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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ProcedureCash priceGross charge× Medicare
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 &/joint imaging whole body (78306) $3,674 $7,348 9.6×
Bone age studies (77072) $160 $319 1.6×
Bone Imaging 3 Phase (78315) $3,694 $7,388 9.6×
Bone survey complete (77075) $160 $319 1.6×
Cervical spine 2 or 3 views (72040) $132 $264 1.6×
Chest 1 view (71045) $132 $264 1.6×
Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) $267 $534 1.6×
Clavicle complete (73000) $132 $264 1.6×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $160 $319 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 angiography upper extremity lt (73206) $267 $534 1.6×
CT c-spine w/o contrast (72125) $160 $319 1.6×
CT cervical spine w&w/o contrast (72127) $267 $534 1.6×
CT cervical spine with contrast (72126) $267 $534 0.8×
CT chest w/wo contrast (71270) $267 $534 1.6×
CT chest with contrast (71260) $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 lower ext w/o (73700) $160 $319 1.6×
CT lower extremity w wo contrast (73702) $267 $534 1.6×
CT lower extremity with contrast (73701) $267 $534 1.6×
CT lumbar spine w & w/o contrast (72133) $267 $534 1.6×
CT lumbar spine w/o contrast (72131) $160 $319 1.6×
CT lumbar spine with contrast (72132) $267 $534 0.8×
CT maxillofacial w contrast (70487) $267 $534 1.6×
CT maxillofacial w/o contrast (70486) $160 $319 1.6×
CT maxillofacial w/wo contrast (70488) $267 $534 1.6×
CT neck soft tissue w contrast (70491) $267 $534 1.6×
CT orbit sella/post fossa/ear w/o & w/contr matr (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 for measuring calcium and other minerals in bone (77078) $132 $264 1.6×
CT soft tissue neck w/o & w/contrast material (70492) $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 contrast (72130) $267 $534 1.6×
CT thorax w/o contrast (71250) $160 $319 1.6×
CT upper extremity w/o & w/contrast material (73202) $267 $534 1.6×
CT upper extremity w/o contrast rt (73200) $160 $319 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 abdomen pelvis (74174) $536 $1,071 1.6×
CTA chest (71275) $267 $534 1.6×
Cta Head (70496) $267 $534 1.6×
CTA lwr ext w&w/o contrast (73706) $267 $534 1.6×
Cta Neck (70498) $267 $534 1.6×
Cta Pelvis (72191) $267 $534 1.6×
Cystography minimum 3 views rs&i (74430) $536 $1,071 1.6×
Esophagus (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×
Gated Heart Planar Single (78472) $3,620 $7,240 9.4×
Hand 2 views (73120) $160 $319 1.6×
Hand 3 views (73130) $132 $264 1.6×
Hepatobiliary syst imaging including gallbladder (78226) $4,461 $8,921 11.6×
Ht muscle image spect sing (78451) $7,286 $14,571 5.9×
Humerus Min 2 Views Left (73060) $132 $264 1.6×
Kidney imaging morphology (78700) $2,605 $5,209 6.8×
Knee 3 views (73562) $132 $264 1.6×
Lymphangio extrem unilat - ir lymphangiogram extremity (75801) $64.50 $129 0.1×
Meckels Diverticulum (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 & w/contrast material (74183) $536 $1,071 1.6×
MRI abdomen w/o contrast (74181) $363 $725 1.6×
MRI c-spine with contrast (72142) $536 $1,071 1.6×
MRI cervical spine w/o contrast (72141) $363 $725 1.6×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $363 $725 1.6×
MRI orbit face &/neck w/o contrast (70540) $363 $725 1.6×
MRI orbit/face/neck w&w/o cont (70543) $536 $1,071 1.6×
MRI pelvis w/o & w/contrast material (72197) $536 $1,071 1.6×
MRI pelvis w/o contrast (72195) $363 $725 1.6×
MRI scan of arm joint before and after contrast (73223) $536 $1,071 1.6×
MRI scan of leg joint before and after contrast (73723) $536 $1,071 1.6×
MRI spinal canal cervical w/o & w/contr matrl (72156) $536 $1,071 1.6×
MRI spinal canal lumbar w/contrast material (72149) $536 $1,071 1.6×
MRI spinal canal lumbar w/o & w/contr matrl (72158) $536 $1,071 1.6×
MRI spinal canal thoracic w/contrast matrl (72147) $536 $1,071 1.6×
MRI spinal canal thoracic w/o & w/contr matrl (72157) $536 $1,071 1.6×
MRI thoracic spine w/o contrast (72146) $363 $725 1.6×
MRI tmj (70336) $363 $725 1.6×
MRI upper ext joint w/o contrast (73221) $363 $725 1.6×
MRI upper extrem other than jt w/o & w/contras (73220) $536 $1,071 1.6×
MRI upper extremity oth than jt w/o contr matrl (73218) $363 $725 1.6×
Myocardial Spect Multiple Studies (78452) $8,263 $16,525 6.6×
Neck soft tissue (70360) $132 $264 1.6×
Nm gastric emptying study (78264) $2,024 $4,048 5.3×
Nm whole blood volume (78122) $723 $1,445 1.4×
Nuclear medicine study of kidney and blood flow (78701) $2,735 $5,469 7.1×
Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) $160 $319 1.6×
Osseous survey infant (77076) $160 $319 1.6×
Osseous survey limited (77074) $160 $319 1.6×
Parathyroid imaging (78070) $2,550 $5,099 6.6×
Pelvis 1 or 2 views (72170) $160 $319 1.6×
Pr MRI, lower extr, w/o contrast f/u by contrast (73720) $536 $1,071 1.6×
Pulmonary Perfusion Imaging Particulate (78580) $2,054 $4,107 5.3×
Radex abscess/fistula/sinus tract rs&i (76080) $823 $1,645 1.6×
Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) $132 $264 1.6×
Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) $160 $319 1.6×
Radex hips bilateral with pelvis 2 views (73521) $160 $319 1.6×
Radiolog exam mandible compl minimum 4 views (70110) $160 $319 1.6×
Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) $132 $264 1.6×
Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) $132 $264 1.6×
Radiologic exam colon single contrast study (74270) $267 $534 1.6×
Radiologic exam upr gi trc double contrast study (74246) $267 $534 1.6×
Radiologic exam upr gi trc single contrast study (74240) $267 $534 1.6×
Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) $132 $264 1.6×
Ribs bilateral 3 views (71110) $160 $319 1.6×
Scapula complete (73010) $160 $319 1.6×
Small bowel series (74250) $267 $534 1.6×
Spine thoracic 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, abdomen limited (76705) $160 $319 1.6×
Upper Extremity Infant (73092) $160 $319 1.6×
Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) $267 $534 1.6×
Us breast unilateral complete (76641) $160 $319 1.6×
Us breast unilateral limited (76642) $132 $264 1.6×
Us chest (76604) $160 $319 1.6×
Us compl joint r-t w/image documentation (76881) $160 $319 1.6×
Us ob transvaginal (76817) $160 $319 1.6×
Us pelvic non ob complete (76856) $160 $319 1.6×
Us pelvic nonobstetric image dcmtn limited/f/u (76857) $160 $319 1.6×
Us pregnancy ltd (76815) $160 $319 1.6×
Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) $160 $319 1.6×
Us retroperitoneal complete (76770) $160 $319 1.6×
Us retroperitoneal limited (76775) $160 $319 1.6×
Us scrotum and contents (76870) $160 $319 1.6×
Us soft tissue head/neck (76536) $160 $319 1.6×
Us xtr non-vasc lmtd (76882) $160 $319 1.6×
Wrist 2 views (73100) $132 $264 1.6×
X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) $160 $319 1.6×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $132 $264 1.6×
X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) $132 $264 1.6×
X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) $267 $534 1.6×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $132 $264 1.6×
X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) $132 $264 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 3-4 Views (73522) $160 $319 1.6×
X-Ray Exam Hips Bi 5/> Views (73523) $160 $319 1.6×
X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) $160 $319 1.6×
X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) $132 $264 1.6×
X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) $132 $264 1.6×
X-Ray Heel - Xr Calcaneus 2 Views Right (73650) $132 $264 1.6×
X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) $160 $319 1.6×
X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) $132 $264 1.6×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $160 $319 1.6×
X-Ray Nasal Bones - Xr Nasal Bones (70160) $132 $264 1.6×
X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) $132 $264 1.6×
X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) $160 $319 1.6×
X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) $132 $264 1.6×
X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) $160 $319 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 Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) $132 $264 1.6×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $132 $264 1.6×
X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) $132 $264 1.6×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $160 $319 1.6×
X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) $160 $319 1.6×
X-Ray Spine One View - Xr Spine (72020) $132 $264 1.6×
X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) $132 $264 1.6×
X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) $132 $264 1.6×
X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) $160 $319 1.6×
X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) $132 $264 1.6×
X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) $132 $264 1.6×
Xr c-spine 6 or more views (72052) $160 $319 1.6×
Xr chest 4+ views (71048) $160 $319 1.6×
Xr finger(s) 2+ views (73140) $132 $264 1.6×
XR Mastoids < 3 Views Bilateral (70120) $160 $319 1.6×
Xr shoulder 1 view (73020) $132 $264 1.6×
Xr spine cervical 4 or 5 views (72050) $160 $319 1.6×
Xr tibia/fibula 2 views (73590) $132 $264 1.6×
Xr tmj bilateral (70330) $132 $264 1.6×
Xray knee 1 or 2 views rt (73560) $132 $264 1.6×