Imaging prices at Mangum Regional Medical Center

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018)
range across 3 matching MRF lines
$167.81–$228.16 $364.80–$496 varies
Abdomen 2 views (74019)
range across 2 matching MRF lines
$178.02–$215.74 $387–$469 varies
Ankle 2 views (73600) $167.81 $364.80 2.0×
Arthrogram ankle (73615) $368.46 $801 1.1×
Chest 1 view (71045) $182.19 $396.07 2.2×
Chest 2 views (71046)
range across 2 matching MRF lines
$27.60–$167.81 $60–$364.80 varies
Chest 4 or more views (71048) $223.10 $485 2.2×
Cholecystography Oral Contrast (74290) $529.84 $1,151.82 3.1×
Clavicle complete (73000) $167.81 $364.80 2.0×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $119.60 $260 1.2×
CT abdomen and pelvis without and with contrast (74178) $1,811.48 $3,938 5.4×
CT abdomen and pelvis without contrast (74176) $1,036.20 $2,252.61 4.5×
CT abdomen w contrast (74160) $1,335.84 $2,904 7.9×
CT abdomen w wo contrast (74170) $1,770.08 $3,848 10.5×
CT abdomen w/o contrast (74150) $1,073.18 $2,333 10.7×
CT Angio Abdomen and Pelvis (74174) $2,061.26 $4,481 6.1×
CT Angio Chest (71275) $1,490.86 $3,241 8.8×
CT Angio Head (70496) $1,289.84 $2,804 7.6×
Ct Angio Lwr Extr W/O&W/Dye (73706) $1,490.86 $3,241 8.8×
CT Angio Neck (70498) $1,289.84 $2,804 7.6×
Ct Angio Upr Extrm W/O&W/Dye (73206) $1,490.86 $3,241 8.8×
CT cervical spine w/ contrast (72126) $1,371.26 $2,981 4.1×
CT cervical spine w/o contrast (72125) $1,144.02 $2,487 11.4×
CT cervical spine w/wo cont (72127) $1,718.10 $3,735 10.2×
CT chest w contrast (71260) $1,353.32 $2,942 8.0×
CT chest w/wo contrast (71270) $1,687.74 $3,669 10.0×
CT head/brain with contrast (70460) $1,126.54 $2,449 6.7×
CT head/brain without and with contrast (70470) $1,443.02 $3,137 8.6×
CT heart contrast eval cardiac structure&morph (75572) $64.31 $139.80 0.2×
CT heart no contrast quant eval coronry calcium (75571) $48 $104.35 0.6×
CT iac w contrast (70481) $260.48 $566.25 1.5×
CT l-spine w&w/o contrast (72133) $1,718.10 $3,735 10.2×
CT lower ext w/o (73700) $1,012.92 $2,202 10.1×
CT lower extremity w/contrast material (73701) $617.32 $1,342 3.7×
CT lumbar spine w contrast (72132) $1,371.26 $2,981 4.1×
CT lumbar spine w/o contrast (72131) $632.12 $1,374.18 6.3×
CT maxillofacial w contrast (70487) $914.02 $1,987 5.4×
CT maxillofacial wo contrast (70486) $1,018.90 $2,215 10.1×
CT neck tissue combo (70492) $1,067.20 $2,320 6.3×
CT orbits w/o contrast (70480) $260.48 $566.25 2.6×
CT pelvis w&w/o contrast (72194) $1,067.20 $2,320 6.3×
CT pelvis w/o contrast (72192) $1,162.42 $2,527 11.6×
CT scan of leg combo (73702) $663.55 $1,442.50 3.9×
CT scans face/jaw combo (70488) $1,443.02 $3,137 8.6×
CT soft tissue neck w contrast (70491) $980.72 $2,132 5.8×
CT soft tissue neck w/o contrast (70490) $921.84 $2,004 9.2×
CT thoracic spine w contrast (72129) $1,371.26 $2,981 8.1×
CT thoracic spine w/o contrast (72128) $623.22 $1,354.82 6.2×
CT thoracic spine w/wo cont (72130) $1,718.10 $3,735 10.2×
CT thorax w/o contrast (71250) $786.60 $1,710 7.8×
CT upper ext wo (73200) $1,098.48 $2,388 10.9×
CT upper extremity with contrast (73201) $1,238.32 $2,692 3.7×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $1,289.84 $2,804 7.6×
Cta Abdomen (74175) $1,490.40 $3,240 8.8×
CTA pelvis (72191) $1,472.46 $3,201 8.7×
Discography Cerv/Thor Spine (72285) $264.94 $575.95 0.1×
Diskography lumbar (72295) $7,503.97 $16,312.98 4.0×
Esophagram (74220) $277.90 $604.14 1.6×
Fluoroscopy up to 1 hr (76000) $432.40 $940 1.9×
Foot 2 views (73620) $167.81 $364.80 2.0×
Forearm 2 views (73090) $167.81 $364.80 2.0×
Hand 2 views (73120) $277.90 $604.14 2.8×
Knee 3 Views (73562) $189.52 $412 2.3×
MRA head w/o contrast (70544) $1,457.74 $3,169 6.4×
MRA neck w contrast (70548) $1,253.92 $2,725.92 3.7×
MRA neck w/o contrast (70547) $1,457.74 $3,169 6.4×
MRI abdomen w contrast (74182) $1,788.48 $3,888 5.3×
MRI abdomen w/o contrast (74181) $1,788.48 $3,888 7.8×
MRI chest w/o contrast (71550) $1,730.52 $3,762 7.5×
MRI chest with contrast (71551) $1,788.48 $3,888 2.4×
MRI chest wo w contrast (71552) $1,967.42 $4,277 5.9×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $1,788.48 $3,888 5.3×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $1,608.62 $3,497 4.8×
MRI pelvis w/o & w contrast (72197) $1,608.62 $3,497 4.8×
MRI pelvis w/o contrast (72195) $1,459.12 $3,172 6.4×
MRI upper extremity oth than jt w/contr matrl (73219) $1,788.48 $3,888 5.3×
MRI upper extremity oth than jt w/o contr matrl (73218) $2,915.48 $6,338 12.7×
Mri Uppr Extremity W/O&W/Dye (73220) $1,967.42 $4,277 5.9×
Neck soft tissue (70360) $167.81 $364.80 2.0×
Pelvis 1 or 2 views (72170) $277.90 $604.14 2.8×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $277.90 $604.14 2.8×
Radex abscess/fistula/sinus tract rs&i (76080) $970.72 $2,110.26 1.8×
Radex Ankle Complete Minimum 3 Views (73610) $167.81 $364.80 2.0×
Radex Calcaneus Minimum 2 Views (73650) $167.81 $364.80 2.0×
Radex elbow complete minimum 3 views (73080)
range across 2 matching MRF lines
$167.81–$296.70 $364.80–$645 varies
Radex Facial Bones Complete Minimum 3 Views (70150) $277.90 $604.14 2.8×
Radex fingr minimum 2 views (73140) $167.81 $364.80 2.0×
Radex foot complete minimum 3 views (73630) $167.81 $364.80 2.0×
Radex Hand Minimum 3 Views (73130) $167.81 $364.80 2.0×
Radex lower extremity infant minimum 2 views (73592) $167.81 $364.80 2.0×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $277.90 $604.14 2.8×
Radex Nasal Bones Complete Minimum 3 Views (70160) $167.81 $364.80 2.0×
Radex Ribs Unilateral 2 Views (71100) $180.32 $392 2.2×
Radex shoulder complete minimum 2 views (73030) $189.52 $412 2.3×
Radex Sinuses Paransl < 3 Views (70210) $167.81 $364.80 2.0×
Radex Spine 1 View Specify Level (72020) $178.02 $387 2.1×
Radex Sternum Minimum 2 Views (71120) $178.02 $387 2.1×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $203.78 $443 2.4×
Radex Toe Minimum 2 Views (73660) $167.81 $364.80 2.0×
Radex upper extremity infant minimum 2 views (73092) $277.90 $604.14 2.8×
Radex Wrist Complete Minimum 3 Views (73110) $180.32 $392 2.2×
Radiolog exam mandible compl minimum 4 views (70110) $277.90 $604.14 2.8×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $169.74 $369 1.7×
Radiologic exam knee complete 4/more views (73564) $277.90 $604.14 2.8×
Radiologic exam pelvis compl minimum 3 views (72190) $277.90 $604.14 2.8×
Radiologic Exam Small Int Single Contrast Study (74250) $296.24 $644 1.8×
Radiologic examination femur 1 view (73551) $141.22 $307 1.7×
Radiologic examination femur minimum 2 views (73552) $357.42 $777 4.3×
Radiologic examination knee 1/2 views (73560)
range across 2 matching MRF lines
$167.81–$329.36 $364.80–$716 varies
Radiologic Examination Osseous Survey Limited (77074) $171.12 $372 1.7×
Radiologic examination tibia & fibula 2 views (73590) $329.36 $716 3.9×
Ribs bilateral 3 views (71110) $277.90 $604.14 2.8×
Scapula (73010) $167.81 $364.80 1.7×
Sella turcica (70240) $178.02 $387 2.1×
Shoulder 1 view (73020) $167.81 $364.80 2.0×
Shoulder Arthrography (73040) $970.72 $2,110.26 2.9×
Skull less than 4 views (70250) $277.90 $604.14 2.8×
Sternoclavicular joints (71130) $178.02 $387 2.1×
Thoracic spine 2 views (72070) $277.90 $604.14 2.8×
Thoracic spine 3 views (72072) $277.90 $604.14 2.8×
Ultrasound Exam Aaa Screen (76706) $259.28 $563.65 2.6×
Ultrasound, abdomen limited (76705) $423.88 $921.48 4.2×
Unlisted Dx Radiographic Procedure (76499) $533.60 $1,160 6.4×
Us breast unilateral complete (76641) $198.72 $432 2.0×
Us chest (76604) $254.11 $552.42 2.5×
Us complete joint (76881) $457.70 $995 4.6×
Us exam, pelvic, limited (76857) $308.20 $670 3.1×
Us kidney transplant (76776) $423.88 $921.48 4.2×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $254.11 $552.42 2.5×
Us pelvic non ob complete (76856) $423.88 $921.48 4.2×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $423.88 $921.48 4.2×
Us retroperitoneal complete (76770) $423.88 $921.48 4.2×
Us retroperitoneal limited (76775) $423.88 $921.48 4.2×
Us scrotum and contents (76870) $423.88 $921.48 4.2×
Us thyroid (76536) $423.88 $921.48 4.2×
Us transrectal (76872) $423.88 $921.48 4.2×
Wrist 2 views (73100) $167.81 $364.80 2.0×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $169.74 $369 2.0×
X-Ray Bend Only L-S Spine (72120) $253.46 $551 2.5×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $167.81 $364.80 2.0×
X-Ray Exam Entire Spi 2/3 Vw (72082) $267.72 $582 2.7×
X-Ray Exam Hip Uni 1 View (73501) $143.06 $311 1.7×
X-Ray Exam Hip Uni 2-3 Views (73502)
range across 4 matching MRF lines
$148.12–$291.18 $322–$633 varies
X-Ray Exam Hips Bi 2 Views (73521) $203.78 $443 2.0×
X-Ray Exam L-S Spine Bending (72114) $277.90 $604.14 2.8×
X-Ray Exam Neck Spine 2-3 Vw (72040)
range across 2 matching MRF lines
$158.70–$277.90 $345–$604.14 varies
X-Ray Exam Neck Spine 6/>Vws (72052) $277.90 $604.14 2.8×
X-Ray Exam Unilat Ribs/Chest (71101) $277.90 $604.14 2.8×
X-ray eye for foreign body (70030) $167.81 $364.80 2.0×
X-ray humerus (73060) $167.81 $364.80 2.0×
X-ray IV pyelogram (ivp) (74400) $529.84 $1,151.82 3.1×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $167.81 $364.80 2.0×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $277.90 $604.14 2.8×
X-ray nose-rectum child f.b. (76010) $529.84 $1,151.82 6.3×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $277.90 $604.14 2.8×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $277.90 $604.14 2.8×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $277.90 $604.14 2.8×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $167.81 $364.80 2.0×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $206.08 $448 2.5×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $277.90 $604.14 2.8×
X-ray thoracic spine 4 vw (72074) $277.90 $604.14 2.8×
X-Ray Tmj Unilat (70328) $167.81 $364.80 2.0×
X-Rays Bone Survey Complete (77075) $291.64 $634 2.9×
Xr c-spine 4 or 5 views (72050)
range across 2 matching MRF lines
$267.72–$277.90 $582–$604.14 varies
Xr facial bones less than 3 views (70140) $167.81 $364.80 2.0×
XR Mastoids < 3 Views Bilateral (70120) $189.52 $412 1.9×
Xr orbits complete 4 views (70200) $277.90 $604.14 2.8×

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.