Imaging prices at DeQuincy Memorial Hospital

DeQuincy, LA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $106.40 $152 1.4×
Abdomen 2 views (74019) $212.45 $303.50 2.2×
Ankle 2 views (73600) $94.85 $135.50 1.2×
Bone age studies (77072) $69.65 $99.50 0.7×
Bone survey infant (77076) $199.15 $284.50 2.1×
Chest 1 view (71045) $106.40 $152 1.4×
Chest 2 views (71046) $155.05 $221.50 2.0×
Chest 3 views (71047)
range across 6 matching MRF lines
$261.10–$309.40 $373–$442 varies
Clavicle complete (73000) $108.85 $155.50 1.4×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $1,248.45 $1,783.50 13.2×
CT abdomen and pelvis without and with contrast (74178) $3,531.50 $5,045 11.2×
CT abdomen and pelvis without contrast (74176) $2,463.30 $3,519 11.4×
CT abdomen w contrast (74160) $1,625.05 $2,321.50 10.2×
CT abdomen w wo contrast (74170) $1,795.85 $2,565.50 11.3×
CT abdomen w/o contrast (74150) $1,183 $1,690 12.5×
CT Angio Abdomen and Pelvis (74174) $3,351.25 $4,787.50 10.6×
CT Angio Chest (71275) $1,943.55 $2,776.50 12.2×
CT cervical spine w/o contrast (72125) $1,377.95 $1,968.50 14.6×
CT chest w contrast (71260) $1,625.05 $2,321.50 10.2×
CT chest w/wo contrast (71270) $1,794.80 $2,564 11.3×
CT head/brain with contrast (70460) $1,408.05 $2,011.50 8.9×
CT head/brain without and with contrast (70470) $1,762.95 $2,518.50 11.1×
CT iac w contrast (70481) $1,741.95 $2,488.50 11.0×
CT lower ext w/o (73700)
range across 12 matching MRF lines
$1,200.85–$1,801.10 $1,715.50–$2,573 varies
CT lower extremity w/contrast material (73701)
range across 13 matching MRF lines
$1,363.25–$2,293.90 $1,947.50–$3,277 varies
CT lumbar spine w/o contrast (72131) $1,578.85 $2,255.50 16.7×
CT maxillofacial w contrast (70487) $1,741.95 $2,488.50 11.0×
CT maxillofacial wo contrast (70486) $1,507.10 $2,153 15.9×
CT neck tissue combo (70492) $1,762.25 $2,517.50 11.1×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $1,943.55 $2,776.50 12.2×
CT orbits w/o contrast (70480) $1,507.10 $2,153 15.9×
CT pelvis w&w/o contrast (72194) $1,735.65 $2,479.50 10.9×
CT pelvis w/o contrast (72192) $1,281.35 $1,830.50 13.5×
CT scan of leg combo (73702)
range across 12 matching MRF lines
$1,762.95–$2,644.60 $2,518.50–$3,778 varies
CT scans face/jaw combo (70488) $1,943.55 $2,776.50 12.2×
CT soft tissue neck w contrast (70491) $1,491.35 $2,130.50 9.4×
CT soft tissue neck w/o contrast (70490) $1,183 $1,690 12.5×
CT thoracic spine w/o contrast (72128) $1,299.20 $1,856 13.7×
CT thorax w/o contrast (71250) $1,248.45 $1,783.50 13.2×
CT upper ext wo (73200)
range across 10 matching MRF lines
$1,200.85–$1,801.10 $1,715.50–$2,573 varies
CT upper extremity w/o & w/contrast material (73202)
range across 8 matching MRF lines
$1,762.95–$1,922.90 $2,518.50–$2,747 varies
CT upper extremity with contrast (73201)
range across 10 matching MRF lines
$1,529.15–$1,816.15 $2,184.50–$2,594.50 varies
Cta Abdomen (74175) $1,943.55 $2,776.50 12.2×
Esophagram (74220) $211.75 $302.50 1.3×
Foot 2 views (73620) $94.85 $135.50 1.2×
Forearm 2 views (73090) $108.85 $155.50 1.4×
Hand 2 views (73120) $94.85 $135.50 1.0×
Knee 3 Views (73562)
range across 8 matching MRF lines
$108.85–$217.70 $155.50–$311 varies
Neck soft tissue (70360) $135.45 $193.50 1.7×
Pelvis 1 or 2 views (72170) $106.40 $152 1.1×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $318.85 $455.50 3.4×
Radex Ankle Complete Minimum 3 Views (73610)
range across 8 matching MRF lines
$108.85–$217.70 $155.50–$311 varies
Radex Calcaneus Minimum 2 Views (73650) $108.85 $155.50 1.4×
Radex elbow complete minimum 3 views (73080) $130.20 $186 1.7×
Radex Facial Bones Complete Minimum 3 Views (70150) $170.10 $243 1.8×
Radex fingr minimum 2 views (73140)
range across 14 matching MRF lines
$54.95–$94.85 $78.50–$135.50 varies
Radex foot complete minimum 3 views (73630)
range across 8 matching MRF lines
$108.85–$217.70 $155.50–$311 varies
Radex Hand Minimum 3 Views (73130)
range across 8 matching MRF lines
$108.85–$217.70 $155.50–$311 varies
Radex lower extremity infant minimum 2 views (73592) $108.85 $155.50 1.4×
Radex Nasal Bones Complete Minimum 3 Views (70160) $138.95 $198.50 1.8×
Radex Ribs Unilateral 2 Views (71100) $179.90 $257 2.3×
Radex shoulder complete minimum 2 views (73030)
range across 8 matching MRF lines
$108.85–$217.70 $155.50–$311 varies
Radex Sinuses Paransl < 3 Views (70210) $144.20 $206 1.8×
Radex Spine 1 View Specify Level (72020) $69.65 $99.50 0.9×
Radex Sternum Minimum 2 Views (71120) $154 $220 2.0×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $163.10 $233 2.1×
Radex Toe Minimum 2 Views (73660) $94.85 $135.50 1.2×
Radex upper extremity infant minimum 2 views (73092) $108.85 $155.50 1.1×
Radex Wrist Complete Minimum 3 Views (73110)
range across 8 matching MRF lines
$108.85–$217.70 $155.50–$311 varies
Radiolog exam mandible compl minimum 4 views (70110) $170.10 $243 1.8×
Radiologic exam knee complete 4/more views (73564)
range across 8 matching MRF lines
$144.20–$265.65 $206–$379.50 varies
Radiologic Exam Small Int Single Contrast Study (74250) $358.75 $512.50 2.3×
Radiologic examination femur 1 view (73551) $94.85 $135.50 1.2×
Radiologic examination femur minimum 2 views (73552) $130.20 $186 1.7×
Radiologic examination knee 1/2 views (73560)
range across 8 matching MRF lines
$94.85–$107.45 $135.50–$153.50 varies
Radiologic examination tibia & fibula 2 views (73590) $108.85 $155.50 1.4×
Ribs bilateral 3 views (71110) $359.45 $513.50 3.8×
Scapula (73010) $148.05 $211.50 1.6×
Sella turcica (70240) $99.05 $141.50 1.3×
Shoulder 1 view (73020) $69.65 $99.50 0.9×
Skull less than 4 views (70250) $158.55 $226.50 1.7×
Sternoclavicular joints (71130) $127.40 $182 1.6×
Thoracic spine 2 views (72070) $163.80 $234 1.7×
Thoracic spine 3 views (72072) $163.80 $234 1.7×
Ultrasound Exam Aaa Screen (76706) $395.15 $564.50 4.2×
Ultrasound, abdomen limited (76705) $395.15 $564.50 4.2×
Us breast unilateral complete (76641)
range across 8 matching MRF lines
$394.80–$770 $564–$1,100 varies
Us chest (76604) $394.80 $564 4.2×
Us exam, pelvic, limited (76857) $395.15 $564.50 4.2×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882)
range across 10 matching MRF lines
$365.40–$394.80 $522–$564 varies
Us pelvic non ob complete (76856) $659.05 $941.50 7.0×
Us retroperitoneal complete (76770) $830.55 $1,186.50 8.8×
Us retroperitoneal limited (76775)
range across 6 matching MRF lines
$394.80–$435.75 $564–$622.50 varies
Us scrotum and contents (76870) $384.30 $549 4.1×
Us thyroid (76536) $394.80 $564 4.2×
Wrist 2 views (73100) $94.85 $135.50 1.2×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $217.70 $311 2.8×
X-Ray Bend Only L-S Spine (72120) $122.85 $175.50 1.3×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $108.85 $155.50 1.4×
X-Ray Exam Entire Spi 2/3 Vw (72082) $181.65 $259.50 1.9×
X-Ray Exam Hip Uni 1 View (73501) $94.85 $135.50 1.2×
X-Ray Exam Hip Uni 2-3 Views (73502) $108.85 $155.50 1.4×
X-Ray Exam Hips Bi 3-4 Views (73522) $217.70 $311 2.3×
X-Ray Exam L-S Spine Bending (72114) $243.60 $348 2.6×
X-Ray Exam Neck Spine 2-3 Vw (72040) $163.80 $234 2.1×
X-Ray Exam Neck Spine 6/>Vws (72052) $224 $320 2.4×
X-ray humerus (73060)
range across 8 matching MRF lines
$94.85–$108.85 $135.50–$155.50 varies
X-ray IV pyelogram (ivp) (74400) $502.95 $718.50 3.2×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $133 $190 1.7×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $163.80 $234 1.7×
X-ray nose-rectum child f.b. (76010) $86.45 $123.50 1.1×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $175.35 $250.50 1.9×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $184.10 $263 2.3×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $170.10 $243 2.2×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $180.60 $258 1.9×
X-Rays Bone Survey Complete (77075) $398.65 $569.50 4.2×
Xr c-spine 4 or 5 views (72050) $185.15 $264.50 2.0×
Xr facial bones less than 3 views (70140) $92.05 $131.50 1.2×
XR Mastoids < 3 Views Bilateral (70120) $210 $300 2.2×
Xr orbits complete 4 views (70200) $170.10 $243 1.8×

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.