| Service Description | CPT Code | Charge Type | PrimaryCare Practice Price |
|---|---|---|---|
| CYSTOURETHROSCOPY W/DEST &/RMVL TUMOR LARGE PP | 52240 | Prof | $953.00 |
| CYSTOURETHROSCOPY W/DIL BLADDER LOCAL ANESTHESIA PP | 52265 | Prof | $351.75 |
| CYSTOURETHROSCOPY W/RMVL URETERAL CALCULUS PP | 52320 | Prof | $534.75 |
| CYSTOURETHROSCOPY,UNLISTED PP | 58999 | Prof | $1145.00 |
| CYSTOURETHROSCOPY,W FULGURATION,RESECTION,MEDIUM BLADDER TUMOR (2-5 CM) PP | 52235 | Prof | $703.00 |
| CYSTOURETHROSCOPY,W INTERNAL URETHROTOMY,MALE PP | 52275 | Prof | $530.00 |
| CYSTOURETHROSCOPY,W REMOVAL FOREIGN BODY/CALCULUS/URETERAL STENT,URETHRA/BLADDER,COMPLICATED PP | 52315 | Prof | $668.00 |
| CYSTOURETHROSCOPY,W REMOVAL FOREIGN BODY/CALCULUS/URETERAL STENT,URETHRA/BLADDER,SIMPLE PP | 52310 | Prof | $373.00 |
| CYSTOURETHROSCOPY,W URETEROSCOPY/PYELOSCOPY,REMOVAL CALCULUS PP | 52352 | Prof | $863.00 |
| CYSTOURETHROSCOPY,W URETEROSCOPY/PYELOSCOPY,W LITHOTRIPSY PP | 52353 | Prof | $953.00 |
| CYSTOURETHROSCOPY,W URETEROSCOPY/PYELOSCOPY,W LITHOTRIPSY,INSERT URET STENT PP | 52356 | Prof | $1011.00 |
| CYSTOURETHROSCOPY,W/BIOPSY PP | 52204 | Prof | $348.00 |
| CYSTOURETHROSCOPY,W/INJECTION FOR CHEMODENERVATION,BLADDER PP | 52287 | Prof | $415.00 |
| DACRYOCSTORHINOSTOMY PP | 68720 | Prof | $1617.75 |
| DAVIN URETERECTOMY URETERAL REIMPLANT LAP LYSIS OF ADHES 45 MIN PP | 50949 | Prof | $3025.50 |
| DAVINCI LEFT DISTAL URETERECTOMY PP | 50949 | Prof | $2250.00 |
| DAVINCI PARTIAL CYSTECTOMY PP | 51999 | Prof | $2104.50 |
| DCMPRN FASCIOTOMY PELVIC CMPRT DBRDMT MUSCLE UNI PP | 27057 | Prof | $2212.00 |
| DCMPRN FASCT LEG PST W/DBRDMT MUSC&/NRV PP | 27893 | Prof | $1321.50 |
| DEBRIDEMENT,BONE,1ST 20SQ CM OR LESS PP | 11044 | Prof | $604.00 |
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
