Service Description CPT Code Charge Type Christiana Facility Price
1/2 OF 25-WEEK MEDICAL WMP PRO Hospital $0.00
1/2 OF FIT4LIFE PROGRAM Hospital $552.83
111 IN DTPA/0.5 MCI A9548 Hospital $1,005.38
123 IODINE PER 100UC TOT 999UC A9516 Hospital $111.83
123 IODINE,DX,PER MCI(1-4 MCI) A9509 Hospital $588.53
131 IODINE 1 MCI,CAPSULE,TX A9517 Hospital $65.63
133 XENON,DX,PER 10 MCI A9558 Hospital $137.03
17 OH PROG 83498 Hospital $176.40
17-OH PREGNENOLONE 82542 Hospital $202.13
18F SODIUM FLUORIDE,DX,UP TO 3 A9580 Hospital $533.40
25 WEEK MEDICAL WMP Hospital $2,976.75
32 P SODIUM,PER MCI A9563 Hospital $529.73
3D RECONSTRUCTION,INDEPENDENT WORKSTATION,W CT/MRI/US,CONCUR SUPERV,RS&I GLB 76377 Hospital $136.50
3D RECONSTRUCTION,INDEPENDENT WORKSTATION,W CT/MRI/US,CONCUR SUPERV,RS&I GLR 76377 Hospital $136.50
3D RECONSTRUCTION,INDEPENDENT WORKSTATION,W CT/MRI/US,RS&I PFR 76377 Physician $136.50
3D RECONSTRUCTION,NOT INDEPENDENT WORKSTATION,W CT/MRI/US,CONCUR SUPERV,RS&I 76376 Hospital $747.08
5% ALBUMIN 250ML P9045 Hospital $513.45
5' NUCLETOTIDASE 83915 Hospital $90.83
80047 BMP BASIC METABOLIC PANEL,CALCIUM,IONIZED 80047 Hospital $286.65
80048 BMP CA BMP, BASIC METABOLIC PANEL,CALCIUM,TOTAL 80048 Hospital $45.16