UH Procedures and Services

Our Commitment to Quality

Helping ensure our patients receive the highest level of care, delivered with dignity and compassion, is our goal with every patient and family member, every time. Our Board challenges us to remain in the Top 10 percent of hospitals in the country in quality scores, and they meet monthly with physicians and clinical staff to analyze the data and develop a plan to better serve our patients. It is this goal-driven mindset that has earned us recognition in key areas for our quality strides. Learn more about our quality awards and recognition.

NOTE: Prices are displayed for the procedure only. These do not include any medications, supplies or pre-procedure laboratory tests that may be needed prior to the study (for example - CT Scan of the Abdomen with Contrast does not include the contrast medication given. If the contrast is IV, you may have additional charges for the IV supplies). Please contact Scheduling and Benefits for a more accurate estimate of what the procedure will cost.

University Hospital/University Summerville: 706-774-8209 or 706-774-8210
University Hospital McDuffie: 706-597-5219

Service Charge Code Charge Description Price
ROOM & BOARD 11100001 HC R&B - PRIVATE $580
ROOM & BOARD 11900001 HC R&B - SWING BED PRIVATE $350
ROOM & BOARD 12200001 HC R&B - SEMIPRIVATE $580
ROOM & BOARD 17000001 HC R&B - NURSERY LVL 1 Well Baby $441
ROOM & BOARD 17200001 HC R&B - NURSERY LVL 2 Level 2 $896
ROOM & BOARD 17300001 HC R&B - NURSERY LVL 3 Intermediate $1,198
ROOM & BOARD 17400001 HC R&B - NURSERY LVL 4 Intensive $1,625
ROOM & BOARD 20000001 HC R&B - ICU (Intensive Care) $1,574
ROOM & BOARD 20600001 HC R&B - TELEMETRY (Intermediate or Remote Telemetry) $973
ROOM & BOARD 21000001 HC R&B - CCU (Coronary Care Unit) $1,625
IV Therapy 26000001 HC PICC LINE INSERTION $1,137
IV Therapy 26000002 HC PICC LINE REPLACEMENT $1,137
IV Therapy 26000003 HC DECLOT VASCULAR DEVICE $417
IV Therapy 26000005 HC REFILL IMPLANT PUMP/RESERVOIR $264
IV Therapy 26000006 HC HYDRATION INFUSION INITIAL HOUR $324
IV Therapy 26000007 HC HYDRATION INFUSION EACH ADDL HOUR $70
IV Therapy 26000008 HC INFUSION INITIAL HOUR $324
IV Therapy 26000009 HC INFUSION EACH ADDL HOUR $70
IV Therapy 26000010 HC INFUSION ADDL SEQUENTIAL HOUR $81
IV Therapy 26000011 HC IV TX- INITIATION IV ACCESS $63
IV Therapy 26000012 HC MIDLINE CATHETER INSERTION $118
IV Therapy 26000013 HC IVAD ACCESS $48
IV Therapy 26000014 HC THER/DIAG CONCURRENT INF $70
IV Therapy 26000015 HC TX/PRO/DX INJ SAME DRUG ADDON $189
IV Therapy 26000025 HC HYDRATION INFUSION INITIAL HOUR $324
IV Therapy 26000026 HC HYDRATION INFUSION EACH ADDL HOUR $70
IV Therapy 26000027 HC THERAP INFUSION INITIAL HOUR $324
IV Therapy 26000028 HC THERAP INFUSION EACH ADDL HOUR $70
IV Therapy 26000029 HC INFUSION ADDL SEQUENTIAL HOUR $70
IV Therapy 26000030 HC TX/PRO/DX INJ SAME DRUG ADDON $189
IV Therapy 26000031 HC THER/DIAG CONCURRENT INF $70
IV Therapy 26000034 HC THER/DIAG CONCURRENT INF - ER $70
IV Therapy 26000035 HC TX/PRO/DX INJ SAME DRUG ADDON - ER $189
Laboratory 30000001 HC VENIPUNCTURE ROUTINE $18
Laboratory 30000052 HC BLOOD COLLECTION FROM PORT $147
Laboratory 30000053 HC COLLECT BLOOD FROM PICC $147
Laboratory 30200129 HC TB INTRADERMAL TEST $23
Diagnostic Radiology Imaging 32000001 HC CISTERNOGRAPHY $713
Diagnostic Radiology Imaging 32000002 HC EYE FOREIGN BODY DETECTION $274
Diagnostic Radiology Imaging 32000003 HC MANDIBLE < 4 VIEWS $248
Diagnostic Radiology Imaging 32000004 HC MANDIBLE MINIMUM 4 VIEWS $307
Diagnostic Radiology Imaging 32000005 HC MASTOIDS COMPLETE $387
Diagnostic Radiology Imaging 32000006 HC INTERNAL AUDITORY CANAL $387
Diagnostic Radiology Imaging 32000007 HC FACIAL BONES < THREE VIEWS $244
Diagnostic Radiology Imaging 32000008 HC FACIAL BONES, MINIMUM 3 VIEWS $515
Diagnostic Radiology Imaging 32000009 HC NASAL BONES MINIMUM 3 VIEWS $239
Diagnostic Radiology Imaging 32000010 HC OPTIC FORAMINA $336
Diagnostic Radiology Imaging 32000011 HC ORBITS MINIMUM 4 VIEWS $362
Diagnostic Radiology Imaging 32000012 HC SINUSES <3 VIEWS $392
Diagnostic Radiology Imaging 32000013 HC SINUSES MINIMUM 3 VIEWS $515
Diagnostic Radiology Imaging 32000014 HC SELLA TURCIA $279
Diagnostic Radiology Imaging 32000015 HC SKULL LESS THAN FOUR VIEWS $392
Diagnostic Radiology Imaging 32000016 HC SKULLS MINIMUM 4 VIEWS $515
Diagnostic Radiology Imaging 32000017 HC TEMPEROMANDIBULAR JOINTS $387
Diagnostic Radiology Imaging 32000018 HC PANOREX/ORTHOPANTOGRAM $146
Diagnostic Radiology Imaging 32000019 HC NECK FOR SOFT TISSUE $202
Diagnostic Radiology Imaging 32000020 HC PHARYNX AND LARYNX W FLUORO $316
Diagnostic Radiology Imaging 32000022 HC PORTABLE CHEST FRONTAL SINGLE VIEW $241
Diagnostic Radiology Imaging 32000023 HC XRAY EXAM CHEST 2 VIEWS $244
Diagnostic Radiology Imaging 32000024 HC XRAY EXAM CHEST 3 VIEWS $325
Diagnostic Radiology Imaging 32000026 HC CHEST 2 VIEWS W/FLUORO $385
Diagnostic Radiology Imaging 32000027 HC XRAY CHEST 4+ VIEWS $356
Diagnostic Radiology Imaging 32000028 HC CHEST 4 OR MORE VIEWS W/FLUORO $448
Diagnostic Radiology Imaging 32000031 HC RIBS-UNILATERAL $319
Diagnostic Radiology Imaging 32000032 HC RIBS-UNI W PA CHEST $450
Diagnostic Radiology Imaging 32000033 HC RIBS-BILATERAL $319
Diagnostic Radiology Imaging 32000034 HC RIBS-BIL W PA CHEST $586
Diagnostic Radiology Imaging 32000035 HC STERNUM MINIMUM 2 VIEWS $292
Diagnostic Radiology Imaging 32000036 HC STERNOCLAVICULAR JOINTS 3 VIEW $345
Diagnostic Radiology Imaging 32000037 HC SPINE ENTIRE AP/LAT $577
Diagnostic Radiology Imaging 32000038 HC CERVICAL SPINE,SINGLE VIEW $247
Diagnostic Radiology Imaging 32000039 HC SPINE SINGLE VIEW $273
Diagnostic Radiology Imaging 32000040 HC CERVICAL SPINE 2-3 VIEWS $322
Diagnostic Radiology Imaging 32000041 HC CERVICAL SPINE,MINIMUM 4 VIEWS $451
Diagnostic Radiology Imaging 32000042 HC CERVICAL SPINE WITH FLEX/EXTEN $552
Diagnostic Radiology Imaging 32000043 HC SCOLIOSIS/THORACOLUMBAR 1 VIEW (INCL SUPINE & STAND) $387
Diagnostic Radiology Imaging 32000044 HC THORACIC SPINE AP AND LAT $427
Diagnostic Radiology Imaging 32000045 HC THORACOLUMBAR AP / LATERAL $427
Diagnostic Radiology Imaging 32000046 HC SCOLIOSIS SERIES SUPINE/ERECT $683
Diagnostic Radiology Imaging 32000047 HC LUMBAR SPINE AP / LATERAL $422
Diagnostic Radiology Imaging 32000048 HC LUMBAR SPINE COMPLETE W OBL $586
Diagnostic Radiology Imaging 32000049 HC LUMBAR SPINE COMPLETE W BENDIN $683
Diagnostic Radiology Imaging 32000050 HC LUMBAR BENDING ONLY, MINIMUM 4 $427
Diagnostic Radiology Imaging 32000051 HC PELVIS AP $295
Diagnostic Radiology Imaging 32000052 HC PELVIS MINIMUM 3 VIEWS $512
Diagnostic Radiology Imaging 32000053 HC SACRO-ILIAC JOINTS 3 VIEWS $336
Diagnostic Radiology Imaging 32000054 HC SACRUM OR COCCYX 2 VIEWS $336
Diagnostic Radiology Imaging 32000059 HC EPIDUROGRAPHY $675
Diagnostic Radiology Imaging 32000060 HC PERQ VERTEBROPLASTY, CERVICOTHORACIC $3,427
Diagnostic Radiology Imaging 32000061 HC DISCOGRAPHY, LUMBAR $2,279
Diagnostic Radiology Imaging 32000062 HC CLAVICLE COMPLETE $352
Diagnostic Radiology Imaging 32000063 HC CLAVICLE, BILATERAL $689
Diagnostic Radiology Imaging 32000064 HC SCAPULA COMPLETE $292
Diagnostic Radiology Imaging 32000065 HC SCAPULA, BILATERAL $661
Diagnostic Radiology Imaging 32000066 HC SHOULDER ONE VIEW $247
Diagnostic Radiology Imaging 32000067 HC SHOULDER, ONE VIEW BILATERAL $485
Diagnostic Radiology Imaging 32000068 HC SHOULDER 2 VIEWS $355
Diagnostic Radiology Imaging 32000069 HC SHOULDER TWO VIEWS, BILATERAL $697
Diagnostic Radiology Imaging 32000070 HC ACROMIO-CLAVICULAR JOINTS $314
Diagnostic Radiology Imaging 32000071 HC HUMERUS MINIMUM 2 VIEWS $273
Diagnostic Radiology Imaging 32000072 HC HUMERUS, BILATERAL $533
Diagnostic Radiology Imaging 32000073 HC ELBOW AP / LATERAL $247
Diagnostic Radiology Imaging 32000074 HC ELBOW, TWO VIEWS BILATERAL $485
Diagnostic Radiology Imaging 32000075 HC ELBOW,MINIMUM 3 VIEWS $273
Diagnostic Radiology Imaging 32000076 HC ELBOW, THREE VIEWS BILATERAL $533
Diagnostic Radiology Imaging 32000077 HC FOREARM AP / LATERAL $273
Diagnostic Radiology Imaging 32000078 HC FOREARM, BILATERAL $533
Diagnostic Radiology Imaging 32000079 HC UPPER EXTREMITY INFANT $247
Diagnostic Radiology Imaging 32000080 HC UPPER EXTREMITY INFANT BILATERAL $485
Diagnostic Radiology Imaging 32000081 HC WRIST MINIMUM 2 VIEWS $247
Diagnostic Radiology Imaging 32000082 HC WRIST TWO VIEWS, BILATERAL $485
Diagnostic Radiology Imaging 32000083 HC WRIST MINIMUM 3 VIEWS $273
Diagnostic Radiology Imaging 32000084 HC WRIST, THREE VIEWS BILATERAL $533
Diagnostic Radiology Imaging 32000085 HC HAND 2 VIEWS $247
Diagnostic Radiology Imaging 32000086 HC HAND, TWO VIEW BILATERAL $485
Diagnostic Radiology Imaging 32000087 HC HAND MINIMUM 3 VIEWS $273
Diagnostic Radiology Imaging 32000088 HC HAND, THREE VIEW BILATERAL $533
Diagnostic Radiology Imaging 32000089 HC FINGER(S) MINIMUM 2 VIEWS $234
Diagnostic Radiology Imaging 32000090 HC HIP UNILATERAL 1 VIEW $295
Diagnostic Radiology Imaging 32000091 HC HIP UNILAT COMPLETE MIN 2 VIEWS $380
Diagnostic Radiology Imaging 32000092 HC HIPS BILAT & PELVIS MIN 2 VIEWS $418
Diagnostic Radiology Imaging 32000093 HC PELVIS AND BILAT HIPS 2 VIEWS $512
Diagnostic Radiology Imaging 32000094 HC ARTHROGRAM HIP $675
Diagnostic Radiology Imaging 32000095 HC HIP 1 VIEW/OR $380
Diagnostic Radiology Imaging 32000096 HC PELVIS / HIPS,INFANT MIN 2 VIEWS BILAT $273
Diagnostic Radiology Imaging 32000098 HC FEMUR AP / LATERAL 1 VIEW $292
Diagnostic Radiology Imaging 32000099 HC FEMUR, BILATERAL 2 or > VIEWS $568
Diagnostic Radiology Imaging 32000100 HC XRAY KNEE 1 OR 2 VIEWS $273
Diagnostic Radiology Imaging 32000101 HC XRAY KNEE 1 OR 2 VIEWS $533
Diagnostic Radiology Imaging 32000102 HC KNEE MINIMUM 3 VIEWS $321
Diagnostic Radiology Imaging 32000103 HC KNEE, THREE VIEWS BILATERAL $632
Diagnostic Radiology Imaging 32000104 HC KNEE TUNNEL/PATELLAR/STANDING $321
Diagnostic Radiology Imaging 32000105 HC KNEE COMPLETE W/MULTI VIEWS $372
Diagnostic Radiology Imaging 32000106 HC KNEE, MULTI VIEW BILATERAL $724
Diagnostic Radiology Imaging 32000107 HC KNEES STANDING AP $273
Diagnostic Radiology Imaging 32000108 HC TIBIA/FIBULA AP / LATERAL $273
Diagnostic Radiology Imaging 32000109 HC TIBIA/FIBULA, BILATERAL $533
Diagnostic Radiology Imaging 32000110 HC LOWER EXTREMITY,INFANT 2V $247
Diagnostic Radiology Imaging 32000111 HC LOWER EXTREMITY,INFANT 2V BILATERAL $485
Diagnostic Radiology Imaging 32000112 HC ANKLE 2 VIEWS $247
Diagnostic Radiology Imaging 32000113 HC ANKLE, TWO VIEWS BILATERAL $485
Diagnostic Radiology Imaging 32000114 HC ANKLE 3 VIEWS $273
Diagnostic Radiology Imaging 32000115 HC ANKLE, THREE VIEWS BILATERAL $533
Diagnostic Radiology Imaging 32000116 HC FOOT 2 VIEWS $247
Diagnostic Radiology Imaging 32000117 HC FOOT, TWO VIEWS BILATERAL $485
Diagnostic Radiology Imaging 32000118 HC FOOT MINIMUM 3 VIEWS $273
Diagnostic Radiology Imaging 32000119 HC FOOT, THREE VIEWS BILATERAL $533
Diagnostic Radiology Imaging 32000120 HC CALCANEOUS/OS CAL.MIN.2 VIEW $247
Diagnostic Radiology Imaging 32000121 HC CALCANEOUS/OS CALCIS BILATERAL $485
Diagnostic Radiology Imaging 32000122 HC TOES MINIMUM 2 VIEWS $255
Diagnostic Radiology Imaging 32000123 HC TOES, BILATERAL $485
Diagnostic Radiology Imaging 32000124 HC XRAY EXAM ABDOMEN 1 VIEW $202
Diagnostic Radiology Imaging 32000125 HC XRAY EXAM KUB SINGLE VIEW $237
Diagnostic Radiology Imaging 32000126 HC XRAY ABDOMEN 2 VIEWS $367
Diagnostic Radiology Imaging 32000127 HC XRAY ABDOMEN 3+ VIEWS $385
Diagnostic Radiology Imaging 32000128 HC ABDOMEN SERIES W PA CHEST $554
Diagnostic Radiology Imaging 32000129 HC ESOPHAGUS,BARIUM SWALLOW $480
Diagnostic Radiology Imaging 32000130 HC GI SERIES UPPER $1,125
Diagnostic Radiology Imaging 32000131 HC GI SERIES WITH SMALL BOWEL $842
Diagnostic Radiology Imaging 32000132 HC GI SERIES WITH AIR CONTRAST $653
Diagnostic Radiology Imaging 32000133 HC GI AIR CONTRAST W SMALL BOWEL $842
Diagnostic Radiology Imaging 32000134 HC SMALL BOWEL SERIES $524
Diagnostic Radiology Imaging 32000135 HC SMALL BOWEL SERIES ENTEROCLYSIS $1,107
Diagnostic Radiology Imaging 32000136 HC COLON,BARIUM ENEMA $844
Diagnostic Radiology Imaging 32000137 HC COLON,BARIUM AIR CONTRAST $967
Diagnostic Radiology Imaging 32000138 HC THERAPEUTIC ENEMA $912
Diagnostic Radiology Imaging 32000139 HC GALLBLADDER SERIES $411
Diagnostic Radiology Imaging 32000141 HC OR CHOLANGIOGRAM $211
Diagnostic Radiology Imaging 32000142 HC OR CHOLANGIOGRAM ADDTNL SET $211
Procedurals 32000145 HC BILIARY STONE RETREIVAL OR REMOVAL $395
Diagnostic Radiology Imaging 32000146 HC ERCP/BILIARY $609
Diagnostic Radiology Imaging 32000147 HC ERCP/PANCREATIC $609
Diagnostic Radiology Imaging 32000147 HC ERCP PANCREATIC (REDUCED SVC) $609
Diagnostic Radiology Imaging 32000148 HC ERCP/BILIARY / PANCREATIC $609
Diagnostic Radiology Imaging 32000148 HC ERCP BILIARY/PANCR REDUCED SVC $609
Diagnostic Radiology Imaging 32000149 HC GI TUBE PLACEMENT WITH FLUOROSCOPY $411
Diagnostic Radiology Imaging 32000150 HC PERC PLACEMENT ENTEROCLYSIS TUBE $423
Diagnostic Radiology Imaging 32000151 HC ESOPHAGEAL DILATION $609
Procedurals 32000152 HC ARTHROGRAM TMJ $418
Procedurals 32000153 HC TRANSHEPATIC DUCT DILATION $674
Diagnostic Radiology Imaging 32000154 HC INTRAVENOUS PYELOGRAM $643
Diagnostic Radiology Imaging 32000155 HC RETRO PYELOGRAM UNILATERAL $520
Procedurals 32000156 HC UROGRAPHY, ANTEGRADE $319
Diagnostic Radiology Imaging 32000157 HC VASOGRAM/OR $349
Procedurals 32000158 HC CYSTOGRAM/RETROGRADE URETHROGRAM $436
Diagnostic Radiology Imaging 32000159 HC RENAL CYST STUDY TRANSLUMBAR $423
Diagnostic Radiology Imaging 32000161 HC PELVIMETRY $316
Diagnostic Radiology Imaging 32000162 HC VAGINOGRAM/PERINEOGRAM $379
Diagnostic Radiology Imaging 32000163 HC THORACIC AORTOGRAM WO SERIALOGRAPHY $2,762
Diagnostic Radiology Imaging 32000164 HC THORACIC AORTOGRAM $2,762
Diagnostic Radiology Imaging 32000165 HC ABDOMINAL AORTOGRAM $2,762
Diagnostic Radiology Imaging 32000166 HC ABDOMINAL ART W/FEMORAL RUNOFF $2,762
Diagnostic Radiology Imaging 32000176 HC SELECTIVE SPINAL ANGIOGRAM $2,666
Diagnostic Radiology Imaging 32000177 HC EXTREMITY ANGIOGRAM UNILATERAL $2,789
Diagnostic Radiology Imaging 32000178 HC ARTERIOGRAM EXTREMITIES BILAT $2,666
Diagnostic Radiology Imaging 32000181 HC VISCERAL SELECTIVE SINGLE VES. $2,666
Diagnostic Radiology Imaging 32000182 HC ADRENAL SELECTIVE UNILATERAL $2,666
Diagnostic Radiology Imaging 32000183 HC ADRENAL SELECTIVE BILATERAL $2,666
Diagnostic Radiology Imaging 32000184 HC PELVIC ANGIOGRAM $2,666
Diagnostic Radiology Imaging 32000185 HC PULMONARY ANGIOGRAM UNILATERAL $2,762
Diagnostic Radiology Imaging 32000186 HC PULMONARY ANGIOGRAM BILATERAL $2,762
Diagnostic Radiology Imaging 32000187 HC ANGIOGRAPHY PULM NON-SELECTIVE $1,634
Diagnostic Radiology Imaging 32000188 HC INTERNAL MAMMARY ANGIOGRAM $1,879
Diagnostic Radiology Imaging 32000189 HC ANGIO SELECTIVE ADDITIONAL VESSEL $1,660
Diagnostic Radiology Imaging 32000191 HC LYMPHANGIOGRAM, ABDOMNL/PELVIC $937
Diagnostic Radiology Imaging 32000192 HC SHUNTOGRAM, NONVASCULAR $248
Diagnostic Radiology Imaging 32000193 HC VENOGRAM EXTREMITY UNILATERAL $980
Diagnostic Radiology Imaging 32000194 HC VENOGRAM EXTREMITY BILATERAL $824
Diagnostic Radiology Imaging 32000195 HC INFERIOR VENACAVAGRAM $2,666
Diagnostic Radiology Imaging 32000197 HC RENAL VENOGRAM UNILATERAL $2,666
Diagnostic Radiology Imaging 32000198 HC RENAL VENOGRAM BILATERAL $2,666
Diagnostic Radiology Imaging 32000199 HC ADRENAL VENOGRAM UNILATERAL $2,666
Diagnostic Radiology Imaging 32000200 HC ADRENAL VENOGRAM BILATERAL $2,666
Diagnostic Radiology Imaging 32000201 HC CORONARY SINUS VENOGRAM $1,759
Diagnostic Radiology Imaging 32000203 HC HEPATIC VENOGRAM WO HEMODYNAMICS $2,666
Diagnostic Radiology Imaging 32000204 HC EMBOLIZATION $2,709
Diagnostic Radiology Imaging 32000205 HC TRANSCATHETER THERAPY INFUSION 1ST AGENT $2,668
Diagnostic Radiology Imaging 32000210 HC TRANSCATHETER THERAPY FOLLOWUP $521
Diagnostic Radiology Imaging 32000212 HC REMOVAL CVA DEVICE OBSTRUCTION $392
Diagnostic Radiology Imaging 32000213 HC REMOVAL CVA LUMEN OBSTRUCTION $266
Diagnostic Radiology Imaging 32000215 HC INTRAVASCULAR US IMAGING,NONCORONARY $4,762
Diagnostic Radiology Imaging 32000216 HC INTRAVASC US, NONCORONARY ADD' $4,762
Diagnostic Radiology Imaging 32000220 HC REPAIR ENDOVASC THORACIC AORTA $785
Diagnostic Radiology Imaging 32000221 HC EXTREMITY ANGIOGRAM UNILATERAL $674
Diagnostic Radiology Imaging 32000222 HC PLACEMENT PROX EXT THORAC AORT $450
Diagnostic Radiology Imaging 32000223 HC PLACEMENT DISTAL EXT THOR AORT $393
Procedurals 32000225 HC SIALOGRAM $314
Diagnostic Radiology Imaging 32000232 HC TRANSCATHETER BIOPSY $1,289
Diagnostic Radiology Imaging 32000234 HC PTH BILIARY DRAIN W CONTR MONI EXTERNAL $200
Diagnostic Radiology Imaging 32000236 HC CATHETER EXCHANGE $427
Diagnostic Radiology Imaging 32000237 HC ABCESS DRAIN W CATH PLACEMENT $534
Diagnostic Radiology Imaging 32000240 HC FLUOUROSCOPY CHECK OF LEADS $416
Diagnostic Radiology Imaging 32000241 HC FOREIGN BODY, CHILD $202
Diagnostic Radiology Imaging 32000242 HC ABCESS/FISTULA/SINUS TRACT $300
Diagnostic Radiology Imaging 32000243 HC BREAST SURGICAL SPECIMEN $520
Diagnostic Radiology Imaging 32000245 HC CINERADIOGRAPHY $520
Diagnostic Radiology Imaging 32000246 HC UNLISTED FLUOROSCOPIC EXAM $116
Diagnostic Radiology Imaging 32000247 HC UNLISTED/MISC DIAGN RADIOLOGY $100
Diagnostic Radiology Imaging 32000248 HC FLUORO GUIDANCE FOR CVAD $244
Diagnostic Radiology Imaging 32000249 HC FLUORO FOR NEEDLE PLACEMENT $258
Diagnostic Radiology Imaging 32000250 HC FLUORO FOR SPINE INJ PROCEDURE $258
Diagnostic Radiology Imaging 32000252 HC STRESS VIEW(S),ANY JOINT $273
Diagnostic Radiology Imaging 32000253 HC BONE AGE STUDIES $370
Diagnostic Radiology Imaging 32000254 HC BONE LENGTH STUDIES $433
Diagnostic Radiology Imaging 32000255 HC BONE SURVEY, LIMITED $791
Diagnostic Radiology Imaging 32000256 HC BONE SURVEY, COMPLETE $900
Diagnostic Radiology Imaging 32000257 HC OSSEOUS SURVEY INFANT $312
Diagnostic Radiology Imaging 32000258 HC JOINT SURVEY,1 VIEW,2/> JOINTS $101
Diagnostic Radiology Imaging 32000259 HC UNLISTED DX RAD PROC, ADD'L $100
Diagnostic Radiology Imaging 32000260 HC BARIUM ENEMA SCREEN/ALT G0104 $773
Diagnostic Radiology Imaging 32000261 HC BARIUM ENEMA,SCREEN/ALT G0105 $773
Diagnostic Radiology Imaging 32000262 HC BARIUM ENEMA,SCREEN NONCOVERED $773
Procedurals 32000263 HC BRONCHOGRAM UNILATERAL $272
Procedurals 32000264 HC BRONCHOGRAM BILATERAL $391
Procedurals 32000269 HC ARTHROGRAM SHOULDER $403
Procedurals 32000270 HC ARTHROGRAM ELBOW $481
Procedurals 32000271 HC ARTHROGRAM WRIST $481
Procedurals 32000272 HC ARTHROGRAM KNEE $501
Procedurals 32000273 HC PERITONEOGRAM $478
Procedurals 32000274 HC CYSTOGRAM $242
Procedurals 32000275 HC URETHROCYSTOGRAPHY VOIDING $310
Procedurals 32000277 HC DILATION NEPHROSTOMY/URETERS $1,650
Procedurals 32000278 HC HYSTEROSALPINGOGRAPHY $423
Procedurals 32000279 HC FALLOPIAN CATHETERIZATION $1,638
Procedurals 32000280 HC LYMPHANGIOGRAM, EXTREMITY $2,581
Procedurals 32000281 HC SPLENOPORTOGRAM $2,967
Diagnostic Radiology Imaging 32000282 HC TRANSHEPATIC PORTAL VENOGRAM $2,666
Procedurals 32000283 HC CATHETER VENOUS SAMPLING $2,666
Procedurals 32000285 HC MAMMARY DUCTOGRAM SINGLE $383
Procedurals 32000286 HC MAMMARY DUCTOGRAM MULTI $482
Nuclear Medicine 32000287 HC HEPATOBILIARY W CCK $1,078
Diagnostic Radiology Imaging 32000288 HC ANGIOGRAPHY PULM NON-SELECTIVE $1,634
Diagnostic Radiology Imaging 32000289 HC ABDOMINAL AORTOGRAM $2,762
Diagnostic Radiology Imaging 32000291 HC PULMONARY ANGIOGRAM BILATERAL $2,762
Diagnostic Radiology Imaging 32000292 HC INTERNAL MAMMARY ANGIOGRAM $1,879
Diagnostic Radiology Imaging 32000294 HC VENOGRAM EXTREMITY UNILATERAL $980
Diagnostic Radiology Imaging 32000295 HC VENOGRAM EXTREMITY BILATERAL $824
Diagnostic Radiology Imaging 32000296 HC SUPERIOR VENACAVAGRAM $1,905
Diagnostic Radiology Imaging 32000297 HC PULMONARY ANGIOGRAM UNILATERAL $2,762
Diagnostic Radiology Imaging 32000298 HC CORONARY SINUS VENOGRAM $1,759
Diagnostic Radiology Imaging 32000299 HC TRANSCATHETER THERAPY INFUSION $2,668
Diagnostic Radiology Imaging 32000300 HC TRANSCATHETER THERAPY FOLLOWUP $521
Diagnostic Radiology Imaging 32000301 HC CATHETER RETRIEVAL $1,747
Diagnostic Radiology Imaging 32000303 HC FLUORO GUIDANCE FOR CVAD $244
Diagnostic Radiology Imaging 32000304 HC ANGIOGRAPHY PULM NON-SELECTIVE $1,634
Diagnostic Radiology Imaging 32000305 HC VENOGRAM EXTREMITY UNILATERAL $980
Diagnostic Radiology Imaging 32000306 HC VENOGRAM EXTREMITY BILATERAL $824
Diagnostic Radiology Imaging 32000307 HC CORONARY SINUS VENOGRAM $1,759
Diagnostic Radiology Imaging 32000308 HC INFERIOR VENACAVAGRAM $2,666
Diagnostic Radiology Imaging 32000310 HC ESOPHAGUS,BARIUM SWALLOW $480
Procedurals 32000313 HC BILIARY STONE RETREIVAL $395
Diagnostic Radiology Imaging 32000314 HC THORACIC AORTOGRAM $2,762
Diagnostic Radiology Imaging 32000315 HC ABDOMINAL AORTOGRAM $2,762
Diagnostic Radiology Imaging 32000316 HC ABDOMINAL ART W/FEMORAL RUNOFF $2,762
Diagnostic Radiology Imaging 32000319 HC EXTERNAL CAROTID UNILATERAL $4,031
Diagnostic Radiology Imaging 32000320 HC EXTERNAL CAROTID BILATERAL $4,031
Diagnostic Radiology Imaging 32000326 HC SELECTIVE SPINAL ANGIOGRAM $2,666
Diagnostic Radiology Imaging 32000327 HC EXTREMITY ANGIOGRAM UNILATERAL $2,789
Diagnostic Radiology Imaging 32000328 HC ARTERIOGRAM EXTREMITIES BILAT $2,666
Procedurals 32000329 HC VISCERAL SELECTIVE SINGLE VES. $2,666
Diagnostic Radiology Imaging 32000330 HC ADRENAL SELECTIVE UNILATERAL $2,666
Diagnostic Radiology Imaging 32000331 HC ADRENAL SELECTIVE BILATERAL $2,666
Diagnostic Radiology Imaging 32000332 HC PELVIC ANGIOGRAM $2,666
Diagnostic Radiology Imaging 32000333 HC PULMONARY ANGIOGRAM UNILATERAL $2,762
Diagnostic Radiology Imaging 32000334 HC PULMONARY ANGIOGRAM BILATERAL $2,762
Diagnostic Radiology Imaging 32000335 HC INTERNAL MAMMARY ANGIOGRAM $1,879
Procedurals 32000336 HC ANGIO SELECTIVE ADDITIONAL VESSEL $1,660
Procedurals 32000337 HC VENOGRAM EXTREMITY UNILATERAL $980
Procedurals 32000338 HC VENOGRAM EXTREMITY BILATERAL $824
Diagnostic Radiology Imaging 32000339 HC INFERIOR VENACAVAGRAM $2,666
Diagnostic Radiology Imaging 32000340 HC SUPERIOR VENACAVAGRAM $1,905
Diagnostic Radiology Imaging 32000341 HC RENAL VENOGRAM UNILATERAL $2,666
Diagnostic Radiology Imaging 32000342 HC RENAL VENOGRAM BILATERAL $2,666
Diagnostic Radiology Imaging 32000343 HC ADRENAL VENOGRAM UNILATERAL $2,666
Diagnostic Radiology Imaging 32000344 HC ADRENAL VENOGRAM BILATERAL $2,666
Diagnostic Radiology Imaging 32000345 HC CORONARY SINUS VENOGRAM $1,759
Procedurals 32000346 HC HEPATIC VENOGRAM W HEMODYNAMICS $2,666
Diagnostic Radiology Imaging 32000347 HC HEPATIC VENOGRAM WO HEMODYNAMICS $2,666
Diagnostic Radiology Imaging 32000348 HC TRANSCATHETER THERAPY FOLLOWUP $521
Procedurals 32000349 HC ARTERIAL CATH EXCHANGE $1,985
Procedurals 32000353 HC CATHETER RETRIEVAL $1,747
Procedurals 32000357 HC CATHETER EXCHANGE $427
Procedurals 32000358 HC ABCESS/FISTULA/SINUS TRACT $300
Diagnostic Radiology Imaging 32000359 HC UNLISTED/MISC DIAGN RADIOLOGY $100
Diagnostic Radiology Imaging 32000360 HC FLUORO GUIDANCE FOR CVAD $244
Diagnostic Radiology Imaging 32000361 HC FLUORO FOR NEEDLE PLACEMENT $258
Procedurals 32000362 HC TRANSHEPATIC PORTAL VENOGRAM $2,666
Procedurals 32000363 HC FLUOUROSCOPY PORTACATHOGRAM $416
Diagnostic Radiology Imaging 32000365 HC FLUOUROSCOPY CHECK OF LEADS $416
Procedurals 32000367 HC NEPHROSTOMY STENT PLACEMENT $1,650
Diagnostic Radiology Imaging 32000368 HC RENAL ANGIOGRAM UNILATERAL $2,666
Diagnostic Radiology Imaging 32000369 HC RENAL ANGIOGRAM BILATERAL $2,666
Procedurals 32000370 HC ANGIOGRAPHY PULM NON-SELECTIVE $1,634
Procedurals 32000371 HC EMBOLIZATION $2,709
Procedurals 32000372 HC EMBOLIZATION $2,709
Diagnostic Radiology Imaging 32000373 HC TRANSCATHETER THERAPY INFUSION 1ST AGENT $2,668
Diagnostic Radiology Imaging 32000374 HC TRANSCATHETER THERAPY FOLLOWUP $521
Diagnostic Radiology Imaging 32000378 HC REPAIR ENDOVASC THORACIC AORTA $785
Diagnostic Radiology Imaging 32000379 HC EXTREMITY ANGIOGRAM UNILATERAL $674
Diagnostic Radiology Imaging 32000380 HC PLACEMENT PROX EXT THORAC AORT $450
Diagnostic Radiology Imaging 32000381 HC PLACEMENT PROX EXT THORAC AORT $450
Diagnostic Radiology Imaging 32000383 HC TRANSCATHETER BIOPSY $1,289
Diagnostic Radiology Imaging 32000384 HC BRONCHOGRAM UNILATERAL $272
Diagnostic Radiology Imaging 32000385 HC BRONCHOGRAM BILATERAL $391
Diagnostic Radiology Imaging 32000386 HC FALLOPIAN CATHETERIZATION $1,638
Diagnostic Radiology Imaging 32000387 HC CATHETER VENOUS SAMPLING $2,666
Diagnostic Radiology Imaging 32000388 HC CATHETER VENOUS SAMPLING $2,666
Diagnostic Radiology Imaging 32000390 HC FLUOUROSCOPY LESS THAN 1 HOUR $416
Diagnostic Radiology Imaging 32000391 HC FLUORO FOR NEEDLE PLACEMENT $258
Diagnostic Radiology Imaging 32000392 HC FLUOUROSCOPY LESS THAN 1 HOUR $416
Diagnostic Radiology Imaging 32000393 HC PERC PLACEMENT ENTEROCLYSIS TUBE $423
Procedurals 32000394 HC TRANSHEPATIC DUCT DILATION $674
Procedurals 32000395 HC ANGIO SELECTIVE ADDITIONAL VESSEL  
Procedurals 32000400 HC NEPHROSTOGRAM $319
Diagnostic Radiology Imaging 32000401 HC DISCOGRAPHY, CERVICAL OR THORACIC $2,279
Diagnostic Radiology Imaging 32000402 HC DXA BONE DENSITY AXIAL 1+ SITES $166
Diagnostic Radiology Imaging 32000403 HC DXA BONE DENSITY/PERIPHERAL 1+ SITES $130
Diagnostic Radiology Imaging 32000404 HC X-RAY EXAM OF THORACIC SPINE 3 VIEWS $302
Diagnostic Radiology Imaging 32000405 HC X-RAY EXAM OF THORACIC SPINE 4+ VIEWS $374
Diagnostic Radiology Imaging 33200283 HC CATHETER VENOUS SAMPLING $2,666
Procedurals 32000406 HC XR SKELETAL SURVEY, INFANT $900
Diagnostic Radiology Imaging 32000407 HC SCOLIOSIS/THORACOLUMBAR STAND 2-3 VIEWS $467
Diagnostic Radiology Imaging 32000408 HC SCOLIOSIS/THORACOLUMBAR STAND 4-5 VIEWS $547
Diagnostic Radiology Imaging 32000409 HC SCOLIOSIS/THORACOLUMBAR MIN 6 VIEWS (INCL. SUPINE & STAND) $627
Diagnostic Radiology Imaging 32000410 HC HIP UNILAT W PELVIS MINIMUM 4 VIEWS $465
Diagnostic Radiology Imaging 32000411 HC HIPS BILAT & PELVIS MIN 3-4 VIEWS BILAT $495
Diagnostic Radiology Imaging 32000412 HC HIPS BILAT & PELVIS MIN 5 VIEWS BILAT $560
Diagnostic Radiology Imaging 32000413 HC FEMUR AP/LATERAL MIN 2 VIEWS $377
Diagnostic Radiology Imaging 32000414 HC GASTRIC EMPTYING IMAG STDY W SM BOWEL TRANSIT $443
Diagnostic Radiology Imaging 32000415 HC GASTRIC EMPTYING IMAG STDY W SM BOWEL & COLON TRANSIT $587
Diagnostic Radiology Imaging 32000416 HC PELVIS / HIPS,INFANT MIN 2-3 VIEWS UNILAT $380
Diagnostic Radiology Imaging 32000417 HC PELVIS / HIPS,INFANT MIN 4 VIEWS UNILAT $465
Diagnostic Radiology Imaging 32000418 HC PELVIS / HIPS,INFANT MIN 1 VIEW UNILAT $295
Diagnostic Radiology Imaging 32000419 HC PELVIS / HIPS,INFANT MIN 3-4 VIEWS BILAT $495
Diagnostic Radiology Imaging 32000420 HC PELVIS / HIPS,INFANT MIN 5 VIEWS BILAT $560
Procedurals 32000421 HC FLUORO FOR NEEDLE PLACEMENT $258
Procedurals 32000422 HC ABLTJ PERC PLEX/TRNCL NERVE $6,045
Diagnostic Radiology Imaging 32300001 HC AORTOGRAPHY/THORACIC S/I $2,030
Chemotherapy 33100001 HC CHEMO SQ/IM INJ NONHORMONAL $189
IV Therapy 33100002 HC CHEMO SQ/IM INJECTION HORMONAL $189
IV Therapy 33100003 HC CHEMO INJ IV NOT INFUSION $268
Chemotherapy 33100004 HC CHEMO IV PUSH ADDL DRUG $189
Chemotherapy 33100005 HC CHEMO, CNS (INTRATHECAL), W LP $389
Chemotherapy 33100006 HC CHEMO IA PUSH TECHNIQUE $389
Procedurals 33300002 HC ULTRASOUND GUIDE FOR PROSTATE $202
Radiation Therapy 33300003 HC RADIATION PHYSICS CONSULT IVBT $442
Chemotherapy 33500001 HC CHEMO INFUSION IV UP TO 1 HR $376
Chemotherapy 33500002 HC CHEMO INF IV EA ADD HR UP TO 8 $85
Chemotherapy 33500003 HC CHEMO INFUS IV MORE THAN 8 HRS $638
IV Therapy 33500004 HC CHEMO IV INF EA ADDL SEQ =<1 HR $85
IV Therapy 33500005 HC REFILL/MAINT PORTABLE PUMP $197
Procedurals 34000001 HC PERITONEAL-VENOUS SHUNT $968
Nuclear Medicine 34000002 HC TUMOR LOC MULTI AREA $846
Nuclear Medicine 34000003 HC TUMOR LOC WHOLE BODY PROSTASCINT $879
Nuclear Medicine 34000004 HC TUMOR LOC SPECT $1,506
Nuclear Medicine 34000005 HC ABCESS LOC SPECT, GALLIUM $762
Nuclear Medicine 34000006 HC NUCLEAR MEDICINE MISCELLANEOUS $620
Nuclear Medicine 34000007 HC RADPHARM ABLATN THYROID $649
Nuclear Medicine 34000008 HC INJECT IV THERAPUETIC/DIAGNOST $410
Nuclear Medicine 34000009 HC LYMPHOSCINTOGRAPHY $706
Nuclear Medicine 34000010 HC CSF LEAKAGE IMAGING $1,584
Nuclear Medicine 34100001 HC MIBG ADRENAL SCAN W/I-123 $1,584
Nuclear Medicine 34100002 HC LIVER SPECT $762
Nuclear Medicine 34100003 HC GI BLEED SCAN $1,267
Nuclear Medicine 34100004 HC BONE SCAN TOMOGRAPHIC SPECT $1,628
Nuclear Medicine 34100005 HC UNLISTED MUSC-SKELETAL DX NUCM $620
Nuclear Medicine 34100006 HC BONE SCAN VASCULAR FLOW $427
Nuclear Medicine 34100008 HC TOMOGRAPHIC SPECT $2,942
Nuclear Medicine 34100009 HC (MUGA) CARD BLD PL IMAGE-SNGL $1,218
Nuclear Medicine 34100010 HC BRAIN SCAN TOMOGRAPHIC SPECT $762
Nuclear Medicine 34100011 HC BRAIN SCAN VASCULAR FLOW $673
Nuclear Medicine 34100012 HC CSF SHUNT EVALUATION $515
Nuclear Medicine 34100013 HC NUC MED DACRYOCYSTOGRAM $300
Nuclear Medicine 34100014 HC KIDNEY VASCULAR FLOW $664
Nuclear Medicine 34100015 HC KIDNEY FLOW/FUNCTION, LASIX $658
Nuclear Medicine 34100016 HC VUCG/URETERAL REFLUX STUDY $689
Nuclear Medicine 34100017 HC TUMOR LOC WHOLE BODY $1,584
Nuclear Medicine 34100018 HC TUMOR LOCALIZATION SPECT $1,506
Nuclear Medicine 34100019 HC TUMOR LOC WH BODY,TWO/MORE DAY $1,661
Nuclear Medicine 34100020 HC ABCESS LOCALIZATION LIMITED $976
Nuclear Medicine 34100021 HC TC99M WBC NEUTROSPEC SPECT $762
Nuclear Medicine 34100022 HC MYOCARDIAL PERFUSION IMAGE, PLANAR $2,122
Nuclear Medicine 34100023 HC MYOCARDIAL IMAGING, INFARCT $509
Nuclear Medicine 34100024 HC MYOCARDIAL IMAGING SPECT, INFARCT $762
Nuclear Medicine 34100025 HC HEART MUGA $1,533
Nuclear Medicine 34100026 HC HEART STRESS MUGA $1,880
Nuclear Medicine 34100027 HC LUNG PERFUSION SCAN $818
Nuclear Medicine 34100028 HC LUNG VENTILATION AEROSAL $920
Nuclear Medicine 34100029 HC LUNG PERFUSION W VENTILATION $1,730
Nuclear Medicine 34100030 HC BRAIN SCAN $741
Nuclear Medicine 34100031 HC BRAIN SCAN W VASCULAR FLOW $741
Nuclear Medicine 34100032 HC CISTERNOGRAM $1,584
Nuclear Medicine 34100033 HC KIDNEY VASCULAR FLOW AND FUNCTION $772
Nuclear Medicine 34100034 HC SCROTAL FLOW-TESTICULAR $581
Nuclear Medicine 34100035 HC ABCESS LOCALIZATION WHOLE BODY $1,584
Nuclear Medicine 34100036 HC THYROID UPTAKE $289
Nuclear Medicine 34100037 HC THYROID SCAN AND UPTAKE $1,009
Nuclear Medicine 34100038 HC THYROID SCAN $581
Nuclear Medicine 34100039 HC TOTAL BODY IODINE SCAN $1,078
Nuclear Medicine 34100040 HC PARATHYROID SCAN $796
Nuclear Medicine 34100041 HC PLASMA VOLUME $923
Nuclear Medicine 34100042 HC RBC VOLUME(RED CELL MASS) $1,158
Nuclear Medicine 34100043 HC RBC SURVIVAL $1,215
Nuclear Medicine 34100044 HC LIVER SPLEEN SCAN $761
Nuclear Medicine 34100045 HC LIVER SPLEEN WITH FLOW $1,396
Nuclear Medicine 34100046 HC HIDA (GALLBLADDER) SCAN $1,078
Nuclear Medicine 34100047 HC GASTR0ESOPHAGEAL REFLUX $772
Nuclear Medicine 34100048 HC GASTRIC EMPTYING SCAN $906
Nuclear Medicine 34100049 HC MECKELS DIVERTICULUM SCAN $819
Nuclear Medicine 34100050 HC BONE SCAN LIMITED AREA $767
Nuclear Medicine 34100051 HC BONE SCAN MULTIPLE AREAS $767
Nuclear Medicine 34100052 HC BONE SCAN WHOLE BODY $1,274
Nuclear Medicine 34100053 HC BONE SCAN 3 PHASE $1,652
Nuclear Medicine 34100054 HC MYOCARDIAL PERFUSION IMAGE, SINGLE $1,471
Nuclear Medicine 34100055 HC MYOCARDIAL PERFUSION IMAGE, MULTI $2,942

See Part 2 of this list.