Imaging prices at Rural Wellness Stroud Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $172.89 $288.15 2.1×
Abdomen 2 views (74019) $227.36 $378.93 2.3×
Ankle 2 views (73600) $168.61 $281.01 2.0×
Bone age studies (77072) $227.36 $378.93 2.3×
Bone survey infant (77076) $227.36 $378.93 2.3×
Cardiac MRI w/w/o contrast w/stress (75563) $4,967.60 $8,279.34 6.6×
Chest 1 view (71045)
range across 4 matching MRF lines
$24.48–$168.61 $40.80–$281.01 varies
Chest 2 views (71046) $168.61 $281.01 2.0×
Chest 3 views (71047) $172.89 $288.15 2.1×
Chest 4 or more views (71048) $318.24 $530.40 3.2×
Clavicle complete (73000) $168.61 $281.01 2.0×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $625.16 $1,041.93 6.2×
CT abdomen and pelvis without and with contrast (74178) $1,784.29 $2,973.81 5.3×
CT abdomen and pelvis without contrast (74176) $1,056.01 $1,760.01 4.6×
CT abdomen w contrast (74160) $1,377.92 $2,296.53 8.2×
CT abdomen w wo contrast (74170) $1,377.92 $2,296.53 8.2×
CT abdomen w/o contrast (74150) $972.47 $1,620.78 9.7×
CT Angio Abdomen and Pelvis (74174) $1,180.85 $1,968.09 3.5×
CT Angio Chest (71275) $1,041.93 $1,736.55 6.2×
CT Angio Head (70496) $1,250.32 $2,083.86 7.4×
Ct Angio Lwr Extr W/O&W/Dye (73706) $833.54 $1,389.24 4.9×
CT Angio Neck (70498) $1,041.93 $1,736.55 6.2×
Ct Angio Upr Extrm W/O&W/Dye (73206) $903.01 $1,505.01 5.4×
CT cervical spine w/ contrast (72126) $1,377.92 $2,296.53 4.1×
CT cervical spine w/o contrast (72125) $1,100.07 $1,833.45 10.9×
CT cervical spine w/wo cont (72127) $1,485.02 $2,475.03 8.8×
CT chest w contrast (71260) $1,331.41 $2,219.01 7.9×
CT chest w/wo contrast (71270) $1,479.20 $2,465.34 8.8×
CT head/brain with contrast (70460) $1,327.12 $2,211.87 7.9×
CT head/brain without and with contrast (70470) $1,466.05 $2,443.41 8.7×
CT iac w contrast (70481) $1,352.83 $2,254.71 8.0×
CT l-spine w&w/o contrast (72133) $1,605.28 $2,675.46 9.5×
CT lower ext w/o (73700) $972.47 $1,620.78 9.7×
CT lower extremity w/contrast material (73701) $1,327.12 $2,211.87 7.9×
CT lumbar spine w contrast (72132) $1,459.31 $2,432.19 4.3×
CT lumbar spine w/o contrast (72131) $1,250.93 $2,084.88 12.4×
CT maxillofacial w contrast (70487) $1,284.28 $2,140.47 7.6×
CT maxillofacial wo contrast (70486) $1,075.90 $1,793.16 10.7×
CT neck tissue combo (70492) $1,379.45 $2,299.08 8.2×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482)
range across 2 matching MRF lines
$1,491.75–$1,736.55 $2,486.25–$2,894.25 varies
CT orbits w/o contrast (70480) $1,074.98 $1,791.63 10.7×
CT pelvis w&w/o contrast (72194) $1,532.14 $2,553.57 9.1×
CT pelvis w/o contrast (72192) $972.47 $1,620.78 9.7×
CT scan of leg combo (73702) $1,479.20 $2,465.34 8.8×
CT scans face/jaw combo (70488) $1,492.67 $2,487.78 8.8×
CT soft tissue neck w contrast (70491) $1,448.91 $2,414.85 8.6×
CT soft tissue neck w/o contrast (70490) $1,101.60 $1,836 11.0×
CT thoracic spine w contrast (72129) $1,331.41 $2,219.01 7.9×
CT thoracic spine w/o contrast (72128) $1,053.56 $1,755.93 10.5×
CT thoracic spine w/wo cont (72130) $1,485.02 $2,475.03 8.8×
CT thorax w/o contrast (71250) $972.47 $1,620.78 9.7×
CT upper ext wo (73200)
range across 4 matching MRF lines
$1,084.46–$1,408.69 $1,807.44–$2,347.81 varies
CT upper extremity w/o & w/contrast material (73202) $1,532.14 $2,553.57 9.1×
CT upper extremity with contrast (73201) $1,223.39 $2,038.98 3.6×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $1,041.93 $1,736.55 6.2×
Cta Abdomen (74175) $1,118.43 $1,864.05 6.6×
CTA pelvis (72191) $1,180.85 $1,968.09 7.0×
Diskography lumbar (72295) $5,593.07 $9,321.78 3.0×
Echo Guide For Artery Repair (76936) $735.01 $1,225.02 3.5×
Echograp Trans R Pros Study (76873) $302.94 $504.90 3.0×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $302.94 $504.90 3.0×
Fluoroscopy up to 1 hr (76000) $1,598.54 $2,664.24 7.0×
Foot 2 views (73620) $168.61 $281.01 2.0×
Forearm 2 views (73090) $168.61 $281.01 2.0×
Hand 2 views (73120) $103.43 $172.38 1.0×
Knee 3 Views (73562) $168.61 $281.01 2.0×
Magnetic Image Jaw Joint (70336) $1,598.54 $2,664.24 7.0×
Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70558) $1,448.60 $2,414.34 8.6×
Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70557) $3,562.45 $5,937.42 6.8×
Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70559) $1,448.60 $2,414.34 8.6×
Mra Head W/O & W/Contrast Material (70546) $2,556.94 $4,261.56 7.6×
MRA head w/o contrast (70544) $1,598.54 $2,664.24 7.0×
MRA head with contrast (70545) $2,556.94 $4,261.56 7.6×
MRA neck w contrast (70548) $2,556.94 $4,261.56 7.6×
Mra Neck W/O &W/Contrast Material (70549) $2,556.94 $4,261.56 7.6×
MRA neck w/o contrast (70547) $1,598.54 $2,664.24 7.0×
MRI abdomen w contrast (74182) $2,765.32 $4,608.87 8.2×
MRI abdomen w/o contrast (74181)
range across 3 matching MRF lines
$1,598.54–$1,806.93 $2,664.24–$3,011.55 varies
MRI any jt lower extrem w/contrast material (73722) $5,175.99 $8,626.65 6.9×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $2,765.32 $4,608.87 8.2×
MRI any jt upper extremity w/contrast matrl (73222) $5,175.99 $8,626.65 6.9×
MRI Breast W/O Contrast Bilateral (77047) $2,397.82 $3,996.36 10.4×
MRI Breast Without Contrast Material Unilateral (77046) $1,598.54 $2,664.24 7.0×
MRI cardiac w/o contrast (75557) $1,598.54 $2,664.24 7.0×
MRI cervical spine w contrast (72142) $2,765.32 $4,608.87 8.2×
MRI cervical spine w/o cont (72141) $1,806.93 $3,011.55 7.9×
MRI chest w/o contrast (71550) $1,806.93 $3,011.55 7.9×
MRI chest with contrast (71551) $5,175.99 $8,626.65 6.9×
MRI chest wo w contrast (71552) $2,765.32 $4,608.87 8.2×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $2,765.32 $4,608.87 8.2×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720)
range across 4 matching MRF lines
$2,556.94–$2,765.32 $4,261.56–$4,608.87 varies
MRI lower extrem oth/thn jt w/o contr matrl (73718) $1,806.93 $3,011.55 7.9×
MRI lumbar spine w contrast (72149) $2,765.32 $4,608.87 8.2×
Mri Neck Spine W/O & W/Dye (72156) $2,765.32 $4,608.87 8.2×
MRI orbit face &/neck w/o contrast (70540)
range across 3 matching MRF lines
$1,598.54–$1,806.93 $2,664.24–$3,011.55 varies
MRI orbit face neck w contrast (70542)
range across 3 matching MRF lines
$2,556.94–$2,765.32 $4,261.56–$4,608.87 varies
Mri Orbt/Fac/Nck W/O &W/Dye (70543)
range across 3 matching MRF lines
$2,556.94–$2,765.32 $4,261.56–$4,608.87 varies
MRI pelvis w contrast (72196) $2,765.32 $4,608.87 8.2×
MRI pelvis w/o & w contrast (72197) $2,765.32 $4,608.87 8.2×
MRI pelvis w/o contrast (72195) $1,806.93 $3,011.55 7.9×
MRI thoracic spine w/o contrast (72146) $1,806.93 $3,011.55 7.9×
MRI upper extremity oth than jt w/contr matrl (73219)
range across 3 matching MRF lines
$2,765.32–$3,835.10 $4,608.87–$6,391.83 varies
MRI upper extremity oth than jt w/o contr matrl (73218) $1,598.54 $2,664.24 7.0×
Mri Uppr Extremity W/O&W/Dye (73220) $2,765.32 $4,608.87 8.2×
MRI, abdomen, combo (74183) $2,765.32 $4,608.87 8.2×
MRI, dorsal spine combo (72157) $2,765.32 $4,608.87 8.2×
MRI, dorsal spine contrast (72147) $2,765.32 $4,608.87 8.2×
MRI, joint upper extrem (73221) $1,806.93 $3,011.55 7.9×
MRI, joint upper extrem combo (73223) $2,765.32 $4,608.87 8.2×
MRI, lumbar spine combo (72158) $2,765.32 $4,608.87 8.2×
Neck soft tissue (70360) $135.56 $225.93 1.6×
Pelvis 1 or 2 views (72170)
range across 3 matching MRF lines
$227.36–$757.04 $378.93–$1,261.74 varies
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $227.36 $378.93 2.3×
Radex abscess/fistula/sinus tract rs&i (76080) $936.67 $1,561.11 1.8×
Radex Ankle Complete Minimum 3 Views (73610) $168.61 $281.01 2.0×
Radex Calcaneus Minimum 2 Views (73650) $168.61 $281.01 2.0×
Radex elbow complete minimum 3 views (73080) $168.61 $281.01 2.0×
Radex Facial Bones Complete Minimum 3 Views (70150) $158.20 $263.67 1.6×
Radex fingr minimum 2 views (73140) $168.61 $281.01 2.0×
Radex foot complete minimum 3 views (73630) $168.61 $281.01 2.0×
Radex Hand Minimum 3 Views (73130) $168.61 $281.01 2.0×
Radex lower extremity infant minimum 2 views (73592) $168.61 $281.01 2.0×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $227.36 $378.93 2.3×
Radex Nasal Bones Complete Minimum 3 Views (70160) $168.61 $281.01 2.0×
Radex Ribs Unilateral 2 Views (71100) $168.61 $281.01 2.0×
Radex shoulder complete minimum 2 views (73030) $168.61 $281.01 2.0×
Radex Sinuses Paransl < 3 Views (70210) $126.07 $210.12 1.5×
Radex Spine 1 View Specify Level (72020) $98.84 $164.73 1.2×
Radex Sternum Minimum 2 Views (71120) $168.61 $281.01 2.0×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $168.61 $281.01 2.0×
Radex Toe Minimum 2 Views (73660) $168.61 $281.01 2.0×
Radex upper extremity infant minimum 2 views (73092) $227.36 $378.93 2.3×
Radex Wrist Complete Minimum 3 Views (73110) $168.61 $281.01 2.0×
Radiolog exam mandible compl minimum 4 views (70110) $227.36 $378.93 2.3×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $227.36 $378.93 2.3×
Radiologic exam colon single contrast study (74270) $259.79 $432.99 1.5×
Radiologic exam knee complete 4/more views (73564)
range across 3 matching MRF lines
$171.97–$227.36 $286.62–$378.93 varies
Radiologic exam pelvis compl minimum 3 views (72190) $227.36 $378.93 2.3×
Radiologic Exam Small Int Single Contrast Study (74250) $448.60 $747.66 2.7×
Radiologic exam swallow function contrast study (74230) $290.39 $483.99 1.7×
Radiologic examination femur 1 view (73551) $168.61 $281.01 2.0×
Radiologic examination femur minimum 2 views (73552) $168.61 $281.01 2.0×
Radiologic examination knee 1/2 views (73560) $168.61 $281.01 2.0×
Radiologic Examination Osseous Survey Limited (77074) $227.36 $378.93 2.3×
Radiologic examination tibia & fibula 2 views (73590) $168.61 $281.01 2.0×
Ribs bilateral 3 views (71110) $167.69 $279.48 1.7×
Scapula (73010) $227.36 $378.93 2.3×
Sella turcica (70240) $168.61 $281.01 2.0×
Shoulder 1 view (73020) $168.61 $281.01 2.0×
Skull less than 4 views (70250) $227.36 $378.93 2.3×
Sternoclavicular joints (71130) $168.61 $281.01 2.0×
Thoracic spine 2 views (72070) $227.36 $378.93 2.3×
Thoracic spine 3 views (72072) $227.36 $378.93 2.3×
Ultrasound Breast Limited (76642) $172.89 $288.15 2.1×
Ultrasound Exam Aaa Screen (76706) $302.94 $504.90 3.0×
Ultrasound, abdomen limited (76705) $313.34 $522.24 3.1×
Urethrocystography retrograde (74450)
range across 2 matching MRF lines
$191.56–$806.92 $319.26–$1,344.87 varies
Us breast unilateral complete (76641) $318.24 $530.40 3.2×
Us chest (76604) $318.24 $530.40 3.2×
Us complete joint (76881) $318.24 $530.40 3.2×
Us exam, pelvic, limited (76857) $313.34 $522.24 3.1×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $172.89 $288.15 1.7×
Us ob limited 1 or more fetuses (76815) $277.24 $462.06 2.8×
Us ob transvaginal (76817) $277.24 $462.06 2.8×
Us pelvic non ob complete (76856) $313.34 $522.24 3.1×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $302.94 $504.90 3.0×
Us preg uterus real time f/u trnsabdl per fetus (76816) $277.24 $462.06 2.8×
Us retroperitoneal complete (76770) $302.94 $504.90 3.0×
Us retroperitoneal limited (76775) $313.34 $522.24 3.1×
Us scrotum and contents (76870) $313.34 $522.24 3.1×
Us thyroid (76536) $302.94 $504.90 3.0×
Wrist 2 views (73100) $168.61 $281.01 2.0×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $168.61 $281.01 2.0×
X-Ray Bend Only L-S Spine (72120) $227.36 $378.93 2.3×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $168.61 $281.01 2.0×
X-Ray Exam Entire Spi 1 Vw (72081) $168.61 $281.01 2.0×
X-Ray Exam Hip Uni 1 View (73501) $168.61 $281.01 2.0×
X-Ray Exam Hip Uni 2-3 Views (73502) $168.61 $281.01 2.0×
X-Ray Exam Hips Bi 2 Views (73521)
range across 3 matching MRF lines
$227.36–$231.95 $378.93–$386.58 varies
X-Ray Exam Hips Bi 3-4 Views (73522) $312.73 $521.22 3.1×
X-Ray Exam L-S Spine Bending (72114) $227.36 $378.93 2.3×
X-Ray Exam Neck Spine 2-3 Vw (72040) $168.61 $281.01 2.0×
X-Ray Exam Neck Spine 6/>Vws (72052) $233.78 $389.64 2.3×
X-Ray Exam Unilat Ribs/Chest (71101) $227.36 $378.93 2.3×
X-ray eye for foreign body (70030) $168.61 $281.01 2.0×
X-ray humerus (73060) $168.61 $281.01 2.0×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $158.20 $263.67 1.9×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $159.43 $265.71 1.9×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $227.36 $378.93 2.3×
X-ray nose-rectum child f.b. (76010) $168.61 $281.01 2.0×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $190.33 $317.22 1.9×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $227.36 $378.93 2.3×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $227.36 $378.93 2.3×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $168.61 $281.01 2.0×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $168.61 $281.01 2.0×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $266.53 $444.21 2.7×
X-Ray Stress View (77071) $172.89 $288.15 2.1×
X-ray thoracic spine 4 vw (72074) $227.36 $378.93 2.3×
X-Ray Tmj Unilat (70328) $168.61 $281.01 2.0×
X-Rays Bone Length Studies (77073) $227.36 $378.93 2.3×
X-Rays Bone Survey Complete (77075) $227.36 $378.93 2.3×
Xr c-spine 4 or 5 views (72050) $344.56 $574.26 3.4×
Xr facial bones less than 3 views (70140) $171.97 $286.62 2.1×
XR Mastoids < 3 Views Bilateral (70120) $227.36 $378.93 2.3×
Xr orbits complete 4 views (70200) $227.36 $378.93 2.3×

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.