Imaging prices at INTEGRIS Community Hospital - Council Crossing
Oklahoma City, OK · every code in this section with a posted price and a Medicare benchmark.
145 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) | $574.89 | $727.71 | 6.9× |
| Abdomen 2 views (74019) | $740.87 | $937.81 | 7.4× |
| Ankle 2 views (73600) | $630.41 | $797.99 | 7.5× |
| Bone age studies (77072) | $349.40 | $442.28 | 3.5× |
| Chest 1 view (71045) | $492.76 | $623.75 | 5.9× |
| Chest 2 views (71046) | $613.67 | $776.80 | 7.3× |
| Chest 3 views (71047) | $684.25 | $866.14 | 8.2× |
| Chest 4 or more views (71048) | $896.16 | $1,134.38 | 8.9× |
| Clavicle complete (73000) | $733.06 | $927.93 | 8.8× |
| CT abdomen and pelvis without and with contrast (74178) | $8,638.60 | $10,934.94 | 25.7× |
| CT abdomen and pelvis without contrast (74176) | $3,871.40 | $4,900.51 | 16.9× |
| CT abdomen w contrast (74160) | $2,851.85 | $3,609.94 | 16.9× |
| CT abdomen w wo contrast (74170) | $3,565.22 | $4,512.94 | 21.1× |
| CT abdomen w/o contrast (74150) | $2,281.65 | $2,888.16 | 22.7× |
| CT Angio Abdomen and Pelvis (74174) | $4,491.92 | $5,685.98 | 13.4× |
| CT Angio Chest (71275) | $3,894.21 | $4,929.38 | 23.1× |
| CT Angio Head (70496) | $2,158.13 | $2,731.81 | 12.8× |
| CT Angio Neck (70498) | $1,954.33 | $2,473.83 | 11.6× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$2,274.36–$2,560.68 | $2,878.94–$3,241.37 | varies |
| CT cervical spine w/ contrast (72126) | $2,610.59 | $3,304.55 | 7.8× |
| CT cervical spine w/o contrast (72125) | $2,088.17 | $2,643.25 | 20.8× |
| CT cervical spine w/wo cont (72127) | $3,471.40 | $4,394.18 | 20.6× |
| CT chest w contrast (71260) | $2,396.91 | $3,034.06 | 14.2× |
| CT chest w/wo contrast (71270) | $2,996.90 | $3,793.54 | 17.8× |
| CT head/brain with contrast (70460) | $3,130.73 | $3,962.95 | 18.6× |
| CT head/brain without and with contrast (70470) | $3,766.46 | $4,767.67 | 22.3× |
| CT iac w contrast (70481) | $2,079.81 | $2,632.67 | 12.3× |
| CT l-spine w&w/o contrast (72133) | $3,925.39 | $4,968.85 | 23.3× |
| CT lower ext w/o (73700) | $3,375.60 | $4,272.91 | 33.6× |
| CT lower extremity w/contrast material (73701) | $3,710.95 | $4,697.41 | 22.0× |
| CT lumbar spine w contrast (72132) | $3,139.86 | $3,974.51 | 9.4× |
| CT lumbar spine w/o contrast (72131) | $2,511.73 | $3,179.41 | 25.0× |
| CT maxillofacial w contrast (70487) | $4,356.57 | $5,514.64 | 25.8× |
| CT maxillofacial wo contrast (70486) | $3,541.37 | $4,482.75 | 35.2× |
| CT neck tissue combo (70492) | $4,594.58 | $5,815.93 | 27.2× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,397.67 | $3,035.02 | 14.2× |
| CT orbits w/o contrast (70480) | $1,984.75 | $2,512.34 | 19.7× |
| CT pelvis w&w/o contrast (72194) | $3,228.76 | $4,087.04 | 19.1× |
| CT pelvis w/o contrast (72192) | $1,942.93 | $2,459.40 | 19.3× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$5,274.42–$5,609.88 | $6,676.48–$7,101.12 | varies |
| CT scans face/jaw combo (70488) | $4,801.42 | $6,077.75 | 28.5× |
| CT soft tissue neck w contrast (70491) | $4,071.40 | $5,153.67 | 24.1× |
| CT soft tissue neck w/o contrast (70490) | $3,313.24 | $4,193.97 | 33.0× |
| CT thoracic spine w contrast (72129) | $2,625.80 | $3,323.80 | 15.6× |
| CT thoracic spine w/o contrast (72128) | $2,100.33 | $2,658.65 | 20.9× |
| CT thoracic spine w/wo cont (72130) | $3,282.06 | $4,154.51 | 19.5× |
| CT thorax w/o contrast (71250) | $1,917.07 | $2,426.67 | 19.1× |
| CT upper ext wo (73200) | $2,808.31 | $3,554.82 | 27.9× |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$4,387.74–$4,666.82 | $5,554.10–$5,907.37 | varies |
| CT upper extremity with contrast (73201) | $3,509.43 | $4,442.32 | 10.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $4,414.35 | $5,587.79 | 26.2× |
| Cta Abdomen (74175) | $3,879.01 | $4,910.14 | 23.0× |
| CTA pelvis (72191) | $1,626.52 | $2,058.88 | 9.6× |
| Foot 2 views (73620) | $726.98 | $920.23 | 8.7× |
| Forearm 2 views (73090) | $592.39 | $749.86 | 7.1× |
| Hand 2 views (73120) | $628.89 | $796.06 | 6.3× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $353.45 | $447.40 | 4.2× |
| Infant hip ultrasound, limited static exam (76886) | $249.92 | $316.36 | 3.0× |
| Knee 3 Views (73562) | $879.83 | $1,113.71 | 10.5× |
| Neck soft tissue (70360) | $900.36 | $1,139.70 | 10.8× |
| Ob us nuchal meas 1 gest (76813) | $406.83 | $514.97 | 4.0× |
| Pelvis 1 or 2 views (72170) | $406.84 | $514.99 | 4.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $1,127.73 | $1,427.51 | 11.2× |
| Radex Ankle Complete Minimum 3 Views (73610) | $718.62 | $909.64 | 8.6× |
| Radex Calcaneus Minimum 2 Views (73650) | $734.58 | $929.85 | 8.8× |
| Radex elbow complete minimum 3 views (73080) | $726.98 | $920.23 | 8.7× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $933.83 | $1,182.06 | 9.3× |
| Radex fingr minimum 2 views (73140) | $576.42 | $729.64 | 6.9× |
| Radex foot complete minimum 3 views (73630) | $846.37 | $1,071.35 | 10.1× |
| Radex Hand Minimum 3 Views (73130) | $672.99 | $851.89 | 8.0× |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$393.14–$429.65 | $497.65–$543.86 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $616.31 | $780.14 | 6.1× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $720.14 | $911.57 | 8.6× |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$751.31–$819.76 | $951.03–$1,037.67 | varies |
| Radex shoulder complete minimum 2 views (73030) | $946.75 | $1,198.42 | 11.3× |
| Radex Sinuses Paransl < 3 Views (70210) | $260.83 | $330.17 | 3.1× |
| Radex Spine 1 View Specify Level (72020) range across 4 matching MRF lines |
$664.62–$669.69 | $841.29–$847.71 | varies |
| Radex Sternum Minimum 2 Views (71120) | $335.36 | $424.50 | 4.0× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $285.51 | $361.40 | 3.4× |
| Radex Toe Minimum 2 Views (73660) | $639.53 | $809.53 | 7.6× |
| Radex upper extremity infant minimum 2 views (73092) | $653.98 | $827.82 | 6.5× |
| Radex Wrist Complete Minimum 3 Views (73110) | $681.36 | $862.48 | 8.1× |
| Radiolog exam mandible compl minimum 4 views (70110) | $828.88 | $1,049.22 | 8.2× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $1,127.73 | $1,427.51 | 11.2× |
| Radiologic exam knee complete 4/more views (73564) | $952.83 | $1,206.12 | 9.5× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $1,098.83 | $1,390.93 | 10.9× |
| Radiologic examination femur 1 view (73551) | $955.11 | $1,209 | 11.4× |
| Radiologic examination femur minimum 2 views (73552) | $895.80 | $1,133.93 | 10.7× |
| Radiologic examination knee 1/2 views (73560) | $648.65 | $821.08 | 7.7× |
| Radiologic examination tibia & fibula 2 views (73590) | $764.25 | $967.40 | 9.1× |
| Ribs bilateral 3 views (71110) | $656.75 | $831.33 | 6.5× |
| Scapula (73010) | $801.50 | $1,014.56 | 8.0× |
| Shoulder 1 view (73020) | $372.62 | $471.67 | 4.5× |
| Skull less than 4 views (70250) | $613.67 | $776.80 | 6.1× |
| Sternoclavicular joints (71130) | $676.97 | $856.93 | 8.1× |
| Thoracic spine 2 views (72070) | $406.08 | $514.02 | 4.0× |
| Thoracic spine 3 views (72072) | $426.61 | $540.01 | 4.2× |
| Thoracolumbar 2 views (72080) | $427.05 | $540.57 | 5.1× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$1,304.16–$2,311.57 | $1,650.83–$2,926.04 | varies |
| Ultrasound Exam Aaa Screen (76706) | $1,053.97 | $1,334.14 | 10.5× |
| Ultrasound, abdomen limited (76705) | $1,482.10 | $1,876.07 | 14.7× |
| Unlisted Dx Radiographic Procedure (76499) | $791.82 | $1,002.31 | 9.5× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$1,711.75–$3,033.03 | $2,166.77–$3,839.28 | varies |
| Us chest (76604) | $494.29 | $625.68 | 4.9× |
| Us complete joint (76881) range across 2 matching MRF lines |
$820.94–$904.25 | $1,039.16–$1,144.62 | varies |
| Us exam, pelvic, limited (76857) | $1,209.10 | $1,530.51 | 12.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$506.45–$575.65 | $641.08–$728.67 | varies |
| Us ob limited 1 or more fetuses (76815) | $1,169.56 | $1,480.46 | 11.6× |
| Us ob transvaginal (76817) | $1,272.97 | $1,611.36 | 12.7× |
| Us pelvic non ob complete (76856) | $1,580.96 | $2,001.21 | 15.7× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $1,339.14 | $1,695.11 | 13.3× |
| Us retroperitoneal complete (76770) | $1,557.38 | $1,971.37 | 15.5× |
| Us retroperitoneal limited (76775) | $591.62 | $748.89 | 5.9× |
| Us scrotum and contents (76870) | $1,435.71 | $1,817.36 | 14.3× |
| Us thyroid (76536) | $1,384.76 | $1,752.86 | 13.8× |
| Wrist 2 views (73100) | $364.25 | $461.08 | 4.4× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $997.26 | $1,262.35 | 11.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $624.32 | $790.28 | 7.5× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $752.19 | $952.14 | 7.5× |
| X-Ray Exam Hip Uni 1 View (73501) | $295.05 | $373.48 | 3.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $755.12 | $955.85 | 9.0× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $1,214.02 | $1,536.73 | 12.1× |
| X-Ray Exam Hips Bi 2 Views (73521) | $889.71 | $1,126.22 | 8.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $902.65 | $1,142.59 | 9.0× |
| X-Ray Exam L-S Spine Bending (72114) | $1,574.75 | $1,993.35 | 15.7× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $779.45 | $986.65 | 9.3× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,613.57 | $2,042.49 | 16.0× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $886.67 | $1,122.37 | 8.8× |
| X-ray eye for foreign body (70030) | $162.57 | $205.79 | 1.9× |
| X-ray humerus (73060) | $410.64 | $519.80 | 4.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $689.72 | $873.06 | 8.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $335.36 | $424.50 | 4.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $833.44 | $1,054.99 | 8.3× |
| X-ray nose-rectum child f.b. (76010) | $352.08 | $445.67 | 4.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $674.51 | $853.81 | 6.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $532.31 | $673.81 | 5.3× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $473.15 | $598.93 | 4.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $612.91 | $775.84 | 7.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $948.27 | $1,200.34 | 11.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $857.02 | $1,084.84 | 8.5× |
| X-ray thoracic spine 4 vw (72074) | $503.41 | $637.23 | 5.0× |
| X-Rays Bone Survey Complete (77075) | $925.45 | $1,171.46 | 9.2× |
| Xr c-spine 4 or 5 views (72050) | $1,205.12 | $1,525.47 | 12.0× |
| Xr facial bones less than 3 views (70140) | $361.21 | $457.23 | 4.3× |
| Xr orbits complete 4 views (70200) | $428.67 | $542.62 | 4.3× |
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.