| Service Description | CPT Code | Charge Type | Surgical Practice Price |
|---|---|---|---|
| XRAY,HIPS,BIL,2 VIEWS,W/WO PELVIS PG | 73521 | Prof | $107.16 |
| XRAY,HUMERUS,MINIMUM 2 VIEWS PG | 73060 | Prof | $75.24 |
| XRAY,KNEE,1 OR 2 VIEWS PG | 73560 | Prof | $22.80 |
| XRAY,KNEE,3 VIEWS PG | 73562 | Prof | $98.04 |
| XRAY,KNEE,BOTH KNEES,STANDING,AP PG | 73565 | Prof | $23.94 |
| XRAY,KNEE,COMPLETE,4 OR > VIEWS PG | 73564 | Prof | $29.64 |
| XRAY,NECK,SOFT TISSUE PG | 70360 | Prof | $71.82 |
| XRAY,NECK,SOFT TISSUE PP | 70360 | Prof | $71.82 |
| XRAY,ORBITS,COMPLETE,MINIMUM 4 VIEWS PG | 70200 | Prof | $112.86 |
| XRAY,OSSEOUS SURVEY,COMPLETE PG | 77075 | Prof | $66.12 |
| XRAY,PELVIS,1 OR 2 VIEWS PG | 72170 | Prof | $22.80 |
| XRAY,PELVIS,COMPLETE,MINIMUM 3 VIEWS PG | 72190 | Prof | $112.86 |
| XRAY,PELVIS/HIPS,PEDIATRIC,2-3 VIEWS PG | 73502 | Prof | $26.22 |
| XRAY,PLACE,ENDO PROSTH,DISTAL EXT,CELIAC ORIGIN,RS&I PP | 75959 | Prof | $442.32 |
| XRAY,RIBS W POSTEROANTERIOR CHEST,MINIMUM 3 VIEWS,UNIL PG | 71101 | Prof | $101.46 |
| XRAY,RIBS,2 VIEWS,UNI PG | 71100 | Prof | $84.36 |
| XRAY,RIBS,3 VIEWS,BIL PG | 71110 | Prof | $104.88 |
| XRAY,RIBS,MINIMUM 4 VIEWS,W POSTEROANTERIOR CHEST,BIL PG | 71111 | Prof | $137.94 |
| XRAY,SACROILIAC JOINTS,< 3 VIEWS PG | 72200 | Prof | $77.52 |
| XRAY,SACROILIAC JOINTS,MINIMUM 3 VIEWS PG | 72202 | Prof | $90.06 |
Surgical Practices
ChristianaCare is a private not-for-profit regional health care system (tax exempt under
Section 501 (c)(3) of the Internal Revenue Code - ID Number 51-0103684) and relies in part on the generosity of individuals, foundations and corporations to fulfill its mission. To learn more about how you can support our mission, please visit christianacare.org/donors.
To view the pricing by insurance provider and self-pay of all our services, please visit https://billing.christianacare.org/transparency/chargemaster.
ChristianaCare, PO Box 1668, Wilmington, DE 19899 800-693-CARE
