706 23rd St.
Ashland, KY 41101
Explanation of Charges
Technological advancement of
the past two decades has provided the most
accurate medical diagnosis and treatments ever
achieved. While reliance on technical progress has
dramatically improved patient care, it has also
significantly escalated medical costs. The
addition of a complex system of health insurers
and government programs, such as Medicare and
Medicaid, have further clouded the picture, making
much of the cost/reimbursement structure difficult
for many patients to understand.
This sheet has been designed to help you
understand the charges incurred during radiation
therapy. Almost 80% of total costs involved in
delivering your care are derived from equipment
expense and operation. The center is
state-of-the-art and is equipped with the most
sophisticated treatment machines available. In
addition to initial costs of several million
dollars, the complex machinery and computer
systems require a considerable support staff and
ongoing maintenance for accuracy and reliability.
The remainder of the bill supports the
professional components of your care—physician
reimbursement, educational meetings, and other
costs accrued with operating an office practice.
In an effort to subdivide and categorize the costs
involved in medical care, the federal government
has outlined the parameters listed below. Each has
been explained to help you understand the coding
on your bill. While this will provide a general
outline, we are always available to discuss any
Consult: Charge for initial examination and
consultation, reviewing records and films,
contacting referring physicians, and making
initial decisions regarding the need for
Treatment Plan: One time charge for
planning the individualized course of treatment,
including field arrangements, dose fraction size,
and other necessary elements.
Physics: Staff physicists and technicians
provide ongoing calibration checks of machine
parameters, dose accuracy, chart calculations, and
data recording. These calculations and therefore
the charges may occur on days when you are not
Teletherapy: Cost for specialize computer
planning involved in complex multiple field
treatment set-ups (irregular fields, contours,
arcs, and multiple filed techniques).
Simulation: Fluoroscopically guided set-up
and marking for treatment. Measurement of field
sizes, tissue dimensions, gantry and collimator
angles. This allows for optimal treatment and
insures reproductability from the first treatment
to the last.
CT: Computed tomography guidance for
placement of radiation fields.
Resim: Additional set-up and marking for
new field arrangements or other modifications in
Blocks: Charges for physically constructing
customized lead alloy blocks used in shaping the
field of treatment.
Treatment Device: Any of several methods
used to modify the primary treatment beam. This
allows for compensation of tissue irregularities
and uniform dosing throughout the treatment field.
Examples include wedges and bolus.
Port Films: Films taken of the actual
treatment beam to verify portal accuracy.
IMRT: Intensity modulated radiation therapy
dose distribution planning.
3-D Treatment Planning: Three dimensional
computer generated reconstruction of tumor volume.
Treatment (Daily): Technical charges for
machine operation on a daily basis.
Treatment (Weekly): Professional charges
for treatment management including field and dose
confirmation, normal tissue and target response,
decisions in ongoing case management, nursing, and
Dosimetry: Calculates amount of radiation
received to the treatment areas, based on tumor
depth, patient measurements, and beam energy.
Diodes: Testing device used in calibration
and on patients to ensure correct radiation
Brachytherapy: Use of radioactive implants.