Elliot Health System is a non-profit organization serving your healthcare needs since 1890.

Function Scanning Price Lists

Access to csv file
https://www.elliothospital.org/website/ehs-2020-price-lists/Function-Scanning.csv


ABCD
1
CategoryCharge CodeDescription1/1/2020
Unit Charge
2
FUNCTION SCANNING3410078072HC NM PARATHYROID PLANAR WITH SPECT/CT $ 2,953.00
3
FUNCTION SCANNING3410078205HC NM LIVER SPECT $ 1,687.00
4
FUNCTION SCANNING3410078264HC NM GASTRIC EMPTYING IMAGING $ 2,596.00
5
FUNCTION SCANNING3410078278HC NM ACUTE GI BLEED IMAGING $ 2,708.00
6
FUNCTION SCANNING3410078290HC NM INTESTINAL IMAGING (MECKEL'S) $ 2,706.00
7
FUNCTION SCANNING3410078451HC NM MYOCARDIAL PERFUSION SINGLE SPECT $ 2,477.00
8
FUNCTION SCANNING3410078452HC NM MYOCARDIAL PERFUSION MULTI SPECT $ 3,918.00
9
FUNCTION SCANNING3410078472HC NM CARDIAC BLOOD POOL PLANAR SINGLE $ 1,854.00
10
FUNCTION SCANNING3410078580HC NM PULMONARY PERFUSION IMAGING $ 2,073.00
11
FUNCTION SCANNING3410078582HC NM PULMONARY VENTILATION AND PERFUSION IMAGING $ 2,551.00
12
FUNCTION SCANNING3410078597HC NM QUANTITATIVE DIFF ERENTIAL PULMONARY PERFUSION $ 1,504.00
13
FUNCTION SCANNING3410078606HC NM BRAIN IMAGING 4+ VIEWS WITH VASCULAR FLOW $ 2,703.00
14
FUNCTION SCANNING3410078607HC NM BRAIN SPECT $ 2,639.00
15
FUNCTION SCANNING3410078700HC RENAL SCAN STATIC $ 1,243.00
16
FUNCTION SCANNING3410078707HC NM KIDNEY IMAGING WITH FLOW/FUNCTION SINGLE WO PHARM $ 1,730.00
17
FUNCTION SCANNING3410078708HC NM KIDNEY IMAGING WITH FLOW/FUNCTION SINGLE WITH PHARM $ 1,678.00
18
FUNCTION SCANNING3410078740HC CYSTOGRAM-VOIDING $ 1,578.00
19
FUNCTION SCANNING3410078804HC NM LOCALIZATION/DISTRIBUTION RADIOPHARM WHOLE BODY 2+ DAYS $ 4,377.00
20
FUNCTION SCANNING1905199RADIOPHARM THRPY ORAL ADMIN $ 925.00