Imaging prices at Oklahoma State University Medical Center

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $120.80 $302 1.4×
Abdomen 2 views (74019) $217.20 $543 2.2×
Acute Gastrointestinal Blood Loss Imaging (78278) $588.80 $1,472 1.5×
Angio internal mammary (75756) $3,307.20 $8,268 1.1×
Angio pulmonary bilat (75743) $3,307.20 $8,268 1.1×
Angiography extremity bilateral rs&i (75716) $3,307.20 $8,268 1.1×
Angiography extremity unilateral rs&i (75710) $3,307.20 $8,268 1.1×
Angiography pulmonary unilateral slctv rs&i (75741) $3,307.20 $8,268 1.1×
Angrph pulmonary nonslctv cath/ven njx rs&i (75746) $1,304 $3,260 0.4×
Ankle 2 views (73600) $162.40 $406 1.9×
Aortography thoracic serialography rs&i (75605) $3,261.20 $8,153 0.6×
Artery X-Rays Abdomen (75726) $6,077.60 $15,194 1.1×
Artery X-Rays Pelvis (75736) $5,658.40 $14,146 1.1×
Arthrogram hip (73525) $605.60 $1,514 1.8×
Arthrogram Wrist (73115) $930.40 $2,326 2.8×
Bone age studies (77072) $233.20 $583 2.3×
Bone Imaging 3 Phase (78315) $801.20 $2,003 2.1×
Bone Imaging Limited Area (78300) $588.80 $1,472 1.5×
Bone Imaging Multiple Areas (78305) $776 $1,940 2.0×
Bone Imaging Whole Body (78306) $801.20 $2,003 2.1×
Bone marrow imaging; whole body (78104) $535.20 $1,338 1.4×
Bone survey infant (77076) $234.40 $586 2.3×
Brain Image W/Flow < 4 Views (78601) $610.40 $1,526 1.6×
Brain Imaging Min 4 Static Views W Vascular Flow (78606) $856 $2,140 1.6×
Chest 1 view (71045) $146.40 $366 1.7×
Chest 2 views (71046) $233.20 $583 2.8×
Clavicle complete (73000) $260.40 $651 3.1×
Contrast Exam Abdominl Aorta (75625) $3,307.20 $8,268 1.1×
Contrast X-Ray Bladder (74430) $425.60 $1,064 1.3×
CT abdomen and pelvis without and with contrast (74178) $2,120 $5,300 6.3×
CT abdomen and pelvis without contrast (74176) $1,313.60 $3,284 5.7×
CT abdomen w contrast (74160) $1,284.40 $3,211 7.6×
CT abdomen w wo contrast (74170) $1,572.80 $3,932 9.3×
CT abdomen w/o contrast (74150) $1,101.60 $2,754 11.0×
CT Angio Abdomen and Pelvis (74174) $1,850.40 $4,626 5.5×
CT Angio Chest (71275) $1,572.80 $3,932 9.3×
CT Angio Head (70496)
range across 2 matching MRF lines		 $1,181.04–$1,228.80 $2,952.60–$3,072 varies
CT angio hrt w/3d image (75574) $1,284.40 $3,211 3.8×
Ct Angio Lwr Extr W/O&W/Dye (73706) $1,572.80 $3,932 9.3×
CT Angio Neck (70498) $1,181.04 $2,952.60 7.0×
Ct Angio Upr Extrm W/O&W/Dye (73206) $1,748 $4,370 10.4×
CT cervical spine w/ contrast (72126) $1,003.60 $2,509 3.0×
CT cervical spine w/o contrast (72125) $860.80 $2,152 8.6×
CT cervical spine w/wo cont (72127) $1,228.80 $3,072 7.3×
CT chest w contrast (71260) $1,284.40 $3,211 7.6×
CT chest w/wo contrast (71270) $1,572.80 $3,932 9.3×
CT head/brain with contrast (70460) $1,277.60 $3,194 7.6×
CT head/brain without and with contrast (70470) $1,446 $3,615 8.6×
CT heart no contrast quant eval coronry calcium (75571) $126.80 $317 1.5×
CT iac w contrast (70481) $1,003.60 $2,509 5.9×
CT l-spine w&w/o contrast (72133) $1,572.80 $3,932 9.3×
CT lower ext w/o (73700) $1,101.60 $2,754 11.0×
CT lower extremity w/contrast material (73701) $1,926.40 $4,816 11.4×
CT lumbar spine w contrast (72132) $1,284.40 $3,211 3.8×
CT lumbar spine w/o contrast (72131) $1,101.60 $2,754 11.0×
CT maxillofacial w contrast (70487) $1,003.60 $2,509 5.9×
CT maxillofacial wo contrast (70486) $860.80 $2,152 8.6×
CT neck tissue combo (70492) $1,228.80 $3,072 7.3×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $1,228.80 $3,072 7.3×
CT orbits w/o contrast (70480) $860.80 $2,152 8.6×
CT pelvis w&w/o contrast (72194) $1,572.80 $3,932 9.3×
CT pelvis w/o contrast (72192) $1,101.60 $2,754 11.0×
CT scan of leg combo (73702) $2,358 $5,895 14.0×
CT scans face/jaw combo (70488) $1,228.80 $3,072 7.3×
CT soft tissue neck w contrast (70491) $1,003.60 $2,509 5.9×
CT soft tissue neck w/o contrast (70490) $860.80 $2,152 8.6×
CT thoracic spine w contrast (72129) $1,284.40 $3,211 7.6×
CT thoracic spine w/o contrast (72128) $1,112.80 $2,782 11.1×
CT thoracic spine w/wo cont (72130) $1,572.80 $3,932 9.3×
CT thorax w/o contrast (71250) $1,101.60 $2,754 11.0×
CT upper ext wo (73200) $1,101.60 $2,754 11.0×
CT upper extremity w/o & w/contrast material (73202) $1,572.80 $3,932 9.3×
CT upper extremity with contrast (73201) $1,199.20 $2,998 3.6×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $1,980 $4,950 11.7×
Cta Abdomen (74175) $1,572.80 $3,932 9.3×
Doppler Fetal Mid Cerebral Artery (76821) $152 $380 1.5×
Dxa Bone Density Axial (77080) $233.20 $583 2.3×
Echo Guide For Artery Repair (76936) $330.40 $826 1.6×
Esophagram (74220) $300 $750 1.8×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $294.40 $736 2.9×
Fluoroscopy up to 1 hr (76000) $198.40 $496 0.9×
Follow-Up Angiography (75898) $1,304 $3,260 0.4×
Foot 2 views (73620) $260.40 $651 3.1×
Forearm 2 views (73090) $166.80 $417 2.0×
Gastric emptying imaging study (78264) $588.80 $1,472 1.5×
Gated Heart Planar Single (78472) $615.20 $1,538 1.6×
Hand 2 views (73120) $233.20 $583 2.3×
Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) $3,307.20 $8,268 1.1×
Hepatobil Syst Image W/Drug (78227) $762.40 $1,906 1.5×
Hepatobiliary System Imaging (78226) $598 $1,495 1.6×
Ht Muscle Image Spect Sing (78451) $2,024.80 $5,062 1.6×
Hysterosalpingogram (74740) $510.80 $1,277 2.2×
Infant hip ultrasound with hip movement (dynamic) (76885) $190.40 $476 2.3×
K Flow/Funct Image W/Drug (78708) $762.40 $1,906 1.5×
K Flow/Funct Image W/O Drug (78707) $762.40 $1,906 1.5×
Knee 3 Views (73562) $260.40 $651 3.1×
Lung perfusion differential (78597) $588.80 $1,472 1.5×
Lung Ventilat&Perfus Imaging (78582) $762.40 $1,906 1.5×
Lymph System Imaging (78195) $790.80 $1,977 1.5×
Magnetic Image Jaw Joint (70336) $1,206 $3,015 5.3×
Mammary ductogram or galactogram single (77053) $618.40 $1,546 2.7×
Meckels Divert Exam (78290) $588.80 $1,472 1.5×
Mra Head W/O & W/Contrast Material (70546) $1,689.60 $4,224 5.0×
MRA head w/o contrast (70544) $1,003.60 $2,509 4.4×
MRA head with contrast (70545) $1,572.80 $3,932 4.7×
MRA neck w contrast (70548) $1,572.80 $3,932 4.7×
Mra Neck W/O &W/Contrast Material (70549) $1,689.60 $4,224 5.0×
MRA neck w/o contrast (70547) $1,003.60 $2,509 4.4×
MRI abdomen w/o contrast (74181) $1,206 $3,015 5.3×
MRI any jt lower extrem w/contrast material (73722) $1,890.40 $4,726 2.5×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $2,030.40 $5,076 6.1×
MRI any jt upper extremity w/contrast matrl (73222) $1,890.40 $4,726 2.5×
MRI cervical spine w contrast (72142) $1,572.80 $3,932 4.7×
MRI cervical spine w/o cont (72141) $1,003.60 $2,509 4.4×
MRI chest w/o contrast (71550) $1,206 $3,015 5.3×
MRI chest wo w contrast (71552) $2,030.40 $5,076 6.1×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $1,890.40 $4,726 5.6×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $3,046 $7,615 9.1×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $1,206 $3,015 5.3×
MRI lumbar spine w contrast (72149) $1,890.40 $4,726 5.6×
Mri Neck Spine W/O & W/Dye (72156) $1,689.60 $4,224 5.0×
MRI orbit face &/neck w/o contrast (70540) $1,003.60 $2,509 4.4×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $1,689.60 $4,224 5.0×
MRI pelvis w/o & w contrast (72197) $2,030.40 $5,076 6.1×
MRI pelvis w/o contrast (72195) $1,206 $3,015 5.3×
MRI thoracic spine w/o contrast (72146) $1,206 $3,015 5.3×
MRI upper extremity oth than jt w/o contr matrl (73218) $1,206 $3,015 5.3×
Mri Uppr Extremity W/O&W/Dye (73220) $2,030.40 $5,076 6.1×
MRI, abdomen, combo (74183) $2,030.40 $5,076 6.1×
MRI, dorsal spine combo (72157) $2,030.40 $5,076 6.1×
MRI, dorsal spine contrast (72147) $1,890.40 $4,726 5.6×
MRI, joint upper extrem (73221) $1,206 $3,015 5.3×
MRI, joint upper extrem combo (73223) $2,030.40 $5,076 6.1×
MRI, lumbar spine combo (72158) $2,030.40 $5,076 6.1×
Myocardial Spect Multiple Studies (78452) $2,024.80 $5,062 1.6×
Neck soft tissue (70360) $215.20 $538 2.6×
Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) $588.80 $1,472 1.5×
Nuclear Rx Oral Admin (79005) $610.40 $1,526 2.7×
Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) $261.60 $654 2.6×
Parathyroid imaging w/tomographic spect & CT (78072) $1,186.80 $2,967 2.3×
Parathyroid Planar Imaging (78070) $576.80 $1,442 1.5×
Parathyroid planar imaging w/wo subtraction (78071) $588.80 $1,472 1.5×
Pelvis 1 or 2 views (72170) $292 $730 2.9×
Pulmonary Perfusion Imaging Particulate (78580) $588.80 $1,472 1.5×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $262 $655 2.6×
Radex abscess/fistula/sinus tract rs&i (76080) $510.80 $1,277 1.0×
Radex Ankle Complete Minimum 3 Views (73610) $260.40 $651 3.1×
Radex Calcaneus Minimum 2 Views (73650) $260.40 $651 3.1×
Radex elbow complete minimum 3 views (73080) $260.40 $651 3.1×
Radex Facial Bones Complete Minimum 3 Views (70150) $393.20 $983 3.9×
Radex fingr minimum 2 views (73140) $260.40 $651 3.1×
Radex foot complete minimum 3 views (73630) $260.40 $651 3.1×
Radex Hand Minimum 3 Views (73130) $260.40 $651 3.1×
Radex lower extremity infant minimum 2 views (73592) $161.60 $404 1.9×
Radex Nasal Bones Complete Minimum 3 Views (70160) $432.40 $1,081 5.2×
Radex Ribs Unilateral 2 Views (71100) $260.40 $651 3.1×
Radex shoulder complete minimum 2 views (73030) $260.40 $651 3.1×
Radex Sinuses Paransl < 3 Views (70210) $260.40 $651 3.1×
Radex Spine 1 View Specify Level (72020) $160.40 $401 1.9×
Radex Sternum Minimum 2 Views (71120) $260.40 $651 3.1×
Radex Toe Minimum 2 Views (73660) $132.80 $332 1.6×
Radex upper extremity infant minimum 2 views (73092) $222 $555 2.2×
Radex Wrist Complete Minimum 3 Views (73110) $260.40 $651 3.1×
Radiolog exam mandible compl minimum 4 views (70110) $432.40 $1,081 4.3×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $260.40 $651 2.6×
Radiologic exam colon double contrast study (74280) $425.60 $1,064 2.5×
Radiologic exam colon single contrast study (74270) $425.60 $1,064 2.5×
Radiologic exam knee complete 4/more views (73564) $432.40 $1,081 4.3×
Radiologic exam pelvis compl minimum 3 views (72190) $432.40 $1,081 4.3×
Radiologic Exam Small Int Single Contrast Study (74250) $256.40 $641 1.5×
Radiologic exam swallow function contrast study (74230) $200 $500 1.2×
Radiologic exam upr gi trc double contrast study (74246) $391.20 $978 2.3×
Radiologic examination femur 1 view (73551) $260.40 $651 3.1×
Radiologic examination femur minimum 2 views (73552) $260.40 $651 3.1×
Radiologic examination knee 1/2 views (73560) $260.40 $651 3.1×
Radiologic Examination Osseous Survey Limited (77074) $195.20 $488 1.9×
Radiologic examination tibia & fibula 2 views (73590) $260.40 $651 3.1×
Ribs bilateral 3 views (71110) $432.40 $1,081 4.3×
Rp loclzj tum plnr 1 area single day imaging (78800) $588 $1,470 1.5×
Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) $588 $1,470 1.5×
Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) $2,024.80 $5,062 3.9×
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) $2,024.80 $5,062 3.9×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $2,024.80 $5,062 3.9×
Rp loclzj tum spect 2 area/sep acquisj img (78831) $2,024.80 $5,062 1.6×
Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) $2,024.80 $5,062 1.6×
Scapula (73010) $151.20 $378 1.5×
Screening Digital Breast Tomosynthesis Bi (77063) $56 $140 2.4×
Shoulder 1 view (73020) $153.60 $384 1.8×
Skull less than 4 views (70250) $432.40 $1,081 4.3×
Speech evaluation, complex (70371) $408.80 $1,022 1.8×
Sternoclavicular joints (71130) $128.80 $322 1.5×
Thoracic spine 3 views (72072) $444.40 $1,111 4.4×
Thyroid Met Imaging Body (78018) $535.20 $1,338 1.0×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $588.80 $1,472 1.5×
Ultrasound Breast Limited (76642) $264 $660 3.2×
Ultrasound elastography first target lesion (76982) $213.60 $534 2.1×
Ultrasound Elastography Parenchyma (76981) $234.40 $586 2.3×
Ultrasound, abdomen limited (76705) $659.60 $1,649 6.6×
Umbilical-artery Doppler (OB) (76820) $152 $380 1.5×
Upper gi w/o kub (74240) $391.20 $978 2.3×
Urethrocystogram voiding (74455) $414 $1,035 1.8×
Urethrocystography retrograde (74450) $376 $940 1.6×
Us chest (76604) $395.20 $988 3.9×
Us exam, pelvic, limited (76857) $610.80 $1,527 6.1×
Us head (76506) $294.40 $736 2.9×
Us kidney transplant (76776) $610.80 $1,527 6.1×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $276.80 $692 2.8×
Us ob limited 1 or more fetuses (76815) $294.40 $736 2.9×
Us ob transvaginal (76817) $294.40 $736 2.9×
Us pelvic non ob complete (76856) $659.60 $1,649 6.6×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $294.40 $736 2.9×
Us preg uterus real time f/u trnsabdl per fetus (76816) $233.20 $583 2.3×
Us retroperitoneal complete (76770) $659.60 $1,649 6.6×
Us retroperitoneal limited (76775) $659.60 $1,649 6.6×
Us scrotum and contents (76870) $610.80 $1,527 6.1×
Us spinal canal and contents (76800) $294.40 $736 2.9×
Us thyroid (76536) $659.60 $1,649 6.6×
Vein X-Ray Chest (75827) $846.40 $2,116 0.6×
Venogram Sinus/Jugular (75860) $3,307.20 $8,268 1.1×
Venography caval inferior serialography rs&i (75825) $3,307.20 $8,268 1.1×
Venography extremity bilateral rs&i (75822) $1,304 $3,260 0.9×
Venography extremity unilateral rs&i (75820) $1,046.80 $2,617 0.7×
Venography Renal Bilateral (75833) $3,307.20 $8,268 1.1×
Venography Renal Unilateral (75831) $3,307.20 $8,268 1.1×
Wrist 2 views (73100) $260.40 $651 3.1×
X-Ray Aorta Leg Arteries (75630) $3,506 $8,765 1.2×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $154.40 $386 1.8×
X-Ray Exam Breast Specimen (76098) $344 $860 0.7×
X-Ray Exam Entire Spi 2/3 Vw (72082) $432.40 $1,081 4.3×
X-Ray Exam Hip Uni 1 View (73501) $260.40 $651 3.1×
X-Ray Exam Hip Uni 2-3 Views (73502) $260.40 $651 3.1×
X-Ray Exam Hips Bi 2 Views (73521) $292 $730 2.9×
X-Ray Exam Hips Bi 3-4 Views (73522) $432.40 $1,081 4.3×
X-Ray Exam L-S Spine Bending (72114) $432.40 $1,081 4.3×
X-Ray Exam Neck Spine 2-3 Vw (72040) $432.40 $1,081 5.2×
X-Ray Exam Neck Spine 6/>Vws (72052) $432.40 $1,081 4.3×
X-Ray Exam Unilat Ribs/Chest (71101) $432.40 $1,081 4.3×
X-ray humerus (73060) $260.40 $651 3.1×
X-ray IV pyelogram (ivp) (74400) $309.60 $774 1.8×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $934.40 $2,336 11.2×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $432.40 $1,081 4.3×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $432.40 $1,081 4.3×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $260.40 $651 3.1×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $260.40 $651 3.1×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $432.40 $1,081 4.3×
X-ray thoracic spine 4 vw (72074) $455.20 $1,138 4.5×
X-Ray Urinary Tract Exam With Contrast Material (74420) $698.80 $1,747 2.1×
X-Rays Bone Survey Complete (77075) $432.40 $1,081 4.3×
Xr c-spine 4 or 5 views (72050) $432.40 $1,081 4.3×
Xr facial bones less than 3 views (70140) $158.80 $397 1.9×
Xr orbits complete 4 views (70200) $393.20 $983 3.9×

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.