Imaging prices at Cleveland Area Hospital
Cleveland, OK · every code in this section with a posted price and a Medicare benchmark.
180 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) | $212.59 | $265.74 | 2.5× |
| Abdomen 2 views (74019) | $379.04 | $473.80 | 3.8× |
| Ankle 2 views (73600) | $231.74 | $289.68 | 2.8× |
| Bone age studies (77072) | $211.20 | $264 | 2.1× |
| Chest 1 view (71045) | $261.12 | $326.40 | 3.1× |
| Chest 2 views (71046) | $330.42 | $413.03 | 3.9× |
| Chest 3 views (71047) | $263.41 | $329.26 | 3.1× |
| Clavicle complete (73000) | $154.09 | $192.61 | 1.8× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $2,194.22 | $2,742.78 | 21.8× |
| CT abdomen and pelvis without and with contrast (74178) | $3,100.71 | $3,875.89 | 9.2× |
| CT abdomen and pelvis without contrast (74176) | $2,058.35 | $2,572.94 | 9.0× |
| CT abdomen w contrast (74160) | $1,746.90 | $2,183.62 | 10.4× |
| CT abdomen w wo contrast (74170) | $2,228.50 | $2,785.62 | 13.2× |
| CT abdomen w/o contrast (74150) | $1,601.86 | $2,002.32 | 15.9× |
| CT Angio Abdomen and Pelvis (74174) | $3,293.89 | $4,117.36 | 9.8× |
| CT Angio Chest (71275) | $3,246.38 | $4,057.98 | 19.2× |
| CT Angio Head (70496) | $2,336.86 | $2,921.08 | 13.9× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $3,485.52 | $4,356.90 | 20.7× |
| CT Angio Neck (70498) | $2,332.74 | $2,915.93 | 13.8× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,556.87 | $3,196.09 | 15.2× |
| CT cervical spine w/ contrast (72126) | $1,795.20 | $2,244 | 5.4× |
| CT cervical spine w/o contrast (72125) | $1,749.50 | $2,186.88 | 17.4× |
| CT cervical spine w/wo cont (72127) | $2,311.20 | $2,889 | 13.7× |
| CT chest w contrast (71260) | $1,967.71 | $2,459.64 | 11.7× |
| CT chest w/wo contrast (71270) | $2,054.40 | $2,568 | 12.2× |
| CT head/brain with contrast (70460) | $1,538.41 | $1,923.01 | 9.1× |
| CT head/brain without and with contrast (70470) | $1,809.50 | $2,261.88 | 10.7× |
| CT iac w contrast (70481) | $909.70 | $1,137.12 | 5.4× |
| CT l-spine w&w/o contrast (72133) | $1,747.20 | $2,184 | 10.4× |
| CT lower ext w/o (73700) | $1,582.08 | $1,977.60 | 15.7× |
| CT lower extremity w/contrast material (73701) | $1,917.60 | $2,397 | 11.4× |
| CT lumbar spine w contrast (72132) | $1,513.68 | $1,892.10 | 4.5× |
| CT lumbar spine w/o contrast (72131) | $1,491.44 | $1,864.30 | 14.8× |
| CT maxillofacial w contrast (70487) | $1,498.86 | $1,873.57 | 8.9× |
| CT maxillofacial wo contrast (70486) | $1,364.54 | $1,705.68 | 13.6× |
| CT neck tissue combo (70492) | $1,802.09 | $2,252.61 | 10.7× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $858.62 | $1,073.28 | 5.1× |
| CT orbits w/o contrast (70480) | $859.43 | $1,074.29 | 8.5× |
| CT pelvis w&w/o contrast (72194) | $1,932.80 | $2,416 | 11.5× |
| CT pelvis w/o contrast (72192) | $1,472.88 | $1,841.10 | 14.6× |
| CT scan of leg combo (73702) | $2,564.29 | $3,205.36 | 15.2× |
| CT scans face/jaw combo (70488) | $1,587.02 | $1,983.78 | 9.4× |
| CT soft tissue neck w contrast (70491) | $1,904.26 | $2,380.33 | 11.3× |
| CT soft tissue neck w/o contrast (70490) | $1,427.99 | $1,784.99 | 14.2× |
| CT thoracic spine w contrast (72129) | $1,777.60 | $2,222 | 10.5× |
| CT thoracic spine w/o contrast (72128) | $1,522.56 | $1,903.20 | 15.1× |
| CT thoracic spine w/wo cont (72130) | $2,307.20 | $2,884 | 13.7× |
| CT thorax w/o contrast (71250) | $1,570.54 | $1,963.18 | 15.6× |
| CT upper ext wo (73200) | $1,825.16 | $2,281.45 | 18.2× |
| CT upper extremity w/o & w/contrast material (73202) | $2,264.40 | $2,830.50 | 13.4× |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$1,743.58–$1,760.51 | $2,179.48–$2,200.64 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $4,330.94 | $5,413.68 | 25.7× |
| Cta Abdomen (74175) | $2,714.26 | $3,392.82 | 16.1× |
| CTA pelvis (72191) | $2,222.40 | $2,778 | 13.2× |
| Dxa Bone Density Axial (77080) | $352.77 | $440.96 | 3.5× |
| Foot 2 views (73620) | $163.15 | $203.94 | 1.9× |
| Forearm 2 views (73090) | $137.90 | $172.38 | 1.6× |
| Hand 2 views (73120) | $140.35 | $175.44 | 1.4× |
| Knee 3 Views (73562) | $309 | $386.25 | 3.7× |
| Magnetic Image Jaw Joint (70336) | $1,503.80 | $1,879.75 | 6.6× |
| Mra Head W/O & W/Contrast Material (70546) | $2,142.40 | $2,678 | 6.4× |
| MRA head w/o contrast (70544) | $951.72 | $1,189.65 | 4.1× |
| MRA head with contrast (70545) | $951.72 | $1,189.65 | 2.8× |
| MRA neck w contrast (70548) | $2,472 | $3,090 | 7.4× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,801.60 | $3,502 | 8.3× |
| MRA neck w/o contrast (70547) | $2,153.94 | $2,692.42 | 9.4× |
| MRI abdomen w contrast (74182) | $1,974.12 | $2,467.65 | 5.9× |
| MRI abdomen w/o contrast (74181) | $1,689.20 | $2,111.50 | 7.4× |
| MRI any jt lower extrem w/contrast material (73722) | $1,915.82 | $2,394.78 | 2.5× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,504.14 | $3,130.17 | 7.5× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,978.42 | $2,473.03 | 2.6× |
| MRI cervical spine w contrast (72142) | $1,974.12 | $2,467.65 | 5.9× |
| MRI cervical spine w/o cont (72141) | $2,111.09 | $2,638.86 | 9.2× |
| MRI chest w/o contrast (71550) | $1,503.80 | $1,879.75 | 6.6× |
| MRI chest with contrast (71551) | $1,916.62 | $2,395.78 | 2.5× |
| MRI chest wo w contrast (71552) | $2,340.16 | $2,925.20 | 7.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,915.82 | $2,394.78 | 5.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,504.14 | $3,130.17 | 7.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,079.78 | $2,599.72 | 9.1× |
| MRI lumbar spine w contrast (72149) | $1,915.82 | $2,394.78 | 5.7× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,506.33 | $3,132.91 | 7.5× |
| MRI orbit face &/neck w/o contrast (70540) | $1,609.27 | $2,011.59 | 7.0× |
| MRI orbit face neck w contrast (70542) | $1,900.62 | $2,375.78 | 5.7× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,504.14 | $3,130.17 | 7.5× |
| MRI pelvis w contrast (72196) | $1,915.82 | $2,394.78 | 5.7× |
| MRI pelvis w/o & w contrast (72197) | $2,504.14 | $3,130.17 | 7.5× |
| MRI pelvis w/o contrast (72195) | $1,609.27 | $2,011.59 | 7.0× |
| MRI thoracic spine w/o contrast (72146) | $2,031.16 | $2,538.95 | 8.9× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,935.23 | $2,419.04 | 5.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,609.27 | $2,011.59 | 7.0× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,479.82 | $3,099.78 | 7.4× |
| MRI, abdomen, combo (74183) | $2,432.93 | $3,041.16 | 7.3× |
| MRI, dorsal spine combo (72157) | $2,960 | $3,700 | 8.8× |
| MRI, dorsal spine contrast (72147) | $1,974.12 | $2,467.65 | 5.9× |
| MRI, joint upper extrem (73221) | $2,301.43 | $2,876.79 | 10.0× |
| MRI, joint upper extrem combo (73223) | $2,504.14 | $3,130.17 | 7.5× |
| MRI, lumbar spine combo (72158) | $2,804.07 | $3,505.09 | 8.4× |
| Neck soft tissue (70360) | $145.25 | $181.56 | 1.7× |
| Pelvis 1 or 2 views (72170) | $238.14 | $297.67 | 2.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $386.46 | $483.07 | 3.8× |
| Radex Ankle Complete Minimum 3 Views (73610) | $251.32 | $314.15 | 3.0× |
| Radex Calcaneus Minimum 2 Views (73650) | $268.62 | $335.78 | 3.2× |
| Radex elbow complete minimum 3 views (73080) | $233.38 | $291.72 | 2.8× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $224.13 | $280.16 | 2.2× |
| Radex fingr minimum 2 views (73140) range across 10 matching MRF lines |
$172.80–$177.98 | $216–$222.48 | varies |
| Radex foot complete minimum 3 views (73630) | $276.86 | $346.08 | 3.3× |
| Radex Hand Minimum 3 Views (73130) | $225.78 | $282.22 | 2.7× |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$206.40–$214.40 | $258–$268 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $147.04 | $183.80 | 1.5× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $189.07 | $236.34 | 2.3× |
| Radex Ribs Unilateral 2 Views (71100) | $252.97 | $316.21 | 3.0× |
| Radex shoulder complete minimum 2 views (73030) | $234.02 | $292.52 | 2.8× |
| Radex Sinuses Paransl < 3 Views (70210) | $257.09 | $321.36 | 3.1× |
| Radex Spine 1 View Specify Level (72020) | $285.60 | $357 | 3.4× |
| Radex Sternum Minimum 2 Views (71120) | $136.78 | $170.98 | 1.6× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $135.24 | $169.05 | 1.6× |
| Radex Toe Minimum 2 Views (73660) | $177.89 | $222.36 | 2.1× |
| Radex upper extremity infant minimum 2 views (73092) | $152.59 | $190.74 | 1.5× |
| Radex Wrist Complete Minimum 3 Views (73110) | $208.47 | $260.59 | 2.5× |
| Radiolog exam mandible compl minimum 4 views (70110) | $236.49 | $295.61 | 2.4× |
| Radiologic exam knee complete 4/more views (73564) | $349.25 | $436.56 | 3.5× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $191.20 | $239 | 1.9× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $299 | $373.75 | 1.8× |
| Radiologic exam swallow function contrast study (74230) | $920 | $1,150 | 5.5× |
| Radiologic examination femur 1 view (73551) | $242.40 | $303 | 2.9× |
| Radiologic examination femur minimum 2 views (73552) | $332.11 | $415.14 | 4.0× |
| Radiologic examination knee 1/2 views (73560) | $259.37 | $324.21 | 3.1× |
| Radiologic examination tibia & fibula 2 views (73590) | $248.88 | $311.10 | 3.0× |
| Ribs bilateral 3 views (71110) | $192.82 | $241.02 | 1.9× |
| Scapula (73010) | $131.02 | $163.77 | 1.3× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $193.60 | $242 | 8.3× |
| Shoulder 1 view (73020) | $92.29 | $115.36 | 1.1× |
| Skull less than 4 views (70250) | $238.96 | $298.70 | 2.4× |
| Sternoclavicular joints (71130) | $143.31 | $179.14 | 1.7× |
| Thoracic spine 2 views (72070) | $342.78 | $428.48 | 3.4× |
| Thoracic spine 3 views (72072) | $362.56 | $453.20 | 3.6× |
| Ultrasound Breast Limited (76642) | $336.19 | $420.24 | 4.0× |
| Ultrasound Exam Aaa Screen (76706) | $499.20 | $624 | 5.0× |
| Ultrasound, abdomen limited (76705) | $496.87 | $621.09 | 4.9× |
| Us chest (76604) | $412 | $515 | 4.1× |
| Us complete joint (76881) | $228 | $285 | 2.3× |
| Us exam, pelvic, limited (76857) | $201.06 | $251.32 | 2.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 8 matching MRF lines |
$400–$408 | $500–$510 | varies |
| Us ob limited 1 or more fetuses (76815) | $407.20 | $509 | 4.0× |
| Us ob transvaginal (76817) | $475.45 | $594.31 | 4.7× |
| Us pelvic non ob complete (76856) | $610.58 | $763.23 | 6.1× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $575.28 | $719.10 | 5.7× |
| Us retroperitoneal complete (76770) | $615.53 | $769.41 | 6.1× |
| Us retroperitoneal limited (76775) | $387.28 | $484.10 | 3.9× |
| Us scrotum and contents (76870) | $579.26 | $724.07 | 5.8× |
| Us thyroid (76536) | $455.67 | $569.59 | 4.5× |
| Wrist 2 views (73100) | $168.91 | $211.14 | 2.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $140 | $175 | 1.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $137.90 | $172.38 | 1.6× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $190.94 | $238.68 | 2.3× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $355.14 | $443.93 | 3.5× |
| X-Ray Exam Hip Uni 1 View (73501) | $274.99 | $343.74 | 3.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 4 matching MRF lines |
$352.32–$352.67 | $440.40–$440.84 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $453.20 | $566.50 | 4.5× |
| X-Ray Exam Hips Bi 2 Views (73521) | $496.87 | $621.09 | 4.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $254.62 | $318.27 | 2.5× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $552 | $690 | 5.5× |
| X-Ray Exam L-S Spine Bending (72114) | $309 | $386.25 | 3.1× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $352.67 | $440.84 | 4.2× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $546 | $682.50 | 5.4× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $418.80 | $523.50 | 4.2× |
| X-ray humerus (73060) | $234.84 | $293.55 | 2.8× |
| X-ray IV pyelogram (ivp) (74400) | $532.54 | $665.68 | 3.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $374.40 | $468 | 4.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $183.60 | $229.50 | 1.8× |
| X-ray nose-rectum child f.b. (76010) | $131.02 | $163.77 | 1.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $454.85 | $568.56 | 4.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $225.47 | $281.84 | 2.2× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $141.73 | $177.16 | 1.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $154.09 | $192.61 | 1.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $294.17 | $367.71 | 3.5× |
| X-Rays Bone Survey Complete (77075) | $760 | $950 | 7.6× |
| Xr c-spine 4 or 5 views (72050) | $463.09 | $578.86 | 4.6× |
| Xr facial bones less than 3 views (70140) | $145.25 | $181.56 | 1.7× |
| Xr orbits complete 4 views (70200) | $164.80 | $206 | 1.6× |
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.