Imaging prices at Mccurtain Memorial Hospital

Idabel, 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.

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ProcedureCash priceGross charge× Medicare
Abdomen 2 views (74019) $209.50 $419 2.1×
Ankle 2 views (73600) $173.16 $346.32 2.1×
Arthrogram shoulder (73040) $732.84 $1,465.68 2.2×
Arthrogram wrist (73115) $732.84 $1,465.68 2.2×
Bone age studies (77072) $209.50 $419 2.1×
Bone survey complete (77075) $209.50 $419 2.1×
Cervical spine 2 or 3 views (72040) $173.16 $346.32 2.1×
Chest 1 view (71045) $173.16 $346.32 2.1×
Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) $350.12 $700.24 2.1×
Clavicle complete (73000) $173.16 $346.32 2.1×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $150 $300 1.5×
CT abdomen and pelvis without and with contrast (74178) $964.50 $1,929 2.9×
CT abdomen and pelvis without contrast (74176) $839.50 $1,679 3.7×
CT abdomen w contrast (74160) $605 $1,210 3.6×
CT abdomen w wo contrast (74170) $559.75 $1,119.50 3.3×
CT abdomen w/o contrast (74150) $559.50 $1,119 5.6×
CT c-spine w/o contrast (72125) $559.75 $1,119.50 5.6×
CT cervical spine w&w/o contrast (72127) $643.50 $1,287 3.8×
CT cervical spine with contrast (72126) $605 $1,210 1.8×
CT chest w/wo contrast (71270) $643.50 $1,287 3.8×
CT chest with contrast (71260) $605 $1,210 3.6×
CT head/brain with contrast (70460) $605 $1,210 3.6×
CT head/brain without and with contrast (70470) $643.50 $1,287 3.8×
CT heart no contrast quant eval coronry calcium (75571) $118.50 $237 1.4×
CT lower ext w/o (73700) $559.75 $1,119.50 5.6×
CT lower extremity w wo contrast (73702) $643.50 $1,287 3.8×
CT lower extremity with contrast (73701) $526 $1,052 3.1×
CT lumbar spine w & w/o contrast (72133) $643.50 $1,287 3.8×
CT lumbar spine w/o contrast (72131) $559.75 $1,119.50 5.6×
CT lumbar spine with contrast (72132) $605 $1,210 1.8×
CT maxillofacial w contrast (70487) $605 $1,210 3.6×
CT maxillofacial w/o contrast (70486) $559.75 $1,119.50 5.6×
CT maxillofacial w/wo contrast (70488) $643.50 $1,287 3.8×
CT neck soft tissue w contrast (70491) $605 $1,210 3.6×
CT orbits w/o contrast (70480) $486.75 $973.50 4.8×
CT pelvis w & w/o contrast (72194) $643.50 $1,287 3.8×
CT pelvis w/o contrast (72192) $559.75 $1,119.50 5.6×
CT scan for measuring calcium and other minerals in bone (77078) $128.75 $257.50 1.5×
CT soft tissue neck w/o & w/contrast material (70492) $643.50 $1,287 3.8×
CT soft tissue neck w/o contrast (70490) $559.75 $1,119.50 5.6×
CT thoracic spine w/contrast (72129) $605 $1,210 3.6×
CT thoracic spine w/o contrast (72128) $559.75 $1,119.50 5.6×
CT thoracic spine w/wo contrast (72130) $643.50 $1,287 3.8×
CT thorax w/o contrast (71250) $559.75 $1,119.50 5.6×
CT upper extremity w/o & w/contrast material (73202) $643.50 $1,287 3.8×
CT upper extremity w/o contrast rt (73200) $559.75 $1,119.50 5.6×
CT upper extremity with contrast (73201) $526 $1,052 1.6×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $1,144 $2,288 6.8×
Cta Abdomen (74175) $800.75 $1,601.50 4.7×
CTA abdomen pelvis (74174) $1,128.27 $2,256.54 3.4×
CTA chest (71275) $774.50 $1,549 4.6×
Cta Head (70496) $800.75 $1,601.50 4.7×
CTA lwr ext w&w/o contrast (73706) $800.75 $1,601.50 4.7×
Cta Neck (70498) $800.75 $1,601.50 4.7×
Cta Pelvis (72191) $800.75 $1,601.50 4.7×
Cystography minimum 3 views rs&i (74430) $732.84 $1,465.68 2.2×
Dxa bone density study 1/> sites axial skel (77080) $209.50 $419 2.1×
Esophagus (74220) $350.12 $700.24 2.1×
Fetal biophysical profile non-stress testing (76818) $209.50 $419 2.1×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $209.50 $419 2.1×
Fluoroscopy up to 1 hr (76000) $466.94 $933.88 2.0×
Forearm 2 views (73090) $173.16 $346.32 2.1×
Hand 3 views (73130) $173.16 $346.32 2.1×
Humerus Min 2 Views Left (73060) $173.16 $346.32 2.1×
Hysterosalpingogram (74740) $466.94 $933.88 2.0×
Knee 3 views (73562) $173.16 $346.32 2.1×
Mammary ductogram or galactogram single (77053) $466.94 $933.88 2.0×
Manual appl stress pfrmd phys/qhp joint films (77071) $173.16 $346.32 2.1×
MRA head w/o contrast (70544) $1,168.50 $2,337 5.1×
MRA neck w contrast (70548) $1,168.50 $2,337 3.5×
MRA neck w/o contrast (70547) $1,168.50 $2,337 5.1×
MRI abdomen w/o & w/contrast material (74183) $1,168.50 $2,337 3.5×
MRI abdomen w/o contrast (74181) $1,089.75 $2,179.50 4.7×
MRI any jt upper extremity w/contrast matrl (73222) $940.75 $1,881.50 1.2×
MRI c-spine with contrast (72142) $1,168.50 $2,337 3.5×
MRI cervical spine w/o contrast (72141) $1,089.75 $2,179.50 4.7×
MRI chest w/o & w/contrast material (71552) $1,168.50 $2,337 3.5×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $940.75 $1,881.50 4.1×
MRI pelvis w/o & w/contrast material (72197) $1,168.50 $2,337 3.5×
MRI scan of arm joint before and after contrast (73223) $1,168.50 $2,337 3.5×
MRI scan of leg joint before and after contrast (73723) $1,168.50 $2,337 3.5×
MRI spinal canal cervical w/o & w/contr matrl (72156) $1,168.50 $2,337 3.5×
MRI spinal canal lumbar w/contrast material (72149) $1,168.50 $2,337 3.5×
MRI spinal canal lumbar w/o & w/contr matrl (72158) $1,168.50 $2,337 3.5×
MRI spinal canal thoracic w/contrast matrl (72147) $1,168.50 $2,337 3.5×
MRI spinal canal thoracic w/o & w/contr matrl (72157) $1,168.50 $2,337 3.5×
MRI thoracic spine w/o contrast (72146) $1,089.75 $2,179.50 4.7×
MRI upper ext joint w/o contrast (73221) $940.75 $1,881.50 4.1×
Myelogram Cervical (72240) $1,525.76 $3,051.52 2.0×
Myelogram Lumbar (72265) $1,525.76 $3,051.52 2.0×
Myelogram thoracic (72255) $1,525.76 $3,051.52 2.0×
Myelography 2 or more regions (72270) $1,525.76 $3,051.52 2.0×
Neck soft tissue (70360) $173.16 $346.32 2.1×
Osseous survey infant (77076) $209.50 $419 2.1×
Pelvis 1 or 2 views (72170) $209.50 $419 2.1×
Radex abscess/fistula/sinus tract rs&i (76080) $1,051.26 $2,102.52 2.0×
Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) $173.16 $346.32 2.1×
Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) $209.50 $419 2.1×
Radex hips bilateral with pelvis 2 views (73521) $209.50 $419 2.1×
Radex mastoids compl minimum 3 views pr side (70130) $209.50 $419 2.1×
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $157.12 $314.25 1.6×
Radiolog exam mandible compl minimum 4 views (70110) $367.94 $735.89 3.7×
Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) $173.16 $346.32 2.1×
Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) $75 $150 0.9×
Radiologic exam colon single contrast study (74270) $350.12 $700.24 2.1×
Radiologic Exam Esophagus Double Contrast Study (74221) $350.12 $700.24 2.1×
Radiologic exam upr gi trc double contrast study (74246) $350.12 $700.24 2.1×
Radiologic exam upr gi trc single contrast study (74240) $350.12 $700.24 2.1×
Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) $173.16 $346.32 2.1×
Radiological examination surgical specimen (76098) $1,051.26 $2,102.52 2.0×
Ribs bilateral 3 views (71110) $209.50 $419 2.1×
Scanogram (77073) $209.50 $419 2.1×
Scapula complete (73010) $209.50 $419 2.1×
Screening digital breast tomosynthesis (77063) $267.70 $535.41 11.5×
Sella turcica (70240) $173.16 $346.32 2.1×
Small bowel series (74250) $350.12 $700.24 2.1×
Tomogram (76100) $209.50 $419 2.1×
Ultrasound, abdomen limited (76705) $209.50 $419 2.1×
Unlisted Ultrasound Procedure (76999) $173.16 $346.32 2.1×
Upper Extremity Infant (73092) $209.50 $419 2.1×
Urethrocystography retrograde rs&i (74450) $466.94 $933.88 2.0×
Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) $350.12 $700.24 2.1×
Urograpy infusion drip &/bolus techq w/wo tomo (74415) $631.86 $1,263.73 3.7×
Us breast unilateral complete (76641) $209.50 $419 2.1×
Us breast unilateral limited (76642) $267.70 $535.41 3.2×
Us chest (76604) $209.50 $419 2.1×
Us compl joint r-t w/image documentation (76881) $209.50 $419 2.1×
Us fetal nuchal translucency 1st gestation (76813) $209.50 $419 2.1×
Us pelvic non ob complete (76856) $209.50 $419 2.1×
Us pelvic nonobstetric image dcmtn limited/f/u (76857) $209.50 $419 2.1×
Us pregnancy ltd (76815) $209.50 $419 2.1×
Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) $209.50 $419 2.1×
Us retroperitoneal complete (76770) $209.50 $419 2.1×
Us scrotum and contents (76870) $209.50 $419 2.1×
Us soft tissue head/neck (76536) $209.50 $419 2.1×
Us xtr non-vasc lmtd (76882) $209.50 $419 2.1×
Venography extremity unilateral rs&i (75820) $3,051.86 $6,103.72 2.0×
X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) $209.50 $419 2.1×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $261.90 $523.81 3.1×
X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) $173.16 $346.32 2.1×
X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) $350.12 $700.24 2.1×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $173.16 $346.32 2.1×
X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) $173.16 $346.32 2.1×
X-ray exam entire spi 4/5 vw (72083) $209.50 $419 2.1×
X-Ray Exam Hip Uni 2-3 Views (73502) $173.16 $346.32 2.1×
X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) $209.50 $419 2.1×
X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) $173.16 $346.32 2.1×
X-Ray Heel - Xr Calcaneus 2 Views Right (73650) $173.16 $346.32 2.1×
X-ray IV pyelogram+drip infusn (74410) $631.86 $1,263.73 3.7×
X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) $209.50 $419 2.1×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $173.16 $346.32 2.1×
X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) $173.16 $346.32 2.1×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $209.50 $419 2.1×
X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) $209.50 $419 2.1×
X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) $209.50 $419 2.1×
X-Ray Nasal Bones - Xr Nasal Bones (70160) $173.16 $346.32 2.1×
X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) $261.90 $523.81 3.1×
X-ray of voice box or throat (70370) $173.16 $346.32 2.1×
X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) $209.50 $419 2.1×
X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) $209.50 $419 2.1×
X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) $173.16 $346.32 2.1×
X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) $209.50 $419 2.1×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $209.50 $419 2.1×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $209.50 $419 2.1×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $173.16 $346.32 2.1×
X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) $173.16 $346.32 2.1×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $173.16 $346.32 2.1×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $209.50 $419 2.1×
X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) $209.50 $419 2.1×
X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) $173.16 $346.32 2.1×
X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) $173.16 $346.32 2.1×
X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) $209.50 $419 2.1×
X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) $209.50 $419 2.1×
X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) $173.16 $346.32 2.1×
X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) $173.16 $346.32 2.1×
Xr c-spine 6 or more views (72052) $209.50 $419 2.1×
Xr finger(s) 2+ views (73140) $173.16 $346.32 2.1×
Xr shoulder 1 view (73020) $173.16 $346.32 2.1×
Xr spine cervical 4 or 5 views (72050) $209.50 $419 2.1×
Xr tibia/fibula 2 views (73590) $173.16 $346.32 2.1×
Xr tmj bilateral (70330) $173.16 $346.32 2.1×
Xray knee 1 or 2 views rt (73560) $173.16 $346.32 2.1×