Imaging prices at Clinton Regional Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $132 $264 1.6×
Abdomen 2 views (74019) $160 $319 1.6×
Acute Gastrointestinal Blood Loss Imaging (78278) $2,253 $4,506 5.9×
Ankle 2 views (73600) $132 $264 1.6×
Bone age studies (77072) $160 $319 1.6×
Bone Imaging 3 Phase (78315) $3,694 $7,388 9.6×
Bone Imaging Whole Body (78306) $3,674 $7,348 9.6×
Bone survey infant (77076) $160 $319 1.6×
Chest 1 view (71045) $132 $264 1.6×
Chest 2 views (71046) $132 $264 1.6×
Chest 4 or more views (71048) $160 $319 1.6×
Clavicle complete (73000) $132 $264 1.6×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $160 $319 1.6×
Contrast X-Ray Bladder (74430) $536 $1,071 1.6×
CT abdomen and pelvis without and with contrast (74178) $536 $1,071 1.6×
CT abdomen and pelvis without contrast (74176) $363 $725 1.6×
CT abdomen w contrast (74160) $677 $1,353 4.0×
CT abdomen w wo contrast (74170) $267 $534 1.6×
CT abdomen w/o contrast (74150) $160 $319 1.6×
CT Angio Abdomen and Pelvis (74174) $536 $1,071 1.6×
CT Angio Chest (71275) $267 $534 1.6×
CT Angio Head (70496) $267 $534 1.6×
Ct Angio Lwr Extr W/O&W/Dye (73706) $267 $534 1.6×
CT Angio Neck (70498) $267 $534 1.6×
Ct Angio Upr Extrm W/O&W/Dye (73206) $267 $534 1.6×
CT bone density (77078) $132 $264 1.6×
CT cervical spine w/ contrast (72126) $267 $534 0.8×
CT cervical spine w/o contrast (72125) $160 $319 1.6×
CT cervical spine w/wo cont (72127) $267 $534 1.6×
CT chest w contrast (71260) $267 $534 1.6×
CT chest w/wo contrast (71270) $267 $534 1.6×
CT head/brain with contrast (70460) $267 $534 1.6×
CT head/brain without and with contrast (70470) $267 $534 1.6×
CT heart no contrast quant eval coronry calcium (75571) $38 $75 0.5×
CT iac w contrast (70481) $267 $534 1.6×
CT l-spine w&w/o contrast (72133) $267 $534 1.6×
CT lower ext w/o (73700) $160 $319 1.6×
CT lower extremity w/contrast material (73701) $267 $534 1.6×
CT lumbar spine w contrast (72132) $267 $534 0.8×
CT lumbar spine w/o contrast (72131) $160 $319 1.6×
CT maxillofacial w contrast (70487) $267 $534 1.6×
CT maxillofacial wo contrast (70486) $160 $319 1.6×
CT neck tissue combo (70492) $267 $534 1.6×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $267 $534 1.6×
CT orbits w/o contrast (70480) $160 $319 1.6×
CT pelvis w&w/o contrast (72194) $267 $534 1.6×
CT pelvis w/o contrast (72192) $160 $319 1.6×
CT scan of leg combo (73702) $267 $534 1.6×
CT scans face/jaw combo (70488) $267 $534 1.6×
CT soft tissue neck w contrast (70491) $267 $534 1.6×
CT soft tissue neck w/o contrast (70490) $160 $319 1.6×
CT thoracic spine w contrast (72129) $267 $534 1.6×
CT thoracic spine w/o contrast (72128) $160 $319 1.6×
CT thoracic spine w/wo cont (72130) $267 $534 1.6×
CT thorax w/o contrast (71250) $160 $319 1.6×
CT upper ext wo (73200) $160 $319 1.6×
CT upper extremity w/o & w/contrast material (73202) $267 $534 1.6×
CT upper extremity with contrast (73201) $425 $850 1.3×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $267 $534 1.6×
Cta Abdomen (74175) $267 $534 1.6×
CTA pelvis (72191) $267 $534 1.6×
Esophagram (74220) $267 $534 1.6×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $160 $319 1.6×
Fluoroscopy up to 1 hr (76000) $363 $725 1.6×
Foot 2 views (73620) $132 $264 1.6×
Forearm 2 views (73090) $132 $264 1.6×
Gastric emptying imaging study (78264) $2,024 $4,048 5.3×
Gated Heart Planar Single (78472) $3,620 $7,240 9.4×
Hand 2 views (73120) $160 $319 1.6×
Hepatobiliary System Imaging (78226) $4,461 $8,921 11.6×
Ht Muscle Image Spect Sing (78451) $7,286 $14,571 5.9×
Kidney Imaging Morphol (78700) $2,605 $5,209 6.8×
Kidney Imaging Morphoogy W/Vascular Flow (78701) $2,735 $5,469 7.1×
Knee 3 Views (73562) $132 $264 1.6×
Lymphangiography extremity only unilateral rs&i (75801)
range across 2 matching MRF lines		 $9–$120 $18–$240 varies
Magnetic Image Jaw Joint (70336) $363 $725 1.6×
Meckels Divert Exam (78290) $3,853 $7,705 10.0×
MRA head w/o contrast (70544) $363 $725 1.6×
MRA neck w contrast (70548) $536 $1,071 1.6×
Mra Neck W/O &W/Contrast Material (70549) $536 $1,071 1.6×
MRA neck w/o contrast (70547) $363 $725 1.6×
MRI abdomen w/o contrast (74181) $363 $725 1.6×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $536 $1,071 1.6×
MRI cervical spine w contrast (72142) $536 $1,071 1.6×
MRI cervical spine w/o cont (72141) $363 $725 1.6×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $536 $1,071 1.6×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $363 $725 1.6×
MRI lumbar spine w contrast (72149) $536 $1,071 1.6×
Mri Neck Spine W/O & W/Dye (72156) $536 $1,071 1.6×
MRI orbit face &/neck w/o contrast (70540) $363 $725 1.6×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $536 $1,071 1.6×
MRI pelvis w/o & w contrast (72197) $536 $1,071 1.6×
MRI pelvis w/o contrast (72195) $363 $725 1.6×
MRI thoracic spine w/o contrast (72146) $363 $725 1.6×
MRI upper extremity oth than jt w/o contr matrl (73218) $363 $725 1.6×
Mri Uppr Extremity W/O&W/Dye (73220) $536 $1,071 1.6×
MRI, abdomen, combo (74183) $536 $1,071 1.6×
MRI, dorsal spine combo (72157) $536 $1,071 1.6×
MRI, dorsal spine contrast (72147) $536 $1,071 1.6×
MRI, joint upper extrem (73221) $363 $725 1.6×
MRI, joint upper extrem combo (73223) $536 $1,071 1.6×
MRI, lumbar spine combo (72158) $536 $1,071 1.6×
Myocardial Spect Multiple Studies (78452) $8,263 $16,525 6.6×
Neck soft tissue (70360) $132 $264 1.6×
Nm whole blood volume (78122) $723 $1,445 1.4×
Parathyroid Planar Imaging (78070) $2,550 $5,099 6.6×
Pelvis 1 or 2 views (72170) $160 $319 1.6×
Pulmonary Perfusion Imaging Particulate (78580) $2,054 $4,107 5.3×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $160 $319 1.6×
Radex abscess/fistula/sinus tract rs&i (76080) $823 $1,645 1.6×
Radex Ankle Complete Minimum 3 Views (73610) $132 $264 1.6×
Radex Calcaneus Minimum 2 Views (73650) $132 $264 1.6×
Radex elbow complete minimum 3 views (73080) $132 $264 1.6×
Radex Facial Bones Complete Minimum 3 Views (70150) $160 $319 1.6×
Radex fingr minimum 2 views (73140) $132 $264 1.6×
Radex foot complete minimum 3 views (73630) $132 $264 1.6×
Radex Hand Minimum 3 Views (73130) $132 $264 1.6×
Radex lower extremity infant minimum 2 views (73592) $132 $264 1.6×
Radex Nasal Bones Complete Minimum 3 Views (70160) $132 $264 1.6×
Radex Ribs Unilateral 2 Views (71100) $132 $264 1.6×
Radex shoulder complete minimum 2 views (73030)
range across 4 matching MRF lines		 $76–$132 $151–$264 varies
Radex Sinuses Paransl < 3 Views (70210) $132 $264 1.6×
Radex Spine 1 View Specify Level (72020) $132 $264 1.6×
Radex Sternum Minimum 2 Views (71120) $132 $264 1.6×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $132 $264 1.6×
Radex Toe Minimum 2 Views (73660) $132 $264 1.6×
Radex upper extremity infant minimum 2 views (73092) $160 $319 1.6×
Radex Wrist Complete Minimum 3 Views (73110) $132 $264 1.6×
Radiolog exam mandible compl minimum 4 views (70110) $160 $319 1.6×
Radiologic exam colon double contrast study (74280) $267 $534 1.6×
Radiologic exam colon single contrast study (74270) $267 $534 1.6×
Radiologic exam knee complete 4/more views (73564) $160 $319 1.6×
Radiologic Exam Small Int Single Contrast Study (74250) $267 $534 1.6×
Radiologic exam swallow function contrast study (74230) $267 $534 1.6×
Radiologic exam upr gi trc double contrast study (74246) $267 $534 1.6×
Radiologic examination femur minimum 2 views (73552) $132 $264 1.6×
Radiologic examination knee 1/2 views (73560) $132 $264 1.6×
Radiologic Examination Osseous Survey Limited (77074) $160 $319 1.6×
Radiologic examination tibia & fibula 2 views (73590) $132 $264 1.6×
Ribs bilateral 3 views (71110) $160 $319 1.6×
Scapula (73010) $160 $319 1.6×
Shoulder 1 view (73020) $132 $264 1.6×
Skull less than 4 views (70250) $160 $319 1.6×
Sternoclavicular joints (71130) $132 $264 1.6×
Thoracic spine 2 views (72070) $160 $319 1.6×
Thoracic spine 3 views (72072) $160 $319 1.6×
Thyroid Uptake Measurement (78012) $1,171 $2,342 3.0×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $2,211 $4,421 5.8×
Ultrasound Breast Limited (76642) $132 $264 1.6×
Ultrasound, abdomen limited (76705) $160 $319 1.6×
Upper gi w/o kub (74240) $267 $534 1.6×
Us breast unilateral complete (76641) $160 $319 1.6×
Us chest (76604) $160 $319 1.6×
Us complete joint (76881) $160 $319 1.6×
Us exam, pelvic, limited (76857) $160 $319 1.6×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $160 $319 1.6×
Us ob limited 1 or more fetuses (76815) $160 $319 1.6×
Us ob transvaginal (76817) $160 $319 1.6×
Us pelvic non ob complete (76856) $160 $319 1.6×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $160 $319 1.6×
Us preg uterus real time f/u trnsabdl per fetus (76816) $160 $319 1.6×
Us retroperitoneal complete (76770) $160 $319 1.6×
Us retroperitoneal limited (76775)
range across 3 matching MRF lines		 $160–$208 $319–$416 varies
Us scrotum and contents (76870) $160 $319 1.6×
Us thyroid (76536) $160 $319 1.6×
Wrist 2 views (73100) $132 $264 1.6×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $132 $264 1.6×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $132 $264 1.6×
X-Ray Exam Entire Spi 1 Vw (72081) $132 $264 1.6×
X-Ray Exam Entire Spi 2/3 Vw (72082) $160 $319 1.6×
X-Ray Exam Hip Uni 1 View (73501) $132 $264 1.6×
X-Ray Exam Hip Uni 2-3 Views (73502) $132 $264 1.6×
X-Ray Exam Hip Uni 4/> Views (73503) $160 $319 1.6×
X-Ray Exam Hips Bi 2 Views (73521) $160 $319 1.6×
X-Ray Exam Hips Bi 3-4 Views (73522) $160 $319 1.6×
X-Ray Exam Hips Bi 5/> Views (73523) $160 $319 1.6×
X-Ray Exam Neck Spine 2-3 Vw (72040) $132 $264 1.6×
X-Ray Exam Neck Spine 6/>Vws (72052) $160 $319 1.6×
X-Ray Exam Unilat Ribs/Chest (71101) $160 $319 1.6×
X-ray humerus (73060) $132 $264 1.6×
X-ray IV pyelogram (ivp) (74400) $267 $534 1.6×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $160 $319 1.6×
X-ray nose-rectum child f.b. (76010) $132 $264 1.6×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $160 $319 1.6×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $160 $319 1.6×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $132 $264 1.6×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $132 $264 1.6×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $160 $319 1.6×
X-Rays Bone Survey Complete (77075) $160 $319 1.6×
Xr c-spine 4 or 5 views (72050) $160 $319 1.6×
Xr facial bones less than 3 views (70140) $132 $264 1.6×
XR Mastoids < 3 Views Bilateral (70120) $160 $319 1.6×
Xr orbits complete 4 views (70200) $160 $319 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.