Imaging prices at Grady Memorial Hospital
Chickasha, OK · every code in this section with a posted price and a Medicare benchmark.
211 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) | $95.20 | $238 | 1.1× |
| Abdomen 2 views (74019) | $102 | $255 | 1.0× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $649.60 | $1,624 | 1.7× |
| Ankle 2 views (73600) range across 6 matching MRF lines |
$95.20–$117.20 | $238–$293 | varies |
| Arthrogram ankle (73615) | $322.40 | $806 | 1.0× |
| Arthrogram hip (73525) | $322.40 | $806 | 1.0× |
| Arthrogram Wrist (73115) | $322.40 | $806 | 1.0× |
| Bone age studies (77072) | $95.20 | $238 | 0.9× |
| Bone Imaging 3 Phase (78315) | $649.60 | $1,624 | 1.7× |
| Bone Imaging Limited Area (78300) | $594.40 | $1,486 | 1.5× |
| Bone Imaging Whole Body (78306) | $800.80 | $2,002 | 2.1× |
| Bone survey infant (77076) | $120 | $300 | 1.2× |
| Chest 1 view (71045) | $95.20 | $238 | 1.1× |
| Chest 2 views (71046) range across 3 matching MRF lines |
$94.80–$102 | $237–$255 | varies |
| Clavicle complete (73000) range across 6 matching MRF lines |
$95.20–$126 | $238–$315 | varies |
| Contrast X-Ray Bladder (74430) | $216.80 | $542 | 0.6× |
| Contrast X-Ray Of Knee Joint (73580) | $322.40 | $806 | 1.0× |
| CT abdomen and pelvis without and with contrast (74178) | $1,711.20 | $4,278 | 5.1× |
| CT abdomen and pelvis without contrast (74176) | $1,656.40 | $4,141 | 7.2× |
| CT abdomen w contrast (74160) | $1,494 | $3,735 | 8.9× |
| CT abdomen w wo contrast (74170) | $1,656.40 | $4,141 | 9.8× |
| CT abdomen w/o contrast (74150) | $1,374.40 | $3,436 | 13.7× |
| CT Angio Abdomen and Pelvis (74174) | $1,130.40 | $2,826 | 3.4× |
| CT Angio Chest (71275) | $1,318.40 | $3,296 | 7.8× |
| CT Angio Head (70496) | $989.60 | $2,474 | 5.9× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,005.20 | $2,513 | 6.0× |
| CT Angio Neck (70498) | $1,042.80 | $2,607 | 6.2× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $420 | $1,050 | 2.5× |
| CT cervical spine w/ contrast (72126) | $618.80 | $1,547 | 1.8× |
| CT cervical spine w/o contrast (72125) | $726.40 | $1,816 | 7.2× |
| CT cervical spine w/wo cont (72127) | $457.60 | $1,144 | 2.7× |
| CT chest w contrast (71260) | $715.60 | $1,789 | 4.2× |
| CT chest w/wo contrast (71270) | $1,662.80 | $4,157 | 9.9× |
| CT head/brain with contrast (70460) | $930 | $2,325 | 5.5× |
| CT head/brain without and with contrast (70470) | $1,166.80 | $2,917 | 6.9× |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$20–$228.80 | $50–$572 | varies |
| CT iac w contrast (70481) | $688.40 | $1,721 | 4.1× |
| CT l-spine w&w/o contrast (72133) | $857.20 | $2,143 | 5.1× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$688.40–$1,377.20 | $1,721–$3,443 | varies |
| CT lower extremity w/contrast material (73701) | $765.20 | $1,913 | 4.5× |
| CT lumbar spine w contrast (72132) | $726.40 | $1,816 | 2.2× |
| CT lumbar spine w/o contrast (72131) | $726.40 | $1,816 | 7.2× |
| CT maxillofacial w contrast (70487) | $688.40 | $1,721 | 4.1× |
| CT maxillofacial wo contrast (70486) | $688.40 | $1,721 | 6.8× |
| CT neck tissue combo (70492) | $715.60 | $1,789 | 4.2× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $688.40 | $1,721 | 4.1× |
| CT orbits w/o contrast (70480) | $688.40 | $1,721 | 6.8× |
| CT pelvis w&w/o contrast (72194) | $857.20 | $2,143 | 5.1× |
| CT pelvis w/o contrast (72192) | $688.40 | $1,721 | 6.8× |
| CT scan of leg combo (73702) | $686.40 | $1,716 | 4.1× |
| CT scans face/jaw combo (70488) | $857.20 | $2,143 | 5.1× |
| CT soft tissue neck w contrast (70491) | $783.20 | $1,958 | 4.6× |
| CT soft tissue neck w/o contrast (70490) | $688.40 | $1,721 | 6.8× |
| CT thoracic spine w contrast (72129) | $726.40 | $1,816 | 4.3× |
| CT thoracic spine w/o contrast (72128) | $726.40 | $1,816 | 7.2× |
| CT thoracic spine w/wo cont (72130) | $861.20 | $2,153 | 5.1× |
| CT thorax w/o contrast (71250) | $688.80 | $1,722 | 6.9× |
| CT upper ext wo (73200) | $688.40 | $1,721 | 6.8× |
| CT upper extremity with contrast (73201) | $765.20 | $1,913 | 2.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,130.40 | $2,826 | 6.7× |
| Cta Abdomen (74175) | $1,130.40 | $2,826 | 6.7× |
| Diskography lumbar (72295) | $2,305.20 | $5,763 | 1.2× |
| Dxa Bone Density Axial (77080) | $156 | $390 | 1.6× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $156 | $390 | 1.9× |
| Esophagram (74220) | $192.40 | $481 | 1.1× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $187.20 | $468 | 1.9× |
| Fluoroscopy up to 1 hr (76000) | $211.20 | $528 | 0.9× |
| Foot 2 views (73620) range across 6 matching MRF lines |
$95.20–$119.20 | $238–$298 | varies |
| Forearm 2 views (73090) range across 6 matching MRF lines |
$95.20–$132 | $238–$330 | varies |
| Gastric emptying imaging study (78264) | $758 | $1,895 | 2.0× |
| Hand 2 views (73120) range across 6 matching MRF lines |
$95.20–$124.80 | $238–$312 | varies |
| Hepatobil Syst Image W/Drug (78227) | $1,202.40 | $3,006 | 2.3× |
| Ht Muscle Image Spect Sing (78451) | $2,260.40 | $5,651 | 1.8× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $123.60 | $309 | 1.5× |
| K Flow/Funct Image W/O Drug (78707) | $838.40 | $2,096 | 1.6× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $649.60 | $1,624 | 1.7× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$104.40–$163.20 | $261–$408 | varies |
| Liver & Spleen Imaging Static Only (78215) | $649.60 | $1,624 | 1.7× |
| Liver imaging static only (78201) | $2,260.40 | $5,651 | 4.3× |
| Lung Ventilat&Perfus Imaging (78582) | $838.40 | $2,096 | 1.6× |
| Meckels Divert Exam (78290) | $620 | $1,550 | 1.6× |
| MRA head w/o contrast (70544) | $905.20 | $2,263 | 3.9× |
| MRA neck w/o contrast (70547) | $905.20 | $2,263 | 3.9× |
| MRI abdomen w contrast (74182) | $1,028 | $2,570 | 3.1× |
| MRI abdomen w/o contrast (74181) | $1,077.60 | $2,694 | 4.7× |
| MRI any jt lower extrem w/contrast material (73722) | $1,075.20 | $2,688 | 1.4× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,496 | $3,740 | 4.5× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,075.20 | $2,688 | 1.4× |
| MRI Breast W/O Contrast Bilateral (77047) | $549.60 | $1,374 | 2.4× |
| MRI Breast Without Contrast Material Unilateral (77046) | $549.60 | $1,374 | 2.4× |
| MRI cervical spine w contrast (72142) | $1,034.80 | $2,587 | 3.1× |
| MRI cervical spine w/o cont (72141) | $920.40 | $2,301 | 4.0× |
| MRI chest with contrast (71551) | $1,028 | $2,570 | 1.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$1,074.80–$2,150 | $2,687–$5,375 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,496 | $3,740 | 4.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $898.40 | $2,246 | 3.9× |
| MRI lumbar spine w contrast (72149) | $1,038 | $2,595 | 3.1× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,508 | $3,770 | 4.5× |
| MRI orbit face &/neck w/o contrast (70540) | $898.40 | $2,246 | 3.9× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,496 | $3,740 | 4.5× |
| MRI pelvis w contrast (72196) | $870.80 | $2,177 | 2.6× |
| MRI pelvis w/o & w contrast (72197) | $1,499.20 | $3,748 | 4.5× |
| MRI pelvis w/o contrast (72195) | $900.40 | $2,251 | 3.9× |
| MRI thoracic spine w/o contrast (72146) | $1,003.60 | $2,509 | 4.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $898.40 | $2,246 | 3.9× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,496 | $3,740 | 4.5× |
| MRI, abdomen, combo (74183) | $1,499.20 | $3,748 | 4.5× |
| MRI, dorsal spine combo (72157) | $1,508 | $3,770 | 4.5× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$898.40–$1,455.60 | $2,246–$3,639 | varies |
| MRI, joint upper extrem combo (73223) | $1,496 | $3,740 | 4.5× |
| MRI, lumbar spine combo (72158) | $1,508 | $3,770 | 4.5× |
| Myelogram cervical (72240) | $380 | $950 | 0.5× |
| Myelogram Lumbar (72265) | $365.60 | $914 | 0.5× |
| Myelography thoracic (72255) | $500.40 | $1,251 | 0.7× |
| Myelograpy 2/more regions rs&i (72270) | $500.40 | $1,251 | 0.7× |
| Myocardial Spect Multiple Studies (78452) | $2,635.60 | $6,589 | 2.1× |
| Neck soft tissue (70360) | $95.20 | $238 | 1.1× |
| Parathyroid Planar Imaging (78070) | $649.60 | $1,624 | 1.7× |
| Pelvis 1 or 2 views (72170) range across 4 matching MRF lines |
$95.20–$96.80 | $238–$242 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) | $649.60 | $1,624 | 1.7× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $120 | $300 | 1.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $281.60 | $704 | 0.5× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$108.40–$163.20 | $271–$408 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 6 matching MRF lines |
$92–$117.20 | $230–$293 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$104.40–$133.60 | $261–$334 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $128.80 | $322 | 1.3× |
| Radex fingr minimum 2 views (73140) range across 6 matching MRF lines |
$95.20–$123.20 | $238–$308 | varies |
| Radex foot complete minimum 3 views (73630) range across 5 matching MRF lines |
$102–$163.20 | $255–$408 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$108.40–$163.20 | $271–$408 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $95.20 | $238 | 1.1× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $122.80 | $307 | 1.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $95.20 | $238 | 1.1× |
| Radex Ribs Unilateral 2 Views (71100) | $89.60 | $224 | 1.1× |
| Radex shoulder complete minimum 2 views (73030) range across 6 matching MRF lines |
$111.20–$148.40 | $278–$371 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $102 | $255 | 1.2× |
| Radex Spine 1 View Specify Level (72020) | $109.60 | $274 | 1.3× |
| Radex Sternum Minimum 2 Views (71120) | $106.40 | $266 | 1.3× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $137.60 | $344 | 1.6× |
| Radex Toe Minimum 2 Views (73660) range across 6 matching MRF lines |
$95.20–$117.60 | $238–$294 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$108.40–$163.20 | $271–$408 | varies |
| Radiologic exam colon single contrast study (74270) | $276.80 | $692 | 1.6× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$102–$152.40 | $255–$381 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $108.40 | $271 | 1.1× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $211.20 | $528 | 1.3× |
| Radiologic exam swallow function contrast study (74230) | $218.80 | $547 | 1.3× |
| Radiologic exam upr gi trc double contrast study (74246) | $172 | $430 | 1.0× |
| Radiologic examination femur minimum 2 views (73552) range across 6 matching MRF lines |
$104.40–$148.40 | $261–$371 | varies |
| Radiologic examination knee 1/2 views (73560) range across 6 matching MRF lines |
$95.20–$126 | $238–$315 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 6 matching MRF lines |
$95.20–$126 | $238–$315 | varies |
| Ribs bilateral 3 views (71110) | $128.80 | $322 | 1.3× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$838.40–$2,260.40 | $2,096–$5,651 | varies |
| Scapula (73010) range across 5 matching MRF lines |
$95.20–$169.60 | $238–$424 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $118.80 | $297 | 5.1× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$95.20–$109.60 | $238–$274 | varies |
| Shoulder Arthrography (73040) | $208 | $520 | 0.6× |
| Skull less than 4 views (70250) | $102 | $255 | 1.0× |
| Sternoclavicular joints (71130) | $116.80 | $292 | 1.4× |
| Testicular Imaging W/Flow (78761) | $426.80 | $1,067 | 1.1× |
| Thoracic spine 2 views (72070) range across 3 matching MRF lines |
$60.40–$106.40 | $151–$266 | varies |
| Thoracic spine 3 views (72072) | $114.40 | $286 | 1.1× |
| Thoracolumbar 2 views (72080) | $103.20 | $258 | 1.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $649.60 | $1,624 | 1.7× |
| Ultrasound Exam Aaa Screen (76706) | $138.80 | $347 | 1.4× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$140–$361.60 | $350–$904 | varies |
| Upper gi w/o kub (74240) | $239.20 | $598 | 1.4× |
| Us breast unilateral complete (76641) | $222 | $555 | 2.2× |
| Us chest (76604) | $260 | $650 | 2.6× |
| Us complete joint (76881) | $275.60 | $689 | 2.7× |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$123.60–$222 | $309–$555 | varies |
| Us head (76506) | $222 | $555 | 2.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $101.60 | $254 | 1.0× |
| Us ob detailed single fetus (76811) | $246.40 | $616 | 1.1× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$47.20–$165.20 | $118–$413 | varies |
| Us ob transvaginal (76817) | $234.40 | $586 | 2.3× |
| Us pelvic non ob complete (76856) | $210.80 | $527 | 2.1× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $192.80 | $482 | 1.9× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $166.40 | $416 | 1.7× |
| Us retroperitoneal complete (76770) | $243.60 | $609 | 2.4× |
| Us retroperitoneal limited (76775) | $78.80 | $197 | 0.8× |
| Us scrotum and contents (76870) | $222 | $555 | 2.2× |
| Us thyroid (76536) | $222 | $555 | 2.2× |
| Vascular Flow Imaging (78445) | $649.60 | $1,624 | 1.7× |
| Wrist 2 views (73100) range across 6 matching MRF lines |
$95.20–$124.80 | $238–$312 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $108.40 | $271 | 1.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 6 matching MRF lines |
$95.20–$132 | $238–$330 | varies |
| X-Ray Exam Breast Specimen (76098) | $273.20 | $683 | 0.5× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $166.80 | $417 | 1.7× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$140.80–$155.20 | $352–$388 | varies |
| X-Ray Exam Hip Uni 1 View (73501) | $95.20 | $238 | 1.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 5 matching MRF lines |
$111.20–$222.80 | $278–$557 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$95.20–$141.20 | $238–$353 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $108.40 | $271 | 1.1× |
| X-Ray Exam L-S Spine Bending (72114) | $192.40 | $481 | 1.9× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $98 | $245 | 1.2× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $182.80 | $457 | 1.8× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $108.40 | $271 | 1.1× |
| X-ray humerus (73060) | $95.20 | $238 | 1.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $95.20 | $238 | 1.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $108.40 | $271 | 1.1× |
| X-ray nose-rectum child f.b. (76010) | $131.20 | $328 | 1.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $146 | $365 | 1.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $102 | $255 | 1.0× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $95.20 | $238 | 0.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $95.20 | $238 | 1.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $128.80 | $322 | 1.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $146 | $365 | 1.5× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $423.60 | $1,059 | 1.3× |
| X-Rays Bone Survey Complete (77075) | $234.40 | $586 | 2.3× |
| Xr c-spine 4 or 5 views (72050) | $146 | $365 | 1.5× |
| XR Mastoids < 3 Views Bilateral (70120) | $97.20 | $243 | 1.0× |
| Xr orbits complete 4 views (70200) | $128.80 | $322 | 1.3× |
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.