Imaging prices at Prague Regional Memorial Hospital
Prague, OK · every code in this section with a posted price and a Medicare benchmark.
153 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) | $222 | $222 | 2.7× |
| Abdomen 2 views (74019) | $224 | $224 | 2.2× |
| Ankle 2 views (73600) | $206 | $206 | 2.5× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$223–$326 | $223–$326 | varies |
| Chest 2 views (71046) | $263 | $263 | 3.1× |
| Chest 3 views (71047) | $750.75 | $750.75 | 9.0× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$206–$326 | $206–$326 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $2,255 | $2,255 | 22.4× |
| CT abdomen and pelvis without and with contrast (74178) | $2,758 | $2,758 | 8.2× |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$705–$2,353 | $705–$2,353 | varies |
| CT abdomen w contrast (74160) | $2,150 | $2,150 | 12.7× |
| CT abdomen w wo contrast (74170) | $2,840 | $2,840 | 16.8× |
| CT abdomen w/o contrast (74150) | $1,871 | $1,871 | 18.6× |
| CT Angio Chest (71275) | $2,652 | $2,652 | 15.7× |
| CT cervical spine w/o contrast (72125) | $1,703 | $1,703 | 16.9× |
| CT chest w contrast (71260) | $2,603 | $2,603 | 15.4× |
| CT chest w/wo contrast (71270) | $3,350 | $3,350 | 19.9× |
| CT head/brain with contrast (70460) | $2,193 | $2,193 | 13.0× |
| CT head/brain without and with contrast (70470) | $2,634 | $2,634 | 15.6× |
| CT iac w contrast (70481) | $1,525 | $1,525 | 9.0× |
| CT l-spine w&w/o contrast (72133) | $2,353 | $2,353 | 13.9× |
| CT lower ext w/o (73700) | $1,525 | $1,525 | 15.2× |
| CT lower extremity w/contrast material (73701) | $2,193 | $2,193 | 13.0× |
| CT lumbar spine w contrast (72132) | $2,353 | $2,353 | 7.0× |
| CT lumbar spine w/o contrast (72131) | $1,492 | $1,492 | 14.8× |
| CT maxillofacial w contrast (70487) | $1,498 | $1,498 | 8.9× |
| CT maxillofacial wo contrast (70486) | $2,243 | $2,243 | 22.3× |
| CT neck tissue combo (70492) | $2,353 | $2,353 | 13.9× |
| CT orbits w/o contrast (70480) | $2,243 | $2,243 | 22.3× |
| CT pelvis w&w/o contrast (72194) | $2,507 | $2,507 | 14.9× |
| CT pelvis w/o contrast (72192) | $2,139 | $2,139 | 21.3× |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$1,619–$1,667 | $1,619–$1,667 | varies |
| CT soft tissue neck w contrast (70491) | $1,898 | $1,898 | 11.3× |
| CT soft tissue neck w/o contrast (70490) | $2,243 | $2,243 | 22.3× |
| CT thoracic spine w/o contrast (72128) | $1,525 | $1,525 | 15.2× |
| CT thorax w/o contrast (71250) | $2,255 | $2,255 | 22.4× |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$1,525–$2,193 | $1,525–$2,193 | varies |
| CT upper extremity with contrast (73201) | $2,243 | $2,243 | 6.7× |
| Cta Abdomen (74175) | $2,499 | $2,499 | 14.8× |
| Dxa Bone Density Axial (77080) | $352 | $352 | 3.5× |
| Foot 2 views (73620) | $206 | $206 | 2.5× |
| Forearm 2 views (73090) | $187 | $187 | 2.2× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$139–$168 | $139–$168 | varies |
| Knee 3 Views (73562) | $220 | $220 | 2.6× |
| Magnetic Image Jaw Joint (70336) | $1,738 | $1,738 | 7.6× |
| Mra Head W/O & W/Contrast Material (70546) | $2,586 | $2,586 | 7.7× |
| MRA head w/o contrast (70544) | $1,675 | $1,675 | 7.3× |
| MRA head with contrast (70545) | $1,995 | $1,995 | 5.9× |
| MRA neck w contrast (70548) | $1,995 | $1,995 | 5.9× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,586 | $2,586 | 7.7× |
| MRA neck w/o contrast (70547) | $1,674 | $1,674 | 7.3× |
| MRI abdomen w contrast (74182) | $3,451 | $3,451 | 10.3× |
| MRI abdomen w/o contrast (74181) | $3,451 | $3,451 | 15.0× |
| MRI any jt lower extrem w/contrast material (73722) | $2,095 | $2,095 | 2.8× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,250 | $2,250 | 6.7× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,094 | $2,094 | 2.8× |
| MRI bone marrow blood supply (77084) | $1,768 | $1,768 | 7.7× |
| MRI cervical spine w contrast (72142) | $2,157 | $2,157 | 6.4× |
| MRI cervical spine w/o cont (72141) | $1,763 | $1,763 | 7.7× |
| MRI chest w/o contrast (71550) | $3,224 | $3,224 | 14.0× |
| MRI chest wo w contrast (71552) | $2,693 | $2,693 | 8.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,094 | $2,094 | 6.2× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,661 | $2,661 | 7.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,847 | $1,847 | 8.0× |
| MRI lumbar spine w contrast (72149) | $2,126 | $2,126 | 6.3× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,740 | $2,740 | 8.2× |
| MRI orbit face &/neck w/o contrast (70540) | $2,705 | $2,705 | 11.8× |
| MRI orbit face neck w contrast (70542) | $2,094 | $2,094 | 6.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,660 | $2,660 | 7.9× |
| MRI pelvis w contrast (72196) | $2,120 | $2,120 | 6.3× |
| MRI pelvis w/o & w contrast (72197) | $2,683 | $2,683 | 8.0× |
| MRI pelvis w/o contrast (72195) | $2,705 | $2,705 | 11.8× |
| MRI thoracic spine w/o contrast (72146) | $1,763 | $1,763 | 7.7× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,095 | $2,095 | 6.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,705 | $2,705 | 11.8× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,661 | $2,661 | 7.9× |
| MRI, abdomen, combo (74183) | $2,683 | $2,683 | 8.0× |
| MRI, dorsal spine combo (72157) | $2,740 | $2,740 | 8.2× |
| MRI, dorsal spine contrast (72147) | $2,156 | $2,156 | 6.4× |
| MRI, joint upper extrem (73221) | $1,712 | $1,712 | 7.5× |
| MRI, lumbar spine combo (72158) | $2,692 | $2,692 | 8.0× |
| Neck soft tissue (70360) | $326 | $326 | 3.9× |
| Pelvis 1 or 2 views (72170) | $222 | $222 | 2.2× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $429 | $429 | 4.3× |
| Radex Ankle Complete Minimum 3 Views (73610) | $206 | $206 | 2.5× |
| Radex Calcaneus Minimum 2 Views (73650) | $326 | $326 | 3.9× |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$222–$326 | $222–$326 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $268 | $268 | 2.7× |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$166–$326 | $166–$326 | varies |
| Radex foot complete minimum 3 views (73630) | $206 | $206 | 2.5× |
| Radex Hand Minimum 3 Views (73130) | $206 | $206 | 2.5× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $227 | $227 | 2.7× |
| Radex Ribs Unilateral 2 Views (71100) | $246 | $246 | 2.9× |
| Radex shoulder complete minimum 2 views (73030) | $206 | $206 | 2.5× |
| Radex Spine 1 View Specify Level (72020) | $326 | $326 | 3.9× |
| Radex Sternum Minimum 2 Views (71120) | $268 | $268 | 3.2× |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$145–$166 | $145–$166 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) | $206 | $206 | 2.5× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $255 | $255 | 2.5× |
| Radiologic exam knee complete 4/more views (73564) | $228 | $228 | 2.3× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $286 | $286 | 2.8× |
| Radiologic examination femur 1 view (73551) | $323 | $323 | 3.9× |
| Radiologic examination femur minimum 2 views (73552) | $330 | $330 | 3.9× |
| Radiologic examination knee 1/2 views (73560) | $206 | $206 | 2.5× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$187–$326 | $187–$326 | varies |
| Ribs bilateral 3 views (71110) | $272 | $272 | 2.7× |
| Scapula (73010) | $326 | $326 | 3.2× |
| Shoulder 1 view (73020) | $206 | $206 | 2.5× |
| Skull less than 4 views (70250) | $249 | $249 | 2.5× |
| Sternoclavicular joints (71130) | $268 | $268 | 3.2× |
| Thoracic spine 2 views (72070) | $161 | $161 | 1.6× |
| Thoracic spine 3 views (72072) | $224 | $224 | 2.2× |
| Ultrasound Breast Limited (76642) | $493 | $493 | 5.9× |
| Ultrasound Exam Aaa Screen (76706) | $350 | $350 | 3.5× |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$464–$697 | $464–$697 | varies |
| Us chest (76604) | $395 | $395 | 3.9× |
| Us exam, pelvic, limited (76857) | $686 | $686 | 6.8× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $201 | $201 | 2.0× |
| Us ob limited 1 or more fetuses (76815) | $630 | $630 | 6.3× |
| Us pelvic non ob complete (76856) | $515 | $515 | 5.1× |
| Us retroperitoneal complete (76770) | $540 | $540 | 5.4× |
| Us retroperitoneal limited (76775) | $667 | $667 | 6.6× |
| Us scrotum and contents (76870) | $515 | $515 | 5.1× |
| Us spinal canal and contents (76800) | $525 | $525 | 5.2× |
| Us thyroid (76536) | $464 | $464 | 4.6× |
| Vertebral fracture assessment via dxa (77086) | $425 | $425 | 5.1× |
| Wrist 2 views (73100) | $187 | $187 | 2.2× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $269 | $269 | 3.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $187 | $187 | 2.2× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $125 | $125 | 1.5× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $198 | $198 | 2.0× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $216 | $216 | 2.1× |
| X-Ray Exam Hip Uni 1 View (73501) | $273 | $273 | 3.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$316–$323 | $316–$323 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $381 | $381 | 3.8× |
| X-Ray Exam Hips Bi 2 Views (73521) | $310 | $310 | 3.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $350 | $350 | 3.5× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $375 | $375 | 3.7× |
| X-Ray Exam L-S Spine Bending (72114) | $304 | $304 | 3.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $206 | $206 | 2.5× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $327 | $327 | 3.3× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $168 | $168 | 1.7× |
| X-ray eye for foreign body (70030) | $268 | $268 | 3.2× |
| X-ray humerus (73060) | $222 | $222 | 2.7× |
| X-ray IV pyelogram (ivp) (74400) | $669 | $669 | 4.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $286 | $286 | 3.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $286 | $286 | 2.8× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $192 | $192 | 1.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$206–$326 | $206–$326 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $286 | $286 | 3.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $345 | $345 | 3.4× |
| Xr c-spine 4 or 5 views (72050) | $315 | $315 | 3.1× |
| Xr orbits complete 4 views (70200) | $286 | $286 | 2.8× |
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.