INTEGRIS Health Edmond Cash Pricing

4801 INTEGRIS Parkway • Edmond, OK 73034

Imaging

Valid physician order required.

CT Head without Infusion $237
CT Maxillofacial w/o Infusion $258
CT Neck w/o Contrast $268
CT Neck w/ Contrast $445
CTA Head w/wo Contrast $533
CTA Neck w/wo Contrast $533
MRI Brain w/o Contrast $517
MRI Brain w/ Contrast $723
MRI Brain w/wo Contrast $853
X-Ray Chest $98
CT Chest without Infusion $249
CT Chest w/ Infusion PE $437
CTA Chest $546
MRI Chest w/wo Contrast $850
CT C-Spine without Infusion $253
MRI C-Spine w/o Contrast $518
MRI T-Spine w/o Contrast $518
MRI L-Spine w/o Contrast $518
CT Pelvis w/o Infusion $253
CTA Pelvis w/ Contrast $430
CT-Pelvis w/w/o Contrast $480
X-Ray - Shoulder - 2 Views $98
X-Ray - Knee $98
X-ray- Ankle/Foot $98
MRI (Knee) w/o Contrast $494
CT Abdomen w/o Contrast $262
CT Abdomen w/ Contrast $438
CT Abdomen w/w/o Contrast $492
CT R/O Renal Stone w/o Inf $463
CT Abdomen/Pelvis w/ Inf $675
Cardiac MRI for Morphology and Function w/o Contrast $870
US Abdomen Limited $230
US Kidneys and Bladder $241
US Kidneys Limited $229
US OB Limited Fetus(s) - VIAB $234
US OB $189
USTransvaginal (OB) $242
US Transvaginal (Pelvis) $237
US Pelvis (Non-OB) $237
US Extremity $327
Bone Density Dexa $140
Myocardial Perfusion Imaging Studies - Multiple Studies $1,716
Electrocardiogram $39
Stress Test Tracing Only, w/0 Interpretation $389
Echo Transthoracic - Complete $919
Echo Transthoracic - Follow Up $647
US Echocardiogram $687
Echo Transthoracic/Doppler - Complete $660
Echo Transthoracic/Doppler - Limited $386
US Carotid Doppler - Complete $309
US Carotid Doppler - Limited $295
Limited Bilateral Non-Invasive Studies of Upper or Lower Extremity Arteries $115
Non-Invasive Studies of Upper or Lower Extremity Arteries, Multiple Level $214
Non-Invasive Studies of Lower Extremity Arteries, at Rest and Following Treadmill Stress Test $217
Duplex Scan of Lower Extremity Arteries, Complete Bilateral Study $324
Duplex Scan of Lower Extremity Arteries, Unilateral or Limited Study $223
Duplex Scan of Upper Extremity Arteries, Complete Bilateral Study $297
Duplex Scan of Upper Extremity Arteries, Unilateral or Limited Study $210
Duplex Scan of Extremity Veins, Complete Bilateral Study $316
Duplex Scan of Extremity Veins, Unilateral or Limited Study $220
For Imaging, please note:
This amount represents the Hospital and Radiologist (Physician) charges.   
The patient or patient’s guarantor specifically agree to pay for all costs of this service in full at the time of scheduling.

Procedures

Outpatient Procedures  
Arthroscop Rotator Cuff Repr $5,913
Knee Arthroscopy/Surgery $2,994
Central IV Access Port $3,260
Removal of Lymph Nodes $2,815
Removal of Tonsils and Adenoids under Age 12 $2,583
Hemorrhoidectomy $2,652
Laparoscopic Cholecystectomy $5,068
Colonoscopy $975
Inguinal Hernia $3,611
Dilation and Curettage with Hysteroscopy $2,577
Hysterectomy $5,068
Removal of Adhesions, Lesion, Cysts on Ovary(s) $5,068
Cervical Epidural $930
Lumbar Epidural $930
Carpel Tunnel $1,922
Tympanoplasty $4,952
   
Inpatient Procedures  
Cesarean Section w/o/cc/mc $5,778
Vaginal Delivery w/o Complicating Diagnoses $4,185
Normal Newborn (each additional baby) $1,259
For Procedures, please note:
This amount represents the Hospital charges ONLY and does not include any physician or other professional charges, including, but not limited to radiologists, anesthesiologists, pathologists, etc., for which patient will be separately billed. The patient or patient’s guarantor specifically agree to pay for all costs of this service in full at the time of scheduling.

Breast Health

Screening Mammogram - One Side $160
Screening Mammogram - Two Sides $220
Mammogram Diagnostic - One Side $174
Mammogram Diagnostic - Two Sides $251 
Breast Ultrasound Complete $182
Breast Ultrasound Limited $178
Breast MRI w/wo $540 ( $120 read, $420 facility)

These fees include all professional interpretation fees.

Sleep

Sleep Study – Consultation $150
Sleep Study – Split Night $1191
Sleep Study – Follow Up Consultation (2) $136

These fees include professional fees paid to the sleep physician.



© 2017 INTEGRIS Health Pencil
Oklahoma's largest hospital network
3300 N.W. Expressway
Oklahoma City, OK 73112 Phone: (405) 951-2277
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