Imaging prices at Tulsa Spine & Specialty Hospital
Tulsa, OK · every code in this section with a posted price and a Medicare benchmark.
176 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) | $58 | $232 | 0.7× |
| Abdomen 2 views (74019) | $58 | $232 | 0.6× |
| Angiography extremity bilateral rs&i (75716) | $2,973.75 | $11,895 | 1.0× |
| Angiography extremity unilateral rs&i (75710) | $1,982.50 | $7,930 | 0.7× |
| Ankle 2 views (73600) | $69.38 | $277.54 | 0.8× |
| Artery X-Rays Pelvis (75736) | $3,302.50 | $13,210 | 0.6× |
| Arthrogram hip (73525) | $314.88 | $1,259.53 | 0.9× |
| Bone age studies (77072) | $75.50 | $302 | 0.8× |
| Chest 1 view (71045) | $69.60 | $278.40 | 0.8× |
| Chest 2 views (71046) | $69.60 | $278.40 | 0.8× |
| Cisternography Positive Contrast Rs&I (70015) | $476.75 | $1,907 | 0.6× |
| Clavicle complete (73000) | $69.38 | $277.54 | 0.8× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $75.50 | $302 | 0.8× |
| Contrast Exam Abdominl Aorta (75625) | $1,982.50 | $7,930 | 0.7× |
| Contrast X-Ray Of Knee Joint (73580) | $430.70 | $1,722.81 | 1.3× |
| CT abdomen and pelvis without and with contrast (74178) | $899.07 | $3,596.29 | 2.7× |
| CT abdomen and pelvis without contrast (74176) | $917.78 | $3,671.11 | 4.0× |
| CT abdomen w contrast (74160) | $459.30 | $1,837.20 | 2.7× |
| CT abdomen w wo contrast (74170) | $517.40 | $2,069.60 | 3.1× |
| CT abdomen w/o contrast (74150) | $297.18 | $1,188.74 | 3.0× |
| CT Angio Abdomen and Pelvis (74174) | $250 | $1,000 | 0.7× |
| CT Angio Chest (71275) | $524.18 | $2,096.74 | 3.1× |
| CT Angio Head (70496) | $524.18 | $2,096.74 | 3.1× |
| CT Angio Neck (70498) | $524.18 | $2,096.74 | 3.1× |
| CT cervical spine w/ contrast (72126) | $465.36 | $1,861.43 | 1.4× |
| CT cervical spine w/o contrast (72125) | $524.44 | $2,097.78 | 5.2× |
| CT cervical spine w/wo cont (72127) | $517.40 | $2,069.60 | 3.1× |
| CT chest w contrast (71260) | $465.36 | $1,861.43 | 2.8× |
| CT chest w/wo contrast (71270) | $517.40 | $2,069.60 | 3.1× |
| CT head/brain with contrast (70460) | $465.36 | $1,861.43 | 2.8× |
| CT head/brain without and with contrast (70470) | $699.26 | $2,797.04 | 4.1× |
| CT iac w contrast (70481) | $561 | $2,244 | 3.3× |
| CT l-spine w&w/o contrast (72133) | $517.40 | $2,069.60 | 3.1× |
| CT lower ext w/o (73700) | $349.63 | $1,398.52 | 3.5× |
| CT lower extremity w/contrast material (73701) | $320.75 | $1,283 | 1.9× |
| CT lumbar spine w contrast (72132) | $465.36 | $1,861.43 | 1.4× |
| CT lumbar spine w/o contrast (72131) | $524.44 | $2,097.78 | 5.2× |
| CT maxillofacial w contrast (70487) | $465.36 | $1,861.43 | 2.8× |
| CT maxillofacial wo contrast (70486) | $611.85 | $2,447.41 | 6.1× |
| CT neck tissue combo (70492) | $517.40 | $2,069.60 | 3.1× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $517.40 | $2,069.60 | 3.1× |
| CT orbits w/o contrast (70480) | $611.85 | $2,447.41 | 6.1× |
| CT pelvis w&w/o contrast (72194) | $517.40 | $2,069.60 | 3.1× |
| CT pelvis w/o contrast (72192) | $437.04 | $1,748.16 | 4.3× |
| CT scan of leg combo (73702) | $517.40 | $2,069.60 | 3.1× |
| CT scans face/jaw combo (70488) | $517.40 | $2,069.60 | 3.1× |
| CT soft tissue neck w contrast (70491) | $465.36 | $1,861.43 | 2.8× |
| CT soft tissue neck w/o contrast (70490) | $297.18 | $1,188.74 | 3.0× |
| CT thoracic spine w contrast (72129) | $465.36 | $1,861.43 | 2.8× |
| CT thoracic spine w/o contrast (72128) | $437.04 | $1,748.16 | 4.3× |
| CT thoracic spine w/wo cont (72130) | $517.40 | $2,069.60 | 3.1× |
| CT thorax w/o contrast (71250) | $297.18 | $1,188.74 | 3.0× |
| CT upper ext wo (73200) | $297.18 | $1,188.74 | 3.0× |
| CT upper extremity with contrast (73201) | $465.36 | $1,861.43 | 1.4× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $338 | $1,352 | 2.0× |
| Cta Abdomen (74175) | $121.75 | $487 | 0.7× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $524.18 | $2,096.74 | 1.6× |
| CTA pelvis (72191) | $524.18 | $2,096.74 | 3.1× |
| Discography Cerv/Thor Spine (72285) | $1,377.89 | $5,511.56 | 0.7× |
| Diskography lumbar (72295) | $1,377.89 | $5,511.56 | 0.7× |
| Esophagram (74220) | $170.50 | $682 | 1.0× |
| Fluoroscopy up to 1 hr (76000) | $158.75 | $635 | 0.7× |
| Foot 2 views (73620) | $69.38 | $277.54 | 0.8× |
| Forearm 2 views (73090) | $273.60 | $1,094.40 | 3.3× |
| Hand 2 views (73120) | $69.38 | $277.54 | 0.7× |
| Hysterosalpingogram (74740) | $305.11 | $1,220.44 | 1.3× |
| Knee 3 Views (73562) | $69.38 | $277.54 | 0.8× |
| Magnetic Image Jaw Joint (70336) | $159 | $636 | 0.7× |
| Mr safety determination physician/other qhp (76016) | $66.25 | $265 | 0.8× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $18.75 | $75 | 0.7× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $69 | $276 | 0.8× |
| Mr safety implt pos&/immoblj (76019) | $44.75 | $179 | 0.8× |
| Mr safety med physics xm customization plng&mntr (76017) | $181.50 | $726 | 0.8× |
| Mra Head W/O & W/Contrast Material (70546) | $548.50 | $2,194 | 1.6× |
| MRA head w/o contrast (70544) | $498.70 | $1,994.81 | 2.2× |
| MRA head with contrast (70545) | $642.29 | $2,569.17 | 1.9× |
| MRA neck w contrast (70548) | $548.50 | $2,194 | 1.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $603.25 | $2,413 | 1.8× |
| MRA neck w/o contrast (70547) | $498.70 | $1,994.81 | 2.2× |
| MRI abdomen w/o contrast (74181) | $158.75 | $635 | 0.7× |
| MRI any jt lower extrem w/contrast material (73722) | $624.18 | $2,496.73 | 0.8× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $588.50 | $2,354 | 1.8× |
| MRI any jt upper extremity w/contrast matrl (73222) | $624.18 | $2,496.73 | 0.8× |
| MRI brain functional w/o physician admnistration (70554) | $84.75 | $339 | 0.4× |
| MRI cervical spine w contrast (72142) | $642.27 | $2,569.09 | 1.9× |
| MRI cervical spine w/o cont (72141) | $582.20 | $2,328.82 | 2.5× |
| MRI chest w/o contrast (71550) | $416.69 | $1,666.76 | 1.8× |
| MRI chest wo w contrast (71552) | $754.87 | $3,019.47 | 2.2× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $764.81 | $3,059.24 | 2.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $484.65 | $1,938.62 | 2.1× |
| MRI lumbar spine w contrast (72149) | $624.18 | $2,496.73 | 1.9× |
| Mri Neck Spine W/O & W/Dye (72156) | $786.98 | $3,147.91 | 2.3× |
| MRI orbit face &/neck w/o contrast (70540) | $498.70 | $1,994.81 | 2.2× |
| MRI orbit face neck w contrast (70542) | $642.27 | $2,569.09 | 1.9× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $786.98 | $3,147.91 | 2.3× |
| MRI pelvis w/o & w contrast (72197) | $764.81 | $3,059.24 | 2.3× |
| MRI pelvis w/o contrast (72195) | $484.65 | $1,938.62 | 2.1× |
| MRI spectroscopy (76390) | $2,520.26 | $10,081.05 | 30.1× |
| MRI thoracic spine w/o contrast (72146) | $484.65 | $1,938.62 | 2.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $159 | $636 | 0.7× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $131.25 | $525 | 0.4× |
| MRI, abdomen, combo (74183) | $764.81 | $3,059.24 | 2.3× |
| MRI, dorsal spine combo (72157) | $764.81 | $3,059.24 | 2.3× |
| MRI, dorsal spine contrast (72147) | $480.50 | $1,922 | 1.4× |
| MRI, joint upper extrem (73221) | $484.65 | $1,938.62 | 2.1× |
| MRI, joint upper extrem combo (73223) | $618.75 | $2,475 | 1.8× |
| MRI, lumbar spine combo (72158) | $764.81 | $3,059.24 | 2.3× |
| Neck soft tissue (70360) | $58 | $232 | 0.7× |
| Nonvascular Shunt X-Ray (75809) | $97.42 | $389.67 | 1.0× |
| Pelvis 1 or 2 views (72170) | $69.38 | $277.54 | 0.7× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $96.25 | $385 | 1.0× |
| Radex Ankle Complete Minimum 3 Views (73610) | $69.38 | $277.54 | 0.8× |
| Radex Calcaneus Minimum 2 Views (73650) | $56.25 | $225 | 0.7× |
| Radex elbow complete minimum 3 views (73080) | $42 | $168 | 0.5× |
| Radex fingr minimum 2 views (73140) | $69.38 | $277.54 | 0.8× |
| Radex foot complete minimum 3 views (73630) | $69.38 | $277.54 | 0.8× |
| Radex Hand Minimum 3 Views (73130) | $76.50 | $306 | 0.9× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $43 | $172 | 0.5× |
| Radex Ribs Unilateral 2 Views (71100) | $69.38 | $277.54 | 0.8× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$69.38–$104.08 | $277.54–$416.31 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $69.38 | $277.54 | 0.8× |
| Radex Spine 1 View Specify Level (72020) | $69.38 | $277.54 | 0.8× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $55 | $220 | 0.7× |
| Radex Toe Minimum 2 Views (73660) | $43 | $172 | 0.5× |
| Radex Wrist Complete Minimum 3 Views (73110) | $63.75 | $255 | 0.8× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $77.75 | $311 | 0.8× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$77.75–$116.62 | $311–$466.50 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $121.25 | $485 | 0.7× |
| Radiologic exam swallow function contrast study (74230) | $110.77 | $443.10 | 0.7× |
| Radiologic examination femur minimum 2 views (73552) | $54.50 | $218 | 0.7× |
| Radiologic examination knee 1/2 views (73560) | $69.38 | $277.54 | 0.8× |
| Radiologic examination tibia & fibula 2 views (73590) | $69.38 | $277.54 | 0.8× |
| Ribs bilateral 3 views (71110) | $74 | $296 | 0.7× |
| Scapula (73010) | $77.75 | $311 | 0.8× |
| Shoulder 1 view (73020) | $55 | $220 | 0.7× |
| Shoulder Arthrography (73040) | $314.88 | $1,259.53 | 0.9× |
| Skull less than 4 views (70250) | $69.38 | $277.54 | 0.7× |
| Thoracic spine 2 views (72070) | $69.38 | $277.54 | 0.7× |
| Thoracic spine 3 views (72072) | $69.38 | $277.54 | 0.7× |
| Thoracolumbar 2 views (72080) | $69.38 | $277.54 | 0.8× |
| Ultrasound Elastography Parenchyma (76981) | $77.75 | $311 | 0.8× |
| Ultrasound, abdomen limited (76705) | $243 | $972 | 2.4× |
| Us exam, pelvic, limited (76857) | $77.75 | $311 | 0.8× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $74 | $296 | 0.7× |
| Us pelvic non ob complete (76856) | $77.75 | $311 | 0.8× |
| Us retroperitoneal complete (76770) | $77.75 | $311 | 0.8× |
| Us retroperitoneal limited (76775) | $77.75 | $311 | 0.8× |
| Us thyroid (76536) | $98.70 | $394.80 | 1.0× |
| Wrist 2 views (73100) | $69.38 | $277.54 | 0.8× |
| X-Ray Aorta Leg Arteries (75630) | $2,180.75 | $8,723 | 0.7× |
| X-Ray Bend Only L-S Spine (72120) | $69.38 | $277.54 | 0.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $43 | $172 | 0.5× |
| X-Ray Exam Breast Specimen (76098) | $339.25 | $1,357 | 0.6× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $106.63 | $426.54 | 1.3× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $176.56 | $706.26 | 1.8× |
| X-Ray Exam Hip Uni 1 View (73501) | $106.63 | $426.54 | 1.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $106.63 | $426.54 | 1.3× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $117.50 | $470 | 1.2× |
| X-Ray Exam Hips Bi 2 Views (73521) | $176.56 | $706.26 | 1.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $77.25 | $309 | 0.8× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $92.70 | $370.80 | 0.9× |
| X-Ray Exam L-S Spine Bending (72114) | $116.90 | $467.60 | 1.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $69.38 | $277.54 | 0.8× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $116.90 | $467.60 | 1.2× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $74 | $296 | 0.7× |
| X-ray eye for foreign body (70030) | $43 | $172 | 0.5× |
| X-ray humerus (73060) | $69.38 | $277.54 | 0.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $69.38 | $277.54 | 0.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $69.38 | $277.54 | 0.7× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $69.38 | $277.54 | 0.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $69.38 | $277.54 | 0.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $65 | $260 | 0.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $74 | $296 | 0.7× |
| X-ray thoracic spine 4 vw (72074) | $92.70 | $370.80 | 0.9× |
| X-Rays Bone Survey Complete (77075) | $77.25 | $309 | 0.8× |
| Xr c-spine 4 or 5 views (72050) | $116.90 | $467.60 | 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.