Imaging prices at Carnegie Tri-county Municipal Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $132.60 $221 1.6×
Abdomen 2 views (74019) $163.80 $273 1.6×
Chest 1 view (71045) $132.60 $221 1.6×
Chest 2 views (71046) $171 $285 2.0×
Clavicle complete (73000) $156 $260 1.9×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271)
range across 2 matching MRF lines		 $199.20–$254.34 $332–$423.90 varies
CT abdomen and pelvis without and with contrast (74178) $2,838.60 $4,731 8.5×
CT abdomen and pelvis without contrast (74176) $1,749 $2,915 7.6×
CT abdomen w contrast (74160) $1,374 $2,290 8.1×
CT abdomen w wo contrast (74170) $1,548.60 $2,581 9.2×
CT abdomen w/o contrast (74150) $1,032 $1,720 10.3×
CT Angio Abdomen and Pelvis (74174) $2,067.06 $3,445.10 6.2×
CT Angio Chest (71275) $2,315.56 $3,859.26 13.7×
CT Angio Head (70496) $1,543.50 $2,572.50 9.1×
CT Angio Neck (70498) $1,537.31 $2,562.19 9.1×
CT cervical spine w/o contrast (72125) $783 $1,305 7.8×
CT chest w contrast (71260) $1,203 $2,005 7.1×
CT chest w/wo contrast (71270) $1,374 $2,290 8.1×
CT head/brain with contrast (70460) $1,193.40 $1,989 7.1×
CT head/brain without and with contrast (70470) $1,548.60 $2,581 9.2×
CT lower ext w/o (73700) $774 $1,290 7.7×
CT lumbar spine w/o contrast (72131) $687 $1,145 6.8×
CT maxillofacial wo contrast (70486) $687 $1,145 6.8×
CT orbits w/o contrast (70480) $1,237.96 $2,063.26 12.3×
CT pelvis w&w/o contrast (72194) $1,122 $1,870 6.7×
CT pelvis w/o contrast (72192) $774 $1,290 7.7×
CT soft tissue neck w contrast (70491) $1,119.60 $1,866 6.6×
CT soft tissue neck w/o contrast (70490) $956.40 $1,594 9.5×
CT thoracic spine w/o contrast (72128) $687 $1,145 6.8×
CT thorax w/o contrast (71250) $861.60 $1,436 8.6×
CT upper ext wo (73200) $774 $1,290 7.7×
Cta Abdomen (74175) $2,322.11 $3,870.18 13.8×
Forearm 2 views (73090) $132.60 $221 1.6×
Hand 2 views (73120) $106.20 $177 1.1×
Neck soft tissue (70360) $132.60 $221 1.6×
Optic foramina (70190) $75 $125 0.9×
Pelvis 1 or 2 views (72170) $132.60 $221 1.3×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $342 $570 3.4×
Radex Ankle Complete Minimum 3 Views (73610) $171 $285 2.0×
Radex Calcaneus Minimum 2 Views (73650) $115.80 $193 1.4×
Radex Facial Bones Complete Minimum 3 Views (70150) $241.20 $402 2.4×
Radex fingr minimum 2 views (73140) $147.60 $246 1.8×
Radex foot complete minimum 3 views (73630) $171 $285 2.0×
Radex Hand Minimum 3 Views (73130) $171 $285 2.0×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $138 $230 1.4×
Radex Nasal Bones Complete Minimum 3 Views (70160) $140.40 $234 1.7×
Radex Ribs Unilateral 2 Views (71100) $171 $285 2.0×
Radex shoulder complete minimum 2 views (73030) $171 $285 2.0×
Radex Spine 1 View Specify Level (72020) $114 $190 1.4×
Radex Sternum Minimum 2 Views (71120) $134.40 $224 1.6×
Radex Toe Minimum 2 Views (73660) $132.60 $221 1.6×
Radex Wrist Complete Minimum 3 Views (73110) $171 $285 2.0×
Radiolog exam mandible compl minimum 4 views (70110) $197.40 $329 2.0×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $171 $285 1.7×
Radiologic exam knee complete 4/more views (73564) $305.40 $509 3.0×
Radiologic examination femur 1 view (73551) $99 $165 1.2×
Radiologic examination femur minimum 2 views (73552) $156 $260 1.9×
Radiologic examination knee 1/2 views (73560) $156 $260 1.9×
Radiologic examination tibia & fibula 2 views (73590) $156 $260 1.9×
Ribs bilateral 3 views (71110) $237.60 $396 2.4×
Scapula (73010) $151.80 $253 1.5×
Skull less than 4 views (70250) $159 $265 1.6×
Thoracic spine 2 views (72070) $182.40 $304 1.8×
Thoracolumbar 2 views (72080) $182.40 $304 2.2×
Ultrasound Exam Aaa Screen (76706) $200.40 $334 2.0×
Ultrasound, abdomen limited (76705) $156 $260 1.6×
Us exam, pelvic, limited (76857) $138 $230 1.4×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882)
range across 2 matching MRF lines		 $147.60–$529.52 $246–$882.54 varies
Us pelvic non ob complete (76856) $214.20 $357 2.1×
Us retroperitoneal complete (76770) $409.20 $682 4.1×
Us retroperitoneal limited (76775) $163.80 $273 1.6×
Us scrotum and contents (76870) $258 $430 2.6×
Us thyroid (76536) $160.80 $268 1.6×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $147.60 $246 1.8×
X-Ray Exam Hip Uni 1 View (73501) $132.60 $221 1.6×
X-Ray Exam Hip Uni 2-3 Views (73502) $171 $285 2.0×
X-Ray Exam Hips Bi 2 Views (73521) $246.60 $411 2.5×
X-Ray Exam Neck Spine 2-3 Vw (72040) $208.80 $348 2.5×
X-Ray Exam Unilat Ribs/Chest (71101) $216 $360 2.1×
X-ray humerus (73060) $132.60 $221 1.6×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $175.20 $292 2.1×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $148.80 $248 1.8×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $182.40 $304 1.8×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $144 $240 1.4×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $175.20 $292 2.1×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $147.60 $246 1.8×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $224.40 $374 2.2×
X-ray thoracic spine 4 vw (72074) $231 $385 2.3×
Xr c-spine 4 or 5 views (72050) $246.60 $411 2.5×
Xr facial bones less than 3 views (70140) $132 $220 1.6×
XR Mastoids < 3 Views Bilateral (70120) $105 $175 1.0×
Xr orbits complete 4 views (70200) $152.40 $254 1.5×

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.