Imaging prices at Great Plains Regional Medical Center
Elk City, OK · every code in this section with a posted price and a Medicare benchmark.
85 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,210.18 | $1,861.81 | 12.0× |
| CT abdomen and pelvis without and with contrast (74178) | $2,363.12 | $3,635.57 | 7.0× |
| CT abdomen and pelvis without contrast (74176) | $2,363.12 | $3,635.57 | 10.3× |
| CT abdomen w contrast (74160) | $2,363.12 | $3,635.57 | 14.0× |
| CT abdomen w wo contrast (74170) | $2,363.12 | $3,635.57 | 14.0× |
| CT abdomen w/o contrast (74150) | $1,358.88 | $2,090.59 | 13.5× |
| CT Angio Abdomen and Pelvis (74174) | $1,918.63 | $2,951.74 | 5.7× |
| CT Angio Chest (71275) | $1,812.17 | $2,787.95 | 10.7× |
| CT Angio Head (70496) | $1,358.88 | $2,090.59 | 8.1× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,918.63 | $2,951.74 | 11.4× |
| CT Angio Neck (70498) | $1,277.27 | $1,965.03 | 7.6× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,918.63 | $2,951.74 | 11.4× |
| CT cervical spine w/ contrast (72126) | $1,358.88 | $2,090.59 | 4.0× |
| CT cervical spine w/o contrast (72125) | $1,210.18 | $1,861.81 | 12.0× |
| CT cervical spine w/wo cont (72127) | $1,812.17 | $2,787.95 | 10.7× |
| CT chest w contrast (71260) | $1,210.18 | $1,861.81 | 7.2× |
| CT chest w/wo contrast (71270) | $1,210.18 | $1,861.81 | 7.2× |
| CT head/brain with contrast (70460) | $1,826.26 | $2,809.63 | 10.8× |
| CT head/brain without and with contrast (70470) | $1,826.26 | $2,809.63 | 10.8× |
| CT iac w contrast (70481) | $1,210.18 | $1,861.81 | 7.2× |
| CT l-spine w&w/o contrast (72133) | $1,358.88 | $2,090.59 | 8.1× |
| CT lower ext w/o (73700) | $1,210.18 | $1,861.81 | 12.0× |
| CT lumbar spine w contrast (72132) | $1,298.19 | $1,997.21 | 3.9× |
| CT lumbar spine w/o contrast (72131) | $1,298.19 | $1,997.21 | 12.9× |
| CT maxillofacial w contrast (70487) | $1,358.88 | $2,090.59 | 8.1× |
| CT maxillofacial wo contrast (70486) | $1,210.18 | $1,861.81 | 12.0× |
| CT neck tissue combo (70492) | $1,210.18 | $1,861.81 | 7.2× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,210.18 | $1,861.81 | 7.2× |
| CT orbits w/o contrast (70480) | $1,358.88 | $2,090.59 | 13.5× |
| CT pelvis w&w/o contrast (72194) | $905.65 | $1,393.30 | 5.4× |
| CT pelvis w/o contrast (72192) | $2,363.12 | $3,635.57 | 23.5× |
| CT scan of leg combo (73702) | $1,427.32 | $2,195.88 | 8.5× |
| CT scans face/jaw combo (70488) | $1,210.18 | $1,861.81 | 7.2× |
| CT soft tissue neck w contrast (70491) | $1,210.18 | $1,861.81 | 7.2× |
| CT soft tissue neck w/o contrast (70490) | $1,358.88 | $2,090.59 | 13.5× |
| CT thoracic spine w contrast (72129) | $1,298.19 | $1,997.21 | 7.7× |
| CT thoracic spine w/o contrast (72128) | $1,298.19 | $1,997.21 | 12.9× |
| CT thoracic spine w/wo cont (72130) | $1,298.19 | $1,997.21 | 7.7× |
| CT thorax w/o contrast (71250) | $1,358.88 | $2,090.59 | 13.5× |
| CT upper ext wo (73200) | $2,363.12 | $3,635.57 | 23.5× |
| CT upper extremity w/o & w/contrast material (73202) | $1,427.32 | $2,195.88 | 8.5× |
| CT upper extremity with contrast (73201) | $1,210.18 | $1,861.81 | 3.6× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,918.63 | $2,951.74 | 11.4× |
| CTA pelvis (72191) | $1,812.17 | $2,787.95 | 10.7× |
| Magnetic Image Jaw Joint (70336) | $1,585.53 | $2,439.27 | 6.9× |
| Mra Head W/O & W/Contrast Material (70546) | $1,812.17 | $2,787.95 | 5.4× |
| MRA head w/o contrast (70544) | $1,449.57 | $2,230.11 | 6.3× |
| MRA head with contrast (70545) | $1,449.57 | $2,230.11 | 4.3× |
| MRA neck w contrast (70548) | $1,585.53 | $2,439.27 | 4.7× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,812.17 | $2,787.95 | 5.4× |
| MRA neck w/o contrast (70547) | $1,585.53 | $2,439.27 | 6.9× |
| MRI abdomen w contrast (74182) | $2,816.37 | $4,332.87 | 8.4× |
| MRI abdomen w/o contrast (74181) | $2,816.37 | $4,332.87 | 12.3× |
| MRI any jt lower extrem w/contrast material (73722) | $1,585.53 | $2,439.27 | 2.1× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,812.17 | $2,787.95 | 5.4× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,102.39 | $3,234.44 | 2.8× |
| MRI bone marrow blood supply (77084) | $1,604.47 | $2,468.41 | 7.0× |
| MRI cervical spine w contrast (72142) | $1,585.53 | $2,439.27 | 4.7× |
| MRI cervical spine w/o cont (72141) | $1,585.53 | $2,439.27 | 6.9× |
| MRI chest w/o contrast (71550) | $1,812.17 | $2,787.95 | 7.9× |
| MRI chest with contrast (71551) | $1,812.17 | $2,787.95 | 2.4× |
| MRI chest wo w contrast (71552) | $1,812.17 | $2,787.95 | 5.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,812.17 | $2,787.95 | 5.4× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,812.17 | $2,787.95 | 5.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,812.17 | $2,787.95 | 7.9× |
| MRI lumbar spine w contrast (72149) | $1,585.53 | $2,439.27 | 4.7× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,812.17 | $2,787.95 | 5.4× |
| MRI orbit face &/neck w/o contrast (70540) | $1,585.53 | $2,439.27 | 6.9× |
| MRI orbit face neck w contrast (70542) | $1,585.53 | $2,439.27 | 4.7× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,812.17 | $2,787.95 | 5.4× |
| MRI pelvis w contrast (72196) | $1,585.53 | $2,439.27 | 4.7× |
| MRI pelvis w/o & w contrast (72197) | $1,812.17 | $2,787.95 | 5.4× |
| MRI pelvis w/o contrast (72195) | $1,585.53 | $2,439.27 | 6.9× |
| MRI spectroscopy (76390) | $1,604.47 | $2,468.41 | 19.2× |
| MRI thoracic spine w/o contrast (72146) | $1,585.53 | $2,439.27 | 6.9× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,102.39 | $3,234.44 | 6.3× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,812.17 | $2,787.95 | 7.9× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,265.45 | $3,485.30 | 6.8× |
| MRI, abdomen, combo (74183) | $2,816.37 | $4,332.87 | 8.4× |
| MRI, dorsal spine combo (72157) | $1,812.17 | $2,787.95 | 5.4× |
| MRI, dorsal spine contrast (72147) | $1,585.53 | $2,439.27 | 4.7× |
| MRI, joint upper extrem (73221) | $1,812.17 | $2,787.95 | 7.9× |
| MRI, joint upper extrem combo (73223) | $1,812.17 | $2,787.95 | 5.4× |
| MRI, lumbar spine combo (72158) | $1,812.17 | $2,787.95 | 5.4× |
| Ultrasound Exam Aaa Screen (76706) | $141.28 | $217.35 | 1.4× |