Code: C1717

Description:
Description: Brachytherapy source, non-stranded, high dose rate iridium-192, per source
HCPCS Category: Temporary hospital OPPS
Other Descriptions:
HDR IR 192 SOURCE
BRACHYTX NONSTRANDED HI DOSE IRIDIUM-192 PER SRC
PROVISION OF HDR SOURCE
Hc Hdr Ir-192 Source
Brachytx Non-str Hdr Ir-192
Related codes:
Code: c1713
PLATE 42MM TI 2 LVL PRTX
Code: C1714
CTHATHR SLHWK LS-M 7X110
Code: C1715
BRACHYTHERAPY NEEDLE
Code: C1716
BRACHYTX NS GOLD 198
Code: C1718
MESH HRN GRN PP 4.6X3
Code: C1719
Description: Brachytherapy source, non-stranded, non-high dose rate iridium-192, per source
HCPCS Category: Temporary hospital OPPS
Wisconsin
Hospital Address Code Price Last Updated
Aspirus Riverview Hospital 410 Dewey St, Wisconsin Rapids C1717 $967 [source] 3 years ago
Aspirus Stevens Point Hospital 5409 Vern Holmes Dr, C1717 $967 [source] 3 years ago
Aspirus Wausau Hospital 333 Pine Ridge Blvd, Wausau C1717 $967 [source] 3 years ago
Aurora Sinai Medical Center 945 N 12Th St, Milwaukee C1717 $1,273 [source] 3 years ago
Aurora West Allis Medical Center 8901 W Lincoln Ave, Milwaukee C1717 $1,410 [source] 3 years ago
Aurora St. Luke's Medical Center 2900 W Oklahoma Ave, Milwaukee C1717 $1,410 [source] 3 years ago
Aurora Medical Center Bay Area 3003 University Dr, Marinette C1717 $1,410 [source] 3 years ago
Aurora Baycare 1160 Kepler Dr, Green Bay C1717 $1,410 [source] 3 years ago

ChargemasterDB by Joseph Paul Cohen
A database of US hospital prices based on data made available by the Centers for Medicare & Medicaid Services (CMS), HHS price transparancy rule 45 CFR ยง180.