Imaging prices at Hillcrest Hospital Pryor
Pryor, OK · every code in this section with a posted price and a Medicare benchmark.
236 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) | $105.30 | $351 | 1.3× |
| Abdomen 2 views (74019) | $190.50 | $635 | 1.9× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $452.70 | $1,509 | 1.2× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$187.20–$280.80 | $624–$936 | varies |
| Arthrogram hip (73525) | $497.40 | $1,658 | 1.5× |
| Arthrogram Wrist (73115) | $497.40 | $1,658 | 1.5× |
| Bone age studies (77072) | $178.20 | $594 | 1.8× |
| Bone Imaging 3 Phase (78315) | $703.80 | $2,346 | 1.8× |
| Bone Imaging Limited Area (78300) | $528.90 | $1,763 | 1.4× |
| Bone Imaging Multiple Areas (78305) | $581.70 | $1,939 | 1.5× |
| Bone Imaging Whole Body (78306) | $639.60 | $2,132 | 1.7× |
| Bone survey infant (77076) | $358.80 | $1,196 | 3.6× |
| Cat Scan Follow-Up Study (76380) | $320.70 | $1,069 | 3.8× |
| Chest 1 view (71045) | $177 | $590 | 2.1× |
| Chest 2 views (71046) | $177 | $590 | 2.1× |
| Chest 3 views (71047) | $218.40 | $728 | 2.6× |
| Chest 4 or more views (71048) | $270 | $900 | 2.7× |
| Clavicle complete (73000) | $266.70 | $889 | 3.2× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $99.30 | $331 | 1.0× |
| Contrast X-Ray Bladder (74430) | $377.10 | $1,257 | 1.1× |
| CT abdomen and pelvis without and with contrast (74178) | $4,060.50 | $13,535 | 12.1× |
| CT abdomen and pelvis without contrast (74176) | $1,677.90 | $5,593 | 7.3× |
| CT abdomen w contrast (74160) | $942.30 | $3,141 | 5.6× |
| CT abdomen w wo contrast (74170) | $1,480.50 | $4,935 | 8.8× |
| CT abdomen w/o contrast (74150) | $1,223.40 | $4,078 | 12.2× |
| CT Angio Abdomen and Pelvis (74174) | $682.20 | $2,274 | 2.0× |
| CT Angio Chest (71275) | $1,146 | $3,820 | 6.8× |
| CT Angio Head (70496) | $580.50 | $1,935 | 3.4× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$713.40–$1,070.10 | $2,378–$3,567 | varies |
| CT Angio Neck (70498) | $580.50 | $1,935 | 3.4× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $868.80 | $2,896 | 5.1× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $161.40 | $538 | 1.0× |
| CT cervical spine w/ contrast (72126) | $1,290.60 | $4,302 | 3.8× |
| CT cervical spine w/o contrast (72125) | $1,172.70 | $3,909 | 11.7× |
| CT cervical spine w/wo cont (72127) | $1,419.60 | $4,732 | 8.4× |
| CT chest w contrast (71260) | $1,301.70 | $4,339 | 7.7× |
| CT chest w/wo contrast (71270) | $1,293 | $4,310 | 7.7× |
| CT head/brain with contrast (70460) | $1,113.90 | $3,713 | 6.6× |
| CT head/brain without and with contrast (70470) | $1,057.20 | $3,524 | 6.3× |
| CT iac w contrast (70481) | $834 | $2,780 | 4.9× |
| CT l-spine w&w/o contrast (72133) | $1,950 | $6,500 | 11.6× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$615.90–$923.85 | $2,053–$3,079.50 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$968.40–$1,452.60 | $3,228–$4,842 | varies |
| CT lumbar spine w contrast (72132) | $1,772.70 | $5,909 | 5.3× |
| CT lumbar spine w/o contrast (72131) | $1,128 | $3,760 | 11.2× |
| CT maxillofacial w contrast (70487) | $927.90 | $3,093 | 5.5× |
| CT maxillofacial wo contrast (70486) | $1,204.50 | $4,015 | 12.0× |
| CT neck tissue combo (70492) | $1,034.40 | $3,448 | 6.1× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $918 | $3,060 | 5.4× |
| CT orbits w/o contrast (70480) | $758.70 | $2,529 | 7.5× |
| CT pelvis w&w/o contrast (72194) | $1,715.70 | $5,719 | 10.2× |
| CT pelvis w/o contrast (72192) | $693.90 | $2,313 | 6.9× |
| CT scan of leg combo (73702) | $1,064.70 | $3,549 | 6.3× |
| CT scans face/jaw combo (70488) | $1,458.30 | $4,861 | 8.6× |
| CT soft tissue neck w contrast (70491) | $940.50 | $3,135 | 5.6× |
| CT soft tissue neck w/o contrast (70490) | $854.70 | $2,849 | 8.5× |
| CT thoracic spine w contrast (72129) | $1,246.50 | $4,155 | 7.4× |
| CT thoracic spine w/o contrast (72128) | $1,473 | $4,910 | 14.6× |
| CT thoracic spine w/wo cont (72130) | $1,371.30 | $4,571 | 8.1× |
| CT thorax w/o contrast (71250) | $1,527 | $5,090 | 15.2× |
| CT upper ext wo (73200) | $957.90 | $3,193 | 9.5× |
| CT upper extremity w/o & w/contrast material (73202) | $1,656.30 | $5,521 | 9.8× |
| CT upper extremity with contrast (73201) | $1,506.30 | $5,021 | 4.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,023.60 | $3,412 | 6.1× |
| Cta Abdomen (74175) | $1,223.70 | $4,079 | 7.3× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $1,161 | $3,870 | 3.5× |
| CTA pelvis (72191) | $1,079.70 | $3,599 | 6.4× |
| Dxa Bone Density Axial (77080) | $255.90 | $853 | 2.5× |
| Esophagram (74220) | $162 | $540 | 1.0× |
| Fetal Biophys Profile W/Nst (76818) | $507 | $1,690 | 5.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $103.80 | $346 | 1.0× |
| Fluoroscopy up to 1 hr (76000) | $246.90 | $823 | 1.1× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$187.20–$280.80 | $624–$936 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$254.40–$381.60 | $848–$1,272 | varies |
| Gastric emptying imaging study (78264) | $475.20 | $1,584 | 1.2× |
| Gated Heart Planar Single (78472) | $882.90 | $2,943 | 2.3× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$145.20–$217.80 | $484–$726 | varies |
| Hepatobil Syst Image W/Drug (78227) | $633.30 | $2,111 | 1.2× |
| Hepatobiliary System Imaging (78226) | $419.10 | $1,397 | 1.1× |
| Ht Muscle Image Spect Sing (78451) | $1,611.60 | $5,372 | 1.3× |
| Hysterosalpingogram (74740) | $465.60 | $1,552 | 2.0× |
| K Flow/Funct Image W/Drug (78708) | $706.80 | $2,356 | 1.4× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $600 | $2,000 | 1.6× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$240.30–$360.45 | $801–$1,201.50 | varies |
| Liver & Spleen Imaging Static Only (78215) | $520.80 | $1,736 | 1.4× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $521.40 | $1,738 | 1.4× |
| Lung Perf&Ventilat Diferentl (78598) | $557.10 | $1,857 | 1.1× |
| Lung Ventilat&Perfus Imaging (78582) | $961.80 | $3,206 | 1.8× |
| Mra Head W/O & W/Contrast Material (70546) | $630.60 | $2,102 | 1.9× |
| MRA head w/o contrast (70544) | $493.50 | $1,645 | 2.2× |
| MRA head with contrast (70545) | $521.70 | $1,739 | 1.6× |
| MRA neck w contrast (70548) | $521.70 | $1,739 | 1.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $584.70 | $1,949 | 1.7× |
| MRA neck w/o contrast (70547) | $423.30 | $1,411 | 1.8× |
| MRI abdomen w contrast (74182) | $1,059 | $3,530 | 3.2× |
| MRI abdomen w/o contrast (74181) | $962.40 | $3,208 | 4.2× |
| MRI any jt lower extrem w/contrast material (73722) | $990.30 | $3,301 | 1.3× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,089.30 | $3,631 | 3.2× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,845.90 | $6,153 | 2.4× |
| MRI cervical spine w contrast (72142) | $1,402.50 | $4,675 | 4.2× |
| MRI cervical spine w/o cont (72141) | $1,275.30 | $4,251 | 5.6× |
| MRI chest w/o contrast (71550) | $693.60 | $2,312 | 3.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $846.60 | $2,822 | 2.5× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $693.60 | $2,312 | 2.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $548.70 | $1,829 | 2.4× |
| MRI lumbar spine w contrast (72149) | $1,223.10 | $4,077 | 3.6× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,542.90 | $5,143 | 4.6× |
| MRI orbit face &/neck w/o contrast (70540) | $1,060.80 | $3,536 | 4.6× |
| MRI orbit face neck w contrast (70542) | $1,167.30 | $3,891 | 3.5× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,283.70 | $4,279 | 3.8× |
| MRI pelvis w contrast (72196) | $873.90 | $2,913 | 2.6× |
| MRI pelvis w/o & w contrast (72197) | $961.20 | $3,204 | 2.9× |
| MRI pelvis w/o contrast (72195) | $794.40 | $2,648 | 3.5× |
| MRI thoracic spine w/o contrast (72146) | $1,019.40 | $3,398 | 4.4× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,665.90 | $5,553 | 5.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$1,059.90–$1,589.85 | $3,533–$5,299.50 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,832.40 | $6,108 | 5.5× |
| MRI, abdomen, combo (74183) | $1,164.90 | $3,883 | 3.5× |
| MRI, dorsal spine combo (72157) | $1,233.60 | $4,112 | 3.7× |
| MRI, dorsal spine contrast (72147) | $1,121.40 | $3,738 | 3.3× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$1,677.90–$2,516.85 | $5,593–$8,389.50 | varies |
| MRI, joint upper extrem combo (73223) | $2,030.40 | $6,768 | 6.1× |
| MRI, lumbar spine combo (72158) | $1,410.90 | $4,703 | 4.2× |
| Myocardial Spect Multiple Studies (78452) | $1,273.50 | $4,245 | 1.0× |
| Neck soft tissue (70360) | $108.90 | $363 | 1.3× |
| Parathyroid Planar Imaging (78070) | $401.10 | $1,337 | 1.0× |
| Parathyroid planar imaging w/wo subtraction (78071) | $774.60 | $2,582 | 2.0× |
| Pelvis 1 or 2 views (72170) | $197.10 | $657 | 2.0× |
| Pulmonary Perfusion Imaging Particulate (78580) | $618.60 | $2,062 | 1.6× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $193.80 | $646 | 1.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $494.10 | $1,647 | 0.9× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$204.60–$306.90 | $682–$1,023 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$151.20–$226.80 | $504–$756 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$189.60–$284.40 | $632–$948 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $388.80 | $1,296 | 3.9× |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$299.10–$448.65 | $997–$1,495.50 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$173.40–$260.10 | $578–$867 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$254.40–$381.60 | $848–$1,272 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $301.80 | $1,006 | 3.6× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $207.60 | $692 | 2.5× |
| Radex Ribs Unilateral 2 Views (71100) | $318.90 | $1,063 | 3.8× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$182.10–$273.15 | $607–$910.50 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $139.80 | $466 | 1.7× |
| Radex Spine 1 View Specify Level (72020) | $226.80 | $756 | 2.7× |
| Radex Sternum Minimum 2 Views (71120) | $204 | $680 | 2.4× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $190.50 | $635 | 2.3× |
| Radex Toe Minimum 2 Views (73660) | $212.40 | $708 | 2.5× |
| Radex upper extremity infant minimum 2 views (73092) | $294.30 | $981 | 2.9× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$245.40–$368.10 | $818–$1,227 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $777 | $2,590 | 7.7× |
| Radiolog exam mandible compl minimum 4 views (70110) | $513.90 | $1,713 | 5.1× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $211.80 | $706 | 2.1× |
| Radiologic exam colon double contrast study (74280) | $471.30 | $1,571 | 2.8× |
| Radiologic exam colon single contrast study (74270) | $366.30 | $1,221 | 2.2× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$317.40–$476.10 | $1,058–$1,587 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $301.20 | $1,004 | 3.0× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $314.70 | $1,049 | 1.9× |
| Radiologic exam swallow function contrast study (74230) | $226.50 | $755 | 1.3× |
| Radiologic exam upr gi trc double contrast study (74246) | $268.80 | $896 | 1.6× |
| Radiologic examination femur 1 view (73551) | $184.50 | $615 | 2.2× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$192.90–$289.35 | $643–$964.50 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$131.10–$196.65 | $437–$655.50 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $365.10 | $1,217 | 3.6× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$164.70–$247.05 | $549–$823.50 | varies |
| Ribs bilateral 3 views (71110) | $318.90 | $1,063 | 3.2× |
| Scapula (73010) | $220.80 | $736 | 2.2× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $55.80 | $186 | 2.4× |
| Shoulder 1 view (73020) | $162.30 | $541 | 1.9× |
| Shoulder Arthrography (73040) | $497.40 | $1,658 | 1.5× |
| Skull less than 4 views (70250) | $234.90 | $783 | 2.3× |
| Sternoclavicular joints (71130) | $261.30 | $871 | 3.1× |
| Thoracic spine 2 views (72070) | $208.50 | $695 | 2.1× |
| Thoracic spine 3 views (72072) | $371.70 | $1,239 | 3.7× |
| Thoracolumbar 2 views (72080) | $99.30 | $331 | 1.2× |
| Thyroid Imaging With Vascular Flow (78013) | $256.80 | $856 | 0.7× |
| Thyroid Uptake Measurement (78012) | $452.70 | $1,509 | 1.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $442.80 | $1,476 | 1.2× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$477.90–$716.85 | $1,593–$2,389.50 | varies |
| Ultrasound Exam Aaa Screen (76706) | $199.80 | $666 | 2.0× |
| Ultrasound, abdomen limited (76705) | $567.60 | $1,892 | 5.6× |
| Upper gi w/o kub (74240) | $317.70 | $1,059 | 1.9× |
| Urethrocystogram voiding (74455) | $377.10 | $1,257 | 1.6× |
| Urethrocystography retrograde (74450) | $291.90 | $973 | 1.3× |
| Us breast unilateral complete (76641) | $526.50 | $1,755 | 5.2× |
| Us chest (76604) | $291.30 | $971 | 2.9× |
| Us complete joint (76881) | $859.80 | $2,866 | 8.6× |
| Us exam, pelvic, limited (76857) | $218.70 | $729 | 2.2× |
| Us head (76506) | $393.30 | $1,311 | 3.9× |
| Us kidney transplant (76776) | $589.80 | $1,966 | 5.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$204.90–$307.35 | $683–$1,024.50 | varies |
| Us ob detailed single fetus (76811) | $573.90 | $1,913 | 2.5× |
| Us ob limited 1 or more fetuses (76815) | $291.30 | $971 | 2.9× |
| Us ob transvaginal (76817) | $297.90 | $993 | 3.0× |
| Us pelvic non ob complete (76856) | $627 | $2,090 | 6.2× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $291.30 | $971 | 2.9× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $228.30 | $761 | 2.3× |
| Us retroperitoneal complete (76770) | $638.40 | $2,128 | 6.3× |
| Us retroperitoneal limited (76775) | $466.80 | $1,556 | 4.6× |
| Us scrotum and contents (76870) | $575.70 | $1,919 | 5.7× |
| Us thyroid (76536) | $599.70 | $1,999 | 6.0× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$166.80–$250.20 | $556–$834 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $228.30 | $761 | 2.7× |
| X-Ray Bend Only L-S Spine (72120) | $103.80 | $346 | 1.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $184.80 | $616 | 2.2× |
| X-Ray Exam Breast Specimen (76098) | $626.10 | $2,087 | 1.2× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $99.30 | $331 | 1.2× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $706.80 | $2,356 | 7.0× |
| X-Ray Exam Hip Uni 1 View (73501) | $156.60 | $522 | 1.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $243 | $810 | 2.9× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $243 | $810 | 2.4× |
| X-Ray Exam Hips Bi 2 Views (73521) | $243 | $810 | 2.4× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $267.90 | $893 | 2.7× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $294.90 | $983 | 2.9× |
| X-Ray Exam L-S Spine Bending (72114) | $423.90 | $1,413 | 4.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $233.70 | $779 | 2.8× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $375 | $1,250 | 3.7× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $351 | $1,170 | 3.5× |
| X-ray eye for foreign body (70030) | $78.30 | $261 | 0.9× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$222.60–$333.90 | $742–$1,113 | varies |
| X-ray IV pyelogram (ivp) (74400) | $377.10 | $1,257 | 2.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $139.80 | $466 | 1.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $205.80 | $686 | 2.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $180 | $600 | 1.8× |
| X-ray nose-rectum child f.b. (76010) | $375 | $1,250 | 4.5× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $350.70 | $1,169 | 3.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $305.40 | $1,018 | 3.0× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $277.50 | $925 | 2.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $213.60 | $712 | 2.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $195.30 | $651 | 2.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $372.30 | $1,241 | 3.7× |
| X-Ray Tmj Unilat (70328) | $120 | $400 | 1.4× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $872.40 | $2,908 | 2.6× |
| X-Rays Bone Survey Complete (77075) | $402.30 | $1,341 | 4.0× |
| Xr c-spine 4 or 5 views (72050) | $369.30 | $1,231 | 3.7× |
| Xr facial bones less than 3 views (70140) | $147.30 | $491 | 1.8× |
| Xr orbits complete 4 views (70200) | $347.70 | $1,159 | 3.5× |
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.