name lst_price

101-125 mCi Iodine-131 ISOTOPE 19,277.80

11-14 mCi Iodine-131 ISOTOPE 3,895.00
126-150 mCi Iodine-131 ISOTOPE 14,190.48
151-175 mCi Iodine-131 ISOTOPE 23,336.30
15-20 mCi Iodine-131 ISOTOPE 5,073.11
176-200 mCi Iodine-131 ISOTOPE 20,400.00
201-250 mCi Iodine-131 ISOTOPE 40,000.00
21-25 mCi Iodine-131 ISOTOPE 6,087.73
26-30 mCi Iodine-131 ISOTOPE 6,957.41
31-40 mCi Iodine-131 ISOTOPE 6,957.41
41-50 mCi Iodine-131 ISOTOPE 7,537.19
4D fetal imaging-Ultrasound 4,851.00
51-75 mCi Iodine-131 ISOTOPE 15,074.37
5 mCi Iodine-131 ISOTOPE 2,319.14
6-9 mCi Iodine-131 ISOTOPE 3,043.86
76-100 mCi Iodine-131 ISOTOPE 9,046.00
Add on CD (CT Scan) 76.53
Add on CD (X-Ray) 110.50
Add on for Covid Pt. 788.63
Add on for Film (CT Scan) 378.00
Add on for Film (X-Ray) 552.46
Add on for Paper 220.98
Add-On: Own Contrast 456.58
All CT guided biopsy (package)- initial 38,220.00
All CT guided biopsy (package)- w/ prior CT 32,130.00
Amniotic fluid determination-Ultrasound 1,365.00
Analog Panoramic X-RAY 1,050.00
Ankle APOL 487.27
Ankle Jt. APL 270.70
Anti-HAV lgM (Quantitative) 1,470.18
Anti-HBc lgM (send out) 1,326.38
Anti-Hbe (Quantitative)-SO 2,237.24
Babygram 2,511.19
Barium enema 3,314.77
Barium swallow (esophagram) 3,425.27
Basic Cardiopulmonary Screening Package (Radiology) 254.10
Basic GI Screening Package (BGSP) (Radiology) 2,136.75
Basic Neurologic Screening Package (BNSP) (Radiology) 259.35
Basic Renal Screening Package (BRSP) (Radiology) 2,194.50
Basic Rheumatic Heart Disease Screening Package (Radiology) 259.35
Biophysical profile (BPS)-Ultrasound 1,522.50
Biophysical profile (BPS)-Ultrasound (TWINS) 3,045.00
Body Scan Post-RAI Treatment 3,000.00
BPS 1,680.00
Brain MRA 22,667.40
Breast, bilateral-Ultrasound 1,527.75
Breast, one side-Ultrasound 1,317.75
Breast Scintimammography 16,277.42
Breast Scintimammography ISOTOPE 11,160.84
Cervical AP 457.38
Cervical APL 609.84
Cervical APL with R/L Oblique 726.30
Cervical Left Oblique 457.38
Cervical Length Assessment (ADD-ON) 525.00
Cervical Right and Left Oblique 838.53
Cervical Right Oblique 457.38
Cervical R & L oblique 838.53
Cervical spine Lat 457.38
Cervical spine open mouth 457.38
Cervical spine swimmer's view 457.38
Chest (Adult) APL / PAL 609.84
Chest (Adult) APL / PAL Triage 2,597.73
Chest (Adult) AP / PA 381.15
Chest (Adult) AP / PA (Executive) 460.38
Chest (Adult) AP / PA-mobile 418.54
Chest (Adult) AP / PA (Mobile) 315.00
Chest (Adult) Oblique 883.94
Chest (Adult) RAO/LAO 883.94
Chest (Adult) RPO/LPO 883.94
Chest Apicolordotic view 441.97
Chest APL view 554.40
Chest AP / PA (EPCB) 129.15
Chest AP / PA (STUDENT) 262.50
Chest (Athlete's Price) APL / PAL 753.38
Chest bucky 381.15
Chest cone view 441.97
Chest CT, plain study 9,870.00
Chest CT, w/ contrast 12,600.00
Chest lat decub 552.46
Chest Lateral 552.46
Chest lat upright 346.50
Chest Left Lateral 552.46
Chest PA-Mobile (Hortus) 2,008.95
Chest (Pedia) APL 609.00
Chest (Pedia) AP / PA 441.97
Chest portable 662.96
Chest Right Lateral 552.46
Chest-Ultrasound 1,312.50
Chole G.I. Series 3,314.77
Chronic Cough Evaluation Package (CCEP) (Radiology) 708.75
Clavicle 433.13
Congenital Anomaly Ultrasound 3,465.00
Consultation Fee 369.87
Cranial CT, plain study 5,400.00
Cranial CT, w/ contrast 11,077.50
Cranial-Ultrasound 1,260.00
CTA Abdomen w/ contrast 11,077.50
CTA Chest w/ contrast 27,615.00
CTA Extremities w/ contrast 27,615.00
CTA Head w/ contrast 27,615.00
CTA Neck w/ contrast 27,615.00
CT Scan Quick Scan 1,155.00
Cystogram 3,314.77
Dacryocystography 3,217.80
Dacryocystography ISOTOPE 2,174.19
Delayed SIS 3,314.77
Digital Panoramic Xray 1,260.00
Digital Panoramic X-RAY 1,260.00
Digital Panoramic X-RAY (BFP Price) 945.00
Elbow AP 324.85
Elbow APL 378.99
Endocrine- Metabolic Disease Package (Radiology) 1,307.25
Extraction (Deciduous Teeth) - Difficult 528.15
Extraction (Deciduous Teeth) - Easy 315.00
Extraction (Permanent Teeth) - Difficult 1,050.00
Extraction (Permanent Teeth) - Easy 630.00
Extraction (Permanent Teeth) - Moderate 840.00
Extremities CT, plain study 9,870.00
Extremities CT w/ contrast 11,235.00
Eye, one side-Ultrasound 1,155.00
Eyes, bilateral-Ultrasound 1,365.00
Facial Bone CT, plain study 9,870.00
Facial Bone CT, w/ contrast 12,600.00
Femur AP 714.00
Femur APL 324.85
Femur APL, Bilateral 866.26
Femur Lateral 714.00
Fetal aging, twin pregnancy-Ultrasound 1,995.00
Fetal Aging Ultrasound 1,470.00
Fistulogram 4,305.00
Fistulogram/ Sinugram 3,314.77
Follicle Monitoring GYN (Only Endometrium and Follicles Measured) 945.00
Follicular Monitoring-Ultrasound 1,365.00
Foot APL / APO 492.21
Foot APOL 708.75
Foot Lateral 216.56
Free T3 1,164.24
Free T4 1,164.24
Free T4 -LAB 1,164.24
Gadolinium DTPA Contrast per bottle used 10,193.63
Gallbladder-Ultrasound 1,312.50
General Aesthetic Evaluation Package (GAEP) (Radiology) 260.40
GI Bleeding Study (RBC tagging) 25,829.36
GI Bleeding Study (RBC tagging) ISOTOPE 2,174.19
Gold-A Executive Health Screen Package-Female (Radiology) 2,883.30
Gold-A Executive Health Screen Package-Male (Radiology) 2,289.00
Gold-B Executive Health Screen Package-Female (Radiology) 2,289.00
Gold-B Executive Health Screen Package-Male (Radiology) 2,289.00
Guided Aspiration Ultrasound 2,730.00
Guided Aspiration-Ultrasound (net of PF) 1,785.00
Hand AP 630.00
Hand AP/Lateral 420.00
Hand Lateral 630.00
Hands APL / APO 270.70
Hands APL / APO, Bilateral 541.42
HBT & Lower Abdomen-Ultrasound (Female) 2,205.00
HBT & Lower Abdomen-Ultrasound (Male) 2,205.00
HBT, Pancreas & Kidneys-Ultrasound 2,415.00
HBT, Pancreas & Spleen-Ultrasound 2,415.00
HBT & Pancreas-Ultrasound 2,415.00
HBT-Ultrasound 1,470.00
Headache Evaluation Package (HEP) (Radiology) 1,305.15
Head CT, plain study 8,400.00
Hepatitis profile 11,729.54
Hepato-Biliary Scan 18,698.02
Hepato-Biliary Scan ISOTOPE 3,333.75
Hip AP 883.94
Hip joint cross leg view 883.94
Humerus, AP 324.85
Humerus, APL 378.99
Hypertensive IVP 3,314.77
Hysterosalpingogram 3,314.77
I-131 capsule 100,CI 2,319.14
I-131 capsule 150 mCi IC-1919 -
Impacted Tooth 8,453.55
Infertility Screening Package- Wife (ISP) (Radiology) 1,201.20
Inguinal Ultrasound 1,365.00
Inguinoscrotal Ultrasound 2,614.42
Intra- op cholangiogram (O.R.) 3,314.77
Intra- op use of C-arm fluoroscope 3,314.77
IVP 3,314.77
Kidneys (Renal)-Ultrasound 1,260.00
Knee Jt. APL 415.80
Knee Jt. APL, Bilateral 974.55
KUB IVP 3,977.73
KUB plain 773.45
KUB-Ultrasound 1,365.00
KUB-Ultrasound (Female) 1,365.00
KUB-Ultrasound (Male) 1,365.00
Left Oblique Chest 552.46
Liver and Spleen Scan 21,191.09
Liver and Spleen Scan ISOTOPE 2,174.19
Liver CT, plain study 8,400.00
Liver CT, w/ contrast 10,290.00
Liver CT, without contrast 8,400.00
Liver-Ultrasound 1,260.00
Lower Abdomen-3 phase CT 13,545.00
Lower Abdomen CT, plain study 9,870.00
Lower Abdomen CT, w/ contrast 12,600.00
Lower Abdomen-Ultrasound (Female) 1,995.00
Lower Abdomen-Ultrasound (Male) 1,995.00
Lumbar AP 304.92
Lumbar APL 686.07
Lumbar CT, plain study 9,870.00
Lumbar CT, w/ contrast 12,600.00
Lumbar Lat 231.00
Lumbosacral APL 609.84
Lumbosacral APL & R&L oblique 990.99
Lumbosacral APL with R/L oblique 990.99
Lumbosacral PA 462.00
Lung Perfusion 16,233.94
Lung Perfusion ISOTOPE 2,753.97
Lung Ventilation and Perfusion 29,887.84
Lung Ventilation and Perfusion ISOTOPE 4,928.16
Mandible APL / APO 609.84
Mandible Lateral 346.50
Mastoid (Mayer's, Schuller's, Towne's) 609.84
Maxillary 462.00
Mayer's view 457.38
Meckel's Diverticulum 7,711.12
Meckel's Diverticulum ISOTOPE 2,174.19
MPI-MIBI (S/R) 29,032.66
MPI-MIBI (S/R) ISOTOPE 11,160.84
MPI-MIBI Stess Express 23,524.71
MPI-MIBI Stess Express ISOTOPE 11,160.84
MPI-Thallium(S/R) 32,908.51
MPI-Thallium(S/R) ISOTOPE 5,073.11
MRI Ankle 19,444.95
MRI Arthrography Package 57,506.47
MRI Bilateral Study 27,919.24
MRI Brachial Flexus (Spine) 24,243.82
MRI Brain 22,667.40
MRI Cervical 18,480.00
MRI Chest 16,661.48
MRI Cranial 18,714.15
MRI DTI-(Tractography) 12,026.76
MRI Ears 22,659.37
MRI Elbow 19,445.00
MRI Extremities 28,184.76
MRI Foot 19,445.00
MRI Knee 19,445.00
MRI Larynx 20,417.25
MRI Leg 19,445.00
MRI Lower 19,152.79
MRI Lower Abdomen 19,152.00
MRI Lumbar 18,480.00
MRI MRCP 12,309.61
MRI Neck 18,769.80
MRI Neck Regular Study 19,425.00
MRI Orbits 21,636.33
MRI Paranasal Sinuses 19,445.00
MRI Pelvis & Hips 18,568.36
MRI Regular Study (Head) 18,714.47
MRI Seizure w/SPEC 19,445.00
MRI Sella 19,445.00
MRI Sella/Pituitary 16,661.40
MRI Shoulder 19,445.00
MRI Soft Tissues 19,445.00
MRI Temporomandibular Joint (TMJ) 21,636.33
MRI Thigh 19,445.00
MRI Thoracic 18,690.00
MRI Upper Abdomen 19,152.79
MRI Whole Abdomen 32,010.25
MRM w/contrast 22,504.65
Multiple Organ-Ultrasound 1,260.00
Nasal Bone Lateral (STL) 457.38
Nasopharyngeal, plain study 11,445.00
Nasopharyngeal, w/ contrast 14,122.50
Neck/Cervical CT, plain study 9,870.00
Neck/Cervical CT, w/ contrast 12,600.00
Neck/Parotid Ultrasound 2,415.00
Neck Ultrasound 1,365.00
NucMed Kit 724.73
Ocular Ultrasound 1,995.00
Oral Cholecystography 1,546.88
Oral Prophylaxis 633.15
Oral Prophylaxis - Mild 633.15
Oral Prophylaxis - Moderate 845.25
Oral Prophylaxis - Severe 1,056.30
Orbits CT, plain study 9,870.00
Orbits CT, w/ contrast 12,600.00
Orbit view 457.38
Orbit view APO / APL 457.38
ORIF 1,624.25
Other charges-CT Scan 4,167.45
Outside Film Reading (CT-Scan) 5,250.00
Outside Reading (CT Scan) 3,885.00
Pancreas-Ultrasound 1,260.00
Panoramic X-RAY 1,050.00
Parathyroid Scan 23,234.82
Parathyroid Scan ISOTOPE 11,160.84
Pelvic (2nd and 3rd Trimester) 1,575.00
Pelvic-Gyne 1,365.00
Pelvic- OB Fetal aging/Fetal evaluation 1,365.00
Pelvic Oblique 883.94
Pelvic Transabdominal-Ultrasound 1,365.00
Pelvic Trans-Abdominal Ultrasound 4,851.00
Pelvic Transrectal Ultrasound (Female) 1,365.00
Pelvic Transrectal Ultrasound (Male) 1,365.00
Pelvic Transvaginal-Ultrasound 1,680.00
Pelvimetry 1,215.42
Pelvis AP 662.96
Pelvis APL 883.94
Pelvis CT, plain study 9,870.00
Pelvis CT, w/ contrast 12,600.00
Pelvis frog/s leg view 441.97
Pelvis inlet view 883.94
Pelvis oblique 662.96
Pelvis outlet view 883.94
Pelvis RAO/LAO 883.94
Pelvis RPO/LPO 883.94
Periapical dental 420.00
Permanent Filling (per surface) 633.15
PF X-ray Special Procedure 5,403.94
Plain abd APL 994.43
Plain abdomen spinal upright 1,104.94
Plain abdomen supine & upright 1,325.92
Plain abdomen supine/upright 883.94
Platinum-A Executive Health Screen Package-Female (Radiology) 1,986.60
Platinum-A Executive Health Screen Package-Male (Radiology) 1,986.60
Platinum-B Executive Health Screen Package-Female (Radiology) 1,986.60
Platinum-B Executive Health Screen Package-Male (Radiology) 1,986.60
Platinum-C Executive Health Screen Package-Male (Radiology) 1,986.60
PNS 1,067.22
PNS CT, plain study 9,870.00
PNS CT, w/ contrast 12,600.00
PNS Series 970.20
PNS (Walter, Caldwell and Lat) 838.53
Portable Ultrasound 503.38
Portable X-ray 945.00
Post RAI Therapy Scan 3,600.00
Pre-employment package (Radiology) 259.35
Pre-enrollment package (Radiology) 311.85
Prostate-Ultrasound 1,365.00
Radius Ulna APL 324.85
RAI Therapy (101-125 mCi) 23,771.12
RAI Therapy (10 mCi) 15,175.84
RAI Therapy (11-14 mCi) 13,764.00
RAI Therapy (126-150 mCi) 24,000.00
RAI Therapy (151-175 mCi) 24,423.39
RAI Therapy (15-20 mCi) 16,361.50
RAI Therapy (176-200 mCi) 28,153.50
RAI Therapy (201-250 mCi) 15,799.10
RAI Therapy (21-25 mCi) 17,555.85
RAI Therapy (26-30 mCi) 18,367.54
RAI Therapy (31-40 mCi) 18,987.91
RAI Therapy (41-50 mCi) 19,930.07
RAI Therapy (51-75 mCi) 20,286.64
RAI Therapy (5 mCi) 13,075.58
RAI Therapy 60-80 mCi 33,337.56
RAI Therapy (6-9 mCi) 13,878.58
RAI Therapy (76-100 mCi) 20,631.00
Rectal, CT w/ contrast 9,870.00
Renal GFR with In-Vitro 6,841.45
Renal GFR with In-Vitro ISOTOPE 2,174.19
Renal Scan with Furosemide/Captopril 11,334.77
Renal Scan with Furosemide/Captopril ISOTOPE 2,174.19
Renal Scan with In-Vitro 13,364.01
Renal Scan with In-Vitro ISOTOPE 2,174.19
Restoration fee (per tooth) 633.15
Retrograde cholangiogram (x-ray rm) 3,314.77
Retrograde pyelogram 3,314.77
Right and Left Oblique Chest 1,104.94
Right Oblique Chest 552.46
Sacral CT, w/ contrast 14,910.00
Sacro coccygeal APL 1,104.94
Scapula Y 270.70
Schuller's view 457.38
Scoliotic series 1,219.68
Scrotum-Ultrasound 1,365.00
Shoulder AP 270.70
Shoulder AP Bilateral 270.70
Shoulder ER Bilateral 270.70
Shoulder Jt. AP 270.70
Shoulder Jt. AP mobile 315.00
Shoulder Jt. AP, Unilateral 324.85
Shoulder Jt. Bilateral 541.42
Silver-A Executive Health Screen Package (Radiology) 311.85
Silver-B Executive Health Screen Package (Radiology) 311.85
Silver-C Executive Health Screen Package (Radiology) 311.85
Skull, AP 457.38
Skull, APL 686.07
Skull Caldwell view 457.38
Skull Lateral 630.00
Skull Towne's view 457.38
Soft Tissue Mass-Ultrasound 1,307.21
Stonogram CT 9,870.00
Submandibular-Ultrasound 1,260.00
Tc993, 37 mCi Tc-2313 6,667.52
Temporary Filling 528.15
Testicular Scan 5,320.00
Testicular Scan ISOTOPE 1,500.00
Thallium Rest/Viability 17,704.00
Thallium Rest/Viability ISOTOPE 3,500.00
Thoracentesis Ultrasound 1,680.00
Thoracic AP 457.38
Thoracic APL 686.07
Thoracic CT, plain study 12,180.00
Thoracic CT, w/ contrast 14,910.00
Thoracolumbar APL 609.84
Thoracolumbar PA 457.38
Thyroid Scan (I-131) 4,455.00
Thyroid Scan (I-131) ISOTOPE 1,150.00
Thyroid Scan (Pertechnetate) 9,595.41
Thyroid Scan (Pertechnetate) ISOTOPE 4,750.00
Thyroid-Ultrasound 1,365.00
Thyroid Uptake 1,455.00
Thyroid Uptake and Scan 5,555.00
Thyroid Uptake and Scan ISOTOPE 1,150.00
Thyroid Uptake ISOTOPE 1,150.00
Tibia - Fibula APL 485.10
Tibia - Fibula APL, Bilateral 866.26
TMJ: Open & Close Mouth 609.84
Total Body Scan (I-131) 8,600.00
Total Body Scan (I-131) ISOTOPE 1,700.00
Total T3 1,540.49
Total T4 1,540.49
Transrectal (GYN) 1,680.00
Transvaginal (1st Trimester - <14 weeks) 1,365.00
Transvaginal (GYN/Non-Pregnant) 1,680.00
UGIS w/ SIS 3,314.77
Upper Abdomen-3 phase CT 13,545.00
Upper Abdomen CT, plain study 9,870.00
Upper Abdomen CT, w/ contrast 12,600.00
Upper Abdomen Ultrasound 1,995.00
Upper Abdomen-Ultrasound 1,995.00
Upper G.I. Series 3,314.77
Urinary Bladder & Prostate-Ultrasound 1,470.00
Urinary Bladder-Ultrasound 1,260.00
Urogram w/ contrast 12,600.00
Venogram CT, plain study 13,650.00
Venogram CT, w/ contrast 16,380.00
Virtual Colonoscopy 15,960.00
Voiding Cystogram 3,314.77
Waters View 381.15
Wellness-A Health Screen Package (Radiology) 259.35
Wellness-B Health Screen Package (Radiology) 259.35
Wellness-C Health Screen Package (Radiology) 259.35
Whole Abdomen-3 phase CT 28,560.00
Whole Abdomen CT, plain study 16,065.00
Whole Abdomen CT, w/ contrast 17,325.00
Whole Abdomen-Dynamic CT 28,560.00
Whole Abdomen-triple contrast 28,665.00
Whole Abdomen Ultrasound (Female) 2,520.00
Whole Abdomen-Ultrasound (Female Executive) 2,520.00
Whole Abdomen-Ultrasound (Male) 2,520.00
Whole Abdomen Ultrasound (Male Executive) 2,520.00
Whole Body Bone Scan 10,220.00
Whole Body Bone Scan ISOTOPE 4,750.00
Wrist AP 630.00
Wrist & Hand, APL / APO, Bilateral 378.99
Wrist & Hand, APL / APO, Unilateral 270.70
Wrist Lateral 567.00
X cross leg view 883.94