Imaging prices at Pawhuska Hospital, Inc
Pawhuska, OK · every code in this section with a posted price and a Medicare benchmark.
155 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) | $100.80 | $180 | 1.2× |
| Abdomen 2 views (74019) | $106.40 | $190 | 1.1× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$138.88–$152.88 | $248–$273 | varies |
| Cat Scan Follow-Up Study (76380) | $226.80 | $405 | 2.7× |
| Chest 1 view (71045) | $100.80 | $180 | 1.2× |
| Chest 2 views (71046) | $109.20 | $195 | 1.3× |
| Chest 3 views (71047) | $117.60 | $210 | 1.4× |
| Chest 4 or more views (71048) | $126 | $225 | 1.3× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$145.04–$159.60 | $259–$285 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,213.37 | $2,166.73 | 12.1× |
| CT abdomen and pelvis without and with contrast (74178) range across 3 matching MRF lines |
$848.96–$2,638.18 | $1,516–$4,711.04 | varies |
| CT abdomen and pelvis without contrast (74176) | $2,274.72 | $4,062 | 9.9× |
| CT abdomen w contrast (74160) | $966 | $1,725 | 5.7× |
| CT abdomen w wo contrast (74170) | $1,020.32 | $1,822 | 6.0× |
| CT abdomen w/o contrast (74150) | $924 | $1,650 | 9.2× |
| CT Angio Abdomen and Pelvis (74174) | $2,536.23 | $4,528.99 | 7.6× |
| CT Angio Chest (71275) | $1,070.16 | $1,911 | 6.3× |
| CT Angio Head (70496) | $1,028.72 | $1,837 | 6.1× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $767.31 | $1,370.20 | 4.5× |
| CT Angio Neck (70498) | $910.56 | $1,626 | 5.4× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$828.80–$911.68 | $1,480–$1,628 | varies |
| CT cervical spine w/ contrast (72126) | $1,538.42 | $2,747.17 | 4.6× |
| CT cervical spine w/o contrast (72125) | $810.32 | $1,447 | 8.1× |
| CT chest w contrast (71260) | $1,061.20 | $1,895 | 6.3× |
| CT chest w/wo contrast (71270) | $1,109.36 | $1,981 | 6.6× |
| CT head/brain with contrast (70460) | $954.80 | $1,705 | 5.7× |
| CT head/brain without and with contrast (70470) | $1,044.40 | $1,865 | 6.2× |
| CT iac w contrast (70481) | $683.20 | $1,220 | 4.0× |
| CT l-spine w&w/o contrast (72133) | $864.64 | $1,544 | 5.1× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$781.20–$1,274 | $1,395–$2,275 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$839.44–$1,468.88 | $1,499–$2,623 | varies |
| CT lumbar spine w/o contrast (72131) | $826.56 | $1,476 | 8.2× |
| CT maxillofacial w contrast (70487) | $726.32 | $1,297 | 4.3× |
| CT maxillofacial wo contrast (70486) | $696.08 | $1,243 | 6.9× |
| CT neck tissue combo (70492) | $1,055.04 | $1,884 | 6.3× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,002.96 | $1,791 | 5.9× |
| CT orbits w/o contrast (70480) | $628.88 | $1,123 | 6.3× |
| CT pelvis w&w/o contrast (72194) | $1,027.60 | $1,835 | 6.1× |
| CT pelvis w/o contrast (72192) | $934.08 | $1,668 | 9.3× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$847.98–$1,484 | $1,514.25–$2,650 | varies |
| CT scans face/jaw combo (70488) | $843.92 | $1,507 | 5.0× |
| CT soft tissue neck w contrast (70491) | $898.80 | $1,605 | 5.3× |
| CT soft tissue neck w/o contrast (70490) | $710.08 | $1,268 | 7.1× |
| CT thoracic spine w contrast (72129) | $814.24 | $1,454 | 4.8× |
| CT thoracic spine w/o contrast (72128) | $826.56 | $1,476 | 8.2× |
| CT thorax w/o contrast (71250) | $934.08 | $1,668 | 9.3× |
| CT unlisted procedure (76497) | $178.21 | $318.24 | 2.1× |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$777.84–$1,145.76 | $1,389–$2,046 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$829.36–$1,319.64 | $1,481–$2,356.50 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$803.60–$1,278.34 | $1,435–$2,282.75 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $329.84 | $589 | 2.0× |
| Cta Abdomen (74175) | $2,010.22 | $3,589.67 | 11.9× |
| CTA pelvis (72191) | $864.64 | $1,544 | 5.1× |
| Esophagram (74220) | $278.32 | $497 | 1.6× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$138.88–$152.88 | $248–$273 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$138.88–$152.88 | $248–$273 | varies |
| Gated Heart, Multiple (78473) | $858.14 | $1,532.40 | 2.2× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$133.14–$146.72 | $237.75–$262 | varies |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$138.88–$152.88 | $248–$273 | varies |
| MRI abdomen w/o contrast (74181) | $784 | $1,400 | 3.4× |
| MRI cervical spine w/o cont (72141) | $712.88 | $1,273 | 3.1× |
| MRI chest w/o contrast (71550) | $660.31 | $1,179.12 | 2.9× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,192.24 | $2,129 | 3.6× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,192.24 | $2,129 | 3.6× |
| MRI pelvis w contrast (72196) | $955.34 | $1,705.96 | 2.8× |
| MRI thoracic spine w/o contrast (72146) | $712.88 | $1,273 | 3.1× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,214.64 | $2,169 | 3.6× |
| MRI, dorsal spine combo (72157) | $1,192.24 | $2,129 | 3.6× |
| MRI, joint upper extrem (73221) | $784 | $1,400 | 3.4× |
| MRI, lumbar spine combo (72158) | $1,192.24 | $2,129 | 3.6× |
| Neck soft tissue (70360) | $152.88 | $273 | 1.8× |
| Pelvis 1 or 2 views (72170) | $138.88 | $248 | 1.4× |
| Pulmonary Perfusion Imaging Particulate (78580) | $685.46 | $1,224.04 | 1.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $241.92 | $432 | 2.4× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$151.20–$166.32 | $270–$297 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$138.88–$152.88 | $248–$273 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$138.88–$152.88 | $248–$273 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $224 | $400 | 2.2× |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$143.92–$158.48 | $257–$283 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$151.20–$166.32 | $270–$297 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$157.36–$173.04 | $281–$309 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $128.46 | $229.40 | 1.5× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $128.46 | $229.40 | 1.3× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $141.12 | $252 | 1.7× |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$138.88–$152.88 | $248–$273 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$145.04–$159.60 | $259–$285 | varies |
| Radex Spine 1 View Specify Level (72020) | $141.12 | $252 | 1.7× |
| Radex Sternum Minimum 2 Views (71120) | $160.72 | $287 | 1.9× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $152.88 | $273 | 1.8× |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$138.88–$152.88 | $248–$273 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $64.40 | $115 | 0.6× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$145.04–$159.60 | $259–$285 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $606.97 | $1,083.88 | 6.0× |
| Radiolog exam mandible compl minimum 4 views (70110) | $203.59 | $363.56 | 2.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $112 | $200 | 1.1× |
| Radiologic exam colon double contrast study (74280) | $490.56 | $876 | 2.9× |
| Radiologic exam colon single contrast study (74270) | $365.68 | $653 | 2.2× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$172.48–$189.84 | $308–$339 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $150.08 | $268 | 1.5× |
| Radiologic exam swallow function contrast study (74230) | $288.40 | $515 | 1.7× |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$69.44–$76.16 | $124–$136 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$138.88–$152.88 | $248–$273 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$138.88–$142.80 | $248–$255 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$138.88–$152.88 | $248–$273 | varies |
| Scapula (73010) range across 2 matching MRF lines |
$138.88–$152.88 | $248–$273 | varies |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$138.88–$152.88 | $248–$273 | varies |
| Skull less than 4 views (70250) | $141.68 | $253 | 1.4× |
| Thoracic spine 3 views (72072) | $220.08 | $393 | 2.2× |
| Thoracolumbar 2 views (72080) | $152.88 | $273 | 1.8× |
| Ultrasound Breast Limited (76642) | $123.20 | $220 | 1.5× |
| Ultrasound Exam Aaa Screen (76706) | $267.85 | $478.30 | 2.7× |
| Ultrasound, abdomen limited (76705) | $357.84 | $639 | 3.6× |
| Unlisted Dx Radiographic Procedure (76499) | $3.36 | $6 | 0.0× |
| Upper gi w/o kub (74240) | $365.68 | $653 | 2.2× |
| Us breast unilateral complete (76641) | $221.76 | $396 | 2.2× |
| Us chest (76604) | $357.84 | $639 | 3.6× |
| Us exam, pelvic, limited (76857) | $343.94 | $614.17 | 3.4× |
| Us head (76506) | $301.44 | $538.28 | 3.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $195.44 | $349 | 1.9× |
| Us ob transvaginal (76817) | $343.28 | $613 | 3.4× |
| Us pelvic non ob complete (76856) | $357.84 | $639 | 3.6× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $150.64 | $269 | 1.5× |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$357.84–$820.69 | $639–$1,465.52 | varies |
| Us retroperitoneal limited (76775) | $301.44 | $538.28 | 3.0× |
| Us scrotum and contents (76870) | $194.32 | $347 | 1.9× |
| Us thyroid (76536) | $219.52 | $392 | 2.2× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$138.88–$152.88 | $248–$273 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $128.46 | $229.40 | 1.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $138.88 | $248 | 1.7× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $147.28 | $263 | 1.8× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $241.92 | $432 | 2.4× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $505.81 | $903.24 | 5.0× |
| X-Ray Exam Hip Uni 1 View (73501) range across 4 matching MRF lines |
$138.88–$159.60 | $248–$285 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 4 matching MRF lines |
$143.92–$191.52 | $257–$342 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $252.43 | $450.76 | 2.5× |
| X-Ray Exam Hips Bi 2 Views (73521) | $201.60 | $360 | 2.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $336 | $600 | 3.3× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $505.81 | $903.24 | 5.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $196 | $350 | 2.3× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $306.88 | $548 | 3.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$220.08–$241.92 | $393–$432 | varies |
| X-ray humerus (73060) range across 2 matching MRF lines |
$146.16–$160.72 | $261–$287 | varies |
| X-ray IV pyelogram (ivp) (74400) | $577.02 | $1,030.40 | 3.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $128.46 | $229.40 | 1.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $196 | $350 | 1.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $272.16 | $486 | 2.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $151.20 | $270 | 1.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $152.88 | $273 | 1.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $224 | $400 | 2.2× |
| X-Ray Tmj Unilat (70328) | $128.46 | $229.40 | 1.5× |
| X-Rays Bone Survey Complete (77075) | $227.92 | $407 | 2.3× |
| Xr c-spine 4 or 5 views (72050) | $241.92 | $432 | 2.4× |
| Xr facial bones less than 3 views (70140) | $128.46 | $229.40 | 1.5× |
| XR Mastoids < 3 Views Bilateral (70120) | $128.46 | $229.40 | 1.3× |
| Xr orbits complete 4 views (70200) | $141.12 | $252 | 1.4× |
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.