Imaging prices at Fairview Regional Medical Center Authority

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 2 views (74019) $325 — 3.2×
Chest 1 view (71045) $121 — 1.4×
Chest 2 views (71046) $223 — 2.7×
CT abdomen and pelvis without and with contrast (74178) $3,898 — 11.6×
CT abdomen and pelvis without contrast (74176) $1,943 — 8.5×
CT Angio Chest (71275) $3,007 — 17.8×
CT cervical spine w/o contrast (72125) $1,746 — 17.4×
CT chest w contrast (71260) $2,695 — 16.0×
CT lower ext w/o (73700) $1,746 — 17.4×
CT maxillofacial wo contrast (70486) $1,746 — 17.4×
CT thorax w/o contrast (71250) $1,746 — 17.4×
Dxa Bone Density Axial (77080) $302 — 3.0×
Forearm 2 views (73090) $325 — 3.9×
Knee 3 Views (73562) $325 — 3.9×
MRI cervical spine w/o cont (72141) $2,206 — 9.6×
Pelvis 1 or 2 views (72170) $325 — 3.2×
Radex Ankle Complete Minimum 3 Views (73610) $325 — 3.9×
Radex fingr minimum 2 views (73140) $325 — 3.9×
Radex foot complete minimum 3 views (73630) $325 — 3.9×
Radex Hand Minimum 3 Views (73130) $325 — 3.9×
Radex Ribs Unilateral 2 Views (71100) $325 — 3.9×
Radex shoulder complete minimum 2 views (73030) $325 — 3.9×
Radex Wrist Complete Minimum 3 Views (73110) $325 — 3.9×
Radiologic examination knee 1/2 views (73560) $325 — 3.9×
Radiologic examination tibia & fibula 2 views (73590) $325 — 3.9×
Thoracic spine 3 views (72072) $325 — 3.2×
Ultrasound, abdomen limited (76705) $773 — 7.7×
Us pelvic non ob complete (76856) $773 — 7.7×
Us thyroid (76536) $773 — 7.7×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $325 — 3.9×
X-Ray Exam Hip Uni 2-3 Views (73502) $325 — 3.9×
X-Ray Exam Neck Spine 2-3 Vw (72040) $325 — 3.9×
X-ray humerus (73060) $325 — 3.9×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $325 — 3.2×