Imaging prices at TidalHealth Nanticoke

Seaford, DE · every code in this section with a posted price and a Medicare benchmark.

284 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
3-D radiotherapy plan dose-volume histograms (77295) $3,300.53 $3,300.53 2.2×
Abdomen 1 View (74018) $216.45 $216.45 2.3×
Abdomen 2 views (74019) $268 $268 2.4×
Acute Gastrointestinal Blood Loss Imaging (78278) $982.43 $982.43 2.3×
Angiography extremity bilateral rs&i (75716) $7,592.53 $7,592.53 2.3×
Angiography extremity unilateral rs&i (75710) $7,592.53 $7,592.53 2.3×
Ankle 2 views (73600) $216.45 $216.45 2.3×
Aortography thoracic serialography rs&i (75605) $8,993 $8,993 1.5×
Artery X-Rays Abdomen (75726) $5,392 $5,392 0.9×
Artery X-Rays Pelvis (75736) $8,993 $8,993 1.5×
Arthrogram ankle (73615) $916.05 $916.05 2.5×
Arthrogram hip (73525) $916.05 $916.05 2.5×
Arthrogram Wrist (73115) $916.05 $916.05 2.5×
Basic radiation dosimetry calculation (77300) $426 $426 3.0×
Bone age studies (77072) $261.88 $261.88 2.4×
Bone Imaging 3 Phase (78315) $2,145 $2,145 5.1×
Bone Imaging Limited Area (78300) $982.43 $982.43 2.3×
Bone Imaging Whole Body (78306)
range across 2 matching MRF lines		 $982.43–$1,426 $982.43–$1,426 varies
Bone survey infant (77076) $261.88 $261.88 2.4×
Brachytx Isodose Plan Simple (77316) $880.13 $880.13 2.2×
Brain Image W/Flow < 4 Views (78601) $982.43 $982.43 2.3×
Chest 1 view (71045) $216.45 $216.45 2.3×
Chest 2 views (71046) $216.45 $216.45 2.3×
Chest 3 views (71047) $256 $256 2.8×
Chest 4 or more views (71048) $280 $280 2.5×
Clavicle complete (73000) $216.45 $216.45 2.3×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $261.88 $261.88 2.4×
Continuing medical physics consltj pr wk (77336) $353 $353 2.5×
Contrast Exam Abdominl Aorta (75625) $7,592.53 $7,592.53 2.3×
Contrast X-Ray Bladder (74430) $916.05 $916.05 2.5×
Contrast X-Ray Of Elbow (73085) $916.05 $916.05 2.5×
Contrast X-Ray Of Knee Joint (73580) $916.05 $916.05 2.5×
CT abdomen and pelvis without and with contrast (74178) $2,779 $2,779 7.5×
CT abdomen and pelvis without contrast (74176) $1,962 $1,962 7.8×
CT abdomen w contrast (74160) $1,304 $1,304 7.0×
CT abdomen w wo contrast (74170) $2,023 $2,023 10.9×
CT abdomen w/o contrast (74150) $1,328 $1,328 12.0×
CT Angio Abdomen and Pelvis (74174) $2,000 $2,000 5.4×
CT Angio Chest (71275) $781 $781 4.2×
CT Angio Head (70496) $781 $781 4.2×
Ct Angio Lwr Extr W/O&W/Dye (73706) $781 $781 4.2×
CT Angio Neck (70498) $781 $781 4.2×
Ct Angio Upr Extrm W/O&W/Dye (73206) $781 $781 4.2×
CT bone density (77078) $216.45 $216.45 2.3×
CT cervical spine w/ contrast (72126) $1,085 $1,085 2.9×
CT cervical spine w/o contrast (72125) $1,218 $1,218 11.0×
CT cervical spine w/wo cont (72127) $1,218 $1,218 6.5×
CT chest w contrast (71260) $1,621 $1,621 8.7×
CT chest w/wo contrast (71270) $1,670 $1,670 9.0×
CT head/brain with contrast (70460) $1,246 $1,246 6.7×
CT head/brain without and with contrast (70470) $1,755 $1,755 9.4×
CT heart no contrast quant eval coronry calcium (75571) $216.45 $216.45 2.3×
CT iac w contrast (70481) $762 $762 4.1×
CT l-spine w&w/o contrast (72133) $1,900 $1,900 10.2×
CT lower ext w/o (73700) $1,110 $1,110 10.0×
CT lower extremity w/contrast material (73701) $1,293 $1,293 7.0×
CT lumbar spine w contrast (72132) $1,722 $1,722 4.7×
CT lumbar spine w/o contrast (72131) $1,670 $1,670 15.1×
CT maxillofacial w contrast (70487) $762 $762 4.1×
CT maxillofacial wo contrast (70486) $1,218 $1,218 11.0×
CT neck tissue combo (70492) $1,231 $1,231 6.6×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $907 $907 4.9×
CT orbits w/o contrast (70480) $1,476 $1,476 13.3×
CT pelvis w&w/o contrast (72194) $1,511 $1,511 8.1×
CT pelvis w/o contrast (72192) $1,268 $1,268 11.4×
CT scan of leg combo (73702) $907 $907 4.9×
CT scans face/jaw combo (70488) $907 $907 4.9×
CT soft tissue neck w contrast (70491) $1,085 $1,085 5.8×
CT soft tissue neck w/o contrast (70490) $939 $939 8.5×
CT thoracic spine w contrast (72129) $1,250 $1,250 6.7×
CT thoracic spine w/o contrast (72128) $1,110 $1,110 10.0×
CT thoracic spine w/wo cont (72130) $1,085.40 $1,085.40 5.8×
CT thorax w/o contrast (71250) $1,584 $1,584 14.3×
CT upper ext wo (73200) $634 $634 5.7×
CT upper extremity w/o & w/contrast material (73202) $821 $821 4.4×
CT upper extremity with contrast (73201) $916.05 $916.05 2.5×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $781 $781 4.2×
Cta Abdomen (74175) $781 $781 4.2×
CTA pelvis (72191) $781 $781 4.2×
Dxa Bone Density Axial (77080) $261.88 $261.88 2.4×
Dxa bone density study (77085) $261.88 $261.88 2.4×
Esophagram (74220) $439 $439 2.4×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $475 $475 4.3×
Fluoroscopy up to 1 hr (76000) $583.68 $583.68 2.3×
Foot 2 views (73620) $216.45 $216.45 2.3×
Forearm 2 views (73090) $216.45 $216.45 2.3×
Gastric emptying imaging study (78264) $982.43 $982.43 2.3×
Gated Heart Planar Single (78472) $1,443 $1,443 3.4×
Hand 2 views (73120) $261.88 $261.88 2.4×
Hepatobil Syst Image W/Drug (78227) $1,287.48 $1,287.48 2.2×
Hepatobiliary System Imaging (78226) $982.43 $982.43 2.3×
Ht Muscle Image Spect Sing (78451) $3,382.33 $3,382.33 2.5×
Hysterosalpingogram (74740) $612 $612 2.4×
Infant hip ultrasound with hip movement (dynamic) (76885) $378 $378 4.1×
K Flow/Funct Image W/Drug (78708) $1,287.48 $1,287.48 2.2×
K Flow/Funct Image W/O Drug (78707) $1,287.48 $1,287.48 2.2×
Knee 3 Views (73562) $269 $269 2.9×
Lung Perf&Ventilat Diferentl (78598) $1,287.48 $1,287.48 2.2×
Lung perfusion differential (78597) $3,013.72 $3,013.72 7.1×
Lung Ventilat&Perfus Imaging (78582) $1,287.48 $1,287.48 2.2×
Lymph System Imaging (78195) $1,287.48 $1,287.48 2.2×
Meckels Divert Exam (78290) $982.43 $982.43 2.3×
Mlc imrt design & construction per imrt plan (77338) $880.13 $880.13 2.2×
Mr safety implant&/fb assmt clin staf 1st 15 min (76014) $61.22 $61.22 2.0×
MRA head w/o contrast (70544) $1,426 $1,426 5.6×
Mra Neck W/O &W/Contrast Material (70549) $1,719 $1,719 4.6×
MRA neck w/o contrast (70547) $1,334 $1,334 5.3×
MRI abdomen w contrast (74182) $2,307 $2,307 6.2×
MRI abdomen w/o contrast (74181) $2,145 $2,145 8.5×
MRI any jt lower extrem w/contrast material (73722) $2,307 $2,307 2.8×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $2,731 $2,731 7.4×
MRI any jt upper extremity w/contrast matrl (73222) $2,307 $2,307 2.8×
MRI Breast W/O Contrast Bilateral (77047) $2,145 $2,145 8.5×
MRI cervical spine w contrast (72142) $2,307 $2,307 6.2×
MRI cervical spine w/o cont (72141) $2,145 $2,145 8.5×
MRI chest w/o contrast (71550) $2,001 $2,001 7.9×
MRI chest with contrast (71551) $2,307 $2,307 2.8×
MRI chest wo w contrast (71552) $2,731 $2,731 7.4×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $2,307 $2,307 6.2×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $2,145 $2,145 5.8×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $2,145 $2,145 8.5×
MRI lumbar spine w contrast (72149) $2,307 $2,307 6.2×
Mri Neck Spine W/O & W/Dye (72156) $2,925 $2,925 7.9×
MRI orbit face &/neck w/o contrast (70540) $2,145 $2,145 8.5×
MRI orbit face neck w contrast (70542) $2,307 $2,307 6.2×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $2,925 $2,925 7.9×
MRI pelvis w contrast (72196) $2,001 $2,001 5.4×
MRI pelvis w/o & w contrast (72197) $2,925 $2,925 7.9×
MRI pelvis w/o contrast (72195) $2,145 $2,145 8.5×
MRI thoracic spine w/o contrast (72146) $2,145 $2,145 8.5×
MRI upper extremity oth than jt w/contr matrl (73219) $2,307 $2,307 6.2×
MRI upper extremity oth than jt w/o contr matrl (73218) $2,145 $2,145 8.5×
Mri Uppr Extremity W/O&W/Dye (73220) $2,001 $2,001 5.4×
MRI, abdomen, combo (74183) $2,925 $2,925 7.9×
MRI, dorsal spine combo (72157) $2,925 $2,925 7.9×
MRI, dorsal spine contrast (72147) $2,307 $2,307 6.2×
MRI, joint upper extrem (73221) $2,145 $2,145 8.5×
MRI, joint upper extrem combo (73223) $2,731 $2,731 7.4×
MRI, lumbar spine combo (72158) $2,925 $2,925 7.9×
Myelography thoracic (72255) $1,907.20 $1,907.20 2.3×
Myelograpy 2/more regions rs&i (72270) $1,907.20 $1,907.20 2.3×
Myocardial Spect Multiple Studies (78452) $3,382.33 $3,382.33 2.5×
Neck soft tissue (70360) $216.45 $216.45 2.3×
Nonvascular Shunt X-Ray (75809) $301 $301 2.7×
Ntsty modul radthx pln dose-vol histos (77301) $3,300.53 $3,300.53 2.2×
Parathyroid imaging w/tomographic spect & CT (78072) $1,287.48 $1,287.48 2.2×
Parathyroid Planar Imaging (78070) $982.43 $982.43 2.3×
Parathyroid planar imaging w/wo subtraction (78071) $982.43 $982.43 2.3×
Pelvis 1 or 2 views (72170) $261.88 $261.88 2.4×
PET image w/CT, full body (78816) $3,726.50 $3,726.50 2.5×
PET imaging CT attenuation skull base mid-thigh (78815) $3,726.50 $3,726.50 2.5×
Pulmonary Perfusion Imaging Particulate (78580) $982.43 $982.43 2.3×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $261.88 $261.88 2.4×
Radex Ankle Complete Minimum 3 Views (73610) $219 $219 2.4×
Radex Calcaneus Minimum 2 Views (73650) $216.45 $216.45 2.3×
Radex elbow complete minimum 3 views (73080) $231 $231 2.5×
Radex Facial Bones Complete Minimum 3 Views (70150) $280 $280 2.5×
Radex fingr minimum 2 views (73140) $216.45 $216.45 2.3×
Radex foot complete minimum 3 views (73630) $219 $219 2.4×
Radex Hand Minimum 3 Views (73130) $219 $219 2.4×
Radex lower extremity infant minimum 2 views (73592) $216.45 $216.45 2.3×
Radex Nasal Bones Complete Minimum 3 Views (70160) $216.45 $216.45 2.3×
Radex Ribs Unilateral 2 Views (71100) $216.45 $216.45 2.3×
Radex shoulder complete minimum 2 views (73030) $231 $231 2.5×
Radex Sinuses Paransl < 3 Views (70210) $276 $276 3.0×
Radex Spine 1 View Specify Level (72020) $216.45 $216.45 2.3×
Radex Sternum Minimum 2 Views (71120) $243 $243 2.6×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $216.45 $216.45 2.3×
Radex Toe Minimum 2 Views (73660) $216.45 $216.45 2.3×
Radex Wrist Complete Minimum 3 Views (73110) $219 $219 2.4×
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $357 $357 3.2×
Radiation Delivery Stereotactic Cranial Linear (77372) $19,432 $19,432 2.5×
Radiation treatment delivery level 3 (77412) $640.15 $640.15 1.1×
Radiolog exam mandible compl minimum 4 views (70110) $261.88 $261.88 2.4×
Radiologic exam colon double contrast study (74280) $817 $817 4.4×
Radiologic exam colon single contrast study (74270) $695 $695 3.7×
Radiologic Exam Esophagus Double Contrast Study (74221) $437.65 $437.65 2.4×
Radiologic exam knee complete 4/more views (73564) $280 $280 2.5×
Radiologic exam pelvis compl minimum 3 views (72190) $261.88 $261.88 2.4×
Radiologic Exam Small Int Single Contrast Study (74250) $524 $524 2.8×
Radiologic exam swallow function contrast study (74230) $439 $439 2.4×
Radiologic exam upr gi trc double contrast study (74246) $446 $446 2.4×
Radiologic examination femur 1 view (73551) $216.45 $216.45 2.3×
Radiologic examination femur minimum 2 views (73552) $250 $250 2.7×
Radiologic examination knee 1/2 views (73560) $216.45 $216.45 2.3×
Radiologic Examination Osseous Survey Limited (77074) $361 $361 3.3×
Radiologic examination tibia & fibula 2 views (73590) $216.45 $216.45 2.3×
Rp loclzj tum plnr 1 area single day imaging (78800) $982.43 $982.43 2.3×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $3,382.33 $3,382.33 5.9×
Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) $3,382.32 $3,382.32 2.5×
Scapula (73010) $261.88 $261.88 2.4×
Screening Digital Breast Tomosynthesis Bi (77063) $68.95 $68.95 2.9×
Sella turcica (70240) $216.45 $216.45 2.3×
Shoulder 1 view (73020) $216.45 $216.45 2.3×
Shoulder Arthrography (73040) $916.05 $916.05 2.5×
Skull less than 4 views (70250) $261.88 $261.88 2.4×
Special dosimetry (77331) $353 $353 2.5×
Special Physics Consult (77370) $744 $744 5.2×
Special teletherapy port plan (77321) $880.13 $880.13 2.2×
Special treatment procedure (77470) $1,402.18 $1,402.18 2.4×
Stereotactic Body Radiation Delivery (77373) $4,334 $4,334 2.3×
Sternoclavicular joints (71130) $216.45 $216.45 2.3×
Telethx isodose pln cplx w/basic dosimetry (77307) $880.13 $880.13 2.2×
Ther Rad Simulaj-Aided Field Setting Complex (77290) $880.13 $880.13 2.2×
Ther Rad Simulaj-Aided Field Setting Intermed (77285) $880.13 $880.13 2.2×
Ther rad simulaj-aided field setting simple (77280) $330 $330 2.3×
Thoracic spine 2 views (72070) $261.88 $261.88 2.4×
Thoracic spine 3 views (72072) $323 $323 2.9×
Thoracolumbar 2 views (72080) $243 $243 2.6×
Thyroid Imaging With Vascular Flow (78013) $982.42 $982.42 2.3×
Thyroid Met Imaging Body (78018) $1,426 $1,426 2.5×
Thyroid Uptake Measurement (78012) $982.43 $982.43 2.3×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $982.43 $982.43 2.3×
Tx Devices Design & Construction Complex (77334) $880.13 $880.13 2.2×
Tx devices design & construction intermediate (77333) $500 $500 3.5×
Tx devices design & construction simple (77332) $566 $566 4.0×
Ultrasound Breast Limited (76642) $230 $230 2.5×
Ultrasound Exam Aaa Screen (76706) $261.88 $261.88 2.4×
Ultrasound, abdomen limited (76705) $463 $463 4.2×
Upper gi w/o kub (74240) $446 $446 2.4×
Urethrocystogram voiding (74455) $583.68 $583.68 2.3×
Urethrocystography retrograde (74450) $583.68 $583.68 2.3×
Us breast unilateral complete (76641) $261.88 $261.88 2.4×
Us chest (76604) $305 $305 2.8×
Us complete joint (76881) $800 $800 7.2×
Us exam, pelvic, limited (76857) $261.88 $261.88 2.4×
Us head (76506) $466 $466 4.2×
Us kidney transplant (76776) $463 $463 4.2×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $500 $500 4.5×
Us ob detailed single fetus (76811) $583.68 $583.68 2.3×
Us ob limited 1 or more fetuses (76815) $378 $378 3.4×
Us ob transvaginal (76817) $277 $277 2.5×
Us pelvic non ob complete (76856) $488 $488 4.4×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $865 $865 7.8×
Us preg uterus real time f/u trnsabdl per fetus (76816) $463 $463 4.2×
Us retroperitoneal complete (76770) $537 $537 4.8×
Us retroperitoneal limited (76775) $463 $463 4.2×
Us scrotum and contents (76870) $536 $536 4.8×
Us spinal canal and contents (76800) $333 $333 3.0×
Us thyroid (76536) $658 $658 5.9×
Vein X-Ray Chest (75827) $1,087 $1,087 0.7×
Venography caval inferior serialography rs&i (75825) $7,592.53 $7,592.53 2.3×
Venography extremity bilateral rs&i (75822) $3,814.83 $3,814.83 2.3×
Venography extremity unilateral rs&i (75820) $3,814.83 $3,814.83 2.3×
Venography Renal Bilateral (75833) $7,592.53 $7,592.53 2.3×
Wrist 2 views (73100) $216.45 $216.45 2.3×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $256 $256 2.8×
X-Ray Aorta Leg Arteries (75630) $7,592.53 $7,592.53 2.3×
X-Ray Bend Only L-S Spine (72120) $269 $269 2.4×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $216.45 $216.45 2.3×
X-Ray Exam Breast Specimen (76098) $1,314.08 $1,314.08 2.3×
X-Ray Exam Entire Spi 1 Vw (72081) $216.45 $216.45 2.3×
X-Ray Exam Entire Spi 2/3 Vw (72082) $261.88 $261.88 2.4×
X-Ray Exam Entire Spi 4/5 Vw (72083) $300 $300 2.7×
X-Ray Exam Hip Uni 1 View (73501) $243 $243 2.6×
X-Ray Exam Hip Uni 2-3 Views (73502) $231 $231 2.5×
X-Ray Exam Hip Uni 4/> Views (73503) $316 $316 2.9×
X-Ray Exam Hips Bi 2 Views (73521) $269 $269 2.4×
X-Ray Exam Hips Bi 3-4 Views (73522) $354 $354 3.2×
X-Ray Exam Hips Bi 5/> Views (73523) $439 $439 4.0×
X-Ray Exam L-S Spine Bending (72114) $395 $395 3.6×
X-Ray Exam Neck Spine 2-3 Vw (72040) $216.45 $216.45 2.3×
X-Ray Exam Neck Spine 6/>Vws (72052) $451 $451 4.1×
X-Ray Exam Unilat Ribs/Chest (71101) $293 $293 2.6×
X-ray eye for foreign body (70030) $216.45 $216.45 2.3×
X-ray humerus (73060) $216.45 $216.45 2.3×
X-ray IV pyelogram (ivp) (74400) $536 $536 2.9×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $216.45 $216.45 2.3×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $216.45 $216.45 2.3×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $269 $269 2.4×
X-ray nose-rectum child f.b. (76010) $216.45 $216.45 2.3×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $378 $378 3.4×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $261.88 $261.88 2.4×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $231 $231 2.5×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $317 $317 3.4×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $317 $317 2.9×
X-ray thoracic spine 4 vw (72074) $261.88 $261.88 2.4×
X-Ray Tmj Unilat (70328) $216.45 $216.45 2.3×
X-Ray Urinary Tract Exam With Contrast Material (74420) $916.05 $916.05 2.5×
X-Rays Bone Length Studies (77073) $261.88 $261.88 2.4×
X-Rays Bone Survey Complete (77075) $574 $574 5.2×
Xr c-spine 4 or 5 views (72050) $329 $329 3.0×
Xr facial bones less than 3 views (70140) $219 $219 2.4×
Xr orbits complete 4 views (70200) $261.88 $261.88 2.4×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.