Imaging prices at Jefferson County Hospital
Waurika, OK · every code in this section with a posted price and a Medicare benchmark.
151 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) | $129.51 | $369 | 1.5× |
| Abdomen 2 views (74019) | $185.67 | $529 | 1.8× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$98.63–$163.80 | $252–$281 | varies |
| Bone age studies (77072) | $119.69 | $341 | 1.2× |
| Bone survey infant (77076) | $164.97 | $470 | 1.6× |
| Cat Scan Follow-Up Study (76380) | $485.43 | $1,383 | 5.8× |
| Chest 1 view (71045) range across 3 matching MRF lines |
$100.73–$214.46 | $287–$611 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$129.51–$169.88 | $369–$484 | varies |
| Clavicle complete (73000) range across 2 matching MRF lines |
$134.78–$525.85 | $384–$809 | varies |
| Contrast X-Ray Bladder (74430) | $281.50 | $802 | 0.8× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$1,455.24–$1,787.64 | $4,146–$5,093 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$1,455.24–$1,652.85 | $4,146–$4,709 | varies |
| CT abdomen w contrast (74160) | $1,232.01 | $3,510 | 7.3× |
| CT abdomen w wo contrast (74170) | $1,274.13 | $3,630 | 7.6× |
| CT abdomen w/o contrast (74150) | $1,031.94 | $2,940 | 10.3× |
| CT Angio Abdomen and Pelvis (74174) | $1,465.07 | $4,174 | 4.4× |
| CT Angio Chest (71275) | $1,712.17 | $4,878 | 10.1× |
| CT Angio Head (70496) | $1,571.77 | $4,478 | 9.3× |
| CT angio hrt w/3d image (75574) | $1,272.37 | $3,625 | 3.8× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,573.88 | $4,484 | 9.3× |
| CT Angio Neck (70498) | $1,571.77 | $4,478 | 9.3× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,572.12 | $4,479 | 9.3× |
| CT cervical spine w/ contrast (72126) | $1,285.71 | $3,663 | 3.8× |
| CT cervical spine w/o contrast (72125) | $1,067.74 | $3,042 | 10.6× |
| CT cervical spine w/wo cont (72127) | $1,318 | $3,755 | 7.8× |
| CT chest w contrast (71260) | $1,251.66 | $3,566 | 7.4× |
| CT chest w/wo contrast (71270) | $1,424 | $4,057 | 8.4× |
| CT head/brain with contrast (70460) | $1,203.93 | $3,430 | 7.1× |
| CT head/brain without and with contrast (70470) | $1,289.92 | $3,675 | 7.6× |
| CT iac w contrast (70481) | $1,256.22 | $3,579 | 7.4× |
| CT l-spine w&w/o contrast (72133) | $1,422.25 | $4,052 | 8.4× |
| CT lower ext w/o (73700) | $809.05 | $2,305 | 8.0× |
| CT lower extremity w/contrast material (73701) | $1,054.40 | $3,004 | 6.3× |
| CT lumbar spine w contrast (72132) | $1,286.76 | $3,666 | 3.8× |
| CT lumbar spine w/o contrast (72131) | $1,040.01 | $2,963 | 10.3× |
| CT maxillofacial w contrast (70487) | $1,162.86 | $3,313 | 6.9× |
| CT maxillofacial wo contrast (70486) | $848.01 | $2,416 | 8.4× |
| CT neck tissue combo (70492) | $1,320.81 | $3,763 | 7.8× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,424 | $4,057 | 8.4× |
| CT orbits w/o contrast (70480) | $1,010.52 | $2,879 | 10.0× |
| CT pelvis w&w/o contrast (72194) | $1,160.40 | $3,306 | 6.9× |
| CT pelvis w/o contrast (72192) | $1,015.44 | $2,893 | 10.1× |
| CT scan of leg combo (73702) | $1,318.70 | $3,757 | 7.8× |
| CT scans face/jaw combo (70488) | $1,424.35 | $4,058 | 8.4× |
| CT soft tissue neck w contrast (70491) | $1,111.61 | $3,167 | 6.6× |
| CT soft tissue neck w/o contrast (70490) | $865.21 | $2,465 | 8.6× |
| CT thoracic spine w contrast (72129) | $1,191.29 | $3,394 | 7.1× |
| CT thoracic spine w/o contrast (72128) | $1,040.01 | $2,963 | 10.3× |
| CT thoracic spine w/wo cont (72130) | $1,315.19 | $3,747 | 7.8× |
| CT thorax w/o contrast (71250) | $1,004.56 | $2,862 | 10.0× |
| CT upper ext wo (73200) | $809.05 | $2,305 | 8.0× |
| CT upper extremity w/o & w/contrast material (73202) | $1,316.95 | $3,752 | 7.8× |
| CT upper extremity with contrast (73201) | $1,054.75 | $3,005 | 3.1× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,465.07 | $4,174 | 8.7× |
| Cta Abdomen (74175) | $1,573.88 | $4,484 | 9.3× |
| CTA pelvis (72191) | $1,572.12 | $4,479 | 9.3× |
| Esophagram (74220) | $288.87 | $823 | 1.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $325.02 | $926 | 3.2× |
| Fluoroscopy up to 1 hr (76000) | $426.11 | $1,214 | 1.9× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$98.63–$163.80 | $252–$281 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$133.73–$483.60 | $381–$744 | varies |
| Hand 2 views (73120) range across 2 matching MRF lines |
$94.06–$163.80 | $252–$268 | varies |
| Infusion Ivp (74410) | $335.55 | $956 | 2.0× |
| Joint Survey Single View (77077) | $82.13 | $234 | 0.8× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$151.98–$551.20 | $433–$848 | varies |
| Neck soft tissue (70360) | $136.89 | $390 | 1.6× |
| Optic foramina (70190) | $194.80 | $555 | 2.3× |
| Pelvis 1 or 2 views (72170) | $143.20 | $408 | 1.4× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $324.32 | $924 | 0.6× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$134.78–$488.15 | $384–$751 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$134.78–$488.15 | $384–$751 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$151.63–$549.90 | $432–$846 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $189.18 | $539 | 1.9× |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$129.16–$433.55 | $368–$667 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$158.65–$488.15 | $452–$751 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$133.73–$483.60 | $381–$744 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $140.04 | $399 | 1.7× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$151.98–$551.20 | $433–$848 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $108.81 | $310 | 1.3× |
| Radex Spine 1 View Specify Level (72020) | $88.45 | $252 | 1.1× |
| Radex Sternum Minimum 2 Views (71120) | $137.24 | $391 | 1.6× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $204.98 | $584 | 2.4× |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$151.28–$433.55 | $431–$667 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$142.15–$514.15 | $405–$791 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $196.91 | $561 | 2.0× |
| Radiologic exam colon double contrast study (74280) | $473.49 | $1,349 | 2.8× |
| Radiologic exam colon single contrast study (74270) range across 3 matching MRF lines |
$242.54–$605.12 | $691–$1,724 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$183.22–$668.20 | $522–$1,028 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $273.07 | $778 | 1.6× |
| Radiologic exam swallow function contrast study (74230) | $245.34 | $699 | 1.5× |
| Radiologic exam upr gi trc double contrast study (74246) | $333.45 | $950 | 2.0× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$153.03–$559 | $436–$860 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$144.61–$526.50 | $412–$810 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $108.81 | $310 | 1.1× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$133.73–$483.60 | $381–$744 | varies |
| Scapula (73010) range across 2 matching MRF lines |
$151.63–$549.90 | $432–$846 | varies |
| Sella turcica (70240) | $155.14 | $442 | 1.9× |
| Shoulder 1 view (73020) | $94.06 | $268 | 1.1× |
| Skull less than 4 views (70250) | $172.34 | $491 | 1.7× |
| Sternoclavicular joints (71130) | $134.78 | $384 | 1.6× |
| Tbs technical calculation only (77091) | $56.16 | $160 | 0.7× |
| Thoracic spine 3 views (72072) | $188.48 | $537 | 1.9× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$158.65–$317.20 | $452–$488 | varies |
| Ultrasound Exam Aaa Screen (76706) | $215.16 | $613 | 2.1× |
| Ultrasound, abdomen limited (76705) | $457.70 | $1,304 | 4.6× |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$68.79–$70.20 | $196–$200 | varies |
| Unlisted us procedure (76999) | $233.76 | $666 | 2.8× |
| Upper gi w/o kub (74240) | $388.20 | $1,106 | 2.3× |
| Urethrocystography retrograde (74450) | $147.77 | $421 | 0.6× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$163.21–$438.10 | $465–$674 | varies |
| Us chest (76604) | $323.27 | $921 | 3.2× |
| Us complete joint (76881) | $233.76 | $666 | 2.3× |
| Us exam, pelvic, limited (76857) | $198.66 | $566 | 2.0× |
| Us head (76506) | $200.77 | $572 | 2.0× |
| Us ob limited 1 or more fetuses (76815) | $157.59 | $449 | 1.6× |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$124.95–$288.87 | $356–$823 | varies |
| Us pelvic non ob complete (76856) | $353.80 | $1,008 | 3.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $229.55 | $654 | 2.3× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $157.59 | $449 | 1.6× |
| Us retroperitoneal complete (76770) | $382.23 | $1,089 | 3.8× |
| Us scrotum and contents (76870) | $236.57 | $674 | 2.4× |
| Us spinal canal and contents (76800) | $148.12 | $422 | 1.5× |
| Us thyroid (76536) | $219.72 | $626 | 2.2× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$94.06–$152.10 | $234–$268 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $145.31 | $414 | 1.7× |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$201.82–$205.33 | $575–$585 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $94.06 | $268 | 1.1× |
| X-Ray Exam Breast Specimen (76098) | $189.89 | $541 | 0.4× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $186.03 | $530 | 1.9× |
| X-Ray Exam Hip Uni 1 View (73501) | $94.06 | $268 | 1.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$152.68–$156.19 | $435–$445 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $300.10 | $855 | 3.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $144.96 | $413 | 1.7× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $188.83 | $538 | 1.9× |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$153.03–$188.13 | $436–$536 | varies |
| X-ray humerus (73060) range across 2 matching MRF lines |
$167.07–$277.64 | $476–$791 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $137.24 | $391 | 1.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $95.12 | $271 | 1.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $183.22 | $522 | 1.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $210.60 | $600 | 2.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $170.58 | $486 | 1.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $142.15 | $405 | 1.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $186.73 | $532 | 2.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $230.60 | $657 | 2.3× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $301.50 | $859 | 0.9× |
| X-Rays Bone Length Studies (77073) | $139.69 | $398 | 1.4× |
| X-Rays Bone Survey Complete (77075) | $890.13 | $2,536 | 8.9× |
| Xr c-spine 4 or 5 views (72050) | $239.03 | $681 | 2.4× |
| Xr facial bones less than 3 views (70140) | $203.93 | $581 | 2.4× |
| XR Mastoids < 3 Views Bilateral (70120) | $188.13 | $536 | 1.9× |
| Xr orbits complete 4 views (70200) | $211.65 | $603 | 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.