Imaging prices at Bailey Medical Center, LLC

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

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

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ProcedureCash priceGross charge× Medicare
Abdomen 2 views (74019) $374.10 $1,247 3.7×
Acute gastrointestinal blood loss imaging (78278) $465.30 $1,551 1.2×
Ankle 2 views (73600) $367.50 $1,225 4.4×
Arthrogram hip (73525) $658.80 $2,196 2.0×
Arthrogram shoulder (73040) $765.60 $2,552 2.3×
Arthrogram wrist (73115) $377.70 $1,259 1.1×
Arthrography knee lt (73580) $537.30 $1,791 1.6×
Bone &/Joint Imaging Limited Area (78300) $1,255.50 $4,185 3.3×
Bone &/joint imaging whole body (78306) $2,081.10 $6,937 5.4×
Bone age studies (77072) $210.30 $701 2.1×
Bone Imaging 3 Phase (78315) $3,215.10 $10,717 8.4×
Bone survey complete (77075) $663.90 $2,213 6.6×
Cardiac MRI w/w/o contrast & further seq (75561) $779.10 $2,597 2.3×
Cervical spine 2 or 3 views (72040) $308.70 $1,029 3.7×
Chest 1 view (71045) $287.40 $958 3.4×
Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) $470.40 $1,568 2.8×
Clavicle complete (73000) $366.38 $1,221.25 4.4×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $1,614 $5,380 16.1×
CT abdomen and pelvis without and with contrast (74178) $2,836.20 $9,454 8.5×
CT abdomen and pelvis without contrast (74176) $2,178 $7,260 9.5×
CT abdomen w contrast (74160) $1,340.10 $4,467 7.9×
CT abdomen w wo contrast (74170) $1,645.20 $5,484 9.8×
CT abdomen w/o contrast (74150) $1,171.20 $3,904 11.6×
CT angio hrt w/3d image (75574) $1,391.40 $4,638 4.1×
CT angiography upper extremity lt (73206) $1,324.50 $4,415 7.9×
CT c-spine w/o contrast (72125) $1,417.20 $4,724 14.1×
CT cere prfuj alys c+ w/o CT/CTA same anatomy (70473) $161.40 $538 1.0×
CT cervical spine w&w/o contrast (72127) $1,790.10 $5,967 10.6×
CT cervical spine with contrast (72126) $1,523.70 $5,079 4.5×
CT chest w/wo contrast (71270) $1,535.70 $5,119 9.1×
CT chest with contrast (71260) $1,398 $4,660 8.3×
CT head/brain with contrast (70460) $1,520.40 $5,068 9.0×
CT head/brain without and with contrast (70470) $1,732.80 $5,776 10.3×
CT heart contrast eval cardiac structure&morph (75572) $1,409.70 $4,699 4.2×
CT heart no contrast quant eval coronry calcium (75571) $83.10 $277 1.0×
CT iac w contrast (70481) $1,404.90 $4,683 8.3×
CT lower ext w/o (73700) $1,846.12 $6,153.75 18.4×
CT lower extremity w wo contrast (73702) $1,818.38 $6,061.25 10.8×
CT lower extremity with contrast (73701) $1,581 $5,270 9.4×
CT lumbar spine w & w/o contrast (72133) $1,540.20 $5,134 9.1×
CT lumbar spine w/o contrast (72131) $1,329.60 $4,432 13.2×
CT lumbar spine with contrast (72132) $1,399.80 $4,666 4.2×
CT maxillofacial w contrast (70487) $1,342.50 $4,475 8.0×
CT maxillofacial w/o contrast (70486) $1,198.20 $3,994 11.9×
CT maxillofacial w/wo contrast (70488) $1,476.60 $4,922 8.8×
CT neck soft tissue w contrast (70491) $1,480.50 $4,935 8.8×
CT orbit sella/post fossa/ear w/o & w/contr matr (70482) $1,445.40 $4,818 8.6×
CT orbits w/o contrast (70480) $1,309.80 $4,366 13.0×
CT pelvis w & w/o contrast (72194) $1,528.50 $5,095 9.1×
CT pelvis w/o contrast (72192) $1,233.60 $4,112 12.3×
CT soft tissue neck w/o & w/contrast material (70492) $1,625.70 $5,419 9.6×
CT soft tissue neck w/o contrast (70490) $1,043.10 $3,477 10.4×
CT thoracic spine w/contrast (72129) $1,360.80 $4,536 8.1×
CT thoracic spine w/o contrast (72128) $1,216.80 $4,056 12.1×
CT thoracic spine w/wo contrast (72130) $1,458 $4,860 8.6×
CT thorax w/o contrast (71250) $1,159.20 $3,864 11.5×
CT upper extremity w/o & w/contrast material (73202) $1,178.70 $3,929 7.0×
CT upper extremity w/o contrast rt (73200) $1,301.70 $4,339 12.9×
CT upper extremity with contrast (73201) $1,365 $4,550 4.1×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $1,914.30 $6,381 11.3×
Cta Abdomen (74175) $1,816.20 $6,054 10.8×
CTA abdomen pelvis (74174) $2,478.60 $8,262 7.4×
CTA chest (71275) $1,794.60 $5,982 10.6×
Cta Head (70496) $1,670.70 $5,569 9.9×
CTA head&neck c+ w/noncontrast img&post-pxessing (70471) $1,670.70 $5,569 5.0×
CTA lwr ext w&w/o contrast (73706) $1,713.75 $5,712.50 10.2×
Cta Neck (70498) $1,290.90 $4,303 7.7×
Cta Pelvis (72191) $1,597.20 $5,324 9.5×
Cystography minimum 3 views rs&i (74430) $723 $2,410 2.2×
Dxa bone density study 1/> sites axial skel (77080) $270 $900 2.7×
Dxa bone density study 1/>sites appendiclr skel (77081) $191.40 $638 2.3×
Echoencephalography real time imaging (76506) $602.40 $2,008 6.0×
Esophagus (74220) $462 $1,540 2.7×
Fetal biophysical profile non-stress testing (76818) $1,280.70 $4,269 12.7×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $488.10 $1,627 4.9×
Fluoroscopy up to 1 hr (76000) $473.10 $1,577 2.1×
Foot 2 views (73620) $381 $1,270 4.6×
Forearm 2 views (73090) $315.30 $1,051 3.8×
Gated Heart Planar Single (78472) $2,177.10 $7,257 5.7×
Hand 2 views (73120) $363 $1,210 3.6×
Hand 3 views (73130) $449.62 $1,498.75 5.4×
Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) $3,151.80 $10,506 6.0×
Hepatobiliary syst imaging including gallbladder (78226) $2,865.30 $9,551 7.5×
Ht muscle image spect sing (78451) $1,825.20 $6,084 1.5×
Humerus Min 2 Views Left (73060) $321 $1,070 3.8×
Hysterosalpingogram (74740) $647.10 $2,157 2.8×
Kidney img morphology vascular flow 1 w/rx (78708) $2,194.80 $7,316 4.2×
Knee 3 views (73562) $423.75 $1,412.50 5.1×
Lymphoscintigraphy (78195) $2,571.30 $8,571 4.9×
Mammary ductogram or galactogram single (77053) $387.30 $1,291 1.7×
MRA head w/o contrast (70544) $1,053.30 $3,511 4.6×
MRA neck w contrast (70548) $996 $3,320 3.0×
Mra Neck W/O &W/Contrast Material (70549) $1,561.50 $5,205 4.7×
MRA neck w/o contrast (70547) $905.40 $3,018 3.9×
MRI abdomen w contrast (74182) $1,632.30 $5,441 4.9×
MRI abdomen w/o & w/contrast material (74183) $1,864.50 $6,215 5.6×
MRI abdomen w/o contrast (74181) $1,483.20 $4,944 6.5×
MRI any jnt lwr ext with con lt (73722) $1,803.60 $6,012 2.4×
MRI any jt upper extremity w/contrast matrl (73222) $2,311.12 $7,703.75 3.1×
MRI breast w/o contrast bilateral (77047) $1,220.10 $4,067 5.3×
MRI c-spine with contrast (72142) $1,744.20 $5,814 5.2×
MRI cervical spine w/o contrast (72141) $1,588.80 $5,296 6.9×
MRI chest w/o contrast (71550) $1,208.40 $4,028 5.3×
MRI chest with contrast (71551) $1,743.60 $5,812 2.3×
MRI Forearm w/ Contrast Bilateral 73219 (73219) $1,548 $5,160 4.6×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $1,745.70 $5,819 5.2×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $2,083.88 $6,946.25 9.1×
MRI orbit face &/neck w/o contrast (70540) $1,750.80 $5,836 7.6×
MRI orbit/face/neck w&w/o cont (70543) $2,000.70 $6,669 6.0×
MRI pelvis w/o & w/contrast material (72197) $1,694.10 $5,647 5.0×
MRI pelvis w/o contrast (72195) $1,080.30 $3,601 4.7×
MRI scan of arm joint before and after contrast (73223) $2,033.70 $6,779 6.1×
MRI scan of leg joint before and after contrast (73723) $1,653 $5,510 4.9×
MRI spinal canal cervical w/o & w/contr matrl (72156) $2,094.60 $6,982 6.2×
MRI spinal canal lumbar w/contrast material (72149) $1,764.30 $5,881 5.3×
MRI spinal canal lumbar w/o & w/contr matrl (72158) $2,089.80 $6,966 6.2×
MRI spinal canal thoracic w/contrast matrl (72147) $2,081.10 $6,937 6.2×
MRI spinal canal thoracic w/o & w/contr matrl (72157) $1,949.40 $6,498 5.8×
MRI thoracic spine w/o contrast (72146) $1,406.40 $4,688 6.1×
MRI upper ext joint w/o contrast (73221) $1,951.12 $6,503.75 8.5×
MRI upper extrem other than jt w/o & w/contras (73220) $1,609.50 $5,365 4.8×
MRI upper extremity oth than jt w/o contr matrl (73218) $1,407.30 $4,691 6.1×
Myocardial Spect Multiple Studies (78452) $3,516.60 $11,722 2.8×
N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (75580) $1,907.40 $6,358 2.3×
Neck soft tissue (70360) $278.40 $928 3.3×
Nm gastric emptying study (78264) $2,329.20 $7,764 6.1×
Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) $285.90 $953 2.8×
Osseous survey infant (77076) $103.50 $345 1.0×
Parathyrd planar w/wo subtrj (78071) $2,254.50 $7,515 5.9×
Parathyroid imaging (78070) $2,663.70 $8,879 6.9×
Pelvis 1 or 2 views (72170) $335.10 $1,117 3.3×
Pr MRI, lower extr, w/o contrast f/u by contrast (73720) $1,970.70 $6,569 5.9×
Pulmonary Perfusion Imaging Particulate (78580) $395.70 $1,319 1.0×
Pulmonary Ventilation & Perfusion Imaging (78582) $1,497.60 $4,992 2.9×
Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) $488.10 $1,627 5.8×
Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) $536.70 $1,789 5.3×
Radex hips bilateral with pelvis 2 views (73521) $241.50 $805 2.4×
Radex mastoids compl minimum 3 views pr side (70130) $198 $660 2.0×
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $649.80 $2,166 6.5×
Radiolog exam mandible compl minimum 4 views (70110) $486.90 $1,623 4.8×
Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) $285.30 $951 3.4×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $411.60 $1,372 4.1×
Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) $404.10 $1,347 4.8×
Radiologic exam colon single contrast study (74270) $523.50 $1,745 3.1×
Radiologic exam upr gi trc double contrast study (74246) $609 $2,030 3.6×
Radiologic exam upr gi trc single contrast study (74240) $761.40 $2,538 4.5×
Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) $409.12 $1,363.75 4.9×
Radiological examination surgical specimen (76098) $678.30 $2,261 1.3×
Ribs bilateral 3 views (71110) $528 $1,760 5.3×
Rp loclzj tum spect 1 area single day imaging (78803) $2,603.40 $8,678 5.0×
Sacroiliac Joints < 3 Views (72200) $106.80 $356 1.1×
Scanogram (77073) $162 $540 1.6×
Scapula complete (73010) $293.70 $979 2.9×
Screening digital breast tomosynthesis (77063) $55.20 $184 2.4×
Small bowel series (74250) $630.30 $2,101 3.7×
Spine thoracic 3 views (72072) $448.50 $1,495 4.5×
Thoracolumbar 2 views (72080) $252.90 $843 3.0×
Thyroid uptake measurement (78012) $452.70 $1,509 1.2×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $1,978.20 $6,594 5.1×
Tmj unilateral (70328) $281.70 $939 3.4×
Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) $3,496.20 $11,654 6.7×
Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) $404.40 $1,348 1.1×
Ultrasound elastography first target lesion (76982) $176.10 $587 1.8×
Ultrasound, abdomen limited (76705) $537.30 $1,791 5.3×
Umbilical-artery Doppler (OB) (76820) $117 $390 1.2×
Unlisted Diagnostic Radiographic Procedure (76499) $84.30 $281 1.0×
Upper Extremity Infant (73092) $152.70 $509 1.5×
Urethrocystography retrograde rs&i (74450) $393.90 $1,313 1.7×
Urethrocystography voiding (74455) $741.60 $2,472 3.2×
Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) $709.20 $2,364 4.2×
Us abdl aorta screen aaa (76706) $639.90 $2,133 6.4×
Us breast unilateral complete (76641) $384.30 $1,281 3.8×
Us breast unilateral limited (76642) $436.50 $1,455 5.2×
Us chest (76604) $305.10 $1,017 3.0×
Us compl joint r-t w/image documentation (76881) $454.50 $1,515 4.5×
Us elastography parenchyma (76981) $176.10 $587 1.8×
Us kidney transplant (76776) $488.10 $1,627 4.9×
Us ob detailed single fetus (76811) $740.70 $2,469 3.2×
Us ob transvaginal (76817) $396.90 $1,323 3.9×
Us pelvic non ob complete (76856) $586.80 $1,956 5.8×
Us pelvic nonobstetric image dcmtn limited/f/u (76857) $500.70 $1,669 5.0×
Us pregnancy ltd (76815) $310.80 $1,036 3.1×
Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) $373.50 $1,245 3.7×
Us retroperitoneal complete (76770) $585.30 $1,951 5.8×
Us retroperitoneal limited (76775) $415.50 $1,385 4.1×
Us scrotum and contents (76870) $515.40 $1,718 5.1×
Us soft tissue head/neck (76536) $548.40 $1,828 5.5×
Us xtr non-vasc lmtd (76882) $381 $1,270 3.8×
Wrist 2 views (73100) $355.88 $1,186.25 4.3×
X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) $615.90 $2,053 6.1×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $94.80 $316 1.1×
X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) $451.88 $1,506.25 5.4×
X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) $1,022.70 $3,409 6.1×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $288.60 $962 3.4×
X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) $335.10 $1,117 4.0×
X-ray exam entire spi 4/5 vw (72083) $590.40 $1,968 5.9×
X-ray exam hip uni 1 view (73501) $192.90 $643 2.3×
X-Ray Exam Hip Uni 2-3 Views (73502) $219.90 $733 2.6×
X-ray exam hip uni 4/> views (73503) $241.50 $805 2.4×
X-Ray Exam Hips Bi 3-4 Views (73522) $345 $1,150 3.4×
X-Ray Exam Hips Bi 5/> Views (73523) $379.20 $1,264 3.8×
X-ray exam of femur 1 (73551) $100.50 $335 1.2×
X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) $422.70 $1,409 4.2×
X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) $234.60 $782 2.8×
X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) $458.25 $1,527.50 5.5×
X-ray guide gu dilation - ir nephrostomy dilation (74485) $1,920 $6,400 1.0×
X-Ray Heel - Xr Calcaneus 2 Views Right (73650) $293.70 $979 3.5×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $442.50 $1,475 5.3×
X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) $473.25 $1,577.50 4.7×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $218.70 $729 2.6×
X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) $132.30 $441 1.6×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $336 $1,120 3.3×
X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) $623.70 $2,079 6.2×
X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) $215.70 $719 2.1×
X-Ray Nasal Bones - Xr Nasal Bones (70160) $312.30 $1,041 3.7×
X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) $94.80 $316 1.1×
X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) $287.40 $958 2.9×
X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) $368.70 $1,229 3.7×
X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) $671.40 $2,238 2.0×
X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) $373.50 $1,245 4.5×
X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) $431.70 $1,439 4.3×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $580.20 $1,934 5.8×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $264 $880 2.6×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $272.70 $909 3.3×
X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) $450.90 $1,503 5.4×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $442.50 $1,475 5.3×
X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) $273.60 $912 3.3×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $148.80 $496 1.5×
X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) $238.20 $794 2.4×
X-Ray Spine One View - Xr Spine (72020) $327.30 $1,091 3.9×
X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) $82.20 $274 1.0×
X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) $234.60 $782 2.8×
X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) $309.30 $1,031 3.1×
X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) $492.90 $1,643 4.9×
X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) $318.75 $1,062.50 3.8×
X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) $444.38 $1,481.25 5.3×
Xr c-spine 6 or more views (72052) $451.20 $1,504 4.5×
Xr finger(s) 2+ views (73140) $262.20 $874 3.1×
Xr shoulder 1 view (73020) $295.50 $985 3.5×
Xr spine cervical 4 or 5 views (72050) $447.90 $1,493 4.5×
Xr tibia/fibula 2 views (73590) $509.85 $1,699.50 6.1×
Xr tmj bilateral (70330) $216 $720 2.6×
Xray knee 1 or 2 views rt (73560) $385.88 $1,286.25 4.6×