Imaging prices at Atoka County Medical Center

Atoka, OK · every code in this section with a posted price and a Medicare benchmark.

135 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $74 $185 0.9×
Abdomen 2 views (74019) $124 $309 1.2×
Ankle 2 views (73600) $82 $206 1.0×
Bone age studies (77072) $50 $125 0.5×
Chest 1 view (71045) $66 $165 0.8×
Chest 2 views (71046) $87 $216 1.0×
Clavicle complete (73000) $103 $258 1.2×
CT abdomen and pelvis without and with contrast (74178) $1,610 $4,025 4.8×
CT abdomen and pelvis without contrast (74176) $425 $1,062 1.9×
CT abdomen w contrast (74160) $651 $1,627 3.9×
CT abdomen w wo contrast (74170) $865 $2,163 5.1×
CT abdomen w/o contrast (74150) $534 $1,336 5.3×
CT Angio Abdomen and Pelvis (74174) $920 $2,300 2.7×
CT Angio Chest (71275)
range across 4 matching MRF lines
$778–$800 $1,944–$2,000 varies
CT Angio Head (70496)
range across 4 matching MRF lines
$710–$800 $1,775–$2,000 varies
CT Angio Neck (70498)
range across 4 matching MRF lines
$709–$800 $1,772–$2,000 varies
CT cervical spine w/ contrast (72126) $547 $1,367 1.6×
CT cervical spine w/o contrast (72125) $464 $1,160 4.6×
CT cervical spine w/wo cont (72127) $658 $1,646 3.9×
CT chest w contrast (71260) $510 $1,276 3.0×
CT chest w/wo contrast (71270) $632 $1,579 3.7×
CT head/brain with contrast (70460) $437 $1,092 2.6×
CT head/brain without and with contrast (70470) $543 $1,358 3.2×
CT iac w contrast (70481) $463 $1,157 2.7×
CT l-spine w&w/o contrast (72133) $628 $1,570 3.7×
CT lower ext w/o (73700) $364 $911 3.6×
CT lower extremity w/contrast material (73701) $366 $916 2.2×
CT lumbar spine w contrast (72132) $532 $1,329 1.6×
CT lumbar spine w/o contrast (72131) $461 $1,152 4.6×
CT maxillofacial w contrast (70487) $452 $1,130 2.7×
CT maxillofacial wo contrast (70486) $398 $995 4.0×
CT neck tissue combo (70492) $551 $1,377 3.3×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $554 $1,385 3.3×
CT orbits w/o contrast (70480) $420 $1,049 4.2×
CT pelvis w&w/o contrast (72194) $557 $1,393 3.3×
CT pelvis w/o contrast (72192) $405 $1,013 4.0×
CT scans face/jaw combo (70488) $546 $1,364 3.2×
CT soft tissue neck w contrast (70491) $457 $1,143 2.7×
CT soft tissue neck w/o contrast (70490) $414 $1,036 4.1×
CT thoracic spine w contrast (72129) $542 $1,355 3.2×
CT thoracic spine w/o contrast (72128) $463 $1,157 4.6×
CT thoracic spine w/wo cont (72130) $648 $1,620 3.8×
CT thorax w/o contrast (71250) $462 $1,154 4.6×
CT upper ext wo (73200) $363 $908 3.6×
CT upper extremity with contrast (73201) $408 $1,021 1.2×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635)
range across 4 matching MRF lines
$800–$975 $2,000–$2,437 varies
Cta Abdomen (74175) $975 $2,437 5.8×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $140 $350 1.4×
Fluoroscopy up to 1 hr (76000) $330 $824 1.4×
Foot 2 views (73620) $82 $206 1.0×
Forearm 2 views (73090) $103 $258 1.2×
Hand 2 views (73120) $58 $144 0.6×
Knee 3 Views (73562) $113 $283 1.4×
Magnetic Image Jaw Joint (70336) $1,003 $2,508 4.4×
MRA head w/o contrast (70544) $1,349 $3,373 5.9×
MRA head with contrast (70545) $1,499 $3,748 4.5×
MRA neck w contrast (70548) $1,518 $3,795 4.5×
MRA neck w/o contrast (70547) $1,328 $3,321 5.8×
MRI abdomen w contrast (74182) $1,347 $3,367 4.0×
MRI abdomen w/o contrast (74181) $1,154 $2,886 5.0×
MRI any jt lower extrem w/contrast material (73722) $1,201 $3,002 1.6×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $1,444 $3,609 4.3×
MRI any jt upper extremity w/contrast matrl (73222) $1,199 $2,998 1.6×
MRI cervical spine w contrast (72142) $1,331 $3,327 4.0×
MRI cervical spine w/o cont (72141) $1,186 $2,965 5.2×
MRI chest w/o contrast (71550) $1,319 $3,297 5.7×
MRI chest with contrast (71551) $1,457 $3,644 1.9×
MRI chest wo w contrast (71552) $1,943 $4,858 5.8×
MRI lumbar spine w contrast (72149) $1,374 $3,435 4.1×
Mri Neck Spine W/O & W/Dye (72156) $1,647 $4,119 4.9×
MRI orbit face &/neck w/o contrast (70540) $1,537 $3,843 6.7×
MRI orbit face neck w contrast (70542) $1,784 $4,459 5.3×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $2,135 $5,337 6.4×
MRI pelvis w contrast (72196) $1,365 $3,412 4.1×
MRI pelvis w/o & w contrast (72197) $1,663 $4,158 5.0×
MRI pelvis w/o contrast (72195) $421 $1,053 1.8×
MRI thoracic spine w/o contrast (72146) $1,258 $3,146 5.5×
MRI, abdomen, combo (74183) $1,608 $4,021 4.8×
MRI, dorsal spine combo (72157) $1,736 $4,339 5.2×
MRI, dorsal spine contrast (72147) $1,410 $3,526 4.2×
MRI, joint upper extrem (73221) $1,037 $2,593 4.5×
MRI, joint upper extrem combo (73223) $1,475 $3,688 4.4×
MRI, lumbar spine combo (72158) $1,707 $4,267 5.1×
Neck soft tissue (70360) $177 $443 2.1×
Pelvis 1 or 2 views (72170) $103 $258 1.0×
Radex Ankle Complete Minimum 3 Views (73610) $103 $258 1.2×
Radex Calcaneus Minimum 2 Views (73650) $103 $258 1.2×
Radex elbow complete minimum 3 views (73080) $103 $258 1.2×
Radex Facial Bones Complete Minimum 3 Views (70150) $140 $350 1.4×
Radex fingr minimum 2 views (73140) $103 $258 1.2×
Radex foot complete minimum 3 views (73630) $103 $258 1.2×
Radex Hand Minimum 3 Views (73130) $103 $258 1.2×
Radex Nasal Bones Complete Minimum 3 Views (70160) $103 $258 1.2×
Radex Ribs Unilateral 2 Views (71100) $124 $310 1.5×
Radex shoulder complete minimum 2 views (73030) $107 $268 1.3×
Radex Sternum Minimum 2 Views (71120) $103 $258 1.2×
Radex Toe Minimum 2 Views (73660) $68 $170 0.8×
Radex Wrist Complete Minimum 3 Views (73110) $91 $227 1.1×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $140 $350 1.4×
Radiologic examination femur minimum 2 views (73552) $103 $258 1.2×
Radiologic examination knee 1/2 views (73560) $103 $258 1.2×
Radiologic examination tibia & fibula 2 views (73590) $70 $175 0.8×
Scapula (73010) $103 $258 1.0×
Shoulder 1 view (73020) $95 $237 1.1×
Thoracic spine 2 views (72070) $124 $309 1.2×
Ultrasound Breast Limited (76642) $201 $502 2.4×
Ultrasound, abdomen limited (76705) $174 $434 1.7×
Us breast unilateral complete (76641) $245 $611 2.4×
Us complete joint (76881) $320 $800 3.2×
Us exam, pelvic, limited (76857) $250 $625 2.5×
Us ob limited 1 or more fetuses (76815) $190 $475 1.9×
Us pelvic non ob complete (76856) $182 $456 1.8×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $261 $652 2.6×
Us retroperitoneal complete (76770) $232 $579 2.3×
Us scrotum and contents (76870)
range across 2 matching MRF lines
$137–$246 $343–$616 varies
Us thyroid (76536)
range across 2 matching MRF lines
$184–$234 $461–$585 varies
Wrist 2 views (73100) $82 $206 1.0×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $82 $206 1.0×
X-Ray Exam Entire Spi 2/3 Vw (72082) $142 $355 1.4×
X-Ray Exam Hip Uni 1 View (73501) $72 $180 0.9×
X-Ray Exam Hip Uni 2-3 Views (73502) $132 $330 1.6×
X-Ray Exam Hips Bi 5/> Views (73523) $148 $371 1.5×
X-Ray Exam Neck Spine 2-3 Vw (72040) $177 $443 2.1×
X-Ray Exam Neck Spine 6/>Vws (72052) $216 $541 2.1×
X-Ray Exam Unilat Ribs/Chest (71101) $95 $237 0.9×
X-ray humerus (73060) $82 $206 1.0×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $68 $170 0.8×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $144 $361 1.4×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $155 $386 1.5×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $132 $330 1.3×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $132 $330 1.6×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $140 $350 1.4×
X-Rays Bone Length Studies (77073) $480 $1,200 4.8×
X-Rays Bone Survey Complete (77075) $260 $650 2.6×
Xr c-spine 4 or 5 views (72050) $196 $489 1.9×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.