ADIRONDACK MEDICAL CENTER
Published Procedure Prices
| Procedure | CPT | Cash Price | Insurance Range |
|---|---|---|---|
| NJX PARAVERT W/US LUMB/SAC | 0216T | $440 | N/A |
| NJX PLATELET PLASMA | 0232T | $99 | N/A |
| MILD PROCEDURE,Investigational clin serv provided clin | 0275T | $2,230 | N/A |
| CA VI, PSP & SP1, IGG/IGM/IGA | 0472U | $104 | N/A |
| POSTPARTUM CARE VISIT | 0503F | $0 | N/A |
| CARBONIC ANHYDRASE VI ab | 0522U | $120 | N/A |
| FNA BX W/US GUIDANCE 1ST LES | 10005 | $185 - $1,453 | N/A |
| FNA BIOPSY W/US GUIDANCE EA AD | 10006 | $126 - $1,013 | N/A |
| FNA W/O IMAGE,APP'S for assistant at surgery | 10021 | $183 | N/A |
| IMAGE-GUIDED DRAINAGE VIA CATH | 10030 | $257 | N/A |
| ACNE SURGERY | 10040 | $387 | N/A |
| I&D OF ABSCESS;SIMPLE OR SINGL | 10060 | $250 | N/A |
| I&D ABSCESS COMPLICATED/MULTIP | 10061 | $459 | N/A |
| I&D PILONIDAL CYST SIMPLE | 10080 | $261 - $1,487 | N/A |
| I&D PILONIDAL CYST COMPLICATED | 10081 | $435 - $1,247 | N/A |
| INCIS & REM FOR BODY SUBQ TIS | 10120 | $267 | N/A |
| INC & REMOVAL FB COMPLICATED | 10121 | $491 - $3,282 | N/A |
| I&D HMTMA SEROMA/FLUID COLLJ | 10140 | $242 | N/A |
| PUNCTURE DRAINAGE LES GLOBAL | 10160 | $838 | N/A |
| I&D COMPLEX PO WOUND INFCTJ | 10180 | $448 | N/A |
| DEBRID INFECTED SKIN UP TO 10% | 11000 | $79 - $810 | N/A |
| DEBRIDE SUBQ EXT GEN & PERINUM | 11004 | $1,074 | N/A |
| DEBRIDE ABDOM WALL | 11005 | $1,905 | N/A |
| DEBRIDE SKIN AT FX SITE | 11010 | $557 | N/A |
| DBRDMT FX&/DISLC SUBQ T/M/F BO | 11012 | $1,174 | N/A |
| DBRDMT SUBQ TIS 1ST 20SQCM/< | 11042 | $745 | 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.