Imaging prices at Eastern Oklahoma Medical Center
Poteau, OK · every code in this section with a posted price and a Medicare benchmark.
200 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) | $100 | $198.19 | 1.2× |
| Abdomen 2 views (74019) | $100 | $310.88 | 1.0× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $525.99 | $525.99 | 1.4× |
| Ankle 2 views (73600) | $100 | $167.60 | 1.2× |
| Bone age studies (77072) | $96.49 | $96.49 | 1.0× |
| Bone Imaging 3 Phase (78315) | $1,056.23 | $1,056.23 | 2.7× |
| Bone Imaging Limited Area (78300) | $362.06 | $362.06 | 0.9× |
| Bone Imaging Whole Body (78306) | $1,069.21 | $1,069.21 | 2.8× |
| Bone survey infant (77076) | $100 | $115.79 | 1.0× |
| Chest 1 view (71045) range across 4 matching MRF lines |
$100 | $155.14–$235.30 | 1.2× |
| Chest 2 views (71046) range across 3 matching MRF lines |
$50–$100 | $50–$249.96 | varies |
| Chest 4 or more views (71048) | $100 | $499.93 | 1.0× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$100 | $193.95–$213.34 | 1.2× |
| CT abdomen and pelvis without and with contrast (74178) | $650 | $3,483.25 | 1.9× |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$500–$650 | $2,387.80 | varies |
| CT abdomen w contrast (74160) range across 4 matching MRF lines |
$650 | $1,565.55–$1,722.11 | 3.9× |
| CT abdomen w wo contrast (74170) | $650 | $2,270.93 | 3.9× |
| CT abdomen w/o contrast (74150) | $500 | $1,508.21 | 5.0× |
| CT Angio Abdomen and Pelvis (74174) | $2,071.11 | $2,071.11 | 6.2× |
| CT Angio Chest (71275) | $1,859.86 | $1,859.86 | 11.0× |
| CT Angio Head (70496) | $1,070.26 | $1,070.26 | 6.3× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,635.01 | $2,635.01 | 15.6× |
| CT Angio Neck (70498) | $1,850.29 | $1,850.29 | 11.0× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,189.19 | $1,189.19 | 7.0× |
| CT cervical spine w/ contrast (72126) | $650 | $1,422.82 | 1.9× |
| CT cervical spine w/o contrast (72125) | $500 | $1,538.38 | 5.0× |
| CT cervical spine w/wo cont (72127) | $650 | $1,505.87 | 3.9× |
| CT chest w contrast (71260) | $650 | $1,604.93 | 3.9× |
| CT chest w/wo contrast (71270) | $650 | $1,961.58 | 3.9× |
| CT head/brain with contrast (70460) | $650 | $1,604.15 | 3.9× |
| CT head/brain without and with contrast (70470) | $650 | $1,801.09 | 3.9× |
| CT iac w contrast (70481) range across 3 matching MRF lines |
$650 | $1,024.44–$1,447.13 | 3.9× |
| CT l-spine w&w/o contrast (72133) | $650 | $1,846.05 | 3.9× |
| CT lower ext w/o (73700) | $500 | $1,308.31 | 5.0× |
| CT lower extremity w/contrast material (73701) | $650 | $1,125.14 | 3.9× |
| CT lumbar spine w contrast (72132) | $650 | $1,691.48 | 1.9× |
| CT lumbar spine w/o contrast (72131) | $500 | $1,538.38 | 5.0× |
| CT maxillofacial w contrast (70487) | $650 | $1,265.62 | 3.9× |
| CT maxillofacial wo contrast (70486) | $500 | $1,284.92 | 5.0× |
| CT neck tissue combo (70492) | $650 | $1,701.02 | 3.9× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $650 | $1,208.43 | 3.9× |
| CT orbits w/o contrast (70480) | $500 | $1,232.71 | 5.0× |
| CT pelvis w&w/o contrast (72194) | $650 | $1,511.19 | 3.9× |
| CT pelvis w/o contrast (72192) | $500 | $1,265.62 | 5.0× |
| CT scan of leg combo (73702) | $650 | $1,324.06 | 3.9× |
| CT scans face/jaw combo (70488) | $650 | $1,427.02 | 3.9× |
| CT soft tissue neck w contrast (70491) | $650 | $1,534.30 | 3.9× |
| CT soft tissue neck w/o contrast (70490) | $500 | $1,550.20 | 5.0× |
| CT thoracic spine w contrast (72129) | $650 | $1,536.03 | 3.9× |
| CT thoracic spine w/o contrast (72128) | $500 | $1,847.08 | 5.0× |
| CT thoracic spine w/wo cont (72130) | $650 | $1,945.52 | 3.9× |
| CT thorax w/o contrast (71250) | $500 | $1,415.66 | 5.0× |
| CT upper ext wo (73200) | $500 | $1,400.75 | 5.0× |
| CT upper extremity w/o & w/contrast material (73202) | $650 | $1,216.22 | 3.9× |
| CT upper extremity with contrast (73201) | $650 | $1,137.57 | 1.9× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,827.53 | $1,827.53 | 10.8× |
| Cta Abdomen (74175) | $1,803.71 | $1,803.71 | 10.7× |
| CTA pelvis (72191) | $972.97 | $972.97 | 5.8× |
| Echo exam uterus (76831) | $250 | $591.92 | 1.1× |
| Esophagram (74220) | $100 | $301.92 | 0.6× |
| Fetal Biophys Profile W/Nst (76818) | $250 | $809.29 | 2.5× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $250 | $809.29 | 2.5× |
| Foot 2 views (73620) | $100 | $173.43 | 1.2× |
| Forearm 2 views (73090) | $100 | $205.62 | 1.2× |
| Gastric emptying imaging study (78264) | $681.50 | $681.50 | 1.8× |
| Gastroesophageal Reflux Exam (78262) | $261.47 | $261.47 | 0.7× |
| Hand 2 views (73120) | $100 | $182.12 | 1.0× |
| Hepatobil Syst Image W/Drug (78227) | $913.17 | $913.17 | 1.7× |
| Ht Muscle Image Spect Sing (78451) | $2,374.81 | $2,374.81 | 1.9× |
| Hysterosalpingogram (74740) | $131.72 | $131.72 | 0.6× |
| Infant hip ultrasound, limited static exam (76886) | $250 | $319.18 | 3.0× |
| K Flow/Funct Image W/Drug (78708) | $618.04 | $618.04 | 1.2× |
| K Flow/Funct Image W/O Drug (78707) | $713.59 | $713.59 | 1.4× |
| Knee 3 Views (73562) | $100 | $245.82 | 1.2× |
| Liver & Spleen Imaging Static Only (78215) | $455.50 | $455.50 | 1.2× |
| Liver imaging static only (78201) | $754.79 | $754.79 | 1.4× |
| Liver imaging w/vascular flow (78202) | $415.53 | $415.53 | 0.8× |
| Lung Ventilat&Perfus Imaging (78582) | $762.99 | $762.99 | 1.5× |
| Mra Head W/O & W/Contrast Material (70546) | $1,346.46 | $1,346.46 | 4.0× |
| MRA head w/o contrast (70544) | $1,681.50 | $1,681.50 | 7.3× |
| MRA head with contrast (70545) | $1,494.57 | $1,494.57 | 4.5× |
| MRA neck w/o contrast (70547) | $1,540.03 | $1,540.03 | 6.7× |
| MRI abdomen w contrast (74182) | $800 | $2,446.46 | 2.4× |
| MRI abdomen w/o contrast (74181) | $1,990.96 | $1,990.96 | 8.7× |
| MRI any jt lower extrem w/contrast material (73722) | $800 | $1,620.83 | 1.1× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $800 | $1,589.77 | 2.4× |
| MRI cervical spine w contrast (72142) | $800 | $1,790.25 | 2.4× |
| MRI cervical spine w/o cont (72141) | $700 | $1,905.19 | 3.1× |
| MRI chest w/o contrast (71550) | $700 | $1,500.69 | 3.1× |
| MRI chest wo w contrast (71552) | $800 | $1,466.75 | 2.4× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $800 | $1,473.47 | 2.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $700 | $2,056.86 | 3.1× |
| MRI lumbar spine w contrast (72149) | $800 | $2,250.60 | 2.4× |
| Mri Neck Spine W/O & W/Dye (72156) | $800 | $2,695.51 | 2.4× |
| MRI orbit face &/neck w/o contrast (70540) range across 5 matching MRF lines |
$700 | $1,210.81–$1,766.48 | 3.1× |
| MRI orbit face neck w contrast (70542) | $800 | $1,459.87 | 2.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $800 | $2,063.72 | 2.4× |
| MRI pelvis w contrast (72196) | $800 | $1,374.45 | 2.4× |
| MRI pelvis w/o & w contrast (72197) | $800 | $1,810.37 | 2.4× |
| MRI pelvis w/o contrast (72195) | $700 | $1,810.37 | 3.1× |
| MRI thoracic spine w/o contrast (72146) | $700 | $1,918.44 | 3.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 4 matching MRF lines |
$700–$800 | $1,112.20–$1,209.73 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) | $800 | $1,730.60 | 2.4× |
| MRI, abdomen, combo (74183) | $800 | $3,889.74 | 2.4× |
| MRI, dorsal spine combo (72157) | $800 | $2,708.77 | 2.4× |
| MRI, dorsal spine contrast (72147) | $800 | $2,250.60 | 2.4× |
| MRI, joint upper extrem (73221) | $700 | $1,112.20 | 3.1× |
| MRI, joint upper extrem combo (73223) | $800 | $1,730.60 | 2.4× |
| MRI, lumbar spine combo (72158) | $800 | $2,870.41 | 2.4× |
| Myocardial Spect Multiple Studies (78452) | $2,374.81 | $2,374.81 | 1.9× |
| Neck soft tissue (70360) | $100 | $250.64 | 1.2× |
| Optic foramina (70190) | $78.59 | $78.59 | 0.9× |
| Parathyroid Planar Imaging (78070) | $894.94 | $894.94 | 2.3× |
| Pelvis 1 or 2 views (72170) | $100 | $194.65 | 1.0× |
| Pulmonary Perfusion Imaging Particulate (78580) | $461.35 | $461.35 | 1.2× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $100 | $326.37 | 1.0× |
| Radex Ankle Complete Minimum 3 Views (73610) | $100 | $200.59 | 1.2× |
| Radex Calcaneus Minimum 2 Views (73650) | $100 | $213.34 | 1.2× |
| Radex elbow complete minimum 3 views (73080) | $100 | $235.72 | 1.2× |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 3 matching MRF lines |
$100 | $289.09–$398.91 | 1.0× |
| Radex fingr minimum 2 views (73140) | $100 | $205.14 | 1.2× |
| Radex foot complete minimum 3 views (73630) | $100 | $213.68 | 1.2× |
| Radex Hand Minimum 3 Views (73130) | $100 | $215.28 | 1.2× |
| Radex lower extremity infant minimum 2 views (73592) | $81.37 | $81.37 | 1.0× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $100 | $261.82 | 1.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $100 | $254.37 | 1.2× |
| Radex Ribs Unilateral 2 Views (71100) | $100 | $255.52 | 1.2× |
| Radex shoulder complete minimum 2 views (73030) | $100 | $231.73 | 1.2× |
| Radex Sinuses Paransl < 3 Views (70210) | $100 | $196.92 | 1.2× |
| Radex Spine 1 View Specify Level (72020) | $100 | $185.52 | 1.2× |
| Radex Sternum Minimum 2 Views (71120) | $100 | $205.14 | 1.2× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $100 | $136.95 | 1.2× |
| Radex Toe Minimum 2 Views (73660) range across 10 matching MRF lines |
$100 | $157.80–$205.14 | 1.2× |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$62.47–$68.71 | $62.47–$68.71 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$100 | $164.11–$213.34 | 1.2× |
| Radiolog exam mandible compl minimum 4 views (70110) | $100 | $254.37 | 1.0× |
| Radiologic exam knee complete 4/more views (73564) | $100 | $342.02 | 1.0× |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$100 | $130.76–$234.50 | 1.0× |
| Radiologic exam swallow function contrast study (74230) | $331.50 | $331.50 | 2.0× |
| Radiologic examination femur minimum 2 views (73552) | $100 | $210.73 | 1.2× |
| Radiologic examination knee 1/2 views (73560) | $100 | $202.64 | 1.2× |
| Radiologic Examination Osseous Survey Limited (77074) | $100 | $115.79 | 1.0× |
| Radiologic examination tibia & fibula 2 views (73590) | $100 | $250.26 | 1.2× |
| Scapula (73010) | $100 | $216.07 | 1.0× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $80 | $80 | 3.4× |
| Sella turcica (70240) | $100 | $156.88 | 1.2× |
| Shoulder 1 view (73020) | $100 | $157.80 | 1.2× |
| Skull less than 4 views (70250) | $100 | $228.40 | 1.0× |
| Spleen Imaging (78185) | $260.14 | $260.14 | 0.7× |
| Sternoclavicular joints (71130) | $100 | $154.93 | 1.2× |
| Thoracic spine 2 views (72070) | $100 | $280.77 | 1.0× |
| Thoracic spine 3 views (72072) | $100 | $294.81 | 1.0× |
| Thyroid Uptake Measurement (78012) range across 4 matching MRF lines |
$266.96–$500.42 | $266.96–$500.42 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $585.64 | $585.64 | 1.5× |
| Ultrasound Breast Limited (76642) range across 12 matching MRF lines |
$40.25–$250 | $40.25–$328.22 | varies |
| Ultrasound Elastography Parenchyma (76981) | $250 | $416.83 | 2.5× |
| Ultrasound Exam Aaa Screen (76706) | $250 | $291.36 | 2.5× |
| Ultrasound, abdomen limited (76705) range across 6 matching MRF lines |
$250 | $434.93–$564.80 | 2.5× |
| Unlisted us procedure (76999) range across 5 matching MRF lines |
$50–$175.50 | $50–$175.50 | varies |
| Us chest (76604) | $177.29 | $177.29 | 1.8× |
| Us exam, pelvic, limited (76857) | $233.61 | $233.61 | 2.3× |
| Us head (76506) | $235.16 | $235.16 | 2.3× |
| Us kidney transplant (76776) | $250 | $508.61 | 2.5× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $250 | $490.96 | 2.5× |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$110.19–$233.61 | $110.19–$233.61 | varies |
| Us ob transvaginal (76817) | $250 | $358.31 | 2.5× |
| Us pelvic non ob complete (76856) | $250 | $513.14 | 2.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $250 | $560.82 | 2.5× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $250 | $677.51 | 2.5× |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$250 | $517.89–$593.68 | 2.5× |
| Us retroperitoneal limited (76775) range across 3 matching MRF lines |
$250 | $305.18–$335.69 | 2.5× |
| Us scrotum and contents (76870) | $250 | $554.71 | 2.5× |
| Us spinal canal and contents (76800) | $250 | $393.51 | 2.5× |
| Us thyroid (76536) range across 2 matching MRF lines |
$250 | $403.12–$490.96 | 2.5× |
| Wrist 2 views (73100) | $100 | $163.22 | 1.2× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $100 | $240.70 | 1.2× |
| X-Ray Bend Only L-S Spine (72120) | $100 | $199.82 | 1.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $100 | $207.29 | 1.2× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $100 | $247.65 | 1.0× |
| X-Ray Exam Hip Uni 1 View (73501) | $100 | $102.54 | 1.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 3 matching MRF lines |
$100 | $119.68–$222.57 | 1.2× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $100 | $322.17 | 1.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $100 | $222.53 | 1.2× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $100 | $392.50 | 1.0× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $100 | $277.23 | 1.0× |
| X-ray humerus (73060) | $100 | $193.95 | 1.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $100 | $315.99 | 1.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $100 | $246.96 | 1.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $100 | $361.04 | 1.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $100 | $160.54 | 1.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $100 | $213.36 | 1.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $100 | $320.29 | 1.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $100 | $351.21 | 1.0× |
| X-ray thoracic spine 4 vw (72074) | $100 | $301.07 | 1.0× |
| X-Rays Bone Length Studies (77073) | $100 | $180.54 | 1.0× |
| X-Rays Bone Survey Complete (77075) | $100 | $330.81 | 1.0× |
| Xr c-spine 4 or 5 views (72050) | $100 | $396.92 | 1.0× |
| Xr facial bones less than 3 views (70140) range across 3 matching MRF lines |
$100 | $164.11–$214.79 | 1.2× |
| XR Mastoids < 3 Views Bilateral (70120) | $100 | $192.10 | 1.0× |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$100 | $195.67–$254.37 | 1.0× |
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.