Imaging prices at Haskell Regional Hospital, Inc

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $1,050 $1,050 12.5×
Abdomen 2 views (74019) $1,290 $1,290 12.8×
Ankle 2 views (73600) $1,149 $1,149 13.7×
Bone age studies (77072)
range across 4 matching MRF lines
$285.75–$1,149 $285.75–$1,149 varies
Chest 1 view (71045) $1,050 $1,050 12.5×
Chest 2 views (71046)
range across 2 matching MRF lines
$51–$1,125 $51–$1,125 varies
Chest 3 views (71047) $1,200 $1,200 14.3×
Chest 4 or more views (71048) $1,275 $1,275 12.7×
Clavicle complete (73000) $1,050 $1,050 12.5×
Contrast X-Ray Bladder (74430) $2,700 $2,700 8.0×
CT abdomen and pelvis without and with contrast (74178) $3,876 $3,876 11.6×
CT abdomen and pelvis without contrast (74176) $3,639 $3,639 15.9×
CT abdomen w contrast (74160) $3,760 $3,760 22.3×
CT abdomen w wo contrast (74170) $3,811 $3,811 22.6×
CT abdomen w/o contrast (74150) $3,811 $3,811 37.9×
CT Angio Abdomen and Pelvis (74174) $3,004 $3,004 9.0×
CT Angio Chest (71275) $2,709.30 $2,709.30 16.1×
CT Angio Head (70496) $2,608.10 $2,608.10 15.5×
Ct Angio Lwr Extr W/O&W/Dye (73706)
range across 3 matching MRF lines
$2,710–$5,419 $2,710–$5,419 varies
CT Angio Neck (70498) $2,608.10 $2,608.10 15.5×
CT cervical spine w/ contrast (72126) $2,146 $2,146 6.4×
CT cervical spine w/o contrast (72125) $1,885 $1,885 18.7×
CT cervical spine w/wo cont (72127) $2,046 $2,046 12.1×
CT chest w contrast (71260) $1,923 $1,923 11.4×
CT chest w/wo contrast (71270) $2,025 $2,025 12.0×
CT head/brain with contrast (70460) $2,924 $2,924 17.3×
CT head/brain without and with contrast (70470) $2,790 $2,790 16.5×
CT l-spine w&w/o contrast (72133) $2,025 $2,025 12.0×
CT lower ext w/o (73700) $1,819 $1,819 18.1×
CT lower extremity w/contrast material (73701) $1,901 $1,901 11.3×
CT lumbar spine w contrast (72132) $2,046 $2,046 6.1×
CT lumbar spine w/o contrast (72131) $2,025 $2,025 20.1×
CT maxillofacial w contrast (70487) $1,950 $1,950 11.6×
CT maxillofacial wo contrast (70486) $1,819 $1,819 18.1×
CT neck tissue combo (70492) $1,740 $1,740 10.3×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $1,913 $1,913 11.3×
CT orbits w/o contrast (70480) $1,950 $1,950 19.4×
CT pelvis w&w/o contrast (72194) $3,811 $3,811 22.6×
CT pelvis w/o contrast (72192) $1,688 $1,688 16.8×
CT scan of leg combo (73702) $1,913 $1,913 11.3×
CT scans face/jaw combo (70488) $970 $970 5.7×
CT soft tissue neck w contrast (70491) $1,596 $1,596 9.5×
CT soft tissue neck w/o contrast (70490) $1,222 $1,222 12.2×
CT thoracic spine w contrast (72129) $2,046 $2,046 12.1×
CT thoracic spine w/o contrast (72128) $2,025 $2,025 20.1×
CT thoracic spine w/wo cont (72130) $2,046 $2,046 12.1×
CT thorax w/o contrast (71250) $1,766 $1,766 17.6×
CT upper ext wo (73200) $1,950 $1,950 19.4×
CT upper extremity w/o & w/contrast material (73202) $1,900 $1,900 11.3×
CT upper extremity with contrast (73201) $1,950 $1,950 5.8×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $2,608.10 $2,608.10 15.5×
CTA head&neck c+ w/noncontrast img&post-pxessing (70471) $3,912 $3,912 11.7×
Dxa Bone Density Axial (77080) $370 $370 3.7×
Esophagram (74220) $2,127 $2,127 12.6×
Fluoroscopy up to 1 hr (76000) $550 $550 2.4×
Foot 2 views (73620) $1,149 $1,149 13.7×
Forearm 2 views (73090) $1,050 $1,050 12.5×
Hand 2 views (73120)
range across 3 matching MRF lines
$1,149–$1,723.50 $1,149–$1,723.50 varies
Knee 3 Views (73562)
range across 3 matching MRF lines
$1,350–$2,025 $1,350–$2,025 varies
Magnetic Image Jaw Joint (70336) $1,703 $1,703 7.4×
MRA head w/o contrast (70544) $2,037 $2,037 8.9×
Mra Neck W/O &W/Contrast Material (70549) $2,139 $2,139 6.4×
MRI abdomen w/o contrast (74181) $3,000 $3,000 13.1×
MRI any jt lower extrem w/contrast material (73722) $2,025 $2,025 2.7×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $2,137 $2,137 6.4×
MRI any jt upper extremity w/contrast matrl (73222) $2,025 $2,025 2.7×
MRI cervical spine w contrast (72142) $2,587 $2,587 7.7×
MRI cervical spine w/o cont (72141) $2,475 $2,475 10.8×
MRI chest w/o contrast (71550) $2,670 $2,670 11.6×
MRI chest wo w contrast (71552) $2,813 $2,813 8.4×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $2,095 $2,095 6.2×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $2,352 $2,352 7.0×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $2,184 $2,184 9.5×
MRI lumbar spine w contrast (72149) $2,587 $2,587 7.7×
Mri Neck Spine W/O & W/Dye (72156) $2,699 $2,699 8.0×
MRI orbit face &/neck w/o contrast (70540) $1,750 $1,750 7.6×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $1,750 $1,750 5.2×
MRI pelvis w/o & w contrast (72197) $2,426 $2,426 7.2×
MRI pelvis w/o contrast (72195) $2,352 $2,352 10.2×
MRI thoracic spine w/o contrast (72146) $2,475 $2,475 10.8×
MRI upper extremity oth than jt w/contr matrl (73219) $1,764 $1,764 5.3×
MRI upper extremity oth than jt w/o contr matrl (73218) $2,481 $2,481 10.8×
Mri Uppr Extremity W/O&W/Dye (73220) $2,363 $2,363 7.0×
MRI, abdomen, combo (74183) $3,000 $3,000 8.9×
MRI, dorsal spine combo (72157) $2,699 $2,699 8.0×
MRI, dorsal spine contrast (72147) $2,587 $2,587 7.7×
MRI, joint upper extrem (73221) $1,913 $1,913 8.3×
MRI, joint upper extrem combo (73223) $2,137 $2,137 6.4×
MRI, lumbar spine combo (72158) $2,699 $2,699 8.0×
Neck soft tissue (70360) $1,149 $1,149 13.7×
Pelvis 1 or 2 views (72170) $1,200 $1,200 11.9×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $1,350 $1,350 13.4×
Radex Ankle Complete Minimum 3 Views (73610)
range across 3 matching MRF lines
$1,350–$1,650 $1,350–$1,650 varies
Radex Calcaneus Minimum 2 Views (73650) $1,149 $1,149 13.7×
Radex elbow complete minimum 3 views (73080)
range across 3 matching MRF lines
$1,200–$1,800 $1,200–$1,800 varies
Radex Facial Bones Complete Minimum 3 Views (70150) $1,500 $1,500 14.9×
Radex fingr minimum 2 views (73140) $1,050 $1,050 12.5×
Radex foot complete minimum 3 views (73630)
range across 3 matching MRF lines
$1,350–$1,650 $1,350–$1,650 varies
Radex Hand Minimum 3 Views (73130)
range across 3 matching MRF lines
$1,350–$1,650 $1,350–$1,650 varies
Radex lower extremity infant minimum 2 views (73592) $1,200 $1,200 14.3×
Radex Nasal Bones Complete Minimum 3 Views (70160) $1,200 $1,200 14.3×
Radex Ribs Unilateral 2 Views (71100)
range across 3 matching MRF lines
$1,050–$1,575 $1,050–$1,575 varies
Radex shoulder complete minimum 2 views (73030)
range across 3 matching MRF lines
$1,350–$2,025 $1,350–$2,025 varies
Radex Spine 1 View Specify Level (72020) $1,149 $1,149 13.7×
Radex Sternum Minimum 2 Views (71120) $1,149 $1,149 13.7×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $1,149 $1,149 13.7×
Radex Toe Minimum 2 Views (73660) $1,150 $1,150 13.7×
Radex upper extremity infant minimum 2 views (73092) $1,149 $1,149 11.4×
Radex Wrist Complete Minimum 3 Views (73110)
range across 3 matching MRF lines
$1,350–$1,650 $1,350–$1,650 varies
Radiolog exam mandible compl minimum 4 views (70110) $1,200 $1,200 11.9×
Radiologic exam colon double contrast study (74280) $2,127 $2,127 12.6×
Radiologic exam colon single contrast study (74270) $2,127 $2,127 12.6×
Radiologic exam knee complete 4/more views (73564) $1,605 $1,605 16.0×
Radiologic exam pelvis compl minimum 3 views (72190) $1,350 $1,350 13.4×
Radiologic Exam Small Int Single Contrast Study (74250) $2,127 $2,127 12.6×
Radiologic exam swallow function contrast study (74230) $2,127 $2,127 12.6×
Radiologic exam upr gi trc double contrast study (74246) $2,127 $2,127 12.6×
Radiologic examination femur 1 view (73551) $1,050 $1,050 12.5×
Radiologic examination femur minimum 2 views (73552) $1,050 $1,050 12.5×
Radiologic examination knee 1/2 views (73560)
range across 3 matching MRF lines
$1,200–$1,800 $1,200–$1,800 varies
Radiologic examination tibia & fibula 2 views (73590) $1,050 $1,050 12.5×
Scapula (73010) $1,149 $1,149 11.4×
Shoulder 1 view (73020) $1,149 $1,149 13.7×
Skull less than 4 views (70250) $1,149 $1,149 11.4×
Thoracic spine 3 views (72072) $1,350 $1,350 13.4×
Thoracolumbar 2 views (72080) $1,200 $1,200 14.3×
Ultrasound Breast Limited (76642)
range across 3 matching MRF lines
$277–$715.50 $277–$715.50 varies
Ultrasound Exam Aaa Screen (76706) $597 $597 5.9×
Ultrasound, abdomen limited (76705) $597 $597 5.9×
Upper gi w/o kub (74240) $2,127 $2,127 12.6×
Urethrocystogram voiding (74455) $1,800 $1,800 7.8×
Us breast unilateral complete (76641)
range across 3 matching MRF lines
$304–$456 $304–$456 varies
Us complete joint (76881) $597 $597 5.9×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $484 $484 4.8×
Us ob detailed single fetus (76811) $753.50 $753.50 3.3×
Us ob limited 1 or more fetuses (76815) $507 $507 5.0×
Us ob transvaginal (76817) $275 $275 2.7×
Us pelvic non ob complete (76856) $597 $597 5.9×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $600 $600 6.0×
Us retroperitoneal complete (76770)
range across 2 matching MRF lines
$589–$597 $589–$597 varies
Us retroperitoneal limited (76775) $597 $597 5.9×
Us scrotum and contents (76870)
range across 2 matching MRF lines
$87–$493 $87–$493 varies
Us thyroid (76536) $607 $607 6.0×
Venography extremity unilateral rs&i (75820) $1,500 $1,500 1.0×
Wrist 2 views (73100)
range across 3 matching MRF lines
$1,149–$1,723.50 $1,149–$1,723.50 varies
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $1,215 $1,215 14.5×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $1,050 $1,050 12.5×
X-Ray Exam Entire Spi 1 Vw (72081) $1,149 $1,149 13.7×
X-Ray Exam Entire Spi 2/3 Vw (72082) $1,350 $1,350 13.4×
X-Ray Exam Hip Uni 1 View (73501) $850 $850 10.2×
X-Ray Exam Hip Uni 2-3 Views (73502)
range across 3 matching MRF lines
$1,050–$1,575 $1,050–$1,575 varies
X-Ray Exam Hips Bi 2 Views (73521) $1,455 $1,455 14.5×
X-Ray Exam Hips Bi 3-4 Views (73522) $1,575 $1,575 15.7×
X-Ray Exam L-S Spine Bending (72114) $1,800 $1,800 17.9×
X-Ray Exam Neck Spine 2-3 Vw (72040) $1,350 $1,350 16.1×
X-Ray Exam Neck Spine 6/>Vws (72052) $1,800 $1,800 17.9×
X-Ray Exam Unilat Ribs/Chest (71101) $1,350 $1,350 13.4×
X-ray humerus (73060)
range across 3 matching MRF lines
$1,050–$1,575 $1,050–$1,575 varies
X-ray IV pyelogram (ivp) (74400) $2,700 $2,700 16.0×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $1,149 $1,149 13.7×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100)
range across 2 matching MRF lines
$45–$1,350 $45–$1,350 varies
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $1,410 $1,410 14.0×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $1,200 $1,200 11.9×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $1,149 $1,149 13.7×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $1,050 $1,050 12.5×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $1,455 $1,455 14.5×
X-ray thoracic spine 4 vw (72074) $1,605 $1,605 16.0×
Xr c-spine 4 or 5 views (72050) $1,605 $1,605 16.0×
Xr facial bones less than 3 views (70140) $1,200 $1,200 14.3×
XR Mastoids < 3 Views Bilateral (70120) $1,200 $1,200 11.9×
Xr orbits complete 4 views (70200) $1,350 $1,350 13.4×

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.