(717) 485-3155
214 Peach Orchard Road, McConnellsburg, PA 17233
  
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Fulton County Medical Center

Pricing Transparency

Hospital Price Transparency. The Affordable Care Act contains a provision that is consistent with our effort to improve the transparency of hospital charges. It requires that our hospital establish and make public a list of standard charges for items and services. Our guidelines for implementing the provision are that we make public a list of our standard charges or our policies for allowing the public to view a list of those charges in response to an inquiry.

FCMC Price Transparency
UPDATED 7/7/2017
The information on this site should not be used for purposes other than the intended purpose of comparing charges

Charge Code

CPT Code

Description

Price

4360000030

85025

LABORATORY CBC W/AUTO COMPLETE DIFF

$ 59.00

4300000230

80053

LABORATORY COMPR METABOLIC PNL

$103.00

4360000120

85610

LABORATORY PROTIME WITH INR

$ 43.00

4300000090

80048

LABORATORY BASIC METABOLIC PANEL

$ 47.00

4300000720

84443

LABORATORY THYROID STIM HORMONE

$ 138.00

 

 

 

 

4000000330

71020

XRAY CHEST 2 VIEWS

$ 354.00

4000000900

72110

XRAY LUMBAR SPINE MIN 4 VIEWS

$ 620.00

4000000350

71010

XRAY CHEST AP POTABLE

$ 405.00

4000000120

74000

XRAY ABDOMEN 1 VIEW

$ 354.00

4000001160

73030

XRAY SHOULDER MIN 2 VIEWS

$401.00

 

 

 

 

4080000230

70450

CAT SCAN HEAD W/O CONT

$ 2,182.00

4080000020

74177

CAT SCAN ABDOMEN & PELVIS W/ CONT

$ 4,522.00

4080000810

74176

RENAL STONE STUDY

$4,362.00

4080000140

72125

CAT SCAN CERVICAL SPINE W/O CONT

$2,182.00

4080000590

71275

CTA CHEST WO/W CONT

$1,400..00

 

 

 

 

4030000020

76705

ULTRASOUND ABDOMEN LIMITED

$ 593.00

4030000230

76856

ULTRASOUND PELVIC NON OBSTETRICAL

$ 744.00

4030000350

76830

ULTRASOUND TRANSVAGINAL

$ 696.00

4030000300

76775

ULTRASOUND RETOPERITONEAL LIMITED

$ 439.00

4030000340

76536

ULTRASOUND THYROID

$ 482.00

 

 

 

 

4200000260

94664

RESPIRARTORYSM VOL NEB INITIAL

$ 173.00

4200000020

36600

RESPIRATORY ARTERIAL PUNCTURE

$ 114.00

4200000090

94668

RESPIRATORY CPT SUB

$   49.00

4200000050

94660

RESPIRATORY BIPAP/CPAP

$ 126..00

4200000310

94060

SPIRO PRE/POST

$ 411.00

 

 

 

 

4060000380

72148

MRI LUMBAR SPINE W/O CONT

$ 2,172.00

4060000210

70553

MRI BRAIN W/O & W/ CONT

$ 3,156.00

4060000290

73721

MRI LOWER EXT JOINT W/O CONT LT

$ 2,727.00

4060000300

73721

MRI LOWER EXT JOINT W/O CONT RT

$ 2,272.00

4060000240

72141

MRI CERVICAL SPINE W/O CONT

$ 2,172..00

 

 

 

 

4040000190

78452

MYOCARDIAL PERFUSION SPECT MULTI

$ 3,052.00

4000001780

77052

DIGITAL 3D MAMMO

$   727.00

4220000020

93306

ECHO 2D W/ DOP AND COLOR

$ 2,092.00

4290000030

95811

SLEEP LAB POLY W/CPAP

$ 4,105.00

3210001160

45378

COLONOSCOPY

$ 1,897.00

3375000080

64721

CARPAL TUNNEL SURGERY

$  1,008.00

3375000085

29881

KNEE ARTHROSCOPY/SURGERY

$ 1,439.00

 

 

 

 

The information being displayed is based on the average hospital charge for a specific service. This data can help you compare overall charges among health care providers. This website does not provide information about what you will pay for your health care. You need to contact your insurance company to determine the specific amount you will be expected to pay based upon your insurance policy. If you are uninsured, contact 717-485-2880 x6383 for a price estimate. Additional services that may be billed would include professional fees, pharmacy, or other supplies.