Imaging prices at Hillcrest Hospital Henryetta
Henryetta, OK · every code in this section with a posted price and a Medicare benchmark.
182 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) | $110.10 | $367 | 1.3× |
| Abdomen 2 views (74019) | $177.30 | $591 | 1.8× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$242.40–$363.60 | $808–$1,212 | varies |
| Bone age studies (77072) | $106.50 | $355 | 1.1× |
| Bone survey infant (77076) | $120 | $400 | 1.2× |
| Chest 1 view (71045) | $117.90 | $393 | 1.4× |
| Chest 2 views (71046) | $177 | $590 | 2.1× |
| Chest 3 views (71047) | $194.70 | $649 | 2.3× |
| Chest 4 or more views (71048) | $120 | $400 | 1.2× |
| Clavicle complete (73000) | $244.20 | $814 | 2.9× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $429.30 | $1,431 | 4.3× |
| CT abdomen and pelvis without and with contrast (74178) | $1,433.40 | $4,778 | 4.3× |
| CT abdomen and pelvis without contrast (74176) | $879.30 | $2,931 | 3.8× |
| CT abdomen w contrast (74160) | $1,167.60 | $3,892 | 6.9× |
| CT abdomen w wo contrast (74170) | $1,176 | $3,920 | 7.0× |
| CT abdomen w/o contrast (74150) | $942.60 | $3,142 | 9.4× |
| CT Angio Abdomen and Pelvis (74174) | $1,911.30 | $6,371 | 5.7× |
| CT Angio Chest (71275) | $477 | $1,590 | 2.8× |
| CT Angio Head (70496) | $1,414.80 | $4,716 | 8.4× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$1,286.10–$1,929.15 | $4,287–$6,430.50 | varies |
| CT Angio Neck (70498) | $1,454.40 | $4,848 | 8.6× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $161.40 | $538 | 1.0× |
| CT cervical spine w/ contrast (72126) | $1,374.60 | $4,582 | 4.1× |
| CT cervical spine w/o contrast (72125) | $1,054.20 | $3,514 | 10.5× |
| CT cervical spine w/wo cont (72127) | $1,598.10 | $5,327 | 9.5× |
| CT chest w contrast (71260) | $1,196.70 | $3,989 | 7.1× |
| CT chest w/wo contrast (71270) | $1,387.20 | $4,624 | 8.2× |
| CT head/brain with contrast (70460) | $214.80 | $716 | 1.3× |
| CT head/brain without and with contrast (70470) | $1,395.60 | $4,652 | 8.3× |
| CT iac w contrast (70481) | $1,025.40 | $3,418 | 6.1× |
| CT l-spine w&w/o contrast (72133) | $1,284.30 | $4,281 | 7.6× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$974.40–$1,461.60 | $3,248–$4,872 | varies |
| CT lower extremity w/contrast material (73701) | $1,053.90 | $3,513 | 6.2× |
| CT lumbar spine w contrast (72132) | $1,167.60 | $3,892 | 3.5× |
| CT lumbar spine w/o contrast (72131) | $1,045.80 | $3,486 | 10.4× |
| CT maxillofacial w contrast (70487) | $1,090.50 | $3,635 | 6.5× |
| CT maxillofacial wo contrast (70486) | $772.50 | $2,575 | 7.7× |
| CT neck tissue combo (70492) | $1,243.20 | $4,144 | 7.4× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,353.60 | $4,512 | 8.0× |
| CT orbits w/o contrast (70480) | $917.40 | $3,058 | 9.1× |
| CT pelvis w&w/o contrast (72194) | $1,190.70 | $3,969 | 7.1× |
| CT pelvis w/o contrast (72192) | $670.50 | $2,235 | 6.7× |
| CT scan of leg combo (73702) | $1,158.60 | $3,862 | 6.9× |
| CT scans face/jaw combo (70488) | $1,134.90 | $3,783 | 6.7× |
| CT soft tissue neck w contrast (70491) | $1,155.90 | $3,853 | 6.9× |
| CT soft tissue neck w/o contrast (70490) | $781.50 | $2,605 | 7.8× |
| CT thoracic spine w contrast (72129) | $993.90 | $3,313 | 5.9× |
| CT thoracic spine w/o contrast (72128) | $903.60 | $3,012 | 9.0× |
| CT thoracic spine w/wo cont (72130) | $1,519.80 | $5,066 | 9.0× |
| CT thorax w/o contrast (71250) | $977.40 | $3,258 | 9.7× |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$885.60–$1,328.40 | $2,952–$4,428 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $1,004.40 | $3,348 | 6.0× |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$912.90–$1,369.35 | $3,043–$4,564.50 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,414.80 | $4,716 | 8.4× |
| Cta Abdomen (74175) | $1,416.90 | $4,723 | 8.4× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $1,670.70 | $5,569 | 5.0× |
| Dxa Bone Density Axial (77080) | $245.10 | $817 | 2.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $156.60 | $522 | 1.9× |
| Fetal Biophys Profile W/Nst (76818) | $114.90 | $383 | 1.1× |
| Fluoroscopy up to 1 hr (76000) | $248.40 | $828 | 1.1× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$249.60–$374.40 | $832–$1,248 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$250.80–$376.20 | $836–$1,254 | varies |
| Hand 2 views (73120) range across 2 matching MRF lines |
$242.10–$363.15 | $807–$1,210.50 | varies |
| Hepatobil Syst Image W/Drug (78227) | $417.60 | $1,392 | 0.8× |
| Hepatobiliary System Imaging (78226) | $417.30 | $1,391 | 1.1× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$280.80–$421.20 | $936–$1,404 | varies |
| MRA head w/o contrast (70544) | $764.70 | $2,549 | 3.3× |
| MRA head with contrast (70545) | $844.80 | $2,816 | 2.5× |
| MRA neck w/o contrast (70547) | $764.70 | $2,549 | 3.3× |
| MRI any jt lower extrem w/contrast material (73722) | $1,699.20 | $5,664 | 2.3× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,869 | $6,230 | 5.6× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,698.30 | $5,661 | 2.3× |
| MRI cervical spine w contrast (72142) | $1,306.20 | $4,354 | 3.9× |
| MRI cervical spine w/o cont (72141) | $1,187.10 | $3,957 | 5.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,759.20 | $5,864 | 5.2× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,935.90 | $6,453 | 5.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,599.90 | $5,333 | 7.0× |
| MRI lumbar spine w contrast (72149) | $1,698.30 | $5,661 | 5.1× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,803.30 | $6,011 | 5.4× |
| MRI orbit face &/neck w/o contrast (70540) | $267.30 | $891 | 1.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,409.70 | $4,699 | 4.2× |
| MRI pelvis w/o & w contrast (72197) | $1,660.50 | $5,535 | 4.9× |
| MRI pelvis w/o contrast (72195) | $245.70 | $819 | 1.1× |
| MRI thoracic spine w/o contrast (72146) | $1,578.30 | $5,261 | 6.9× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,471.20 | $4,904 | 4.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,420.80 | $4,736 | 6.2× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,449 | $4,830 | 4.3× |
| MRI, dorsal spine combo (72157) | $1,770.90 | $5,903 | 5.3× |
| MRI, dorsal spine contrast (72147) | $1,736.40 | $5,788 | 5.2× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$1,665–$2,497.50 | $5,550–$8,325 | varies |
| MRI, joint upper extrem combo (73223) | $1,698.30 | $5,661 | 5.1× |
| MRI, lumbar spine combo (72158) | $1,734.30 | $5,781 | 5.2× |
| Myocardial Spect Multiple Studies (78452) | $1,541.40 | $5,138 | 1.2× |
| Neck soft tissue (70360) | $134.10 | $447 | 1.6× |
| Pelvis 1 or 2 views (72170) | $273 | $910 | 2.7× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $287.10 | $957 | 2.9× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$299.40–$449.10 | $998–$1,497 | varies |
| Radex Calcaneus Minimum 2 Views (73650) | $277.50 | $925 | 3.3× |
| Radex elbow complete minimum 3 views (73080) | $281.70 | $939 | 3.4× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $522 | $1,740 | 5.2× |
| Radex fingr minimum 2 views (73140) | $231.90 | $773 | 2.8× |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$301.80–$452.70 | $1,006–$1,509 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$297.60–$446.40 | $992–$1,488 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $66.60 | $222 | 0.8× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $218.40 | $728 | 2.6× |
| Radex Ribs Unilateral 2 Views (71100) | $70.20 | $234 | 0.8× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$278.40–$417.60 | $928–$1,392 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $70.20 | $234 | 0.8× |
| Radex Spine 1 View Specify Level (72020) | $70.20 | $234 | 0.8× |
| Radex Sternum Minimum 2 Views (71120) | $232.50 | $775 | 2.8× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $227.70 | $759 | 2.7× |
| Radex Toe Minimum 2 Views (73660) | $212.40 | $708 | 2.5× |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$102–$153 | $340–$510 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$288.90–$433.35 | $963–$1,444.50 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $120 | $400 | 1.2× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $195 | $650 | 1.9× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$324.30–$486.45 | $1,081–$1,621.50 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $300.90 | $1,003 | 3.0× |
| Radiologic examination femur 1 view (73551) | $111.30 | $371 | 1.3× |
| Radiologic examination femur minimum 2 views (73552) | $252.30 | $841 | 3.0× |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$269.10–$403.65 | $897–$1,345.50 | varies |
| Radiologic examination tibia & fibula 2 views (73590) | $264 | $880 | 3.2× |
| Ribs bilateral 3 views (71110) | $354.30 | $1,181 | 3.5× |
| Scapula (73010) | $248.40 | $828 | 2.5× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $53.70 | $179 | 2.3× |
| Shoulder 1 view (73020) | $240 | $800 | 2.9× |
| Skull less than 4 views (70250) | $211.80 | $706 | 2.1× |
| Thoracic spine 2 views (72070) | $301.50 | $1,005 | 3.0× |
| Thoracic spine 3 views (72072) | $357.30 | $1,191 | 3.6× |
| Thoracolumbar 2 views (72080) | $242.10 | $807 | 2.9× |
| Ultrasound Breast Limited (76642) | $337.80 | $1,126 | 4.0× |
| Ultrasound Exam Aaa Screen (76706) | $256.80 | $856 | 2.6× |
| Ultrasound, abdomen limited (76705) | $380.40 | $1,268 | 3.8× |
| Umbilical-artery Doppler (OB) (76820) | $212.70 | $709 | 2.1× |
| Us breast unilateral complete (76641) | $463.20 | $1,544 | 4.6× |
| Us chest (76604) | $129.30 | $431 | 1.3× |
| Us complete joint (76881) | $337.80 | $1,126 | 3.4× |
| Us exam, pelvic, limited (76857) | $240.60 | $802 | 2.4× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$244.50–$366.75 | $815–$1,222.50 | varies |
| Us ob detailed single fetus (76811) | $573.90 | $1,913 | 2.5× |
| Us ob limited 1 or more fetuses (76815) | $304.20 | $1,014 | 3.0× |
| Us ob transvaginal (76817) | $207.30 | $691 | 2.1× |
| Us pelvic non ob complete (76856) | $462.60 | $1,542 | 4.6× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $369.90 | $1,233 | 3.7× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $281.70 | $939 | 2.8× |
| Us retroperitoneal complete (76770) | $481.20 | $1,604 | 4.8× |
| Us retroperitoneal limited (76775) | $463.50 | $1,545 | 4.6× |
| Us scrotum and contents (76870) | $345 | $1,150 | 3.4× |
| Us thyroid (76536) | $308.70 | $1,029 | 3.1× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$234.30–$351.45 | $781–$1,171.50 | varies |
| X-Ray Bend Only L-S Spine (72120) | $120 | $400 | 1.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $246.30 | $821 | 2.9× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $257.40 | $858 | 3.1× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $129.30 | $431 | 1.3× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $318 | $1,060 | 3.2× |
| X-Ray Exam Hip Uni 1 View (73501) | $163.20 | $544 | 1.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $247.80 | $826 | 3.0× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $272.70 | $909 | 2.7× |
| X-Ray Exam Hips Bi 2 Views (73521) | $272.70 | $909 | 2.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $294 | $980 | 2.9× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $350.70 | $1,169 | 3.5× |
| X-Ray Exam L-S Spine Bending (72114) | $377.10 | $1,257 | 3.8× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $334.80 | $1,116 | 4.0× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $420.60 | $1,402 | 4.2× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $350.70 | $1,169 | 3.5× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$264.30–$396.45 | $881–$1,321.50 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $78.90 | $263 | 0.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $168.60 | $562 | 2.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $330.30 | $1,101 | 3.3× |
| X-ray nose-rectum child f.b. (76010) | $121.50 | $405 | 1.5× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $358.50 | $1,195 | 3.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $141.90 | $473 | 1.4× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $119.40 | $398 | 1.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $246.90 | $823 | 2.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $342 | $1,140 | 4.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $129.30 | $431 | 1.3× |
| X-ray thoracic spine 4 vw (72074) | $393 | $1,310 | 3.9× |
| X-Ray Tmj Unilat (70328) | $66.60 | $222 | 0.8× |
| X-Rays Bone Survey Complete (77075) | $459.60 | $1,532 | 4.6× |
| Xr c-spine 4 or 5 views (72050) | $412.80 | $1,376 | 4.1× |
| Xr facial bones less than 3 views (70140) | $213.90 | $713 | 2.6× |
| Xr orbits complete 4 views (70200) | $210.30 | $701 | 2.1× |
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.