PROCEDURE COSTS AS AT 1st APRIL 2014 (ALL FEES INCLUDE GST) This is a limited selection of commonly requested procedures. These prices are estimates only and are subject to change at any time. For a firm indicative price, please fax the request form to us for evaluation. Description X-ray Abdomen (plain) Abdomen (erect and supine) Ankle Chest (Immigration/Medical) Chest (PA and lateral) DEXA (bone density) Standard DEXA (bone density) Complex Elbow Facial bones Foot Hand Wrist Pelvis and hip Pelvis Knee (AP and lateral) Knee (specialist views) Mammogram Shoulder Spine - cervical - thoracic - lumbar Dental OPG Cone beam dental scan Computerised Tomography CT colonoscopy CT head CT chest (standard) CT sinuses CT abdomen (standard) CT cardiac Nuclear Medicine Bone scanning/Cardiac range from PET/CT scan Ultrasound Ultrasound pregnancy (standard) non NZ Resident Ultrasound pregnancy (partly funded by Maternity Benefits) Ultrasound abdomen Ultrasound pelvis Ultrasound breast Ultrasound duplex carotids Ultrasound leg veins for DVT (unilateral) Ultrasound musculoskeletal Ultrasound guided injection MRI MRI renal arteries including arteries MR brain MR spine (single region) MR musculoskeletal Call-in Fees Call-in General Call-in CT/MRI/Ultrasound/Nuclear Medicine Standard Fee $110.40 $170.10 $110.40 $110.40 $110.40 $153.00 $227.20 $110.40 $130.00 $97.40 $97.40 $97.40 $142.90 $110.40 $110.40 $123.40 $145.00 $123.40 $142.90 $110.40 $130.00 $132.90 $392.90 ACC Residual Patient Payment Community Funded Radiology $25.00 $25.00 $25.00 Not funded by ACC $25.00 ACC High Tech only ACC High Tech only $25.00 $25.00 $25.00 $25.00 $25.00 $25.00 $25.00 $25.00 $25.00 $25.00 $25.00 No charge to patient No charge to patient No charge to patient Not funded by COMPASS No charge to patient Not funded by COMPASS Not funded by COMPASS No charge to patient No charge to patient No charge to patient No charge to patient No charge to patient No charge to patient No charge to patient No charge to patient No charge to patient No charge to patient No charge to patient $25.00 per visit No charge to patient $25.00 ACC High Tech No charge to patient Not funded by COMPASS $618.90 $652.90 $818.30 $401.50 $1025.50 $1118.30 - $2023.60 Not funded by ACC ACC High Tech ACC High Tech ACC High Tech ACC High Tech Not funded by ACC $180.20 $112.10 $217.40 Not funded by COMPASS $420.00 Not funded by COMPASS $585.20 - $2000.00 $2331.10 - $3315.00 Ask our staff ACC High Tech Not funded by COMPASS Not funded by COMPASS $205.80 Not funded by ACC Not funded by COMPASS $40.00 Not funded by ACC Not funded by COMPASS $249.10 $238.00 $149.60 $390.00 $227.60 $195.10 $455.20 No charge to patient No charge to patient No charge to patient No charge to patient No charge to patient No charge to patient No charge to patient No charge to patient No charge to patient No charge to patient No charge to patient No charge to patient No charge to patient Not funded by COMPASS $1300.30 $1300.30 $1300.30 $1300.30 Not funded by ACC ACC High Tech ACC High Tech ACC High Tech Not funded by COMPASS Not funded by COMPASS Not funded by COMPASS Not funded by COMPASS $202.90 Not funded by ACC Not funded by COMPASS $325.00 Not funded by ACC Not funded by COMPASS