Imaging prices at Mercy Hospital Watonga, Inc

Watonga, 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) $174.85 $269 2.1×
Abdomen 2 views (74019) $193.70 $298 1.9×
Ankle 2 views (73600)
range across 4 matching MRF lines
$157.95–$425.75 $243–$655 varies
Bone survey infant (77076) $349.70 $538 3.5×
Chest 1 view (71045) $158.60 $244 1.9×
Chest 2 views (71046) $184.60 $284 2.2×
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
$174.85–$321.75 $269–$495 varies
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $447.20 $688 4.4×
CT abdomen and pelvis without and with contrast (74178) $2,286.70 $3,518 6.8×
CT abdomen and pelvis without contrast (74176) $1,977.30 $3,042 8.6×
CT abdomen w contrast (74160) $1,318.20 $2,028 7.8×
CT abdomen w wo contrast (74170) $2,154.10 $3,314 12.8×
CT abdomen w/o contrast (74150) $982.80 $1,512 9.8×
CT Angio Abdomen and Pelvis (74174) $3,069.95 $4,723 9.1×
CT Angio Chest (71275) $1,869.40 $2,876 11.1×
CT Angio Head (70496) $2,027.35 $3,119 12.0×
CT Angio Neck (70498) $2,017.60 $3,104 12.0×
CT cervical spine w/ contrast (72126) $1,831.05 $2,817 5.5×
CT cervical spine w/o contrast (72125) $1,090.05 $1,677 10.8×
CT chest w contrast (71260) $1,658.80 $2,552 9.8×
CT chest w/wo contrast (71270) $2,193.10 $3,374 13.0×
CT head/brain with contrast (70460) $1,937 $2,980 11.5×
CT head/brain without and with contrast (70470) $2,351.70 $3,618 13.9×
CT iac w contrast (70481) $2,206.75 $3,395 13.1×
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
$1,079.65–$2,257.45 $1,661–$3,473 varies
CT lower extremity w/contrast material (73701)
range across 3 matching MRF lines
$1,817.40–$2,331.55 $2,796–$3,587 varies
CT lumbar spine w contrast (72132) $1,844.70 $2,838 5.5×
CT lumbar spine w/o contrast (72131) $1,444.30 $2,222 14.4×
CT maxillofacial w contrast (70487) $1,935.05 $2,977 11.5×
CT maxillofacial wo contrast (70486)
range across 2 matching MRF lines
$1,083.55–$1,148.55 $1,667–$1,767 varies
CT neck tissue combo (70492) $2,132.65 $3,281 12.6×
CT orbits w/o contrast (70480) $1,656.85 $2,549 16.5×
CT pelvis w&w/o contrast (72194) $2,148.25 $3,305 12.7×
CT pelvis w/o contrast (72192) $971.10 $1,494 9.7×
CT scans face/jaw combo (70488) $2,081.95 $3,203 12.3×
CT soft tissue neck w contrast (70491) $1,285.05 $1,977 7.6×
CT soft tissue neck w/o contrast (70490) $1,121.25 $1,725 11.2×
CT thoracic spine w contrast (72129) $1,784.90 $2,746 10.6×
CT thoracic spine w/o contrast (72128) $1,097.20 $1,688 10.9×
CT thorax w/o contrast (71250) $917.80 $1,412 9.1×
CT upper ext wo (73200) $1,079.65 $1,661 10.7×
CT upper extremity w/o & w/contrast material (73202) $1,846 $2,840 10.9×
CT upper extremity with contrast (73201) $1,442.35 $2,219 4.3×
Cta Abdomen (74175) $2,396.55 $3,687 14.2×
CTA head&neck c+ w/noncontrast img&post-pxessing (70471) $2,027.35 $3,119 6.0×
Dxa Bone Density Axial (77080) $98.15 $151 1.0×
Esophagram (74220) $525.85 $809 3.1×
Foot 2 views (73620)
range across 5 matching MRF lines
$174.85–$445.90 $269–$686 varies
Forearm 2 views (73090)
range across 5 matching MRF lines
$174.85–$436.15 $269–$671 varies
Hand 2 views (73120)
range across 5 matching MRF lines
$203.45–$512.85 $313–$789 varies
Knee 3 Views (73562)
range across 3 matching MRF lines
$193.70–$561.60 $298–$864 varies
MRA head w/o contrast (70544) $2,216.50 $3,410 9.7×
MRA neck w/o contrast (70547) $2,293.85 $3,529 10.0×
MRI abdomen w contrast (74182) $1,558.05 $2,397 4.6×
MRI abdomen w/o contrast (74181) $2,451.80 $3,772 10.7×
MRI any jt lower extrem w/contrast material (73722) $2,113.15 $3,251 2.8×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $2,592.20 $3,988 7.7×
MRI any jt upper extremity w/contrast matrl (73222) $2,292.55 $3,527 3.0×
MRI cervical spine w contrast (72142) $2,531.10 $3,894 7.5×
MRI cervical spine w/o cont (72141) $2,152.80 $3,312 9.4×
MRI chest w/o contrast (71550) $1,720.55 $2,647 7.5×
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) $2,770.95 $4,263 8.3×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $1,886.95 $2,903 8.2×
MRI lumbar spine w contrast (72149) $2,499.25 $3,845 7.4×
Mri Neck Spine W/O & W/Dye (72156) $2,889.25 $4,445 8.6×
MRI orbit face &/neck w/o contrast (70540) $2,092.35 $3,219 9.1×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $2,353.65 $3,621 7.0×
MRI pelvis w contrast (72196) $2,169.70 $3,338 6.5×
MRI pelvis w/o & w contrast (72197) $3,155.10 $4,854 9.4×
MRI pelvis w/o contrast (72195) $1,929.85 $2,969 8.4×
MRI thoracic spine w/o contrast (72146) $2,152.80 $3,312 9.4×
MRI upper extremity oth than jt w/contr matrl (73219) $1,992.25 $3,065 5.9×
MRI upper extremity oth than jt w/o contr matrl (73218) $1,807.65 $2,781 7.9×
Mri Uppr Extremity W/O&W/Dye (73220) $2,733.25 $4,205 8.1×
MRI, abdomen, combo (74183) $2,694.25 $4,145 8.0×
MRI, dorsal spine combo (72157) $2,889.25 $4,445 8.6×
MRI, dorsal spine contrast (72147) $2,645.50 $4,070 7.9×
MRI, joint upper extrem (73221) $1,795.30 $2,762 7.8×
MRI, joint upper extrem combo (73223) $2,821.65 $4,341 8.4×
MRI, lumbar spine combo (72158) $2,889.25 $4,445 8.6×
Neck soft tissue (70360) $221 $340 2.6×
Pelvis 1 or 2 views (72170) $260.65 $401 2.6×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $375.70 $578 3.7×
Radex Ankle Complete Minimum 3 Views (73610) $221 $340 2.6×
Radex Calcaneus Minimum 2 Views (73650)
range across 3 matching MRF lines
$174.85–$297.05 $269–$457 varies
Radex elbow complete minimum 3 views (73080)
range across 3 matching MRF lines
$239.85–$409.50 $369–$630 varies
Radex Facial Bones Complete Minimum 3 Views (70150) $300.30 $462 3.0×
Radex fingr minimum 2 views (73140) $174.85 $269 2.1×
Radex foot complete minimum 3 views (73630)
range across 3 matching MRF lines
$222.30–$537.55 $342–$827 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)
range across 3 matching MRF lines
$188.50–$302.90 $290–$466 varies
Radex Nasal Bones Complete Minimum 3 Views (70160) $271.70 $418 3.2×
Radex Ribs Unilateral 2 Views (71100) $174.85 $269 2.1×
Radex shoulder complete minimum 2 views (73030)
range across 3 matching MRF lines
$193.70–$564.20 $298–$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 Toe Minimum 2 Views (73660) $208 $320 2.5×
Radex upper extremity infant minimum 2 views (73092)
range across 3 matching MRF lines
$161.85–$234 $249–$360 varies
Radex Wrist Complete Minimum 3 Views (73110)
range across 3 matching MRF lines
$193.70–$532.35 $298–$819 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 knee complete 4/more views (73564)
range across 3 matching MRF lines
$286.65–$539.50 $441–$830 varies
Radiologic exam pelvis compl minimum 3 views (72190) $193.70 $298 1.9×
Radiologic exam swallow function contrast study (74230) $532.35 $819 3.2×
Radiologic examination femur 1 view (73551) $174.85 $269 2.1×
Radiologic examination femur minimum 2 views (73552)
range across 3 matching MRF lines
$193.70–$414.05 $298–$637 varies
Radiologic examination knee 1/2 views (73560)
range across 3 matching MRF lines
$174.85–$414.05 $269–$637 varies
Radiologic examination tibia & fibula 2 views (73590)
range across 5 matching MRF lines
$174.85–$377 $269–$580 varies
Ribs bilateral 3 views (71110) $391.30 $602 3.9×
Scapula (73010) $174.85 $269 1.7×
Shoulder 1 view (73020) $174.85 $269 2.1×
Skull less than 4 views (70250) $315.90 $486 3.1×
Sternoclavicular joints (71130) $215.15 $331 2.6×
Thoracic spine 2 views (72070) $174.85 $269 1.7×
Thoracic spine 3 views (72072) $193.70 $298 1.9×
Thoracolumbar 2 views (72080) $291.85 $449 3.5×
Ultrasound Exam Aaa Screen (76706) $406.90 $626 4.0×
Ultrasound, abdomen limited (76705) $381.55 $587 3.8×
Us chest (76604) $416.65 $641 4.1×
Us complete joint (76881) $397.15 $611 3.9×
Us exam, pelvic, limited (76857) $416.65 $641 4.1×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $350.35 $539 3.5×
Us ob limited 1 or more fetuses (76815) $318.50 $490 3.2×
Us ob transvaginal (76817) $460.20 $708 4.6×
Us pelvic non ob complete (76856) $363.35 $559 3.6×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $365.95 $563 3.6×
Us retroperitoneal complete (76770) $455 $700 4.5×
Us retroperitoneal limited (76775) $381.55 $587 3.8×
Us scrotum and contents (76870) $364 $560 3.6×
Us thyroid (76536) $399.10 $614 4.0×
Wrist 2 views (73100)
range across 4 matching MRF lines
$145.60–$174.85 $224–$269 varies
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $245.05 $377 2.9×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070)
range across 4 matching MRF lines
$220.35–$414.70 $339–$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 Entire Spi 4/5 Vw (72083) $529.10 $814 5.3×
X-Ray Exam Hip Uni 1 View (73501) $175.50 $270 2.1×
X-Ray Exam Hip Uni 2-3 Views (73502) $193.70 $298 2.3×
X-Ray Exam Hip Uni 4/> Views (73503) $302.25 $465 3.0×
X-Ray Exam Hips Bi 2 Views (73521) $411.45 $633 4.1×
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 Neck Spine 2-3 Vw (72040) $193.70 $298 2.3×
X-Ray Exam Neck Spine 6/>Vws (72052) $469.95 $723 4.7×
X-Ray Exam Unilat Ribs/Chest (71101) $181.35 $279 1.8×
X-ray humerus (73060)
range across 4 matching MRF lines
$174.85–$193.70 $269–$298 varies
X-ray IV pyelogram (ivp) (74400) $761.15 $1,171 4.5×
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) $193.70 $298 1.9×
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 Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $226.20 $348 2.2×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $174.85 $269 2.1×
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 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) $241.80 $372 2.4×
Xr facial bones less than 3 views (70140) $213.20 $328 2.5×

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.