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

Neurology Price Lists

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


ABCD
1
CategoryCharge CodeDescription1/1/2020
Unit Charge
2
NEUROLOGY3610060100HC BIOPSY,THYROID,PERC NEEDLE $ 854.00
3
NEUROLOGY3610060300HC ASPIRATION THYROID CYST $ 740.00
4
NEUROLOGY3610061055HC INJECTION FOR CISTERNOGRAM $ 1,253.00
5
NEUROLOGY3610061070HC BRAIN CANAL SHUNT PROC $ 1,386.00
6
NEUROLOGY4900062264HC LYSIS OF EPIDURAL ADHESIONS 1DAY $ 2,725.00
7
NEUROLOGY3610062267HC INTERDISCAL PERQ ASPIRATION DX $ 1,138.00
8
NEUROLOGY3610062270HC SPINAL FLUID TAP DX $ 973.00
9
NEUROLOGY3610162270HC LUMBAR PUNCTURE $ 973.00
10
NEUROLOGY4500262270HC LUMBAR PUNCTURE DX $ 973.00
11
NEUROLOGY7610062270HC LUMBAR PUNCTURE DX $ 973.00
12
NEUROLOGY3610062272HC SPINAL PUNC,DRAIN,THERAPUTIC $ 1,214.00
13
NEUROLOGY3610062273HC BLOOD PATCH $ 1,455.00
14
NEUROLOGY3610162273HC BLOOD PATCH $ 1,455.00
15
NEUROLOGY4500262273HC INJ,EPI OF BLD/CLOT PATCH $ 1,455.00
16
NEUROLOGY3610062284HC INJ FOR MYELOGRAM/CT LUMBAR $ 1,380.00
17
NEUROLOGY3610062290HC INJ DISKOGRAPHY LUMBAR EACH $ 2,391.00
18
NEUROLOGY3610062302HC MYELOGRAM CERVICAL INC GUIDANCE $ 3,148.00
19
NEUROLOGY3610062303HC MYELOGRAM THORACIC INC GUIDANCE $ 3,148.00
20
NEUROLOGY3610062304HC MYELOGRAM LUMBAR INC GUIDANCE $ 3,148.00
21
NEUROLOGY3610062305HC MYELOGRAM 2+ REGIONS INC GUIDANCE $ 3,148.00
22
NEUROLOGY3610062320HC NJX INTERLAMINAR CRV/THRC $ 1,897.00
23
NEUROLOGY3610162320HC NJX INTERLAMINAR CRV/THRC $ 1,897.00
24
NEUROLOGY3610062321HC NJX INTERLAMINAR CRV/THRC W/IMG GDN $ 2,827.00
25
NEUROLOGY3610062322HC INJX INTERLAMINAR LMBR/SAC $ 1,897.00
26
NEUROLOGY3610162322HC NJX INTERLAMINAR LMBR/SAC $ 1,897.00
27
NEUROLOGY3610062323HC NJX INTERLAMINAR LMBR/SAC W/IMG GDN $ 2,827.00
28
NEUROLOGY3610062324HC NJX INTERLAMINAR CRV/THRC CATHETER $ 1,644.00
29
NEUROLOGY3610062325HC NJX INTERLAMINAR CRV/THRC W/IMG GDN CATHETER $ 2,574.00
30
NEUROLOGY3610062326HC NJX INTERLAMINAR LMBR/SAC CATHETER $ 1,897.00
31
NEUROLOGY3610162326HC NJX INTERLAMINAR LMBR/SAC CATHETER $ 1,897.00
32
NEUROLOGY3610062327HC NJX INTERLAMINAR LMBR/SAC W/IMG GDN CATHETER $ 2,827.00
33
NEUROLOGY4900062370HC ELEC ANALYSIS PROGRAM IMP PUMP W/REPROGRAM,REFILL $ 979.00
34
NEUROLOGY4900063650HC PERC IMPL NEUROELECTRODES $ 11,379.00
35
NEUROLOGY4900063661HC REMOVE SPINE ELTRD PERQ ARAY $ 4,915.00
36
NEUROLOGY4500064400HC INJ TRIGEMINAL NERVE $ 594.00
37
NEUROLOGY4500264400HC INJ TRIGEMINAL NERVE $ 594.00
38
NEUROLOGY7610064400HC INJ TRIGEMINAL NERVE $ 594.00
39
NEUROLOGY4500064402INJ FACIAL NERVE $ 546.00
40
NEUROLOGY7610064402HC INJ FACIAL NERVE BLOCK $ 273.00
41
NEUROLOGY4500264405HC OCCIPITAL NERVE BLOCK $ 891.00
42
NEUROLOGY4900064405OCCIPITAL NERVE BLOCK $ 891.00
43
NEUROLOGY3610064413HC INJ ANESTHETIC CERVICAL PLEXUS $ 885.00
44
NEUROLOGY3610164413INJ NERVE BLOCKS CERVICAL PLEXUS $ 885.00
45
NEUROLOGY3610064415HC INJ NERVE BLOCK INTERSCALENE $ 809.00
46
NEUROLOGY3610164415HC INJ NERVE BLOCK INTERSCALENE $ 809.00
47
NEUROLOGY3610064417HC INJ NERVE BLOCK AXILLARY $ 760.00
48
NEUROLOGY3610164417HC INJ NERVE BLOCK AXILLARY $ 760.00
49
NEUROLOGY4500064418HC INJECTION ANESTHETIC SUPRASCAPULAR NERVE $ 926.00
50
NEUROLOGY4500064420HC INTERCOSTAL SNGL $ 1,057.00
51
NEUROLOGY4500064421HC INTERCOSTAL MULTIPLE $ 1,718.00
52
NEUROLOGY4900064425INJ ANESTHETIC AGENT ILIOINGUINAL $ 858.00
53
NEUROLOGY4900064430INJ PUDENDAL NERVE $ 1,518.00
54
NEUROLOGY3610064445HC SCIATIC NERVE BLOCK $ 1,138.00
55
NEUROLOGY3610164445HC SCIATIC NERVE BLOCK $ 1,138.00
56
NEUROLOGY3610064447HC INJ NERVE BLOCK FEMORAL SNGL $ 885.00
57
NEUROLOGY3610164447INJ NERVE BLOCK FEMORAL SNGL $ 885.00
58
NEUROLOGY3610064448HC CONTINOUS FEMORAL NRV CATH $ 1,012.00
59
NEUROLOGY3610164448HC CONTINOUS FEMORAL NRV CATH $ 1,012.00
60
NEUROLOGY3610064450INJ NERVE BLOCK OTHER $ 792.00
61
NEUROLOGY3610164450INJ NERVE BLOCK PERIPHERAL $ 792.00
62
NEUROLOGY4500264450HC INJ PERIPHERAL NERVE $ 792.00
63
NEUROLOGY7610064450HC INJ PERIPHERAL NERVE BLOCK $ 792.00
64
NEUROLOGY7610064455HC N BLOCK INJ PLANTAR DIGIT $ 759.00
65
NEUROLOGY3610064461HC PVB THOSRACIC SINGLE INJ SITE $ 1,129.00
66
NEUROLOGY3610064462HC PVB THORACIC 2ND+ INJ SITE $ 600.00
67
NEUROLOGY3610164462HC PVB THORACIC 2ND+ INJ SITE $ 600.00
68
NEUROLOGY3610064479NERVE RT/TRANSF C/T SNGL INCL FLUORO $ 1,897.00
69
NEUROLOGY3610064480HC NERVE RT/TRANSF C/T ADD'L INCL FLUORO CERV/THORAC $ 980.00
70
NEUROLOGY3610064483INJ SNGL MVR RT L/S TRANSFRM INCL FLUORO $ 2,529.00
71
NEUROLOGY3610064484HC NERVE L/S-TRANSFORM ADD'L INCL FLUORO LUMB/SACRAL $ 916.00
72
NEUROLOGY3610064488HC TAP BLOCK BI INJECTION $ 759.00
73
NEUROLOGY3610064490INJ DX/THERA AGENT JT CERV/THOR SNGL W/FLUORO $ 1,897.00
74
NEUROLOGY3610064491INJ DX/THERA AGENT JT CERV/THOR 2ND LVL W/FLUORO $ 809.00
75
NEUROLOGY3610064492INJ DX/THERA AGENT JT CERV/THOR 3RD LVL> W/FLUORO $ 878.00
76
NEUROLOGY3610064493INJ DX/THERA AGENT JT LUMB/SACR SNGL W/FLUORO $ 1,897.00
77
NEUROLOGY3610064494INJ DX/THERA AGENT JT LUMB/SACR 2ND LVL W/FLUORO $ 1,518.00
78
NEUROLOGY3610064495INJ DX/THERA AGENT JT LUMB/SACR 3RD LVL> W/FLUORO $ 1,518.00
79
NEUROLOGY3610064505HC NERVE BLOCK SPENOPALATINE GANGL $ 854.00
80
NEUROLOGY4500064505HC NERVE BLOCK SPENOPALATINE GANGL $ 854.00
81
NEUROLOGY4900064510HC STELLATE GANGLION BLOCK $ 1,644.00
82
NEUROLOGY4900064520HC LUMBAR SYMPATHETIC BLOCK $ 1,644.00
83
NEUROLOGY3610064530HC INJECT NERV BLOCK, CELIAC PLEXUS $ 1,508.00
84
NEUROLOGY4900064612HC BLEPHAROSPASM/BOTOX $ 542.00
85
NEUROLOGY7610064615HC DESTROYNERVE FACIAL MUSLE (MIGRAINE)(64615) $ 986.00
86
NEUROLOGY3610064616CHEMODENERVATION OF NECK MUSCLES $ 949.00
87
NEUROLOGY3610064620HC INTERCOSTAL (NEUROLYTIC) $ 1,897.00
88
NEUROLOGY3610064633DEST PARAVERTEBRAL SNGL FACET JT NERVES W/IMAGE CER/THOR $ 4,400.00
89
NEUROLOGY3610064634PARAVERTEBRAL C/T ADD'L W/IMAGE GUIDE $ 1,290.00
90
NEUROLOGY3610064635DEST PARAVERTEBRAL SNGL FACET JT NVS W/IMAGE LUM/SAC $ 3,793.00
91
NEUROLOGY3610064636DEST PARAVERTEBRAL ADDL FACET JT NVS W/IMAGE LUM/SAC $ 3,217.00
92
NEUROLOGY3610064640INJ OTH PERIPH NRVE BRANCH $ 1,644.00
93
NEUROLOGY4900064642HC CHEMODENERVATION ONE EXTREMITY 1-4 MUSCLE $ 1,569.00
94
NEUROLOGY7610064643HC CHEMODENERVATION 1 EXTREMITY EA ADDL 1-4 MUSCLE $ 610.00
95
NEUROLOGY4900064644HC CHEMODENERVATION 1 EXTREMITY 5 OR MORE MUSCLES $ 1,523.00
96
NEUROLOGY4900064645HC CHEMODENERVATION 1 EXTREMITY EA ADDL 5OR > MUSCLES $ 759.00
97
NEUROLOGY4900064646HC CHEMODENERVATION OF TRUNK MUSCLE 1-5 MUSCLES $ 1,043.00
98
NEUROLOGY4710092585HC AUDITORY EVOKED POT COMPREHENSIVE $ 1,318.00
99
NEUROLOGY7400095782HC POLYSOM 4+ ADD'L PARAM (YOUNGER THAN 6) $ 9,561.00
100
NEUROLOGY7400095783HC POLYSOM 4+ ADD'L PARAM W/CPAP (YOUNGER THAN 6) $ 10,358.00
101
NEUROLOGY7400095800HC SLEEP STUDY UNATTENDED $ 544.00
102
NEUROLOGY7400095805HC MSLT $ 4,542.00
103
NEUROLOGY7400095806HC HOME SLEEP TEST W/PORTABLE MONITOR $ 1,092.00
104
NEUROLOGY7400095808HC POLYSOMNOGRAPHY 1-3 ADD'L PARAM (ANY AGE) $ 3,634.00
105
NEUROLOGY7400095810HC POLYSOMNOGRAPHY 4+ ADD'L PARAM (6 OR OLDER) $ 7,171.00
106
NEUROLOGY7400095811HC POLYSOM 6/> CPAP 4/>PARM $ 8,176.00
107
NEUROLOGY7400095812HC EXTENDED EEG 41-60 MINS $ 1,682.00
108
NEUROLOGY7400095813HC EXTENDED EEG >GRTR 1 HR $ 2,000.00
109
NEUROLOGY7400095816HC EEG REGULAR AWAKE & DROWSY $ 1,500.00
110
NEUROLOGY7400095819HC EEG SLEEP INCLD RECORD AWAKE & SLEEP $ 2,000.00
111
NEUROLOGY7400095822HC EEG SLEEP $ 1,682.00
112
NEUROLOGY9220095860HC MUSCLE TEST, ONE LIMB $ 360.00
113
NEUROLOGY9220095861HC MUSCLE TEST, TWO LIMBS $ 472.00
114
NEUROLOGY9220095863HC MUSCLE TEST, 3 LIMBS $ 470.00
115
NEUROLOGY9220095870HC MUSCLE TEST NONPARASPINAL UNI/BIL $ 196.00
116
NEUROLOGY9220195870HC MUSCLE TEST NONPARASPINAL UNI/BIL $ 196.00
117
NEUROLOGY9220095874HC GUIDE NERV DESTR, NEEDLE EMG $ 186.00
118
NEUROLOGY9220095885HC MUSC TST W/NERVE TST LIMIT $ 528.00
119
NEUROLOGY9220095886HC MUSC TEST W/NERVE TEST COMP $ 822.00
120
NEUROLOGY9220095887HC MUSC TEST W/NERVE TEST NONEXT $ 735.00
121
NEUROLOGY7500095907HC NERVE CONDUCTION STUDIES 1-2 $ 905.00
122
NEUROLOGY9220095908HC NERVE CONDUCTION STUDIES 3-4 $ 1,028.00
123
NEUROLOGY9220095909HC NERVE CONDUCTION STUDIES 5-6 $ 1,267.00
124
NEUROLOGY9220095910HC NERVE CONDUCTION STUDIES 7-8 $ 1,689.00
125
NEUROLOGY9220095911HC NERVE CONDUCTION STUDIES 9-10 $ 1,995.00
126
NEUROLOGY9220095912HC NERVE CONDUCTION STUDIES 11-12 $ 2,302.00
127
NEUROLOGY9220095913HC NERVE CONDUCTION STUDIES 13 OR MORE $ 2,763.00
128
NEUROLOGY9220095925HC SOMATOSENSORY TEST,UPPER LIMBS $ 1,535.00
129
NEUROLOGY9220095926HC SOMATOSENSORY STUDY/LOWER LIMBS $ 1,496.00
130
NEUROLOGY9220195926HC SOMATOSENSORY STUDY/LOWER LIMBS $ 1,496.00
131
NEUROLOGY9220095928HC C MOTOR EVOKED UPPR LIMBS $ 2,302.00
132
NEUROLOGY9220095929HC C MOTOR EVOKED LWR LIMBS $ 2,455.00
133
NEUROLOGY9220095930HC VISUAL EVOKED POTENTIAL TEST $ 1,228.00
134
NEUROLOGY7400095933HC BLINK REFLEX TEST $ 344.00
135
NEUROLOGY9220095937HC NEUROMUSCULAR JUNCTION TEST EA NERVE $ 385.00
136
NEUROLOGY9220195937HC NEUROMUSCULAR JUNCTION TEST EA NERVE $ 385.00
137
NEUROLOGY9200095938HC SOMATOSENSORY TESTING $ 3,178.00
138
NEUROLOGY9200195938HC SOMATOSENSORY TESTING $ 3,178.00
139
NEUROLOGY9200095939HC C MOTOR EVOKED UPR & LWR LIMBS $ 801.00
140
NEUROLOGY7400095940HC CONTIN INTRAOPERATIVE NEURO MONITOR PER ATN OR EA 15 MIN $ 910.00
141
NEUROLOGY7400095951HC EEG VIDEO MONITOR (UNATTENDED) PER 24HRS $ 6,358.00
142
NEUROLOGY7400095953HC AMBULATORY EEG PER 24HRS (UNATTENDED) $ 2,529.00
143
NEUROLOGY9220095955HC EEG DURING SURGERY $ 1,102.00
144
NEUROLOGY7400095957HC DIGITAL ANALYSIS OF EEG $ 910.00
145
NEUROLOGY9200095971HC ELECTR ANALYSIS NEUROSTIMULATOR SIMPLE $ 1,216.00
146
NEUROLOGY7400095976ALYS SIMPLE CN NPGT PRGRMG $ 885.00
147
NEUROLOGY7400095977ALYS COMPLEX CN NPGT PRGRMG $ 1,256.00
148
NEUROLOGY9200095991HC REFILL/MAINT IMP PUMP(PHYS)INCLUDE ELECT ANALYSIS $ 392.00