THYR DNA&MRNA 112 GENES 0026U N/A N/A
HC NEURO CSF DETCJ PRION PRTN QUAKG CONF CONV QUAL 0035U $1,126 N/A
TRGT GEN SEQ DNA 324 GENES 0037U N/A N/A
ONC SLD ORG NEO DNA 468 GENE 0048U N/A N/A
GENOME RAPID SEQUENCE ALYS 0094U N/A N/A
HERED COLON CA DO 15 GENES 0101U N/A N/A
HERED BRST CA RLTD DO 17 GEN 0102U N/A N/A
HERED OVA CA PNL 24 GENES 0103U N/A N/A
HERED BRST CA RLTD DO PANEL 0129U N/A N/A
HERED COLON CA DO MRNA PNL 0130U N/A N/A
Lab 0131U N/A N/A
Lab 0132U N/A N/A
HERED PRST8 CA RLTD DO 11 0133U N/A N/A
HERED PAN CA MRNA PNL 18 GEN 0134U N/A N/A
Lab 0135U N/A N/A
BRCA1 BRCA2 MRNA SEQ ALYS 0138U N/A N/A
HERED COLON CA TRGT MRNA PNL 0162U N/A N/A
ONC SLD TUM ALYS BRCA1 BRCA2 0172U N/A N/A
NFCT DS 22 TRGT SARS-COV-2 0202U N/A N/A
Lab 0204U N/A N/A
CYTOG CONST ALYS INTERROG 0209U N/A N/A
ONC PAN-TUM DNA&RNA GNRJ SEQ 0211U N/A N/A
RARE DS GEN DNA ALYS PROBAND 0212U N/A N/A
RARE DS GEN DNA ALYS EA COMP 0213U N/A N/A
NFCT DS DNA&RNA 21 SARSCOV2 0225U N/A N/A
SVNT SARSCOV2 ELISA PLSM SRM 0226U N/A N/A
AR FULL SEQUENCE ANALYSIS 0230U 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.