| Service Description | CPT Code | Charge Type | PrimaryCare Practice Price |
|---|---|---|---|
| US,OPHTHALMIC,B-SCAN PPG | 76512 | Prof | $116.00 |
| US,OPHTHALMIC,B-SCAN TP | 76512 | Tech | $83.00 |
| US,OPHTHALMIC,CORNEAL PACHYMETRY,UNI/BIL PPG | 76514 | Prof | $27.00 |
| US,OPHTHALMIC,CORNEAL PACHYMETRY,UNI/BIL TP | 76514 | Tech | $13.00 |
| US,PELVIC,W IMAGE DOCUM,COMPLETE,NON-OB PG | 76856 | Prof | $73.00 |
| US,PELVIC,W IMAGE DOCUM,LIMITED/FOLLOW UP,NON-OB PG | 76857 | Prof | $41.00 |
| US,POST-VOID RESIDUAL/BLADDER CAPACITY,URINE,NON-IMAGING PP | 51798 | Tech | $51.00 |
| US,PREGNANT UTERUS,FETAL & MATERNAL EVAL,TRANSABDOMINAL,1ST TRIMESTER,1ST GESTATION PG | 76801 | Prof | $104.00 |
| US,PREGNANT UTERUS,FETAL & MATERNAL EVAL,TRANSABDOMINAL,1ST TRIMESTER,EA ADL GESTATION PP | 76802 | Prof | $89.00 |
| US,PREGNANT UTERUS,FETAL & MATERNAL EVAL,TRANSABDOMINAL,AFTER 1ST TRIMESTER,1ST GESTATION PG | 76805 | Prof | $105.00 |
| US,PREGNANT UTERUS,FETAL & MATERNAL EVAL,TRANSABDOMINAL,AFTER 1ST TRIMESTER,ADTL GESTATION PG | 76810 | Prof | $104.00 |
| US,PREGNANT UTERUS,W IMAGE DOCUM,LIMITED,1 OR > FETUSES PG | 76815 | Prof | $203.00 |
| US,PREGNANT UTERUS,W IMAGE DOCUM,LIMITED,1 OR > FETUSES TP | 76815 | Tech | $109.00 |
| US,PREGNANT UTERUS,W IMAGE DOCUM,TRANSVAGINAL PG | 76817 | Prof | $80.00 |
| US,PREGNANT UTERUS,W IMAGE DOCUM,TRANSVAGINAL TP | 76817 | Tech | $124.00 |
| US,PREGNANT,W IMAGE,FOLLOW-UP,TRANSABDOMINAL APP,PER FETUS PP | 76816 | Prof | $91.00 |
| US,RETROPERITONEAL,W IMAGE DOCUM,COMPLETE PG | 76770 | Prof | $298.00 |
| US,RETROPERITONEAL,W IMAGE DOCUM,LIMITED PG | 76775 | Prof | $245.00 |
| US,SALINE INFUSION SONOHYSTEROGRAPHY,W/WO COLOR FLOW DOPPLER PPG | 76831 | Prof | $84.00 |
| US,SALINE INFUSION SONOHYSTEROGRAPHY,W/WO COLOR FLOW DOPPLER TP | 76831 | Tech | $206.00 |
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
