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ATRIUM HEALTH NAVICENT PEACH Hospital

Legal name: THE MEDICAL CENTER OF PEACH COUNTY, INC
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BYRON, GA 310085663 (478) 654-2000 275N00000X

Published Procedure Prices

Procedure CPT Cash Price Insurance Range
HC NASH FIBROSURE PANEL 0003M $511 N/A
HC NEURO CSF DETCJ PRION PRTN QUAKG CONF CONV QUAL 0035U $1,132 N/A
Fee Schedule 0042T N/A N/A
BONE SRGRY CMPTR FLUOR IMAGE 0054T N/A N/A
BONE SRGRY CMPTR CT/MRI IMAG 0055T N/A N/A
US LEIOMYOMATA ABLATE <200 0071T N/A N/A
FCSD US ABLTJ LEIOMYOM>=200 0072T N/A N/A
PERQ STENT/CHEST VERT ART 0075T N/A N/A
S&I STENT/CHEST VERT ART 0076T N/A N/A
RMVL ARTIFIC DISC ADDL CRVCL 0095T N/A N/A
REV ARTIFIC DISC ADDL 0098T N/A N/A
PROSTH RETINA RECEIVE&GEN 0100T N/A N/A
ESW MUSCSKEL SYS NOS 0101T N/A N/A
ESW PHY ANES LAT HMRL EPCNDL 0102T N/A N/A
HC NFCT DS MCRB CLL FR DNA UNTRGT NEXT GENRJ SEQ 0152U $4,670 N/A
REMOVE LUMB ARTIF DISC ADDL 0164T N/A N/A
REVISE LUMB ARTIF DISC ADDL 0165T N/A N/A
OP Surgery 0171T N/A N/A
OP Surgery 0172T N/A N/A
CAD CXR WITH INTERP 0174T N/A N/A
CAD CXR REMOTE 0175T N/A N/A
EXC RECTAL TUMOR ENDOSCOPIC 0184T N/A N/A
Fee Schedule 01996 N/A N/A
PERQ SACRAL AUGMT UNILAT INJ 0200T N/A N/A
PERQ SACRAL AUGMT BILAT INJ 0201T N/A N/A
POST VERT ARTHRPLST 1 LUMBAR 0202T N/A N/A
HC RESPIRATORY PANEL 2 PCR BIO 0202U $774 N/A
CLEAR EYELID GLAND W/HEAT 0207T N/A N/A
NJX PARAVERT W/US CER/THOR 0213T N/A N/A
NJX PARAVERT W/US CER/THOR 0214T 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.