Imaging prices at Hillcrest Hospital Claremore

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

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

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ProcedureCash priceGross charge× Medicare
Abdomen 2 views (74019) $393 $1,310 3.9×
Acute gastrointestinal blood loss imaging (78278) $1,252.80 $4,176 3.3×
Angiography extremity bilateral rs&i (75716) $3,468.90 $11,563 1.1×
Angiography extremity unilateral rs&i (75710) $3,280.20 $10,934 1.1×
Angiography visceral slctv/supraslctv rs&i (75726) $2,909.70 $9,699 0.5×
Ankle 2 views (73600) $594.75 $1,982.50 7.1×
Aortogram thoracic (75605) $3,280.20 $10,934 0.6×
Aortography abdl bi iliofem low extrem cath rs&i (75630) $2,460.30 $8,201 0.8×
Aortography abdominal serialography rs&i (75625) $3,280.20 $10,934 1.1×
Arthrogram shoulder (73040) $447 $1,490 1.3×
Bone &/Joint Imaging Limited Area (78300) $1,165.20 $3,884 3.0×
Bone &/Joint Imaging Multiple Areas (78305) $2,679.90 $8,933 7.0×
Bone &/joint imaging whole body (78306) $2,210.40 $7,368 5.7×
Bone age studies (77072) $570.60 $1,902 5.7×
Bone Imaging 3 Phase (78315) $3,242.10 $10,807 8.4×
Bone survey complete (77075) $1,152 $3,840 11.5×
Cervical spine 2 or 3 views (72040) $634.80 $2,116 7.6×
Chest 1 view (71045) $497.70 $1,659 5.9×
Chest 3 views (71047) $608.40 $2,028 7.3×
Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) $635.10 $2,117 3.8×
Clavicle complete (73000) $610.80 $2,036 7.3×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $1,146.90 $3,823 11.4×
CT abdomen and pelvis without and with contrast (74178) $2,760.90 $9,203 8.2×
CT abdomen and pelvis without contrast (74176) $2,208.60 $7,362 9.6×
CT abdomen w contrast (74160) $1,025.10 $3,417 6.1×
CT abdomen w wo contrast (74170) $1,280.40 $4,268 7.6×
CT abdomen w/o contrast (74150) $913.20 $3,044 9.1×
CT angiography upper extremity lt (73206) $1,292.10 $4,307 7.7×
CT c-spine w/o contrast (72125) $1,376.40 $4,588 13.7×
CT cere prfuj alys c+ w/o CT/CTA same anatomy (70473) $161.40 $538 1.0×
CT cervical spine w&w/o contrast (72127) $1,709.70 $5,699 10.1×
CT cervical spine with contrast (72126) $1,554.90 $5,183 4.6×
CT chest w/wo contrast (71270) $1,515.60 $5,052 9.0×
CT chest with contrast (71260) $1,045.80 $3,486 6.2×
CT head/brain with contrast (70460) $1,384.20 $4,614 8.2×
CT head/brain without and with contrast (70470) $1,615.50 $5,385 9.6×
CT iac w contrast (70481) $1,868.70 $6,229 11.1×
CT limited/localized follow up study (76380) $491.10 $1,637 5.9×
CT lower ext w/o (73700) $1,102.50 $3,675 11.0×
CT lower extremity w wo contrast (73702) $1,896.30 $6,321 11.2×
CT lower extremity with contrast (73701) $1,775.25 $5,917.50 10.5×
CT lumbar spine w & w/o contrast (72133) $1,352.40 $4,508 8.0×
CT lumbar spine w/o contrast (72131) $1,024.80 $3,416 10.2×
CT lumbar spine with contrast (72132) $1,068.90 $3,563 3.2×
CT maxillofacial w contrast (70487) $1,250.70 $4,169 7.4×
CT maxillofacial w/o contrast (70486) $1,365.30 $4,551 13.6×
CT maxillofacial w/wo contrast (70488) $2,625.90 $8,753 15.6×
CT neck soft tissue w contrast (70491) $1,721.10 $5,737 10.2×
CT orbit sella/post fossa/ear w/o & w/contr matr (70482) $1,988.10 $6,627 11.8×
CT orbits w/o contrast (70480) $1,674.60 $5,582 16.7×
CT pelvis w & w/o contrast (72194) $1,199.40 $3,998 7.1×
CT pelvis w/o contrast (72192) $969 $3,230 9.6×
CT soft tissue neck w/o & w/contrast material (70492) $1,893.90 $6,313 11.2×
CT soft tissue neck w/o contrast (70490) $1,635.60 $5,452 16.3×
CT thoracic spine w/contrast (72129) $1,602.30 $5,341 9.5×
CT thoracic spine w/o contrast (72128) $680.10 $2,267 6.8×
CT thoracic spine w/wo contrast (72130) $1,762.50 $5,875 10.4×
CT thorax w/o contrast (71250) $936 $3,120 9.3×
CT upper extremity w/o & w/contrast material (73202) $1,578.60 $5,262 9.4×
CT upper extremity w/o contrast rt (73200) $1,094.25 $3,647.50 10.9×
CT upper extremity with contrast (73201) $1,345.50 $4,485 4.0×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $177.90 $593 1.1×
Cta Abdomen (74175) $1,455.60 $4,852 8.6×
CTA abdomen pelvis (74174) $1,455.60 $4,852 4.3×
CTA chest (71275) $1,569.60 $5,232 9.3×
Cta Head (70496) $2,410.50 $8,035 14.3×
CTA head&neck c+ w/noncontrast img&post-pxessing (70471) $2,410.50 $8,035 7.2×
CTA lwr ext w&w/o contrast (73706) $222.38 $741.25 1.3×
Cta Neck (70498) $1,371.60 $4,572 8.1×
Cta Pelvis (72191) $177.90 $593 1.1×
Cystography minimum 3 views rs&i (74430) $553.80 $1,846 1.7×
Dxa bone density study 1/> sites axial skel (77080) $696.60 $2,322 6.9×
Dxa bone density study 1/>sites appendiclr skel (77081) $156.60 $522 1.9×
Esophagus (74220) $567.90 $1,893 3.4×
Fetal biophysical profile non-stress testing (76818) $1,801.20 $6,004 17.9×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $225.60 $752 2.2×
Fluoroscopy up to 1 hr (76000) $360.30 $1,201 1.6×
Foot 2 views (73620) $750.38 $2,501.25 9.0×
Forearm 2 views (73090) $586.12 $1,953.75 7.0×
Gated Heart Planar Single (78472) $2,036.70 $6,789 5.3×
Hand 2 views (73120) $597 $1,990 5.9×
Hand 3 views (73130) $781.12 $2,603.75 9.3×
Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) $2,425.20 $8,084 4.6×
Hepatobiliary syst imaging including gallbladder (78226) $2,204.40 $7,348 5.7×
Ht muscle image spect sing (78451) $2,885.10 $9,617 2.3×
Humerus Min 2 Views Left (73060) $591.75 $1,972.50 7.1×
Hysterosalpingogram (74740) $910.80 $3,036 4.0×
Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) $2,197.20 $7,324 4.2×
Kidney img morphology vascular flow 1 w/rx (78708) $2,442.30 $8,141 4.7×
Kidney Img Morphology Vascular Flow Multiple (78709) $2,686.50 $8,955 5.1×
Knee 3 views (73562) $817.88 $2,726.25 9.8×
Liver & spleen imaging static only (78215) $2,627.10 $8,757 6.8×
Lung perf&ventilat diferentl (78598) $1,152.90 $3,843 2.2×
Lung perfusion differential (78597) $348.90 $1,163 0.9×
Lung Ventilation Imaging (78579) $1,152.90 $3,843 3.0×
Lymphoscintigraphy (78195) $449.40 $1,498 0.9×
Meckels Diverticulum (78290) $1,668.30 $5,561 4.3×
MRA head w/o contrast (70544) $758.70 $2,529 3.3×
MRA neck w contrast (70548) $717.30 $2,391 2.1×
Mra Neck W/O &W/Contrast Material (70549) $910.50 $3,035 2.7×
MRA neck w/o contrast (70547) $651.90 $2,173 2.8×
MRI abdomen w/o & w/contrast material (74183) $1,290.60 $4,302 3.8×
MRI abdomen w/o contrast (74181) $1,042.80 $3,476 4.5×
MRI any jnt lwr ext with con lt (73722) $1,434.30 $4,781 1.9×
MRI any jt upper extremity w/contrast matrl (73222) $1,393.80 $4,646 1.8×
MRI cervical spine w/o contrast (72141) $1,124.10 $3,747 4.9×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $1,330.20 $4,434 4.0×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $1,209.90 $4,033 5.3×
MRI orbit face &/neck w/o contrast (70540) $1,481.70 $4,939 6.5×
MRI orbit/face/neck w&w/o cont (70543) $1,792.50 $5,975 5.3×
MRI pelvis w/o & w/contrast material (72197) $1,874.40 $6,248 5.6×
MRI pelvis w/o contrast (72195) $719.10 $2,397 3.1×
MRI scan of arm joint before and after contrast (73223) $1,602.60 $5,342 4.8×
MRI scan of leg joint before and after contrast (73723) $1,564.20 $5,214 4.7×
MRI spinal canal cervical w/o & w/contr matrl (72156) $1,328.40 $4,428 4.0×
MRI spinal canal lumbar w/contrast material (72149) $1,280.40 $4,268 3.8×
MRI spinal canal lumbar w/o & w/contr matrl (72158) $1,397.40 $4,658 4.2×
MRI spinal canal thoracic w/contrast matrl (72147) $1,055.40 $3,518 3.1×
MRI spinal canal thoracic w/o & w/contr matrl (72157) $1,314.90 $4,383 3.9×
MRI thoracic spine w/o contrast (72146) $959.10 $3,197 4.2×
MRI upper ext joint w/o contrast (73221) $1,784.62 $5,948.75 7.8×
MRI upper extrem other than jt w/o & w/contras (73220) $1,523.70 $5,079 4.5×
MRI upper extremity oth than jt w/o contr matrl (73218) $1,042.80 $3,476 4.5×
Myocardial Spect Multiple Studies (78452) $3,375.30 $11,251 2.7×
Neck soft tissue (70360) $310.20 $1,034 3.7×
Nm gastric emptying study (78264) $1,552.50 $5,175 4.0×
Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) $989.10 $3,297 9.8×
Osseous survey infant (77076) $106.50 $355 1.1×
Parathyroid imaging (78070) $1,465.80 $4,886 3.8×
Pelvis 1 or 2 views (72170) $664.50 $2,215 6.6×
Pr MRI, lower extr, w/o contrast f/u by contrast (73720) $1,692.90 $5,643 5.0×
Pulmonary Perfusion Imaging Particulate (78580) $1,306.20 $4,354 3.4×
Pulmonary Ventilation & Perfusion Imaging (78582) $1,152.90 $3,843 2.2×
Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) $1,097.10 $3,657 13.1×
Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) $1,205.40 $4,018 12.0×
Radex hips bilateral with pelvis 2 views (73521) $541.80 $1,806 5.4×
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $1,326.30 $4,421 13.2×
Radiolog exam mandible compl minimum 4 views (70110) $1,092.30 $3,641 10.9×
Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) $357.30 $1,191 4.3×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $432.60 $1,442 4.3×
Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) $560.10 $1,867 6.7×
Radiologic exam colon single contrast study (74270) $722.40 $2,408 4.3×
Radiologic exam upr gi trc double contrast study (74246) $778.80 $2,596 4.6×
Radiologic exam upr gi trc single contrast study (74240) $1,393.50 $4,645 8.3×
Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) $572.62 $1,908.75 6.8×
Radiological examination surgical specimen (76098) $1,397.40 $4,658 2.7×
Ribs bilateral 3 views (71110) $1,186.80 $3,956 11.8×
Rp loclzj tum spect 1 area single day imaging (78803) $1,238.70 $4,129 2.4×
Sacroiliac Joints < 3 Views (72200) $188.40 $628 1.9×
Scanogram (77073) $1,235.40 $4,118 12.3×
Scapula complete (73010) $640.80 $2,136 6.4×
Screening digital breast tomosynthesis (77063) $55.50 $185 2.4×
Small bowel series (74250) $682.50 $2,275 4.0×
Speech evaluation complex (70371) $434.40 $1,448 1.9×
Spine thoracic 3 views (72072) $950.70 $3,169 9.5×
Thoracolumbar 2 views (72080) $102 $340 1.2×
Thyroid uptake measurement (78012) $458.70 $1,529 1.2×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $1,919.70 $6,399 5.0×
Tmj unilateral (70328) $459.90 $1,533 5.5×
Ultrasound elastography first target lesion (76982) $276.60 $922 2.8×
Ultrasound, abdomen limited (76705) $1,235.70 $4,119 12.3×
Umbilical-artery Doppler (OB) (76820) $194.10 $647 1.9×
Upper Extremity Infant (73092) $243 $810 2.4×
Urethrocystography retrograde rs&i (74450) $628.50 $2,095 2.7×
Urethrocystography voiding (74455) $553.80 $1,846 2.4×
Us abdl aorta screen aaa (76706) $388.50 $1,295 3.9×
Us breast unilateral complete (76641) $570.90 $1,903 5.7×
Us breast unilateral limited (76642) $650.25 $2,167.50 7.8×
Us chest (76604) $611.70 $2,039 6.1×
Us compl joint r-t w/image documentation (76881) $910.80 $3,036 9.1×
Us elastography parenchyma (76981) $276.60 $922 2.8×
Us guided compression repair (76936) $249 $830 1.2×
Us ob detailed single fetus (76811) $225.60 $752 1.0×
Us ob transvaginal (76817) $1,467.90 $4,893 14.6×
Us pelvic non ob complete (76856) $1,290.90 $4,303 12.8×
Us pelvic nonobstetric image dcmtn limited/f/u (76857) $1,092.30 $3,641 10.9×
Us pregnancy ltd (76815) $794.40 $2,648 7.9×
Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) $1,467.90 $4,893 14.6×
Us retroperitoneal complete (76770) $1,237.80 $4,126 12.3×
Us retroperitoneal limited (76775) $929.40 $3,098 9.2×
Us scrotum and contents (76870) $1,199.40 $3,998 11.9×
Us soft tissue head/neck (76536) $1,293.90 $4,313 12.9×
Us xtr non-vasc lmtd (76882) $348.75 $1,162.50 3.5×
Venography extremity unilateral rs&i (75820) $1,164.60 $3,882 0.8×
Wrist 2 views (73100) $477.60 $1,592 5.7×
X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) $543 $1,810 5.4×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $1,485.30 $4,951 17.7×
X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) $850.88 $2,836.25 10.2×
X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) $1,017 $3,390 6.0×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $452.40 $1,508 5.4×
X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) $516.38 $1,721.25 6.2×
X-ray exam entire spi 4/5 vw (72083) $1,326 $4,420 13.2×
X-ray exam hip uni 1 view (73501) $451.50 $1,505 5.4×
X-Ray Exam Hip Uni 2-3 Views (73502) $492.60 $1,642 5.9×
X-ray exam hip uni 4/> views (73503) $541.80 $1,806 5.4×
X-Ray Exam Hips Bi 3-4 Views (73522) $775.20 $2,584 7.7×
X-Ray Exam Hips Bi 5/> Views (73523) $851.70 $2,839 8.5×
X-ray exam of femur 1 (73551) $202.50 $675 2.4×
X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) $1,044.60 $3,482 10.4×
X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) $634.80 $2,116 7.6×
X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) $809.62 $2,698.75 9.7×
X-Ray Heel - Xr Calcaneus 2 Views Right (73650) $571.80 $1,906 6.8×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $993.30 $3,311 11.9×
X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) $887.25 $2,957.50 8.8×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $494.40 $1,648 5.9×
X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) $296.70 $989 3.5×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $880.50 $2,935 8.8×
X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) $1,173.90 $3,913 11.7×
X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) $677.10 $2,257 6.7×
X-Ray Nasal Bones - Xr Nasal Bones (70160) $796.20 $2,654 9.5×
X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) $81.30 $271 1.0×
X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) $864.90 $2,883 8.6×
X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) $1,065.90 $3,553 10.6×
X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) $872.40 $2,908 2.6×
X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) $864.60 $2,882 10.3×
X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) $969 $3,230 9.6×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $1,306.20 $4,354 13.0×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $723 $2,410 7.2×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $613.20 $2,044 7.3×
X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) $1,004.85 $3,349.50 12.0×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $853.20 $2,844 10.2×
X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) $673.80 $2,246 8.1×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $1,470 $4,900 14.6×
X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) $500.40 $1,668 5.0×
X-Ray Spine One View - Xr Spine (72020) $636.90 $2,123 7.6×
X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) $356.10 $1,187 4.3×
X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) $576.90 $1,923 6.9×
X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) $709.80 $2,366 7.1×
X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) $1,272 $4,240 12.7×
X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) $473.40 $1,578 5.7×
X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) $781.12 $2,603.75 9.3×
Xr c-spine 6 or more views (72052) $1,184.70 $3,949 11.8×
Xr chest 4+ views (71048) $678 $2,260 6.7×
Xr finger(s) 2+ views (73140) $358.20 $1,194 4.3×
Xr shoulder 1 view (73020) $565.80 $1,886 6.8×
Xr spine cervical 4 or 5 views (72050) $1,077.30 $3,591 10.7×
Xr tibia/fibula 2 views (73590) $586.12 $1,953.75 7.0×
Xr tmj bilateral (70330) $690.60 $2,302 8.3×
Xray knee 1 or 2 views rt (73560) $744.75 $2,482.50 8.9×