BARNES-KASSON COUNTY HOSPITAL Hospital

SUSQUEHANNA, PA 188472771 (570) 853-3135 275N00000X

Published Procedure Prices

Procedure	CPT	Cash Price	Insurance Range
OR - EXCISION OF RECTAL TUMOR, TEMS	0184T	$9,017	N/A
INJECTION(S), PLATELET RICH PLASMA	0232T	$280	N/A
FINE NEEDLE ASPIRATION BIOPSY W/US GUIDE	10005	$264	N/A
FINE NEEDLE ASPIRATION W/O IMAGING GUIDE	10021	$200	N/A
ACNE SURGERY	10040	$153	N/A
OR - DRAINAGE OF SKIN ABSCESS	10060	$355	N/A
DRAINAGE OF SKIN ABSCESS	10061	$294	N/A
INCISION/DRAINAGE PILONIDAL CYST	10080	$531	N/A
INCIS/REM F-BDY SUBCU SIM 10120	10120	$224	N/A
OR-REMOVAL OF FOREIGN BODY	10121	$2,831	N/A
OR - DRAINAGE OF HEMATOMA/FLUID	10140	$2,888	N/A
CYST PUNCTURE ASPIRATION	10160	$195	N/A
I & D, COMPLEX PO WOUND INFECTION	10180	$357	N/A
DEBRIDEMENT ECZEMATOUS/INFECTED SKIN	11000	$112	N/A
OR-DEBRID ABDOM WALL W/WO FASCIAL CLOSE	11005	$1,026	N/A
OR - REMOVAL PROSTHETIC MATERIAL; ABD	11008	$596	N/A
DEBI.SK.W/FB REM.SUBCU	11010	$728	N/A
DEBRIDE SKIN SUBCUTA TISS 11042	11042	$267	N/A
DEBRIDE SKIN TISSUE11043	11043	$267	N/A
DEB SUBQ TISSUE ADD-ON	11045	$85	N/A
PARNG/CUT HYPK LESION 1 11055	11055	$141	N/A
PARNG/CUT HYPK LESION 2-4 11056	11056	$162	N/A
OR - TANGENTIAL BIOPSY OF SKIN	11102	$401	N/A
TANGENTIAL BIOPSY, SKIN; EA SEP/ADDL	11103	$109	N/A
OR-PUNCH BX SKIN SINGLE LESION 3.1-4 CM	11104	$370	N/A
PUNCH BIOPSY SKIN; EACH ADDITIONAL	11105	$60	N/A
INCISIONAL BIOPSY SKIN SINGLE LESION	11106	$205	N/A
INCISIONAL BIOPSY SKIN, EACH ADDITIONAL	11107	$98	N/A
REMOVAL OF SKIN TAGS1-15	11200	$119	N/A
OR-REMOVAL OF SKIN TAGS - ADDITIONAL	11201	$74	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.