| Service Description | CPT Code | Charge Type | PrimaryCare Practice Price |
|---|---|---|---|
| FRUCTOSAMINE PP | 82985 | Tech | $30.50 |
| FTH/GT FR W/DIR CLSR F/C/C/M/N/AX/G/H/F EA20CM/< PP | 15241 | Prof | $386.00 |
| full mouth debridement to enable a comprehensive oral evaluation and diagnosis on a subsequent visit PP | D4355 | Prof | $193.74 |
| FULL THICKNESS GRAFT,FREE,W DIRECT CLOSURE DONOR,TRUNK,<=20SQ CM PP | 15200 | Prof | $1442.00 |
| FULL THICKNESS GRAFT,FREE,W DIRECT CLOSURE DONOR,TRUNK,EA ADTL 20SQ CM PP | 15201 | Prof | $173.00 |
| FULL THICKNESS SKIN GRAFT,FREE,DIRECT CLOSURE DONOR SITE,FOREHEAD/CHEEKS/CHIN/MOUTH/NECK/AXILLAE/GENITALIA/HAND/FEET,20SQ CM OR LESS PP | 15240 | Prof | $2086.00 |
| FULL THICKNESS SKIN GRAFT,FREE,DIRECT CLOSURE DONOR SITE,SCALP/ARM/LEG,20CM OR LESS PP | 15220 | Prof | $1317.00 |
| FUNDUS PHOTOGRAPHY,W I&R PPG | 92250 | Prof | $59.00 |
| FUNDUS PHOTOGRAPHY,W I&R TP | 92250 | Tech | $128.00 |
| FUSION OF BIG TOE JOINT PP | 28750 | Prof | $642.75 |
| FUSION OF FOOT BONES PP | 28740 | Prof | $696.75 |
| GASTRECTOMY,PARTIAL,DISTAL,W GASTRODUODENOSTOMY PP | 43631 | Prof | $3145.00 |
| GASTRECTOMY,PARTIAL,DISTAL,W GASTROJEJUNOSTOMY PP | 43632 | Prof | $4399.00 |
| GASTRECTOMY,PARTIAL,DISTAL,W ROUX-EN Y RECONSTRUCTION PP | 43633 | Prof | $4100.00 |
| GASTRECTOMY,TOTAL,W ESOPHAGOENTEROSTOMY PP | 43620 | Prof | $4256.00 |
| GASTRECTOMY,TOTAL,W ROUX-EN-Y RECONSTRUCTION PP | 43621 | Prof | $4933.00 |
| GASTRIC RESTRICTIVE PROC,WO BYPASS,V-BAND GASTROPLASTY PP | 43842 | Prof | $2585.00 |
| GASTRIC RSTCV W/PRTL GASTRECTOMY 50-100 CM PP | 43845 | Prof | $4275.00 |
| GastricPort and Device Open PP | 43999 | Prof | $2132.25 |
| GASTROCNEMIUS RECESSION PP | 27687 | Prof | $1058.00 |
Primary Care Practices
ChristianaCare is a private not-for-profit regional health care system (tax exempt under
Section 501 (c)(3) of the Internal Revenue Code - ID Number 51-0103684) and relies in part on the generosity of individuals, foundations and corporations to fulfill its mission. To learn more about how you can support our mission, please visit christianacare.org/donors.
To view the pricing by insurance provider and self-pay of all our services, please visit https://billing.christianacare.org/transparency/chargemaster.
ChristianaCare, PO Box 1668, Wilmington, DE 19899 800-693-CARE
