Imaging prices at Mercy Hospital Logan County, Inc
Guthrie, OK · every code in this section with a posted price and a Medicare benchmark.
215 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) | $243.75 | $375 | 2.9× |
| Abdomen 2 views (74019) | $306.15 | $471 | 3.0× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,200.55 | $1,847 | 3.1× |
| Ankle 2 views (73600) range across 5 matching MRF lines |
$210.60–$425.75 | $324–$655 | varies |
| Arthrogram hip (73525) | $672.75 | $1,035 | 2.0× |
| Bone age studies (77072) | $268.45 | $413 | 2.7× |
| Bone Imaging 3 Phase (78315) | $1,676.35 | $2,579 | 4.4× |
| Bone Imaging Limited Area (78300) | $965.25 | $1,485 | 2.5× |
| Bone Imaging Whole Body (78306) | $1,573 | $2,420 | 4.1× |
| Bone survey infant (77076) | $349.70 | $538 | 3.5× |
| Chest 1 view (71045) | $184.60 | $284 | 2.2× |
| Chest 2 views (71046) | $216.45 | $333 | 2.6× |
| Chest 3 views (71047) | $287.30 | $442 | 3.4× |
| Chest 4 or more views (71048) | $365.95 | $563 | 3.6× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$217.10–$321.75 | $334–$495 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $447.20 | $688 | 4.4× |
| Contrast X-Ray Bladder (74430) | $681.85 | $1,049 | 2.0× |
| Contrast Xray Throat/Cerv Esopha (74210) | $302.90 | $466 | 1.8× |
| CT abdomen and pelvis without and with contrast (74178) | $2,138.50 | $3,290 | 6.4× |
| CT abdomen and pelvis without contrast (74176) | $1,599 | $2,460 | 7.0× |
| CT abdomen w contrast (74160) | $1,933.10 | $2,974 | 11.5× |
| CT abdomen w wo contrast (74170) | $2,187.90 | $3,366 | 13.0× |
| CT abdomen w/o contrast (74150) | $1,675.70 | $2,578 | 16.7× |
| CT Angio Abdomen and Pelvis (74174) | $3,175.90 | $4,886 | 9.5× |
| CT Angio Chest (71275) | $1,899.30 | $2,922 | 11.3× |
| CT Angio Head (70496) | $2,059.85 | $3,169 | 12.2× |
| CT Angio Neck (70498) | $2,049.45 | $3,153 | 12.1× |
| CT cervical spine w/ contrast (72126) | $1,868.10 | $2,874 | 5.6× |
| CT cervical spine w/o contrast (72125) | $1,807.65 | $2,781 | 18.0× |
| CT cervical spine w/wo cont (72127) | $2,202.20 | $3,388 | 13.1× |
| CT chest w contrast (71260) | $2,008.50 | $3,090 | 11.9× |
| CT chest w/wo contrast (71270) | $2,462.20 | $3,788 | 14.6× |
| CT head/brain with contrast (70460) | $1,880.45 | $2,893 | 11.1× |
| CT head/brain without and with contrast (70470) | $2,320.50 | $3,570 | 13.8× |
| CT iac w contrast (70481) | $2,241.85 | $3,449 | 13.3× |
| CT l-spine w&w/o contrast (72133) | $2,507.05 | $3,857 | 14.9× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$1,585.35–$2,398.50 | $2,439–$3,690 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$1,781.65–$2,262.65 | $2,741–$3,481 | varies |
| CT lumbar spine w contrast (72132) | $2,113.15 | $3,251 | 6.3× |
| CT lumbar spine w/o contrast (72131) | $1,825.85 | $2,809 | 18.2× |
| CT maxillofacial w contrast (70487) | $1,965.60 | $3,024 | 11.7× |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$1,083.55–$1,304.55 | $1,667–$2,007 | varies |
| CT neck tissue combo (70492) | $2,167.10 | $3,334 | 12.8× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,323.75 | $3,575 | 13.8× |
| CT orbits w/o contrast (70480) | $1,683.50 | $2,590 | 16.7× |
| CT pelvis w&w/o contrast (72194) | $2,182.70 | $3,358 | 12.9× |
| CT pelvis w/o contrast (72192) | $1,822.60 | $2,804 | 18.1× |
| CT scan of leg combo (73702) | $1,829.75 | $2,815 | 10.8× |
| CT scans face/jaw combo (70488) | $2,115.10 | $3,254 | 12.5× |
| CT soft tissue neck w contrast (70491) | $1,756.30 | $2,702 | 10.4× |
| CT soft tissue neck w/o contrast (70490) | $1,327.95 | $2,043 | 13.2× |
| CT thoracic spine w contrast (72129) | $1,878.50 | $2,890 | 11.1× |
| CT thoracic spine w/o contrast (72128) | $1,816.75 | $2,795 | 18.1× |
| CT thoracic spine w/wo cont (72130) | $2,306.85 | $3,549 | 13.7× |
| CT thorax w/o contrast (71250) | $1,695.20 | $2,608 | 16.9× |
| CT upper ext wo (73200) | $1,621.10 | $2,494 | 16.1× |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$1,846–$1,875.25 | $2,840–$2,885 | varies |
| CT upper extremity with contrast (73201) | $1,619.80 | $2,492 | 4.8× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $3,538.60 | $5,444 | 21.0× |
| Cta Abdomen (74175) | $2,643.55 | $4,067 | 15.7× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $2,027.35 | $3,119 | 6.0× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$98.15–$419.25 | $151–$645 | varies |
| Esophagram (74220) | $525.85 | $809 | 3.1× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $458.25 | $705 | 4.6× |
| Fluoroscopy up to 1 hr (76000) | $448.50 | $690 | 2.0× |
| Foot 2 views (73620) range across 6 matching MRF lines |
$228.15–$445.90 | $351–$686 | varies |
| Forearm 2 views (73090) range across 5 matching MRF lines |
$230.10–$436.15 | $354–$671 | varies |
| Gastric emptying imaging study (78264) | $1,285.70 | $1,978 | 3.3× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $1,105 | $1,700 | 2.9× |
| Gated Heart Planar Single (78472) | $1,632.15 | $2,511 | 4.2× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $1,463.15 | $2,251 | 2.8× |
| Hand 2 views (73120) range across 6 matching MRF lines |
$203.45–$386.75 | $313–$595 | varies |
| Hepatobil Syst Image W/Drug (78227) | $1,729.65 | $2,661 | 3.3× |
| Hepatobiliary System Imaging (78226) | $1,288.95 | $1,983 | 3.4× |
| K Flow/Funct Image W/Drug (78708) | $1,586 | $2,440 | 3.0× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$280.80–$475.80 | $432–$732 | varies |
| Lung Ventilat&Perfus Imaging (78582) | $1,311.70 | $2,018 | 2.5× |
| Lung Ventilation Imaging (78579) | $795.60 | $1,224 | 2.1× |
| Magnetic Image Jaw Joint (70336) | $1,787.50 | $2,750 | 7.8× |
| Mra Head W/O & W/Contrast Material (70546) | $2,113.15 | $3,251 | 6.3× |
| MRA head w/o contrast (70544) | $2,252.25 | $3,465 | 9.8× |
| MRA head with contrast (70545) | $2,496.65 | $3,841 | 7.4× |
| MRA neck w contrast (70548) | $2,476.50 | $3,810 | 7.4× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,932.15 | $4,511 | 8.7× |
| MRA neck w/o contrast (70547) | $2,293.85 | $3,529 | 10.0× |
| MRI abdomen w contrast (74182) | $2,644.85 | $4,069 | 7.9× |
| MRI abdomen w/o contrast (74181) | $2,451.80 | $3,772 | 10.7× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$2,915.90–$4,414.80 | $4,486–$6,792 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,419.95 | $3,723 | 3.2× |
| MRI cervical spine w contrast (72142) | $2,531.10 | $3,894 | 7.5× |
| MRI cervical spine w/o cont (72141) | $2,379 | $3,660 | 10.4× |
| MRI chest w/o contrast (71550) | $2,143.70 | $3,298 | 9.3× |
| MRI chest wo w contrast (71552) | $2,775.50 | $4,270 | 8.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,996.15 | $3,071 | 5.9× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$2,925.65–$4,008.55 | $4,501–$6,167 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$2,137.20–$3,235.05 | $3,288–$4,977 | varies |
| MRI lumbar spine w contrast (72149) | $2,539.55 | $3,907 | 7.6× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,479.45 | $5,353 | 10.4× |
| MRI orbit face &/neck w/o contrast (70540) | $2,092.35 | $3,219 | 9.1× |
| MRI orbit face neck w contrast (70542) | $2,213.25 | $3,405 | 6.6× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$2,391.35–$2,438.15 | $3,679–$3,751 | varies |
| MRI pelvis w/o & w contrast (72197) | $3,344.25 | $5,145 | 10.0× |
| MRI pelvis w/o contrast (72195) | $2,414.10 | $3,714 | 10.5× |
| MRI thoracic spine w/o contrast (72146) | $2,398.50 | $3,690 | 10.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$2,025.40–$3,444.35 | $3,116–$5,299 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,735.85 | $4,209 | 8.2× |
| MRI, abdomen, combo (74183) | $3,443.70 | $5,298 | 10.3× |
| MRI, dorsal spine combo (72157) | $3,430.70 | $5,278 | 10.2× |
| MRI, dorsal spine contrast (72147) | $2,645.50 | $4,070 | 7.9× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$2,282.80–$3,249.35 | $3,512–$4,999 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$2,779.40–$4,343.95 | $4,276–$6,683 | varies |
| MRI, lumbar spine combo (72158) | $3,455.40 | $5,316 | 10.3× |
| Neck soft tissue (70360) | $221 | $340 | 2.6× |
| Parathyroid Planar Imaging (78070) | $1,052.35 | $1,619 | 2.7× |
| Pelvis 1 or 2 views (72170) | $260.65 | $401 | 2.6× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,077.05 | $1,657 | 2.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $406.90 | $626 | 4.0× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$274.30–$468 | $422–$720 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$213.85–$297.05 | $329–$457 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$265.20–$409.50 | $408–$630 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $300.30 | $462 | 3.0× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$233.35–$358.80 | $359–$552 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$295.10–$499.85 | $454–$769 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$274.30–$468 | $422–$720 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $188.50 | $290 | 2.3× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $267.15 | $411 | 2.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $271.70 | $418 | 3.2× |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) | $271.05 | $417 | 3.2× |
| Radex Ribs Unilateral 2 Views (71100) | $208 | $320 | 2.5× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$331.50–$564.20 | $510–$868 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $214.50 | $330 | 2.6× |
| Radex Spine 1 View Specify Level (72020) | $301.60 | $464 | 3.6× |
| Radex Sternum Minimum 2 Views (71120) | $243.75 | $375 | 2.9× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $308.75 | $475 | 3.7× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$208–$319.15 | $320–$491 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $161.85 | $249 | 1.6× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$317.20–$523.90 | $488–$806 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $662.35 | $1,019 | 6.6× |
| Radiolog exam mandible compl minimum 4 views (70110) | $357.50 | $550 | 3.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $371.80 | $572 | 3.7× |
| Radiologic exam colon double contrast study (74280) | $868.40 | $1,336 | 5.1× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$316.55–$539.50 | $487–$830 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $295.10 | $454 | 2.9× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $491.40 | $756 | 2.9× |
| Radiologic exam swallow function contrast study (74230) | $540.80 | $832 | 3.2× |
| Radiologic exam upr gi trc double contrast study (74246) | $606.45 | $933 | 3.6× |
| Radiologic examination femur 1 view (73551) | $229.45 | $353 | 2.7× |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$243.10–$414.05 | $374–$637 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$243.10–$414.05 | $374–$637 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 5 matching MRF lines |
$269.75–$525.85 | $415–$809 | varies |
| Ribs bilateral 3 views (71110) | $391.30 | $602 | 3.9× |
| Scapula (73010) range across 2 matching MRF lines |
$239.85–$243.75 | $369–$375 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 3 matching MRF lines |
$60.45–$102.70 | $93–$158 | varies |
| Sella turcica (70240) | $117.65 | $181 | 1.4× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$210.60–$292.50 | $324–$450 | varies |
| Skull less than 4 views (70250) | $294.45 | $453 | 2.9× |
| Sternoclavicular joints (71130) | $226.20 | $348 | 2.7× |
| Thoracic spine 2 views (72070) | $341.25 | $525 | 3.4× |
| Thoracic spine 3 views (72072) | $384.80 | $592 | 3.8× |
| Thoracolumbar 2 views (72080) | $317.20 | $488 | 3.8× |
| Thyroid Imaging With Vascular Flow (78013) | $698.75 | $1,075 | 1.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,037.40 | $1,596 | 2.7× |
| Ultrasound Breast Limited (76642) | $333.45 | $513 | 4.0× |
| Ultrasound Exam Aaa Screen (76706) | $406.90 | $626 | 4.0× |
| Ultrasound, abdomen limited (76705) | $510.90 | $786 | 5.1× |
| Upper gi w/o kub (74240) | $711.10 | $1,094 | 4.2× |
| Urethrocystogram voiding (74455) | $622.05 | $957 | 2.7× |
| Us chest (76604) | $459.55 | $707 | 4.6× |
| Us complete joint (76881) | $786.50 | $1,210 | 7.8× |
| Us exam, pelvic, limited (76857) | $438.10 | $674 | 4.4× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$445.25–$507.65 | $685–$781 | varies |
| Us ob limited 1 or more fetuses (76815) | $421.85 | $649 | 4.2× |
| Us ob transvaginal (76817) | $467.35 | $719 | 4.6× |
| Us pelvic non ob complete (76856) | $594.75 | $915 | 5.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $490.10 | $754 | 4.9× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $333.45 | $513 | 3.3× |
| Us retroperitoneal complete (76770) | $663.65 | $1,021 | 6.6× |
| Us retroperitoneal limited (76775) | $499.20 | $768 | 5.0× |
| Us scrotum and contents (76870) | $596.05 | $917 | 5.9× |
| Us thyroid (76536) | $533 | $820 | 5.3× |
| Wrist 2 views (73100) range across 5 matching MRF lines |
$224.25–$421.85 | $345–$649 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $245.05 | $377 | 2.9× |
| X-Ray Bend Only L-S Spine (72120) | $345.15 | $531 | 3.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 5 matching MRF lines |
$222.30–$414.70 | $342–$638 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $307.45 | $473 | 3.7× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $442 | $680 | 4.4× |
| X-Ray Exam Hip Uni 1 View (73501) | $175.50 | $270 | 2.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $286 | $440 | 3.4× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $387.40 | $596 | 3.9× |
| X-Ray Exam Hips Bi 2 Views (73521) | $421.20 | $648 | 4.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $523.25 | $805 | 5.2× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $577.85 | $889 | 5.7× |
| X-Ray Exam L-S Spine Bending (72114) | $619.45 | $953 | 6.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $365.95 | $563 | 4.4× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $469.95 | $723 | 4.7× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $243.75 | $375 | 2.4× |
| X-ray eye for foreign body (70030) | $242.45 | $373 | 2.9× |
| X-ray humerus (73060) range across 5 matching MRF lines |
$206.05–$381.55 | $317–$587 | varies |
| X-ray IV pyelogram (ivp) (74400) | $761.15 | $1,171 | 4.5× |
| X-ray IV pyelogram+tomography (74415) | $748.15 | $1,151 | 4.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $274.30 | $422 | 3.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $222.30 | $342 | 2.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $319.15 | $491 | 3.2× |
| X-ray nose-rectum child f.b. (76010) | $222.30 | $342 | 2.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $442.65 | $681 | 4.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $266.50 | $410 | 2.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $268.45 | $413 | 3.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $337.35 | $519 | 4.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $382.20 | $588 | 3.8× |
| X-ray thoracic spine 4 vw (72074) | $400.40 | $616 | 4.0× |
| X-Ray Tmj Unilat (70328) | $206.05 | $317 | 2.5× |
| X-Rays Bone Survey Complete (77075) | $833.30 | $1,282 | 8.3× |
| Xr c-spine 4 or 5 views (72050) | $434.85 | $669 | 4.3× |
| Xr facial bones less than 3 views (70140) | $216.45 | $333 | 2.6× |
| Xr orbits complete 4 views (70200) | $318.50 | $490 | 3.2× |
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.