Greenwich Hospital Price Master - CT.gov

32000101 HC XR ANKLE 2 VIEWS 406.00 4/1/2013
32000102 HC XR ANKLE COMPL 3+ VIEWS 474.00 4/1/2013
32000104 HC XR FT 2 VIEWS 484.00 4/1/2013
32000105 HC XR FT COMPL 3+ VIEWS 580.90 4/1/2013
32000106 HC XR CALCANEUS 2+ VIEWS 349.00 4/1/2013
32000107 HC XR TOE(S) 2+ VIEWS 400.29 4/1/2013
32000108 HC XR ABD 1 VIEW 450.00 4/1/2013
32000110 HC XR ABD AP/DECUB/ERECT 549.82 4/1/2013
32000113 HC XR ESOPHAGUS 811.00 4/1/2013
32000114 HC XR SWALLOWING FUNCTION CINE/VIDEO 753.00 4/1/2013
32000116 HC XR UGI W/O KUB 972.00 4/1/2013
32000118 HC XR UGI W/SMALL INTESTINE 1,409.08 4/1/2013
32000121 HC XR SMALL INTESTINE 953.00 4/1/2013
32000128 HC XR CHOLANGIO THRU CATH S&I 819.00 4/1/2013
32000133 HC XR CATH BILIARY & PANCREATIC (ERCP) S&I 1,316.00 4/1/2013
32000141 HC XR UROGRAM RETROGRADE 1,129.00 4/1/2013
32000142 HC XR UROGRAM ANTEGRADE S&I 887.00 4/1/2013
32000143 HC XR CYSTOGRAM 3+ VIEWS S&I 1,098.00 4/1/2013
32000144 HC XR CYSTOURETHROGRAM RETROGRADE S&I 1,202.00 4/1/2013
32000145 HC XR CYSTOURETHROGRAM VOIDING S&I 945.00 4/1/2013
32000147 HC XR INTRODUCTION CATH RENAL PELVIS S&I 2,508.72 4/1/2013
32000148 HC XR INTRODUCTION CATH/STENT URETERAL S&I 2,260.27 4/1/2013
32000150 HC XR HYSTEROSALPINGOGRAM S&I 905.00 4/1/2013
32000222 HC XR CHG TUBE/DRAIN CATH S&I 1,051.00 4/1/2013
32000223 HC XR FLUORO ABSC DRAIN/SPECIMEN COLL S&I 1,219.27 4/1/2013
32000224 HC XR FLUORO < 1 HR 0.00 4/1/2013
32000225 HC XR FLUORO > 1 HR 0.00 4/1/2013
32000227 HC XR ABSC FISTULA/SINUS TRACT STDY S&I 695.93 4/1/2013
32000228 HC XR SURGICAL SPECIMEN 355.00 4/1/2013
32000236 HC XR FLUORO CV ACCESS DEVICE PLACEMENT 783.35 4/1/2013
32000237 HC XR FLUORO NDL PLACEMENT 1,025.00 4/1/2013
32000238 HC XR FLUORO NDL LOACALIZ 842.00 4/1/2013
32000239 HC XR STEREOTACTIC LOACALIZ GUIDE EA S&I 2,090.03 4/1/2013
32000240 HC MAMMO GUIDE PL NDL BREAST EA S&I 1,038.00 4/1/2013
32000241 HC MAMMOGRAM COMPUTER AIDED DETECTION DIAG 95.23 4/1/2013
32000242 HC MAMMOGRAM COMPUTER AIDED DETECTION SCRN 100.58 4/1/2013
32000244 HC DIAG MAMMO,UNILATE 389.00 4/1/2013
32000245 HC MAMMOGRAM DIAG BILATERAL 549.00 4/1/2013
32000246 HC MAMMOGRAM SCRN BILATERAL 463.00 4/1/2013
32000247 HC XR BONE AGE STDY 414.00 4/1/2013
32000250 HC XR BONE SURVEY COMPL 1,011.00 4/1/2013
32000253 HC XR BONE DENSITY DUAL ENERGY (DXA) AXIAL 602.00 4/1/2013
33000001 HC SIM SMPL 1,032.00 4/1/2013
33000003 HC SIM CMPLX 2,764.00 4/1/2013
33000004 HC SIM 3-D/CT GUIDED 7,062.54 4/1/2013
33000005 HC DOSIMETRY CALCULATION BASIC 841.00 4/1/2013
33000006 HC INTENSITY MODULATED TX PLAN 10,353.00 4/1/2013
33000009 HC ISODOSE TELETHPY CMPLX 3,306.00 4/1/2013
33000010 HC PO PLAN SPECL PAICLES/HEMI/TOTAL BODY 1,676.00 4/1/2013
33000017 HC TX DEVICE CMPLX 1,257.25 4/1/2013
33000018 HC MEDICAL PHYSICS CONTINUING 936.30 4/1/2013
33000019 HC MLC DEVICE(S) FOR IM 1,934.00 4/1/2013
33000020 HC MEDICAL PHYSICS SPECL 1,192.00 4/1/2013
33000022 HC MED PHYSICS DOSIMETRY UNLISTED PROC 410.00 4/1/2013
33000026 HC RAD THPY TREAT SMPL 11-19 MEV 801.75 4/1/2013
33000029 HC RAD THPY TREAT CMPLX 6-10 MEV 1,447.00 4/1/2013
33000030 HC RAD THPY TREAT CMPLX 11-19 MEV 1,457.00 4/1/2013
33000032 HC RAD THPY PO FILM(S) 378.00 4/1/2013
33000033 HC RAD THPY TREAT INTENSITY MOD SNGL/MULT 3,203.47 4/1/2013
33000034 HC STEREOTACTIC XR GUIDANCE 680.95 4/1/2013
33000035 HC RAD THPY TREAT SPECL HEMI/TOTAL BODY 3,051.00 4/1/2013
33000048 HC CHEMO SC/IM NONHORMONAL ANTI-NEOPLASTIC 382.00 4/1/2013
33000049 HC CHEMO SC/IM HORMONAL ANTI-NEOPLASTIC 308.00 4/1/2013
33000051 HC CHEMO IV PUSH SNGL/INIT DRUG 671.00 4/1/2013
33000052 HC CHEMO IV PUSH ADDL DRUG 662.00 4/1/2013
33000053 HC CHEMO IV INF SNGL/INIT DRUG < 1HR 873.00 4/1/2013
33000054 HC CHEMO IV INF ADDL HR 708.00 4/1/2013
33000055 HC CHEMO IV INF PROLONG W/PBLE/IMPL PUMP 996.00 4/1/2013
33000056 HC CHEMO IV INF EA ADD DRUG < 1HR 807.00 4/1/2013
33000058 HC PUMP POABLE REFILLING AND MAINTENANCE 519.00 4/1/2013
33300006 HC STEREOTACTIC FIRST SESSION TOTAL 16,149.51 4/1/2013
33300007 HC LINEAR ACCELERATOR SRS DEL/SESSION