Medimage

PACKAGE OF BASIC MEDICAL SERVICES IN SPECIALIZED AMBULATORY MEDICAL ASSISTANCE FOR PARACLINICAL SPECIALTIES

List of paraclinical radiological investigations - medical imaging and nuclear medicine

No. Name of radiological examination / medical imaging / nuclear medicine Tariff settled by Health Insurance House (lei)

I. Radiology - Medical imaging

A. Conventional investigations

1. Investigations with ionizing radiation

1. Standard cranial radiological examination 18

2. Radiological cranial exam in front anterior sinus projection of the face 30

3. Radiological examination of skeleton parts in 2 plans 35

4. Radiography of limbs:

a) Arm 35

b) Elbow 35

c) Forearm 35

d) Fist 35

e) Hand 35

f) Hip 35

g) Thigh 35

h) Knee 35

i) Calf 35

j) Ankle 35

k) Foot 35

l) Calcaneus 35

5. Radiological examination of sacroiliac joints 35

6. Radiological examination of scapular belt 23

7. Radiological examination of spine / segment 35

8. Radiological examination of whole thorax 32

9. Radiological examination of bony chest (or parts) in multiple planes / Radiological examination of whole thorax and thoracic organs 32

10. Radiological examination general view of the native abdomen 32

11. Radiological examination of upper gastrointestinal tract (including duodenal junction angle) with contrast substance 56

12. Radiological examination of the digestive tract to the ileo-cecal region with contrast substance 82

13. Radiological examination of colon double contrast 100

14. Radiological examination of colon of a child, including disinfestation 70

15. Radiological examination of urinary tract examination (minute urography) with contrast substance 220

16. Reflux cystography with contrast substance 250

17. Pyelography 250

18. Retrograde radiological examination of urethra or bladder with contrast substance 250

19. Radiological examination of urethra, bladder of a child with contrast substance 250

20. Radiological examination of uterus and oviduct with contrast substance 280

21. Retroalveolar radiography 15

22. Panoramic radiography 30

23. Mammography in two planes
- Mandatory on the basis of a referral note, the investigation is performed for both breasts, except when the insured has unilateral mastectomy.
- The tariff refers to the examination for one breast. 35

24. Sialography, sinuses galactography, fistulography with contrast substance 200

25. Segmental osteodensitometry (DXA) 25

2. Non-irradiation investigations

26. General ultrasound (abdomen + pelvis) 60

27. Abdominal ultrasound 40

28. Pelvic ultrasound 30

29. Transvaginal / transrectal ultrasound 50

30. Ultrasound of vessels (veins) 30

31. Ultrasound of vessels (arteries) 30

32. Nodal ultrasound 30

33. Transfontanelar ultrasound 40

34. Ultrasound of organ / joint / soft tissue 25

35. Obstetric ultrasound of abnormalities in second trimester 350

36. Obstetric ultrasound of abnormalities in first trimester with NT 80

37. Imaging senology
- Mandatory on the basis of a referral note, the investigation is performed for both breasts, except when the insured has unilateral mastectomy.
- The tariff refers to the examination for one breast. 40

38. Echocardiography 40

39. Echocardiography + Doppler 50

40. Echocardiography + color Doppler 55

41. Transesophageal echocardiography 170

B. High performance investigations

42. Native CT scan of the skull 120

43. Native oral and maxillofacial CT 150

44. Native CT scan of neck region 130

45. Native CT scan of thoracic region 175

46. Native CT scan of the abdomen 175

47. Native CT scan of the pelvis 175

48. Native / section CT scan of the spine 60

49. Native CT scan of limbs / CT scan of limb 60

50. CT scan of mastoid 150

51. CT scan of sinuses 150

52. CT scan of skull, native and with contrast substance 375

53. CT scan of hypophysis with contrast substance 375

54. Oral and maxillofacial CT, native and with contrast substance 400

55. CT scan of neck region, native and with contrast substance 375

56. CT scan of thoracic region, native and with contrast substance 450

57. CT scan of the abdomen, native and with contrast substance administered intravenously 400

58. CT scan of the pelvis, native and with contrast substance administered intravenously 400

59. CT scan of the spine, native and with contrast substance administered intravenously / section 400

60. CT scan of limbs, native and with contrast substance administered intravenously / limb 180

61. Inner ear CT 375

62. Uro CT 400

63. CT angiography of limbs 400

64. CT angiography of skull 400

65. CT angiography of cervical region 400

66. CT angiography of thorax 400

67. CT angiography of abdomen 400

68. CT angiography of pelvis 400

69. CT anglocoronography 700

70. Craniocerebral native MRI 450

71. MRI of sinuses 450

72. Native MRI of thorax 450

73. Native MRI of neck 450

74. Native MRI of spine region (cervical, thoracic, lumbosacral) 450

75. Abdominal native MRI 450

76. Pelvic native MRI 450

77. Native MRI of extremities / segment (knee, elbow, ankle, etc.) 450

78. Native MRI of Shoulder 450

79. MRI of shoulder, native and with contrast substance 700

80. MRI of thorax, native and with contrast substance 700

81. MRI of cervical region, native and with contrast substance 700

82. Craniocerebral MRI, native and with contrast substance 700

83. MRI of spine region (cervical, thoracic, lumbosacral), native and with contrast substance 700

84. Abdominal MRI, native and with contrast substance 700

85. Pelvic MRI, native and with contrast substance 700

86. Native MRI of extremities / segment (knee, elbow, ankle, etc.) with contrast substance 700

87. Native MRI of heart 450

88. MRI of heart, native and with contrast substance 700

89. MRI of hypophysis with contrast substance 700

90. Uro MRI with contrast substance 850

91. MRI angiography of supra-aortic trunks 400

92. MRI angiography of kidney arteries or aorta 400

93. MRI angiography / section (skull, abdomen, pelvis, limbs etc.) 600

94. Carotid angiography with contrast substance 400

95. Abdominal MRI with contrast substance and colangio MRI 800

96. Colangio MRI 300

97. Native MRI of breasts 450

98. Breasts MRI with contrast substance 700

II. Nuclear medicine

99. Renal scintigraphy 450

100. Cerebral scintigraphy (SPECT scintigraphy cerebral perfusion - 30/90 min from inj.) 450

101. Radioisotopic study of myocardial perfusion during exercise (SPECT scintigraphy of myocardial perfusion during exercise) 450

102. Radioisotopic study of myocardial perfusion at rest (SPECT scintigraphy of myocardial perfusion at rest) 450

103. Radioisotopic study of pulmonary perfusion / scintigraphy of pulmonary perfusion) 450

104. Localized bone scintigraphy 450

105. Complete bone scintigraphy 450

106. Hepatobiliary scintigraphy 450

107. Thyroid scintigraphy 450

108. Parathyroid scintigraphy 450

No.	Name of radiological examination / medical imaging / nuclear medicine	Tariff settled by Health Insurance House (lei)
I. Radiology - Medical imaging
A. Conventional investigations
1. Investigations with ionizing radiation
1.	Standard cranial radiological examination	18
2.	Radiological cranial exam in front anterior sinus projection of the face	30
3.	Radiological examination of skeleton parts in 2 plans	35
4.	Radiography of limbs:
	a) Arm	35
	b) Elbow	35
	c) Forearm	35
	d) Fist	35
	e) Hand	35
	f) Hip	35
	g) Thigh	35
	h) Knee	35
	i) Calf	35
	j) Ankle	35
	k) Foot	35
	l) Calcaneus	35
5.	Radiological examination of sacroiliac joints	35
6.	Radiological examination of scapular belt	23
7.	Radiological examination of spine / segment	35
8.	Radiological examination of whole thorax	32
9.	Radiological examination of bony chest (or parts) in multiple planes / Radiological examination of whole thorax and thoracic organs	32
10.	Radiological examination general view of the native abdomen	32
11.	Radiological examination of upper gastrointestinal tract (including duodenal junction angle) with contrast substance	56
12.	Radiological examination of the digestive tract to the ileo-cecal region with contrast substance	82
13.	Radiological examination of colon double contrast	100
14.	Radiological examination of colon of a child, including disinfestation	70
15.	Radiological examination of urinary tract examination (minute urography) with contrast substance	220
16.	Reflux cystography with contrast substance	250
17.	Pyelography	250
18.	Retrograde radiological examination of urethra or bladder with contrast substance	250
19.	Radiological examination of urethra, bladder of a child with contrast substance	250
20.	Radiological examination of uterus and oviduct with contrast substance	280
21.	Retroalveolar radiography	15
22.	Panoramic radiography	30
23.	Mammography in two planes - Mandatory on the basis of a referral note, the investigation is performed for both breasts, except when the insured has unilateral mastectomy. - The tariff refers to the examination for one breast.	35
24.	Sialography, sinuses galactography, fistulography with contrast substance	200
25.	Segmental osteodensitometry (DXA)	25
2. Non-irradiation investigations
26.	General ultrasound (abdomen + pelvis)	60
27.	Abdominal ultrasound	40
28.	Pelvic ultrasound	30
29.	Transvaginal / transrectal ultrasound	50
30.	Ultrasound of vessels (veins)	30
31.	Ultrasound of vessels (arteries)	30
32.	Nodal ultrasound	30
33.	Transfontanelar ultrasound	40
34.	Ultrasound of organ / joint / soft tissue	25
35.	Obstetric ultrasound of abnormalities in second trimester	350
36.	Obstetric ultrasound of abnormalities in first trimester with NT	80
37.	Imaging senology - Mandatory on the basis of a referral note, the investigation is performed for both breasts, except when the insured has unilateral mastectomy. - The tariff refers to the examination for one breast.	40
38.	Echocardiography	40
39.	Echocardiography + Doppler	50
40.	Echocardiography + color Doppler	55
41.	Transesophageal echocardiography	170
B. High performance investigations
42.	Native CT scan of the skull	120
43.	Native oral and maxillofacial CT	150
44.	Native CT scan of neck region	130
45.	Native CT scan of thoracic region	175
46.	Native CT scan of the abdomen	175
47.	Native CT scan of the pelvis	175
48.	Native / section CT scan of the spine	60
49.	Native CT scan of limbs / CT scan of limb	60
50.	CT scan of mastoid	150
51.	CT scan of sinuses	150
52.	CT scan of skull, native and with contrast substance	375
53.	CT scan of hypophysis with contrast substance	375
54.	Oral and maxillofacial CT, native and with contrast substance	400
55.	CT scan of neck region, native and with contrast substance	375
56.	CT scan of thoracic region, native and with contrast substance	450
57.	CT scan of the abdomen, native and with contrast substance administered intravenously	400
58.	CT scan of the pelvis, native and with contrast substance administered intravenously	400
59.	CT scan of the spine, native and with contrast substance administered intravenously / section	400
60.	CT scan of limbs, native and with contrast substance administered intravenously / limb	180
61.	Inner ear CT	375
62.	Uro CT	400
63.	CT angiography of limbs	400
64.	CT angiography of skull	400
65.	CT angiography of cervical region	400
66.	CT angiography of thorax	400
67.	CT angiography of abdomen	400
68.	CT angiography of pelvis	400
69.	CT anglocoronography	700
70.	Craniocerebral native MRI	450
71.	MRI of sinuses	450
72.	Native MRI of thorax	450
73.	Native MRI of neck	450
74.	Native MRI of spine region (cervical, thoracic, lumbosacral)	450
75.	Abdominal native MRI	450
76.	Pelvic native MRI	450
77.	Native MRI of extremities / segment (knee, elbow, ankle, etc.)	450
78.	Native MRI of Shoulder	450
79.	MRI of shoulder, native and with contrast substance	700
80.	MRI of thorax, native and with contrast substance	700
81.	MRI of cervical region, native and with contrast substance	700
82.	Craniocerebral MRI, native and with contrast substance	700
83.	MRI of spine region (cervical, thoracic, lumbosacral), native and with contrast substance	700
84.	Abdominal MRI, native and with contrast substance	700
85.	Pelvic MRI, native and with contrast substance	700
86.	Native MRI of extremities / segment (knee, elbow, ankle, etc.) with contrast substance	700
87.	Native MRI of heart	450
88.	MRI of heart, native and with contrast substance	700
89.	MRI of hypophysis with contrast substance	700
90.	Uro MRI with contrast substance	850
91.	MRI angiography of supra-aortic trunks	400
92.	MRI angiography of kidney arteries or aorta	400
93.	MRI angiography / section (skull, abdomen, pelvis, limbs etc.)	600
94.	Carotid angiography with contrast substance	400
95.	Abdominal MRI with contrast substance and colangio MRI	800
96.	Colangio MRI	300
97.	Native MRI of breasts	450
98.	Breasts MRI with contrast substance	700
II. Nuclear medicine
99.	Renal scintigraphy	450
100.	Cerebral scintigraphy (SPECT scintigraphy cerebral perfusion - 30/90 min from inj.)	450
101.	Radioisotopic study of myocardial perfusion during exercise (SPECT scintigraphy of myocardial perfusion during exercise)	450
102.	Radioisotopic study of myocardial perfusion at rest (SPECT scintigraphy of myocardial perfusion at rest)	450
103.	Radioisotopic study of pulmonary perfusion / scintigraphy of pulmonary perfusion)	450
104.	Localized bone scintigraphy	450
105.	Complete bone scintigraphy	450
106.	Hepatobiliary scintigraphy	450
107.	Thyroid scintigraphy	450
108.	Parathyroid scintigraphy	450

For information and appointments - Medimage Clinic: 0336 105510, 0236 491104;
e-mail: medimage_gl@yahoo.com