| Service Description | CPT Code | Charge Type | Surgical Practice Price |
|---|---|---|---|
| XRAY,SACRUM/COCCYX,MINIMUM 2 VIEWS PG | 72220 | Prof | $75.24 |
| XRAY,SCAPULA,COMPLETE PG | 73010 | Prof | $84.36 |
| XRAY,SHOULDER,1 VIEW PG | 73020 | Prof | $61.56 |
| XRAY,SHOULDER,COMPLETE,MINIMUM 2 VIEWS PG | 73030 | Prof | $80.94 |
| XRAY,SINUSES/PARANASAL,COMPLETE,MINIMUM 3 VIEWS PG | 70220 | Prof | $30.78 |
| XRAY,SKULL,COMPLETE,MINIMUM 4 VIEWS PG | 70260 | Prof | $121.98 |
| XRAY,SKULL,LESS THAN 4 VIEWS PG | 70250 | Prof | $96.90 |
| XRAY,SKULL,LESS THAN 4 VIEWS PP | 70250 | Prof | $30.78 |
| XRAY,SPINE,CERVICAL,2 OR 3 VIEWS PG | 72040 | Prof | $92.34 |
| XRAY,SPINE,CERVICAL,2 OR 3 VIEWS PP | 72040 | Prof | $29.64 |
| XRAY,SPINE,CERVICAL,4-5 VIEWS PG | 72050 | Prof | $125.40 |
| XRAY,SPINE,CERVICAL,=>6 VIEWS PG | 72052 | Prof | $160.74 |
| XRAY,SPINE,LOWER DISK PP | 72295 | Prof | $104.88 |
| XRAY,SPINE,LUMBOSACRAL,2 OR 3 VIEWS PG | 72100 | Prof | $93.48 |
| XRAY,SPINE,LUMBOSACRAL,BENDING,FLEX/EXT ONLY PG | 72120 | Prof | $29.64 |
| XRAY,SPINE,LUMBOSACRAL,COMPLETE,W BENDING VIEWS,MIN 6 VIEWS PG | 72114 | Prof | $166.44 |
| XRAY,SPINE,LUMBOSACRAL,MINIMUM 4 VIEWS PG | 72110 | Prof | $126.54 |
| XRAY,SPINE,SINGLE VIEW PG | 72020 | Prof | $60.42 |
| XRAY,SPINE,THORACIC,2 VIEWS PG | 72070 | Prof | $27.36 |
| XRAY,SPINE,THORACIC,3 VIEWS PG | 72072 | Prof | $95.76 |
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
