Imaging prices at Muscogee (creek) Nation Medical Center

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $105 $175 1.3×
Abdomen 2 views (74019) $109.20 $182 1.1×
Acute Gastrointestinal Blood Loss Imaging (78278) $574.20 $957 1.5×
Ankle 2 views (73600)
range across 2 matching MRF lines
$126.60–$252.60 $211–$421 varies
Arthrogram ankle (73615) $75 $125 0.2×
Arthrogram hip (73525) $210 $350 0.6×
Bone age studies (77072) $126.60 $211 1.3×
Bone Imaging 3 Phase (78315) $848.40 $1,414 2.2×
Bone Imaging Whole Body (78306) $810.60 $1,351 2.1×
Bone survey infant (77076) $145.10 $241.84 1.4×
Cardiac MRI w/w/o contrast & further seq (75561) $630 $1,050 1.9×
Cardiac MRI w/w/o contrast w/stress (75563) $1,080 $1,800 1.4×
Chest 1 view (71045)
range across 2 matching MRF lines
$63.60–$90 $106–$150 varies
Chest 2 views (71046)
range across 3 matching MRF lines
$12–$90 $20–$150 varies
Chest 3 views (71047) $126.60 $211 1.5×
Clavicle complete (73000)
range across 2 matching MRF lines
$126.60–$252.60 $211–$421 varies
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $120 $200 1.2×
CT abdomen and pelvis without and with contrast (74178) $1,810.80 $3,018 5.4×
CT abdomen and pelvis without contrast (74176) $644.40 $1,074 2.8×
CT abdomen w contrast (74160) $805.20 $1,342 4.8×
CT abdomen w wo contrast (74170) $873.60 $1,456 5.2×
CT abdomen w/o contrast (74150) $730.20 $1,217 7.3×
CT Angio Abdomen and Pelvis (74174) $644.40 $1,074 1.9×
CT Angio Chest (71275) $644.40 $1,074 3.8×
CT Angio Head (70496) $644.40 $1,074 3.8×
CT angio hrt w/3d image (75574) $644.40 $1,074 1.9×
Ct Angio Lwr Extr W/O&W/Dye (73706) $873.60 $1,456 5.2×
CT Angio Neck (70498) $644.40 $1,074 3.8×
Ct Angio Upr Extrm W/O&W/Dye (73206)
range across 2 matching MRF lines
$120–$873.60 $200–$1,456 varies
CT cervical spine w/ contrast (72126) $759 $1,265 2.3×
CT cervical spine w/o contrast (72125) $759 $1,265 7.5×
CT cervical spine w/wo cont (72127) $873.60 $1,456 5.2×
CT chest w contrast (71260) $773.40 $1,289 4.6×
CT chest w/wo contrast (71270) $873.60 $1,456 5.2×
CT head/brain with contrast (70460) $751.80 $1,253 4.5×
CT head/brain without and with contrast (70470) $966.60 $1,611 5.7×
CT heart contrast eval cardiac structure&morph (75572) $644.40 $1,074 1.9×
CT heart no contrast quant eval coronry calcium (75571)
range across 2 matching MRF lines
$510–$784.80 $850–$1,308 varies
CT hrt w/3d image congen (75573) $904.80 $1,508 2.7×
CT iac w contrast (70481) $751.80 $1,253 4.5×
CT l-spine w&w/o contrast (72133) $967.20 $1,612 5.7×
CT lower ext w/o (73700) $546 $910 5.4×
CT lower extremity w/contrast material (73701) $748.80 $1,248 4.4×
CT lumbar spine w contrast (72132) $759 $1,265 2.3×
CT lumbar spine w/o contrast (72131) $759 $1,265 7.5×
CT maxillofacial w contrast (70487)
range across 2 matching MRF lines
$720–$748.80 $1,200–$1,248 varies
CT maxillofacial wo contrast (70486) $680.40 $1,134 6.8×
CT neck tissue combo (70492) $930.60 $1,551 5.5×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $873.60 $1,456 5.2×
CT orbits w/o contrast (70480) $680.40 $1,134 6.8×
CT pelvis w&w/o contrast (72194) $937.80 $1,563 5.6×
CT pelvis w/o contrast (72192) $751.80 $1,253 7.5×
CT scan of leg combo (73702) $873.60 $1,456 5.2×
CT scans face/jaw combo (70488) $873.60 $1,456 5.2×
CT soft tissue neck w contrast (70491) $823.20 $1,372 4.9×
CT soft tissue neck w/o contrast (70490) $745.20 $1,242 7.4×
CT thoracic spine w contrast (72129) $759 $1,265 4.5×
CT thoracic spine w/o contrast (72128) $759 $1,265 7.5×
CT thoracic spine w/wo cont (72130) $967.20 $1,612 5.7×
CT thorax w/o contrast (71250) $702 $1,170 7.0×
CT upper ext wo (73200) $615.60 $1,026 6.1×
CT upper extremity w/o & w/contrast material (73202) $615.60 $1,026 3.6×
CT upper extremity with contrast (73201) $748.80 $1,248 2.2×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $644.40 $1,074 3.8×
Cta Abdomen (74175) $945.60 $1,576 5.6×
CTA pelvis (72191) $751.80 $1,253 4.5×
Dxa Bone Density Axial (77080) $205.20 $342 2.0×
Dxa bone density study 1/>sites appendiclr skel (77081) $90 $150 1.1×
Esophagram (74220) $193.20 $322 1.1×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $270 $450 2.7×
Fluoroscopy up to 1 hr (76000) $198 $330 0.9×
Foot 2 views (73620)
range across 2 matching MRF lines
$126.60–$252.60 $211–$421 varies
Forearm 2 views (73090)
range across 2 matching MRF lines
$126.60–$252.60 $211–$421 varies
Gastric emptying imaging study (78264) $445.80 $743 1.2×
Gated Heart Planar Single (78472) $530.24 $883.73 1.4×
Hand 2 views (73120)
range across 2 matching MRF lines
$126.60–$252.60 $211–$421 varies
Hepatobil Syst Image W/Drug (78227) $704.40 $1,174 1.3×
Hepatobiliary System Imaging (78226) $631.20 $1,052 1.6×
Ht Muscle Image Spect Sing (78451) $1,615.20 $2,692 1.3×
Infant hip ultrasound, limited static exam (76886) $259.80 $433 3.1×
K Flow/Funct Image W/Drug (78708) $574.20 $957 1.1×
K Flow/Funct Image W/O Drug (78707) $574.20 $957 1.1×
Knee 3 Views (73562)
range across 2 matching MRF lines
$150–$295.20 $250–$492 varies
Mra Head W/O & W/Contrast Material (70546)
range across 2 matching MRF lines
$1,482–$2,074.80 $2,470–$3,458 varies
MRA head w/o contrast (70544) $1,029 $1,715 4.5×
MRA head with contrast (70545) $2,074.80 $3,458 6.2×
Mra Neck W/O &W/Contrast Material (70549) $1,482 $2,470 4.4×
MRA neck w/o contrast (70547) $1,029 $1,715 4.5×
MRI abdomen w contrast (74182) $1,146 $1,910 3.4×
MRI abdomen w/o contrast (74181) $1,029 $1,715 4.5×
MRI any jt lower extrem w/contrast material (73722)
range across 2 matching MRF lines
$1,146–$1,498.80 $1,910–$2,498 varies
MRI any jt lower extrem w/o & w/contrast matrl (73723) $1,482 $2,470 4.4×
MRI any jt upper extremity w/contrast matrl (73222)
range across 2 matching MRF lines
$1,146–$1,498.80 $1,910–$2,498 varies
MRI Breast W/O Contrast Bilateral (77047) $390 $650 1.7×
MRI Breast Without Contrast Material Unilateral (77046) $291 $485 1.3×
MRI cardiac w/o cont stress (75559) $750 $1,250 1.4×
MRI cardiac w/o contrast (75557) $450 $750 2.0×
MRI cervical spine w contrast (72142) $1,146 $1,910 3.4×
MRI cervical spine w/o cont (72141) $1,029 $1,715 4.5×
MRI chest w/o contrast (71550) $1,029 $1,715 4.5×
MRI chest with contrast (71551) $1,029 $1,715 1.4×
MRI chest wo w contrast (71552) $1,140 $1,900 3.4×
MRI lower extrem oth/thn jt w/contrast matrl (73719)
range across 2 matching MRF lines
$1,146–$1,320 $1,910–$2,200 varies
MRI lower extrem oth/thn jt w/o & w/contr matr (73720)
range across 2 matching MRF lines
$1,320–$1,482 $2,200–$2,470 varies
MRI lower extrem oth/thn jt w/o contr matrl (73718)
range across 2 matching MRF lines
$1,029–$1,320 $1,715–$2,200 varies
Mri Neck Spine W/O & W/Dye (72156) $1,482 $2,470 4.4×
MRI orbit face &/neck w/o contrast (70540) $1,029 $1,715 4.5×
MRI orbit face neck w contrast (70542) $1,146 $1,910 3.4×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $1,482 $2,470 4.4×
MRI pelvis w contrast (72196) $1,146 $1,910 3.4×
MRI pelvis w/o & w contrast (72197) $1,482 $2,470 4.4×
MRI pelvis w/o contrast (72195) $1,029 $1,715 4.5×
MRI thoracic spine w/o contrast (72146) $1,070.40 $1,784 4.7×
MRI upper extremity oth than jt w/contr matrl (73219) $1,146 $1,910 3.4×
MRI upper extremity oth than jt w/o contr matrl (73218)
range across 2 matching MRF lines
$1,029–$1,590 $1,715–$2,650 varies
Mri Uppr Extremity W/O&W/Dye (73220)
range across 3 matching MRF lines
$1,070.40–$1,590 $1,784–$2,650 varies
MRI, abdomen, combo (74183) $1,482 $2,470 4.4×
MRI, dorsal spine combo (72157) $1,482 $2,470 4.4×
MRI, joint upper extrem (73221) $1,029 $1,715 4.5×
MRI, joint upper extrem combo (73223) $1,482 $2,470 4.4×
MRI, lumbar spine combo (72158) $1,482 $2,470 4.4×
Myocardial Spect Multiple Studies (78452) $1,615.20 $2,692 1.3×
Neck soft tissue (70360) $126.60 $211 1.5×
Oph bmtry us echograpy a-scan io lens pwr cal (76519) $128.44 $214.07 1.3×
Ophthalmic Biometry US Echograpy a-Scan (76516) $119.84 $199.74 1.2×
Ophthalmic ultrasound dx b-scan w/wo a-scan (76512)
range across 3 matching MRF lines
$132–$210 $220–$350 varies
Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) $23.11 $38.51 0.8×
Optic foramina (70190) $90 $150 1.1×
Parathyroid Planar Imaging (78070) $379.80 $633 1.0×
Parathyroid planar imaging w/wo subtraction (78071) $379.80 $633 1.0×
Pelvis 1 or 2 views (72170) $126.60 $211 1.3×
Pulmonary Perfusion Imaging Particulate (78580) $543.60 $906 1.4×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $213 $355 2.1×
Radex Ankle Complete Minimum 3 Views (73610)
range across 2 matching MRF lines
$126.60–$295.20 $211–$492 varies
Radex Calcaneus Minimum 2 Views (73650)
range across 2 matching MRF lines
$126.60–$411 $211–$685 varies
Radex elbow complete minimum 3 views (73080) $126.60 $211 1.5×
Radex Facial Bones Complete Minimum 3 Views (70150) $130.20 $217 1.3×
Radex fingr minimum 2 views (73140)
range across 2 matching MRF lines
$126.60–$252.60 $211–$421 varies
Radex foot complete minimum 3 views (73630)
range across 2 matching MRF lines
$126.60–$252.60 $211–$421 varies
Radex Hand Minimum 3 Views (73130)
range across 2 matching MRF lines
$126.60–$252.60 $211–$421 varies
Radex lower extremity infant minimum 2 views (73592) $75 $125 0.9×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $99 $165 1.0×
Radex Nasal Bones Complete Minimum 3 Views (70160) $126.60 $211 1.5×
Radex Ribs Unilateral 2 Views (71100) $75 $125 0.9×
Radex shoulder complete minimum 2 views (73030)
range across 2 matching MRF lines
$126.60–$295.20 $211–$492 varies
Radex Sinuses Paransl < 3 Views (70210) $75 $125 0.9×
Radex Spine 1 View Specify Level (72020) $126.60 $211 1.5×
Radex Sternum Minimum 2 Views (71120) $126.60 $211 1.5×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $105 $175 1.3×
Radex Toe Minimum 2 Views (73660) $126.60 $211 1.5×
Radex upper extremity infant minimum 2 views (73092) $90 $150 0.9×
Radex Wrist Complete Minimum 3 Views (73110)
range across 2 matching MRF lines
$126.60–$252.60 $211–$421 varies
Radiolog exam mandible compl minimum 4 views (70110) $252.60 $421 2.5×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $126.60 $211 1.3×
Radiologic exam knee complete 4/more views (73564)
range across 2 matching MRF lines
$168–$332.40 $280–$554 varies
Radiologic exam pelvis compl minimum 3 views (72190) $126.60 $211 1.3×
Radiologic Exam Small Int Single Contrast Study (74250) $256.80 $428 1.5×
Radiologic exam swallow function contrast study (74230) $193.20 $322 1.1×
Radiologic exam upr gi trc double contrast study (74246) $193.20 $322 1.1×
Radiologic examination femur 1 view (73551) $213 $355 2.5×
Radiologic examination femur minimum 2 views (73552)
range across 2 matching MRF lines
$231–$411 $385–$685 varies
Radiologic examination knee 1/2 views (73560)
range across 2 matching MRF lines
$126.60–$252.60 $211–$421 varies
Radiologic Examination Osseous Survey Limited (77074) $97.27 $162.12 1.0×
Radiologic examination tibia & fibula 2 views (73590) $126.60 $211 1.5×
Ribs bilateral 3 views (71110) $96 $160 1.0×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $810.60 $1,351 1.6×
Scapula (73010) $126.60 $211 1.3×
Screening Digital Breast Tomosynthesis Bi (77063) $120 $200 5.1×
Sella turcica (70240) $90 $150 1.1×
Shoulder 1 view (73020)
range across 2 matching MRF lines
$126.60–$252.60 $211–$421 varies
Skull less than 4 views (70250) $126.60 $211 1.3×
Sternoclavicular joints (71130) $90 $150 1.1×
Thoracic spine 2 views (72070) $126.60 $211 1.3×
Thoracic spine 3 views (72072) $126.60 $211 1.3×
Thoracolumbar 2 views (72080) $90 $150 1.1×
Ultrasound Breast Limited (76642) $166.20 $277 2.0×
Ultrasound Exam Aaa Screen (76706) $126.01 $210.02 1.3×
Ultrasound, abdomen limited (76705)
range across 2 matching MRF lines
$259.80–$519 $433–$865 varies
Unlisted Dx Radiographic Procedure (76499)
range across 2 matching MRF lines
$15–$75 $25–$125 varies
Upper gi w/o kub (74240) $193.20 $322 1.1×
Us breast unilateral complete (76641)
range across 2 matching MRF lines
$166.20–$332.40 $277–$554 varies
Us complete joint (76881)
range across 2 matching MRF lines
$519–$726.60 $865–$1,211 varies
Us exam, pelvic, limited (76857) $166.20 $277 1.7×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882)
range across 3 matching MRF lines
$104.40–$364.20 $174–$607 varies
Us ob detailed single fetus (76811) $270 $450 1.2×
Us ob limited 1 or more fetuses (76815) $87 $145 0.9×
Us ob transvaginal (76817) $240.60 $401 2.4×
Us pelvic non ob complete (76856) $259.80 $433 2.6×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $188.09 $313.49 1.9×
Us preg uterus real time f/u trnsabdl per fetus (76816) $87 $145 0.9×
Us retroperitoneal complete (76770)
range across 2 matching MRF lines
$267.60–$519 $446–$865 varies
Us retroperitoneal limited (76775) $519 $865 5.2×
Us scrotum and contents (76870) $259.80 $433 2.6×
Us thyroid (76536) $259.80 $433 2.6×
Us transrectal (76872)
range across 2 matching MRF lines
$39–$123 $65–$205 varies
Wrist 2 views (73100)
range across 2 matching MRF lines
$126.60–$252.60 $211–$421 varies
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $252.60 $421 3.0×
X-Ray Aorta Leg Arteries (75630) $3,142.80 $5,238 1.0×
X-Ray Bend Only L-S Spine (72120) $96 $160 1.0×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070)
range across 2 matching MRF lines
$126.60–$252.60 $211–$421 varies
X-Ray Exam Entire Spi 1 Vw (72081) $75 $125 0.9×
X-Ray Exam Entire Spi 2/3 Vw (72082) $90 $150 0.9×
X-Ray Exam Hip Uni 1 View (73501) $126.60 $211 1.5×
X-Ray Exam Hip Uni 2-3 Views (73502) $126.60 $211 1.5×
X-Ray Exam Hips Bi 2 Views (73521) $252.60 $421 2.5×
X-Ray Exam Hips Bi 3-4 Views (73522) $90 $150 0.9×
X-Ray Exam Hips Bi 5/> Views (73523) $576 $960 5.7×
X-Ray Exam L-S Spine Bending (72114) $213 $355 2.1×
X-Ray Exam Neck Spine 2-3 Vw (72040) $126.60 $211 1.5×
X-Ray Exam Neck Spine 6/>Vws (72052) $96 $160 1.0×
X-Ray Exam Unilat Ribs/Chest (71101) $126.60 $211 1.3×
X-ray eye for foreign body (70030) $90 $150 1.1×
X-ray humerus (73060)
range across 2 matching MRF lines
$126.60–$252.60 $211–$421 varies
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $252.60 $421 3.0×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $126.60 $211 1.3×
X-ray nose-rectum child f.b. (76010) $90 $150 1.1×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $252.60 $421 2.5×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $126.60 $211 1.3×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $96 $160 1.0×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $126.60 $211 1.5×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $126.60 $211 1.5×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $213 $355 2.1×
X-Ray Tmj Unilat (70328) $90 $150 1.1×
X-Ray Urinary Tract Exam With Contrast Material (74420) $748.80 $1,248 2.2×
X-Rays Bone Survey Complete (77075) $213 $355 2.1×
Xr c-spine 4 or 5 views (72050) $213 $355 2.1×
Xr facial bones less than 3 views (70140) $75 $125 0.9×
XR Mastoids < 3 Views Bilateral (70120) $93 $155 0.9×
Xr orbits complete 4 views (70200) $120 $200 1.2×

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.