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Radiation Oncology Price Lists

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


ABCD
1
CategoryCharge CodeDescription1/1/2020
Unit Charge
2
RADIATION ONCOLOGY1501367SIMULATION SIMPLE (IMRT) $ 2,134.00
3
RADIATION ONCOLOGY1501368SIMULATION COMPLEX (IMRT) $ 4,340.00
4
RADIATION ONCOLOGY1905025RAD DOSIMETRY CALC $ 377.00
5
RADIATION ONCOLOGY1905371INTENSITY MOD RADIOTHPY PLAN $ 11,652.00
6
RADIATION ONCOLOGY1905410TELETHERAPY ISODOSE PLAN SIMPLE $ 664.00
7
RADIATION ONCOLOGY1905411TELETHERAPY ISODOSE PLAN COMPLEX $ 1,281.00
8
RADIATION ONCOLOGY1905066SPEC PORT PLAN $ 462.00
9
RADIATION ONCOLOGY1905090SPECIAL DOSIMETRY $ 744.00
10
RADIATION ONCOLOGY1500404TX DEVICE SIMPLE $ 577.00
11
RADIATION ONCOLOGY1905412TX DEVICE SIMPLE $ 577.00
12
RADIATION ONCOLOGY1500412TX DEVISE INTERMEDIATE $ 937.00
13
RADIATION ONCOLOGY1905116TX DEVICES INTERMEDIATE $ 937.00
14
RADIATION ONCOLOGY1500123TX DEVICE COMPLEX $ 925.00
15
RADIATION ONCOLOGY1905124TX DEVICES COMPLEX $ 925.00
16
RADIATION ONCOLOGY1905132CONT MED.RAD.PHYSICIS CONSULT PER WK $ 826.00
17
RADIATION ONCOLOGY1905133MLC DEVICE DESIGN/CONSTRUCT PER IMRT PLAN $ 2,526.00
18
RADIATION ONCOLOGY1905157SP RAD PHYS CONSULT $ 1,042.00
19
RADIATION ONCOLOGY1501251SRS IM GUIDE COMPL CRSE OR 1ST SES TX CRNL W/CS $ 21,275.00
20
RADIATION ONCOLOGY1501252SRS IM GUIDE DEL PER SES 2-5 $ 13,455.00
21
RADIATION ONCOLOGY1501364IMRT DELIVERY INCL GUID & TRACKING; SIMPLE $ 3,479.00
22
RADIATION ONCOLOGY1501365IMRT DELIVERY INCL GUID & TRACKING; COMPLEX $ 3,479.00
23
RADIATION ONCOLOGY1501360GUIDANCE FOR RADIATION TX DELIV INCL INTRAFRACT TRACK $ 577.00
24
RADIATION ONCOLOGY1500156RAD TX SUPERFICIAL AND/OR ORTHO VOLTAGE PER DAY $ 482.00
25
RADIATION ONCOLOGY1500172RAD TX DEL >/= 1 MEV SIMPLE $ 1,191.00
26
RADIATION ONCOLOGY1500206RAD TX DEL >/=1 MEV INTERMEDIATE $ 1,747.00
27
RADIATION ONCOLOGY1500230RAD TX DEL >/= 1 MEV COMPLEX $ 2,778.00
28
RADIATION ONCOLOGY1500263PORT FILMS $ 116.00
29
RADIATION ONCOLOGY1500289MOD-SPECIAL TREATMENT (DISTINCT)(NON INTRAOPERATIVE) $ 1,203.00
30
RADIATION ONCOLOGY1905165MOD SPECIAL TRTMNT(DISTINCT)(NON INTRAOPERATIVE) $ 1,203.00
31
RADIATION ONCOLOGY1501370BRACHYTHERAPY INTERSTITIAL/INTRACAVITY 1 CHANNEL INC BASIC DOSIMETRY $ 4,446.00
32
RADIATION ONCOLOGY1501371BRACHYTHERAPY INTERSTITIAL/INTRACAVITY 2-12 CHANLS INC BASIC DOSIMETRY $ 5,866.00
33
RADIATION ONCOLOGY1905181SUPERV./HANDLING ISOTOPE $ 533.00
34
RADIATION ONCOLOGY3420079005HC NM ORAL RADIOPHARM THERAPY $ 850.00
35
RADIATION ONCOLOGY3420079101HC NM INTRAVENOUS RADIOPHARM THERAPY $ 980.00
36
RADIATION ONCOLOGY3420079445HC NM INTRAARTERIAL RADIOPHARM THERAPY $ 820.00