Cone beam ct capt & interp (CPT D0364)
D0364 is the billing code hospitals use for this service. Prices below are each hospital's own posted facility charge.
49 of 4255 hospitals post a price for this code. Hospitals that don't post one are left out. We never guess a number.
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| Hospital | Location | Posted cash | Posted gross | Medicare pays | × Medicare |
|---|---|---|---|---|---|
| Washington County Hospital and Nursing Home | Chatom, AL | $54.17 | — | $94.39 | 0.6× |
| OHSU Hospital and Clinics | Portland, OR | $67.60 | $104 | $117.40 | 0.6× |
| MetroHealth System | Cleveland, OH | $84 | $240 | $98.91 | 0.8× |
| Plumas District Hospital | Quincy, CA | $100.80 | $126 | $134.46 | 0.7× |
| Lakeside Medical Center | Belle Glade, FL | $106.74 | — | $109.17 | 1.0× |
| Newark-Wayne Community Hospital | Newark, NY | $107.25 | $165 | $130.50 | 0.8× |
| Rochester General Hospital | Rochester, NY | $107.25 | $165 | $130.50 | 0.8× |
| Clifton Springs Hospital and Clinic | Clifton Springs, NY | $107.25 | $165 | $130.50 | 0.8× |
| Our Lady of the Lake Surgical Hospital | Slidell, LA | $116.77 | — | $94.94 | 1.2× |
| Highland Hospital | Rochester, NY | $124.09 | — | $130.50 | 1.0× |
| Strong Memorial Hospital | Rochester, NY | $124.09 | — | $130.50 | 1.0× |
| Lincoln Medical & Mental Health Center | Bronx, NY | $125.84 | $569.10 | $130.50 | 1.0× |
| Jacobi Medical Center | Bronx, NY | $125.84 | $569.10 | $130.50 | 1.0× |
| Elmhurst Hospital Center | Elmhurst, NY | $125.84 | $569.10 | $130.50 | 1.0× |
| NYC Health + Hospitals/South Brooklyn Health | Brooklyn, NY | $125.84 | $569.10 | $130.50 | 1.0× |
| Metropolitan Hospital Center | New York, NY | $125.84 | $569.10 | $130.50 | 1.0× |
| Kings County Hospital Center | Brooklyn, NY | $125.84 | $569.10 | $130.50 | 1.0× |
| Bellevue Hospital Center | New York, NY | $125.84 | $569.10 | $130.50 | 1.0× |
| Queens Hospital Center | Jamaica, NY | $125.84 | $569.10 | $130.50 | 1.0× |
| Harlem Hospital Center | New York, NY | $125.84 | $569.10 | $130.50 | 1.0× |
| Woodhull Medical & Mental Health Center | Brooklyn, NY | $125.84 | $569.10 | $130.50 | 1.0× |
| Griffin Hospital | Derby, CT | $127.13 | — | $125.33 | 1.0× |
| Valleywise Health Medical Center | Phoenix, AZ | $128.29 | — | $111.56 | 1.1× |
| Nyack Hospital | Nyack, NY | $130.50 | — | $130.50 | 1.0× |
| Montefiore St. Luke's Cornwall | Newburgh, NY | $130.50 | — | $130.50 | 1.0× |
| Unity Hospital of Rochester | Rochester, NY | $132 | $165 | $130.50 | 1.0× |
| Unity Specialty Hospital | Rochester, NY | $132 | $165 | $130.50 | 1.0× |
| Henry Ford Macomb Hospital | Clinton Township, MI | $143.75 | — | $104.17 | 1.4× |
| Henry Ford Hospital | Detroit, MI | $143.75 | — | $104.17 | 1.4× |
| Henry Ford Wyandotte Hospital | Wyandotte, MI | $143.75 | — | $104.17 | 1.4× |
| Henry Ford West Bloomfield Hospital | West Bloomfield, MI | $143.75 | — | $104.17 | 1.4× |
| Dunes Surgical Hospital | Dakota Dunes, SD | $168.29 | — | $106.81 | 1.6× |
| Cincinnati Children's Hospital Medical Center | Cincinnati, OH | $215.79 | $423.11 | $101.88 | 2.1× |
| Duncan Regional Hospital, Inc | Duncan, OK | $216.80 | — | $100.55 | 2.2× |
| MedStar Washington Hospital Center range across 2 matching MRF lines |
Washington, DC | $293.64–$958.60 | $451.75–$1,474.77 | $123.50 | varies |
| Northwest Surgical Hospital | Oklahoma City, OK | $301.65 | — | $100.55 | 3.0× |
| Community Hospital, LLC | Oklahoma City, OK | $301.65 | — | $100.55 | 3.0× |
| Nebraska Medical Center | Omaha, NE | $341.25 | $525 | $108.56 | 3.1× |
| Bellevue Medical Center | Bellevue, NE | $341.25 | $525 | $108.56 | 3.1× |
| Dartmouth Hitchcock Medical Center | Lebanon, NH | $372.71 | $1,218 | $111.63 | 3.3× |
| Charleston Area Medical Center | Charleston, WV | $475 | $475 | $100.29 | 4.7× |
| Harborview Medical Center | Seattle, WA | $653.32 | $933.32 | $121.06 | 5.4× |
| Upstate University Hospital | Syracuse, NY | — | $350 | $130.50 | — |
| St. Francis Hospital, Roslyn | Roslyn, NY | — | $400 | $130.50 | — |
| St. Charles Hospital | Port Jefferson, NY | — | $400 | $130.50 | — |
| Mercy Medical Center | Rockville Centre, NY | — | $400 | $130.50 | — |
| Good Samaritan Hospital Medical Center | West Islip, NY | — | $400 | $130.50 | — |
| St. Joseph Hospital | Bethpage, NY | — | $400 | $130.50 | — |
| St. Catherine of Siena Hospital | Smithtown, NY | — | $400 | $130.50 | — |
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.
"Medicare pays" is the facility (technical) rate, matching the posted facility charge; the doctor's separate professional fee is excluded throughout. "—" means Medicare has no comparable facility rate.