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Radiation Oncology Price Lists

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


ABCD
1
Category
Charge Code
Description 1/1/2019
Unit Charge
2
RADIATION ONCOLOGY
1501370
BRACHYTHERAPY INTERSTITIAL/INTRACAVITY 1 CHANNEL INC BASIC DOSIMETRY
$ 4,446
3
RADIATION ONCOLOGY
1501371
BRACHYTHERAPY INTERSTITIAL/INTRACAVITY 2-12 CHANLS INC BASIC DOSIMETRY
$ 5,866
4
RADIATION ONCOLOGY
1905132CONT MED.RAD.PHYSICIS CONSULT PER WK $ 826
5
RADIATION ONCOLOGY
1501360GUIDANCE FOR RADIATION TX DELIV INCL INTRAFRACT TRACK $ 577
6
RADIATION ONCOLOGY
5401112I131 WHOLE BODY IMAGING $ 2,128
7
RADIATION ONCOLOGY
1501365IMRT DELIVERY INCL GUID & TRACKING; COMPLEX $ 3,479
8
RADIATION ONCOLOGY
1501364IMRT DELIVERY INCL GUID & TRACKING; SIMPLE $ 3,479
9
RADIATION ONCOLOGY
1905371INTENSITY MOD RADIOTHPY PLAN $ 11,652
10
RADIATION ONCOLOGY
1905133MLC DEVICE DESIGN/CONSTRUCT PER IMRT PLAN $ 2,526
11
RADIATION ONCOLOGY
1500289MOD-SPECIAL TREATMENT (DISTINCT)(NON INTRAOPERATIVE) $ 1,203
12
RADIATION ONCOLOGY
1500263PORT FILMS $ 116
13
RADIATION ONCOLOGY
1905025RAD DOSIMETRY CALC $ 377
14
RADIATION ONCOLOGY
1500230RAD TX DEL >/= 1 MEV COMPLEX $ 2,778
15
RADIATION ONCOLOGY
1500172RAD TX DEL >/= 1 MEV SIMPLE $ 1,191
16
RADIATION ONCOLOGY
1500206RAD TX DEL >/=1 MEV INTERMEDIATE $ 1,747
17
RADIATION ONCOLOGY
1500156RAD TX SUPERFICIAL AND/OR ORTHO VOLTAGE PER DAY $ 482
18
RADIATION ONCOLOGY
1905066SPEC PORT PLAN $ 462
19
RADIATION ONCOLOGY
1905090SPECIAL DOSIMETRY $ 744
20
RADIATION ONCOLOGY
1501251SRS IM GUIDE COMPL CRSE OR 1ST SES TX CRNL W/CS $ 21,275
21
RADIATION ONCOLOGY
1501252SRS IM GUIDE DEL PER SES 2-5 $ 13,455
22
RADIATION ONCOLOGY
1905181SUPERV./HANDLING ISOTOPE $ 533
23
RADIATION ONCOLOGY
1905411TELETHERAPY ISODOSE PLAN COMPLEX $ 1,281
24
RADIATION ONCOLOGY
1905410TELETHERAPY ISODOSE PLAN SIMPLE $ 664
25
RADIATION ONCOLOGY
5400495THYROID IMAGE W/UPTAKE, SNG/MULTI $ 1,703
26
RADIATION ONCOLOGY
1500123TX DEVICE COMPLEX $ 925
27
RADIATION ONCOLOGY
1500404TX DEVICE SIMPLE $ 577