| Service Description | CPT Code | Charge Type | Speciality Practice Price |
|---|---|---|---|
| HYSTEROSCOPY,SURGICAL,W SAMPLING ENDOMETRIUM/POLYPECTOMY,W/WO D&C PP | 58558 | Prof | $663.40 |
| HYSTEROSCOPY,W LYSIS INTRAUTERINE ADHESIONS PP | 58559 | Prof | $849.58 |
| HYSTEROTOMY,ABDOMINAL PP | 59100 | Prof | $2000.90 |
| HYSTERSOCOPY,SURGICAL,W BIL IMPLANT PP | 58565 | Prof | $1009.01 |
| I&D BELOW FASCIA FOOT 1 BURSAL SPACE PP | 28002 | Prof | $333.84 |
| I&D BELOW FASCIA FOOT MULTIPLE AREAS PP | 28003 | Prof | $619.53 |
| I&D P-SPINE C/T/CERV-THOR PP | 22010 | Prof | $2211.69 |
| I&D PENIS DEEP PP | 54015 | Prof | $714.23 |
| ICM DEVICE EVAL PPG | 93290 | Prof | $70.62 |
| ICM DEVICE EVAL TP | 93290 | Tech | $23.54 |
| ICM DEVICE INTERROGAT REMOTE PP | 93297 | Prof | $85.60 |
| ICM/ILR REMOTE TECH SERV PP | G2066 | Tech | $95.23 |
| ILEOSCOPY,STOMA,DIAGNOSTIC PP | 44380 | Prof | $164.78 |
| ILEOSCOPY,STOMA,PLACEMENT ENDOSCOPIC STENT PP | 44384 | Prof | $393.76 |
| ILEOSCOPY,STOMA,TRANSENDOSCOPIC BALLOON DILATION PP | 44381 | Prof | $393.76 |
| ILEOSCOPY,W BIOPSY,SINGLE/MULTIPLE PP | 44382 | Prof | $196.88 |
| ILEOSTOMY OR JEJUNOSTOMY,NON-TUBE PP | 44310 | Prof | $2439.60 |
| ILR DEVICE EVAL PROGR PP | 93285 | Prof | $83.46 |
| ILR DEVICE EVAL PROGR PPG | 93285 | Prof | $83.46 |
| ILR DEVICE EVAL PROGR TP | 93285 | Tech | $37.45 |
Specialty Practices (non-surgical)
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
