Imaging prices at Mercy Hospital Tishomingo
Tishomingo, OK · every code in this section with a posted price and a Medicare benchmark.
140 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) | $90.35 | $139 | 1.1× |
| Abdomen 2 views (74019) | $136.50 | $210 | 1.4× |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$98.80–$133.90 | $152–$206 | varies |
| Bone survey infant (77076) | $358.15 | $551 | 3.6× |
| Chest 1 view (71045) | $79.30 | $122 | 0.9× |
| Chest 2 views (71046) | $105.95 | $163 | 1.3× |
| Chest 3 views (71047) | $245.70 | $378 | 2.9× |
| Chest 4 or more views (71048) | $307.45 | $473 | 3.1× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$154.70–$263.25 | $238–$405 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $330.85 | $509 | 3.3× |
| CT abdomen and pelvis without and with contrast (74178) | $3,587.35 | $5,519 | 10.7× |
| CT abdomen and pelvis without contrast (74176) | $2,527.85 | $3,889 | 11.0× |
| CT abdomen w contrast (74160) | $2,132.65 | $3,281 | 12.6× |
| CT abdomen w wo contrast (74170) | $2,499.25 | $3,845 | 14.8× |
| CT abdomen w/o contrast (74150) | $1,768 | $2,720 | 17.6× |
| CT Angio Abdomen and Pelvis (74174) | $3,777.80 | $5,812 | 11.3× |
| CT Angio Chest (71275) | $2,191.80 | $3,372 | 13.0× |
| CT Angio Head (70496) | $2,146.95 | $3,303 | 12.7× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,060.50 | $3,170 | 12.2× |
| CT Angio Neck (70498) | $2,252.90 | $3,466 | 13.4× |
| CT cervical spine w/ contrast (72126) | $1,978.60 | $3,044 | 5.9× |
| CT cervical spine w/o contrast (72125) | $1,768.65 | $2,721 | 17.6× |
| CT cervical spine w/wo cont (72127) | $2,691.65 | $4,141 | 16.0× |
| CT chest w contrast (71260) | $2,067 | $3,180 | 12.3× |
| CT chest w/wo contrast (71270) | $2,197 | $3,380 | 13.0× |
| CT head/brain with contrast (70460) | $1,822.60 | $2,804 | 10.8× |
| CT head/brain without and with contrast (70470) | $2,137.85 | $3,289 | 12.7× |
| CT iac w contrast (70481) | $1,961.05 | $3,017 | 11.6× |
| CT l-spine w&w/o contrast (72133) | $2,533.05 | $3,897 | 15.0× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$1,682.20–$2,912.65 | $2,588–$4,481 | varies |
| CT lower extremity w/contrast material (73701) | $1,805.70 | $2,778 | 10.7× |
| CT lumbar spine w contrast (72132) | $1,997.45 | $3,073 | 6.0× |
| CT lumbar spine w/o contrast (72131) | $1,966.90 | $3,026 | 19.6× |
| CT maxillofacial w contrast (70487) | $1,848.60 | $2,844 | 11.0× |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$1,242.80–$1,306.50 | $1,912–$2,010 | varies |
| CT neck tissue combo (70492) | $2,165.15 | $3,331 | 12.8× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,369.25 | $3,645 | 14.0× |
| CT orbits w/o contrast (70480) | $916.50 | $1,410 | 9.1× |
| CT pelvis w&w/o contrast (72194) | $2,295.15 | $3,531 | 13.6× |
| CT pelvis w/o contrast (72192) | $1,738.10 | $2,674 | 17.3× |
| CT scan of leg combo (73702) | $1,989.65 | $3,061 | 11.8× |
| CT scans face/jaw combo (70488) | $2,299.05 | $3,537 | 13.6× |
| CT soft tissue neck w contrast (70491) | $1,581.45 | $2,433 | 9.4× |
| CT soft tissue neck w/o contrast (70490) | $1,247.35 | $1,919 | 12.4× |
| CT thoracic spine w contrast (72129) | $2,103.40 | $3,236 | 12.5× |
| CT thoracic spine w/o contrast (72128) | $1,732.90 | $2,666 | 17.2× |
| CT thoracic spine w/wo cont (72130) | $2,020.20 | $3,108 | 12.0× |
| CT thorax w/o contrast (71250) | $1,663.35 | $2,559 | 16.5× |
| CT upper ext wo (73200) | $1,627.60 | $2,504 | 16.2× |
| CT upper extremity w/o & w/contrast material (73202) | $1,756.30 | $2,702 | 10.4× |
| CT upper extremity with contrast (73201) | $1,651.65 | $2,541 | 4.9× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $3,038.10 | $4,674 | 18.0× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $2,252.90 | $3,466 | 6.7× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$106.60–$333.45 | $164–$513 | varies |
| Dxa bone density study (77085) | $462.80 | $712 | 4.6× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $222.30 | $342 | 2.7× |
| Foot 2 views (73620) range across 5 matching MRF lines |
$160.55–$287.95 | $247–$443 | varies |
| Forearm 2 views (73090) range across 5 matching MRF lines |
$258.70–$475.80 | $398–$732 | varies |
| Hand 2 views (73120) range across 5 matching MRF lines |
$96.85–$369.20 | $149–$568 | varies |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$132.60–$223.60 | $204–$344 | varies |
| Neck soft tissue (70360) | $105.30 | $162 | 1.3× |
| Pelvis 1 or 2 views (72170) | $105.30 | $162 | 1.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $181.35 | $279 | 1.8× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$159.90–$267.15 | $246–$411 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$174.20–$292.50 | $268–$450 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $270.40 | $416 | 2.7× |
| Radex fingr minimum 2 views (73140) | $107.90 | $166 | 1.3× |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$180.70–$304.20 | $278–$468 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$163.15–$271.05 | $251–$417 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $208.65 | $321 | 2.5× |
| Radex Ribs Unilateral 2 Views (71100) | $123.50 | $190 | 1.5× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$258.70–$391.95 | $398–$603 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $236.60 | $364 | 2.8× |
| Radex Spine 1 View Specify Level (72020) | $213.85 | $329 | 2.6× |
| Radex Sternum Minimum 2 Views (71120) | $122.85 | $189 | 1.5× |
| Radex Toe Minimum 2 Views (73660) | $100.10 | $154 | 1.2× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$172.25–$285.35 | $265–$439 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $692.90 | $1,066 | 6.9× |
| Radiolog exam mandible compl minimum 4 views (70110) | $373.10 | $574 | 3.7× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $177.45 | $273 | 1.8× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$286–$555.75 | $440–$855 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $152.10 | $234 | 1.5× |
| Radiologic examination femur 1 view (73551) | $241.80 | $372 | 2.9× |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$273.65–$460.20 | $421–$708 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$109.20–$180.05 | $168–$277 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$122.85–$199.55 | $189–$307 | varies |
| Ribs bilateral 3 views (71110) | $386.10 | $594 | 3.8× |
| Scapula (73010) range across 2 matching MRF lines |
$263.25–$267.80 | $405–$412 | varies |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$208–$212.55 | $320–$327 | varies |
| Skull less than 4 views (70250) | $189.80 | $292 | 1.9× |
| Thoracic spine 2 views (72070) | $286.65 | $441 | 2.9× |
| Thoracic spine 3 views (72072) | $317.20 | $488 | 3.2× |
| Thoracolumbar 2 views (72080) | $273 | $420 | 3.3× |
| Ultrasound Breast Limited (76642) | $331.50 | $510 | 4.0× |
| Ultrasound Exam Aaa Screen (76706) | $394.55 | $607 | 3.9× |
| Ultrasound, abdomen limited (76705) | $198.25 | $305 | 2.0× |
| Upper gi w/o kub (74240) | $494.65 | $761 | 2.9× |
| Us breast unilateral complete (76641) | $397.80 | $612 | 4.0× |
| Us chest (76604) | $244.40 | $376 | 2.4× |
| Us complete joint (76881) | $542.10 | $834 | 5.4× |
| Us exam, pelvic, limited (76857) | $298.35 | $459 | 3.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $448.50 | $690 | 4.5× |
| Us pelvic non ob complete (76856) | $636.35 | $979 | 6.3× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $541.45 | $833 | 5.4× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $328.25 | $505 | 3.3× |
| Us retroperitoneal complete (76770) | $282.75 | $435 | 2.8× |
| Us retroperitoneal limited (76775) | $241.80 | $372 | 2.4× |
| Us scrotum and contents (76870) | $331.50 | $510 | 3.3× |
| Us thyroid (76536) | $198.25 | $305 | 2.0× |
| Wrist 2 views (73100) range across 5 matching MRF lines |
$106.60–$261.30 | $164–$402 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 5 matching MRF lines |
$104.65–$233.35 | $161–$359 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $319.15 | $491 | 3.8× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $350.35 | $539 | 3.5× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $610.35 | $939 | 6.1× |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$115.05–$120.90 | $177–$186 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $136.50 | $210 | 1.6× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $219.05 | $337 | 2.2× |
| X-Ray Exam Hips Bi 2 Views (73521) | $209.30 | $322 | 2.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $310.05 | $477 | 3.1× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $384.80 | $592 | 3.8× |
| X-Ray Exam L-S Spine Bending (72114) | $563.55 | $867 | 5.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $291.20 | $448 | 3.5× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $449.15 | $691 | 4.5× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $325.65 | $501 | 3.2× |
| X-ray humerus (73060) range across 5 matching MRF lines |
$94.90–$390 | $146–$600 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $255.45 | $393 | 3.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $159.90 | $246 | 1.6× |
| X-ray nose-rectum child f.b. (76010) | $224.25 | $345 | 2.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $441.35 | $679 | 4.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $306.15 | $471 | 3.0× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $228.80 | $352 | 2.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $261.95 | $403 | 3.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $330.20 | $508 | 3.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $286 | $440 | 2.8× |
| X-ray thoracic spine 4 vw (72074) | $429 | $660 | 4.3× |
| X-Ray Tmj Unilat (70328) | $185.25 | $285 | 2.2× |
| X-Rays Bone Survey Complete (77075) | $891.80 | $1,372 | 8.9× |
| Xr c-spine 4 or 5 views (72050) | $356.85 | $549 | 3.5× |
| Xr facial bones less than 3 views (70140) | $251.55 | $387 | 3.0× |
| Xr orbits complete 4 views (70200) | $338 | $520 | 3.4× |
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.