Imaging prices at Lafayette Surgical Specialty Hospital
Lafayette, LA · every code in this section with a posted price and a Medicare benchmark.
182 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) range across 2 matching MRF lines |
$320–$336 | $320–$336 | varies |
| Abdomen 2 views (74019) | $451 | $451 | 4.8× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$304–$320 | $304–$320 | varies |
| Arthrogram hip (73525) | $978 | $978 | 3.1× |
| Arthrogram Wrist (73115) | $1,140 | $1,140 | 3.6× |
| Bone age studies (77072) | $381 | $381 | 4.0× |
| Bone Imaging Whole Body (78306) | $2,363 | $2,363 | 6.5× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$319–$336 | $319–$336 | varies |
| Chest 2 views (71046) range across 3 matching MRF lines |
$351–$605 | $351–$605 | varies |
| Chest 3 views (71047) | $412 | $412 | 5.2× |
| Chest 4 or more views (71048) | $338 | $338 | 3.6× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$397–$417 | $397–$417 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$662–$695 | $662–$695 | varies |
| Contrast X-Ray Of Elbow (73085) | $805 | $805 | 2.5× |
| Contrast X-Ray Of Knee Joint (73580) | $1,300 | $1,300 | 4.1× |
| CT abdomen and pelvis without and with contrast (74178) | $6,666 | $6,666 | 21.1× |
| CT abdomen and pelvis without contrast (74176) | $4,680 | $4,680 | 21.7× |
| CT abdomen w contrast (74160) | $2,309 | $2,309 | 14.5× |
| CT abdomen w wo contrast (74170) | $2,893 | $2,893 | 18.2× |
| CT abdomen w/o contrast (74150) | $2,057 | $2,057 | 21.7× |
| CT Angio Abdomen and Pelvis (74174) | $2,884 | $2,884 | 9.1× |
| CT bone density (77078) | $655 | $655 | 8.3× |
| CT cervical spine w/ contrast (72126) | $2,393 | $2,393 | 7.6× |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$2,235–$2,240 | $2,235–$2,240 | varies |
| CT cervical spine w/wo cont (72127) | $2,674 | $2,674 | 16.8× |
| CT chest w contrast (71260) | $2,288 | $2,288 | 14.4× |
| CT chest w/wo contrast (71270) | $2,666 | $2,666 | 16.8× |
| CT head/brain with contrast (70460) | $1,999 | $1,999 | 12.6× |
| CT head/brain without and with contrast (70470) | $2,331 | $2,331 | 14.7× |
| CT heart no contrast quant eval coronry calcium (75571) | $748 | $748 | 9.5× |
| CT iac w contrast (70481) | $2,109 | $2,109 | 13.3× |
| CT l-spine w&w/o contrast (72133) | $2,634 | $2,634 | 16.6× |
| CT lower ext w/o (73700) | $1,874 | $1,874 | 19.8× |
| CT lower extremity w/contrast material (73701) | $2,125 | $2,125 | 13.4× |
| CT lumbar spine w contrast (72132) | $2,406 | $2,406 | 7.6× |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$2,279–$2,284 | $2,279–$2,284 | varies |
| CT maxillofacial w contrast (70487) | $2,046 | $2,046 | 12.9× |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$969–$1,785 | $969–$1,785 | varies |
| CT neck tissue combo (70492) | $2,600 | $2,600 | 16.4× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,216 | $2,216 | 14.0× |
| CT orbits w/o contrast (70480) | $1,987 | $1,987 | 21.0× |
| CT pelvis w&w/o contrast (72194) | $2,663 | $2,663 | 16.8× |
| CT pelvis w/o contrast (72192) | $1,958 | $1,958 | 20.7× |
| CT scan of leg combo (73702) | $2,464 | $2,464 | 15.5× |
| CT scans face/jaw combo (70488) | $2,431 | $2,431 | 15.3× |
| CT soft tissue neck w contrast (70491) | $2,147 | $2,147 | 13.5× |
| CT soft tissue neck w/o contrast (70490) | $1,983 | $1,983 | 20.9× |
| CT thoracic spine w contrast (72129) | $2,435 | $2,435 | 15.3× |
| CT thoracic spine w/o contrast (72128) | $2,255 | $2,255 | 23.8× |
| CT thoracic spine w/wo cont (72130) | $2,716 | $2,716 | 17.1× |
| CT thorax w/o contrast (71250) | $1,986 | $1,986 | 21.0× |
| CT upper ext wo (73200) | $1,843 | $1,843 | 19.5× |
| CT upper extremity w/o & w/contrast material (73202) | $2,435 | $2,435 | 15.3× |
| CT upper extremity with contrast (73201) | $2,095 | $2,095 | 6.6× |
| Discography Cerv/Thor Spine (72285) | $2,943 | $2,943 | 1.7× |
| Diskography lumbar (72295) range across 2 matching MRF lines |
$2,055–$2,154 | $2,055–$2,154 | varies |
| Esophagram (74220) | $593 | $593 | 3.7× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$612–$643 | $612–$643 | varies |
| Foot 2 views (73620) range across 2 matching MRF lines |
$299–$315 | $299–$315 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$331–$348 | $331–$348 | varies |
| GI Endoscopic US S&I (76975) | $1,052 | $1,052 | 4.9× |
| Hand 2 views (73120) | $325 | $325 | 3.4× |
| Joint Survey Single View (77077) | $703 | $703 | 7.4× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$397–$417 | $397–$417 | varies |
| Magnetic Image Jaw Joint (70336) | $1,906 | $1,906 | 8.8× |
| MRA head w/o contrast (70544) | $1,736 | $1,736 | 8.0× |
| MRA head with contrast (70545) | $1,775 | $1,775 | 5.6× |
| MRA neck w contrast (70548) | $2,102 | $2,102 | 6.7× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,518 | $2,518 | 8.0× |
| MRA neck w/o contrast (70547) | $1,748 | $1,748 | 8.1× |
| MRI abdomen w contrast (74182) | $1,995 | $1,995 | 6.3× |
| MRI abdomen w/o contrast (74181) | $1,867 | $1,867 | 8.6× |
| MRI any jt lower extrem w/contrast material (73722) | $1,948 | $1,948 | 2.7× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,746 | $1,746 | 2.5× |
| MRI cervical spine w contrast (72142) | $1,893 | $1,893 | 6.0× |
| MRI cervical spine w/o cont (72141) | $1,867 | $1,867 | 8.6× |
| MRI chest w/o contrast (71550) | $2,170 | $2,170 | 10.0× |
| MRI chest with contrast (71551) | $2,375 | $2,375 | 3.3× |
| MRI chest wo w contrast (71552) | $2,982 | $2,982 | 9.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,980 | $1,980 | 6.3× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,310 | $2,310 | 7.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,789 | $1,789 | 8.3× |
| MRI lumbar spine w contrast (72149) | $2,169 | $2,169 | 6.9× |
| MRI orbit face &/neck w/o contrast (70540) | $1,836 | $1,836 | 8.5× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,564 | $2,564 | 8.1× |
| MRI pelvis w/o & w contrast (72197) | $2,594 | $2,594 | 8.2× |
| MRI pelvis w/o contrast (72195) | $1,708 | $1,708 | 7.9× |
| MRI thoracic spine w/o contrast (72146) | $1,855 | $1,855 | 8.6× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,210 | $2,210 | 7.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,733 | $1,733 | 8.0× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,342 | $2,342 | 7.4× |
| MRI, abdomen, combo (74183) | $2,692 | $2,692 | 8.5× |
| MRI, dorsal spine combo (72157) | $2,701 | $2,701 | 8.6× |
| MRI, dorsal spine contrast (72147) | $2,336 | $2,336 | 7.4× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$1,718–$1,733 | $1,718–$1,733 | varies |
| MRI, joint upper extrem combo (73223) | $2,355 | $2,355 | 7.5× |
| MRI, lumbar spine combo (72158) | $2,618 | $2,618 | 8.3× |
| Myelogram Lumbar (72265) range across 2 matching MRF lines |
$1,592–$1,669 | $1,592–$1,669 | varies |
| Neck soft tissue (70360) | $250 | $250 | 3.2× |
| Nonvascular Shunt X-Ray (75809) | $588 | $588 | 6.2× |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) | $123 | $123 | 1.3× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$334–$351 | $334–$351 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $671 | $671 | 1.4× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$364–$383 | $364–$383 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$302–$318 | $302–$318 | varies |
| Radex elbow complete minimum 3 views (73080) | $394 | $394 | 5.0× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $350 | $350 | 3.7× |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$272–$286 | $272–$286 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$362–$381 | $362–$381 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$362–$381 | $362–$381 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $408 | $408 | 5.2× |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$397–$417 | $397–$417 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$397–$417 | $397–$417 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $612 | $612 | 7.8× |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$321–$338 | $321–$338 | varies |
| Radex Sternum Minimum 2 Views (71120) | $490 | $490 | 6.2× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $498 | $498 | 6.3× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$268–$282 | $268–$282 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$362–$381 | $362–$381 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 2 matching MRF lines |
$665–$698 | $665–$698 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $671 | $671 | 7.1× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $473 | $473 | 5.0× |
| Radiologic exam knee complete 4/more views (73564) | $503 | $503 | 5.3× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $351 | $351 | 3.7× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $758 | $758 | 4.8× |
| Radiologic exam swallow function contrast study (74230) | $887 | $887 | 5.6× |
| Radiologic exam upr gi trc double contrast study (74246) | $835 | $835 | 5.3× |
| Radiologic examination femur minimum 2 views (73552) | $391 | $391 | 5.0× |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$319–$336 | $319–$336 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$351–$369 | $351–$369 | varies |
| Ribs bilateral 3 views (71110) | $518 | $518 | 5.5× |
| Scapula (73010) | $417 | $417 | 4.4× |
| Shoulder 1 view (73020) | $324 | $324 | 4.1× |
| Shoulder Arthrography (73040) | $426 | $426 | 1.3× |
| Skull less than 4 views (70250) | $374 | $374 | 4.0× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$542–$569 | $542–$569 | varies |
| Thoracic spine 3 views (72072) | $683 | $683 | 7.2× |
| Thoracolumbar 2 views (72080) | $422 | $422 | 5.4× |
| Ultrasound, abdomen limited (76705) | $979 | $979 | 10.3× |
| Upper gi w/o kub (74240) | $1,023 | $1,023 | 6.4× |
| Urethrocystogram voiding (74455) | $1,048 | $1,048 | 4.9× |
| Urethrocystography retrograde (74450) | $741 | $741 | 3.4× |
| Us breast unilateral complete (76641) | $367 | $367 | 3.9× |
| Us complete joint (76881) | $711 | $711 | 7.5× |
| Us exam, pelvic, limited (76857) | $711 | $711 | 7.5× |
| Us pelvic non ob complete (76856) | $869 | $869 | 9.2× |
| Us retroperitoneal complete (76770) | $1,097 | $1,097 | 11.6× |
| Us scrotum and contents (76870) | $770 | $770 | 8.1× |
| Us spinal canal and contents (76800) | $804 | $804 | 8.5× |
| Us thyroid (76536) | $657 | $657 | 6.9× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$297–$313 | $297–$313 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $366 | $366 | 4.6× |
| X-ray antegrade pyelogram tube (74425) | $837 | $837 | 2.6× |
| X-Ray Bend Only L-S Spine (72120) | $533 | $533 | 5.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$307–$323 | $307–$323 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $433 | $433 | 5.5× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 3 matching MRF lines |
$415–$603 | $415–$603 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$462–$485 | $462–$485 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$580–$608 | $580–$608 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 3 matching MRF lines |
$355–$391 | $355–$391 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$516–$542 | $516–$542 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $608 | $608 | 6.4× |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$665–$698 | $665–$698 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$427–$449 | $427–$449 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$656–$689 | $656–$689 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) | $417 | $417 | 4.4× |
| X-ray head for orthodontia (70350) | $228 | $228 | 2.9× |
| X-ray humerus (73060) range across 3 matching MRF lines |
$347–$365 | $347–$365 | varies |
| X-ray IV pyelogram (ivp) (74400) | $1,011 | $1,011 | 6.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $299 | $299 | 3.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$476–$500 | $476–$500 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $506 | $506 | 5.3× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $399 | $399 | 4.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$385–$405 | $385–$405 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $501 | $501 | 6.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $588 | $588 | 6.2× |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$675–$709 | $675–$709 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$875–$918 | $875–$918 | varies |
| X-Rays Bone Survey Complete (77075) | $350 | $350 | 3.7× |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$585–$614 | $585–$614 | varies |
| Xr facial bones less than 3 views (70140) | $433 | $433 | 5.5× |
| Xr orbits complete 4 views (70200) | $654 | $654 | 6.9× |
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.