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/price-lists/Function-Scanning-pl.csv


ABCD
1
CategoryCharge CodeDescription 1/1/2019
Unit Charge
2
FUNCTION SCANNING
3410078806ABCESS LOC WHOLE BODY $ 2,412
3
FUNCTION SCANNING
3410078315BONE SCAN 3 PHASE $ 2,317
4
FUNCTION SCANNING
3410078306BONE SCAN WHOLE BODY $ 1,689
5
FUNCTION SCANNING
3410078320BONE SPECT 3D $ 1,430
6
FUNCTION SCANNING
3410078606BRAIN SCAN W/VASC FLOW MIN 4 STATIC VIEWS $ 2,483
7
FUNCTION SCANNING
3410078607BRAIN SPECT 3D $ 2,424
8
FUNCTION SCANNING
3410078451CARD IMAGE SNGL SPECT 3D $ 2,275
9
FUNCTION SCANNING
3410078452CARD IMAG-MULTI SPECT 3D $ 3,599
10
FUNCTION SCANNING
3410078472CARDIAC BLOOD POOL MUGA $ 1,703
11
FUNCTION SCANNING
3410078630CISTERNOGRAM $ 2,528
12
FUNCTION SCANNING
3410078264GASTRIC EMPTYING STUDY $ 2,385
13
FUNCTION SCANNING
3410078278GI BLEEDNG STDY $ 2,488
14
FUNCTION SCANNING
3410078804IMAGING TUMOR WHOLE BODY 2+DAYS $ 4,021
15
FUNCTION SCANNING
3410078226LIVER FUNCTION $ 2,490
16
FUNCTION SCANNING
3410078227LIVER FUNCTION W&W/O PHARM $ 3,303
17
FUNCTION SCANNING
3410078205LIVER SPECT $ 1,550
18
FUNCTION SCANNING
3410078597LUNG PERFUSION $ 1,382
19
FUNCTION SCANNING
3410078580LUNG PERFUSION IMAGING $ 1,904
20
FUNCTION SCANNING
3410078195LYMPHATIC/LYMPH GLANDS IMAGING $ 2,330
21
FUNCTION SCANNING
3410078290MECKEL'S BOWEL IMAGE $ 2,486
22
FUNCTION SCANNING
3420079445NUCLEAR RX INTRAARTERIAL $ 753
23
FUNCTION SCANNING
3410078072PARATHYROID PLANAR IMG W/SPECT-CT (78072) $ 2,713
24
FUNCTION SCANNING
3410078582
PULM VENT (E.G. AEROSOL OR GAS) & PERFUSION IMAGE
$ 2,343
25
FUNCTION SCANNING
3420079101RADIOPHARM THERAPY INFUSION $ 900
26
FUNCTION SCANNING
1905199RADIOPHARM THRPY ORAL ADMIN $ 850
27
FUNCTION SCANNING
3410078708RENAL FLOW W/DRUG INTERVEN $ 1,541
28
FUNCTION SCANNING
3410078707RENAL SCAN FLOW & FUNCTION $ 1,589
29
FUNCTION SCANNING
3410078802TUMOR LOC WHOLE BODY $ 2,349
30
FUNCTION SCANNING
3410078801TUMOR LOC-MULTIPLE $ 1,744
31
FUNCTION SCANNING
3410078803TUMOR SPECT $ 2,327