Imaging prices at Lane Regional Medical Center

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $152 $435 1.9×
Abdomen 2 views (74019) $190 $543 2.0×
Acute Gastrointestinal Blood Loss Imaging (78278) $586 $1,673 1.6×
Angio internal mammary (75756) $2,279 $6,510 0.8×
Angio pulmonary bilat (75743)
range across 2 matching MRF lines		 $2,213–$2,664 $6,324–$7,610 varies
Angiography extremity bilateral rs&i (75716) $2,504 $7,154 0.9×
Angiography extremity unilateral rs&i (75710) $2,504 $7,154 0.9×
Angiography pulmonary unilateral slctv rs&i (75741) $1,463 $4,179 0.5×
Ankle 2 views (73600) $167 $476 2.1×
Aortography thoracic serialography rs&i (75605) $3,796 $10,845 0.8×
Aortography thoracic w/o serialography rs&i (75600) $1,335 $3,813 0.5×
Artery X-Rays Abdomen (75726)
unusually low: confirm this is the full procedure		 $1,694 $4,839 0.3×
Artery X-Rays Pelvis (75736)
unusually low: confirm this is the full procedure		 $1,639 $4,682 0.3×
Arthrogram hip (73525) $522 $1,490 1.7×
Bone age studies (77072) $141 $404 1.5×
Bone Imaging 3 Phase (78315) $550 $1,571 1.5×
Bone Imaging Limited Area (78300) $388 $1,108 1.1×
Bone Imaging Multiple Areas (78305) $412 $1,178 1.1×
Bone Imaging Whole Body (78306) $522 $1,490 1.4×
Bone marrow imaging limited area (78102) $379 $1,082 1.0×
Bone survey infant (77076) $241 $689 2.5×
Brain Imaging Min 4 Static Views W Vascular Flow (78606) $515 $1,470 1.0×
Cat Scan Follow-Up Study (76380) $279 $798 3.5×
Chest 1 view (71045) $88 $251 1.1×
Chest 2 views (71046) $102 $292 1.3×
Chest 3 views (71047) $118 $336 1.5×
Chest 4 or more views (71048) $148 $422 1.6×
Clavicle complete (73000) $173 $494 2.2×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $595 $1,699 6.3×
Contrast Exam Abdominl Aorta (75625) $2,504 $7,154 0.9×
Contrast X-Ray Bladder (74430) $223 $637 0.7×
CT abdomen and pelvis without and with contrast (74178) $2,659 $7,597 8.4×
CT abdomen and pelvis without contrast (74176) $1,853 $5,294 8.6×
CT abdomen w contrast (74160) $1,045 $2,985 6.6×
CT abdomen w wo contrast (74170) $1,439 $4,112 9.1×
CT abdomen w/o contrast (74150) $880 $2,514 9.3×
CT Angio Abdomen and Pelvis (74174) $1,944 $5,553 6.2×
CT Angio Chest (71275) $893 $2,552 5.6×
CT Angio Head (70496) $774 $2,211 4.9×
CT angio hrt w/3d image (75574) $1,352 $3,864 4.3×
Ct Angio Lwr Extr W/O&W/Dye (73706) $1,307 $3,735 8.2×
CT Angio Neck (70498) $967 $2,762 6.1×
Ct Angio Upr Extrm W/O&W/Dye (73206) $1,003 $2,865 6.3×
CT cervical spine w/ contrast (72126) $710 $2,028 2.2×
CT cervical spine w/o contrast (72125) $679 $1,941 7.2×
CT cervical spine w/wo cont (72127) $793 $2,267 5.0×
CT chest w contrast (71260) $641 $1,832 4.0×
CT chest w/wo contrast (71270) $855 $2,444 5.4×
CT head/brain with contrast (70460) $628 $1,794 4.0×
CT head/brain without and with contrast (70470) $681 $1,947 4.3×
CT heart contrast eval cardiac structure&morph (75572) $1,420 $4,058 4.5×
CT heart no contrast quant eval coronry calcium (75571) $75 $214 1.0×
CT hrt w/3d image congen (75573) $906 $2,590 2.9×
CT iac w contrast (70481) $572 $1,634 3.6×
CT l-spine w&w/o contrast (72133) $842 $2,405 5.3×
CT lower ext w/o (73700) $586 $1,674 6.2×
CT lower extremity w/contrast material (73701) $632 $1,805 4.0×
CT lumbar spine w contrast (72132) $802 $2,292 2.5×
CT lumbar spine w/o contrast (72131) $769 $2,197 8.1×
CT maxillofacial w contrast (70487) $572 $1,634 3.6×
CT maxillofacial wo contrast (70486) $531 $1,517 5.6×
CT neck tissue combo (70492) $663 $1,893 4.2×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $572 $1,634 3.6×
CT orbits w/o contrast (70480) $572 $1,634 6.0×
CT pelvis w&w/o contrast (72194) $787 $2,248 5.0×
CT pelvis w/o contrast (72192) $628 $1,794 6.6×
CT scan of leg combo (73702) $677 $1,934 4.3×
CT scans face/jaw combo (70488) $663 $1,894 4.2×
CT soft tissue neck w contrast (70491) $604 $1,727 3.8×
CT soft tissue neck w/o contrast (70490) $500 $1,428 5.3×
CT thoracic spine w contrast (72129) $850 $2,428 5.4×
CT thoracic spine w/o contrast (72128) $669 $1,910 7.1×
CT thoracic spine w/wo cont (72130) $903 $2,579 5.7×
CT thorax w/o contrast (71250) $595 $1,699 6.3×
CT upper ext wo (73200) $498 $1,423 5.3×
CT upper extremity w/o & w/contrast material (73202) $687 $1,962 4.3×
CT upper extremity with contrast (73201) $557 $1,590 1.8×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $1,360 $3,887 8.6×
Cta Abdomen (74175) $1,449 $4,141 9.1×
CTA pelvis (72191) $1,144 $3,269 7.2×
Dxa Bone Density Axial (77080) $151 $430 1.6×
Dxa bone density study (77085) $151 $430 1.6×
Dxa bone density study 1/>sites appendiclr skel (77081) $92 $264 1.2×
Echo exam of fetal heart (76825) $443 $1,265 0.9×
Echo Guide For Artery Repair (76936) $671 $1,916 3.4×
Esophagram (74220) $277 $790 1.7×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $169 $484 1.8×
Fluoroscopy up to 1 hr (76000) $253 $724 1.2×
Follow-Up Angiography (75898) $2,279 $6,510 0.8×
Foot 2 views (73620) $93 $267 1.2×
Forearm 2 views (73090) $162 $462 2.1×
Gastric emptying imaging study (78264) $503 $1,437 1.4×
Gated Heart Planar Single (78472) $567 $1,619 1.6×
Hand 2 views (73120) $156 $446 1.6×
Hepatobil Syst Image W/Drug (78227) $659 $1,882 1.3×
Hepatobiliary System Imaging (78226) $659 $1,882 1.8×
Ht Muscle Image Spect Sing (78451) $755 $2,157 0.6×
Hysterosalpingogram (74740) $337 $962 1.6×
Infant hip ultrasound with hip movement (dynamic) (76885) $151 $430 1.9×
Infusion Ivp (74410) $334 $955 2.1×
K Flow/Funct Image Multiple (78709) $679 $1,941 1.4×
K Flow/Funct Image W/Drug (78708) $725 $2,072 1.5×
K Flow/Funct Image W/O Drug (78707) $554 $1,582 1.1×
Knee 3 Views (73562) $191 $545 2.4×
Labeled RBC Sequestration Differntl Organ/Tissue (78140) $290 $829 0.8×
Liver & Spleen Imaging Static Only (78215) $414 $1,182 1.1×
Liver & Spleen Imaging W/Vascular Flow (78216) $452 $1,292 1.2×
Liver imaging static only (78201) $376 $1,075 0.8×
Liver imaging w/vascular flow (78202) $353 $1,009 0.7×
Lung Perf&Ventilat Diferentl (78598) $428 $1,224 0.9×
Lung Ventilat&Perfus Imaging (78582) $558 $1,595 1.1×
Magnetic Image Jaw Joint (70336) $979 $2,796 4.5×
Meckels Divert Exam (78290) $408 $1,167 1.1×
Mra Head W/O & W/Contrast Material (70546) $1,074 $3,069 3.4×
MRA head w/o contrast (70544) $853 $2,437 3.9×
MRA head with contrast (70545) $810 $2,313 2.6×
MRA neck w contrast (70548) $860 $2,458 2.7×
Mra Neck W/O &W/Contrast Material (70549) $1,074 $3,069 3.4×
MRA neck w/o contrast (70547) $831 $2,375 3.8×
MRI abdomen w contrast (74182) $1,434 $4,098 4.5×
MRI abdomen w/o contrast (74181) $957 $2,733 4.4×
MRI any jt lower extrem w/contrast material (73722) $936 $2,674 1.3×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $1,200 $3,429 3.8×
MRI any jt upper extremity w/contrast matrl (73222) $835 $2,387 1.2×
MRI cervical spine w contrast (72142) $901 $2,575 2.9×
MRI cervical spine w/o cont (72141) $862 $2,462 4.0×
MRI chest w/o contrast (71550) $976 $2,790 4.5×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $936 $2,674 3.0×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $1,200 $3,429 3.8×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $819 $2,340 3.8×
MRI lumbar spine w contrast (72149) $936 $2,673 3.0×
Mri Neck Spine W/O & W/Dye (72156) $1,835 $5,243 5.8×
MRI orbit face &/neck w/o contrast (70540) $723 $2,066 3.3×
MRI orbit face neck w contrast (70542) $839 $2,396 2.7×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $1,074 $3,069 3.4×
MRI pelvis w contrast (72196) $944 $2,698 3.0×
MRI pelvis w/o & w contrast (72197) $1,158 $3,309 3.7×
MRI pelvis w/o contrast (72195) $819 $2,340 3.8×
MRI thoracic spine w/o contrast (72146) $830 $2,370 3.8×
MRI upper extremity oth than jt w/contr matrl (73219) $762 $2,178 2.4×
MRI upper extremity oth than jt w/o contr matrl (73218) $770 $2,199 3.6×
Mri Uppr Extremity W/O&W/Dye (73220) $891 $2,546 2.8×
MRI, abdomen, combo (74183) $1,303 $3,723 4.1×
MRI, dorsal spine combo (72157) $1,204 $3,441 3.8×
MRI, dorsal spine contrast (72147) $948 $2,710 3.0×
MRI, joint upper extrem (73221) $807 $2,305 3.7×
MRI, joint upper extrem combo (73223) $1,000 $2,858 3.2×
MRI, lumbar spine combo (72158) $1,247 $3,564 3.9×
Myocardial Spect Multiple Studies (78452) $857 $2,448 0.7×
Neck soft tissue (70360) $147 $420 1.9×
Nonvascular Shunt X-Ray (75809) $75 $215 0.8×
Nuclear Rx Oral Admin (79005) $380 $1,086 1.8×
Parathyroid Planar Imaging (78070) $399 $1,139 1.1×
Pelvis 1 or 2 views (72170) $97 $276 1.0×
Pulmonary Perfusion Imaging Particulate (78580) $418 $1,194 1.2×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $259 $739 2.7×
Radex abscess/fistula/sinus tract rs&i (76080) $422 $1,207 0.9×
Radex Ankle Complete Minimum 3 Views (73610) $181 $518 2.3×
Radex Calcaneus Minimum 2 Views (73650) $89 $254 1.1×
Radex elbow complete minimum 3 views (73080) $182 $519 2.3×
Radex Facial Bones Complete Minimum 3 Views (70150) $143 $409 1.5×
Radex fingr minimum 2 views (73140) $124 $354 1.6×
Radex foot complete minimum 3 views (73630) $107 $306 1.4×
Radex Hand Minimum 3 Views (73130) $179 $510 2.3×
Radex lower extremity infant minimum 2 views (73592) $77 $220 1.0×
Radex Nasal Bones Complete Minimum 3 Views (70160) $167 $477 2.1×
Radex Ribs Unilateral 2 Views (71100) $104 $296 1.3×
Radex shoulder complete minimum 2 views (73030) $188 $536 2.4×
Radex Sinuses Paransl < 3 Views (70210) $89 $254 1.1×
Radex Spine 1 View Specify Level (72020) $131 $373 1.7×
Radex Sternum Minimum 2 Views (71120) $109 $311 1.4×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $147 $419 1.9×
Radex Toe Minimum 2 Views (73660) $128 $366 1.6×
Radex upper extremity infant minimum 2 views (73092) $77 $220 0.8×
Radex Wrist Complete Minimum 3 Views (73110) $157 $449 2.0×
Radiolog exam mandible compl minimum 4 views (70110) $146 $418 1.5×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $36 $102 0.4×
Radiologic exam colon double contrast study (74280) $322 $921 2.0×
Radiologic exam colon single contrast study (74270) $235 $671 1.5×
Radiologic exam knee complete 4/more views (73564) $218 $623 2.3×
Radiologic exam pelvis compl minimum 3 views (72190) $99 $283 1.0×
Radiologic Exam Small Int Single Contrast Study (74250) $203 $580 1.3×
Radiologic exam swallow function contrast study (74230) $210 $599 1.3×
Radiologic exam upr gi trc double contrast study (74246) $307 $877 1.9×
Radiologic examination femur 1 view (73551) $34 $96 0.4×
Radiologic examination femur minimum 2 views (73552) $171 $489 2.2×
Radiologic examination knee 1/2 views (73560) $153 $438 1.9×
Radiologic examination tibia & fibula 2 views (73590) $173 $495 2.2×
Ribs bilateral 3 views (71110) $111 $318 1.2×
Rp loclzj tum plnr 1 area single day imaging (78800) $574 $1,640 1.6×
Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) $889 $2,540 2.5×
Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) $1,604 $4,582 3.3×
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) $706 $2,016 1.4×
Scapula (73010) $171 $488 1.8×
Screening Digital Breast Tomosynthesis Bi (77063)
range across 2 matching MRF lines		 $53–$82 $150–$235 varies
Shoulder 1 view (73020) $142 $407 1.8×
Shoulder Arthrography (73040) $539 $1,540 1.7×
Sialogram (70390) $218 $624 1.0×
Skull less than 4 views (70250) $115 $330 1.2×
Sternoclavicular joints (71130) $100 $287 1.3×
Testicular Imaging W/Flow (78761) $301 $861 0.8×
Thoracic spine 2 views (72070) $218 $622 2.3×
Thoracic spine 3 views (72072) $218 $622 2.3×
Thoracolumbar 2 views (72080) $184 $526 2.3×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $505 $1,444 1.4×
Ultrasound Breast Limited (76642) $196 $559 2.5×
Ultrasound Elastography Parenchyma (76981) $267 $762 2.8×
Ultrasound Exam Aaa Screen (76706) $175 $501 1.8×
Ultrasound trgt dynamic microbubble 1st lesion (76978) $160 $456 0.5×
Ultrasound, abdomen limited (76705) $237 $677 2.5×
Unlisted Dx Radiographic Procedure (76499) $321 $917 4.1×
Upper gi w/o kub (74240) $225 $644 1.4×
Urethrocystogram voiding (74455) $232 $664 1.1×
Urethrocystography retrograde (74450) $236 $674 1.1×
Us breast unilateral complete (76641) $196 $559 2.1×
Us chest (76604) $225 $643 2.4×
Us complete joint (76881) $237 $677 2.5×
Us exam, pelvic, limited (76857) $151 $431 1.6×
Us head (76506) $188 $537 2.0×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $248 $708 2.6×
Us ob detailed single fetus (76811) $301 $859 1.4×
Us ob limited 1 or more fetuses (76815) $173 $495 1.8×
Us ob transvaginal (76817) $301 $859 3.2×
Us pelvic non ob complete (76856) $260 $742 2.7×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $215 $613 2.3×
Us preg uterus real time f/u trnsabdl per fetus (76816) $173 $495 1.8×
Us retroperitoneal complete (76770) $363 $1,037 3.8×
Us retroperitoneal limited (76775) $314 $896 3.3×
Us scrotum and contents (76870) $203 $579 2.1×
Us spinal canal and contents (76800) $188 $538 2.0×
Us thyroid (76536) $203 $579 2.1×
Vein X-Ray Chest (75827)
range across 2 matching MRF lines		 $1,293–$1,297 $3,695–$3,707 varies
Venography caval inferior serialography rs&i (75825) $1,174 $3,353 0.4×
Venography extremity bilateral rs&i (75822) $1,230 $3,515 0.9×
Venography extremity unilateral rs&i (75820) $647 $1,849 0.5×
Venography Renal Unilateral (75831) $1,187 $3,390 0.4×
Wrist 2 views (73100) $153 $437 1.9×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $97 $276 1.2×
X-ray antegrade pyelogram tube (74425) $260 $743 0.8×
X-Ray Aorta Leg Arteries (75630) $1,767 $5,049 0.6×
X-Ray Bend Only L-S Spine (72120) $245 $699 2.6×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $153 $437 1.9×
X-Ray Exam Breast Specimen (76098) $253 $722 0.5×
X-Ray Exam Entire Spi 1 Vw (72081) $232 $663 2.9×
X-Ray Exam Entire Spi 2/3 Vw (72082) $223 $637 2.4×
X-Ray Exam Hip Uni 1 View (73501) $79 $226 1.0×
X-Ray Exam Hip Uni 2-3 Views (73502) $158 $451 2.0×
X-Ray Exam Hip Uni 4/> Views (73503) $171 $489 1.8×
X-Ray Exam Hips Bi 2 Views (73521) $39 $110 0.4×
X-Ray Exam Hips Bi 3-4 Views (73522) $245 $700 2.6×
X-Ray Exam L-S Spine Bending (72114) $310 $887 3.3×
X-Ray Exam Neck Spine 2-3 Vw (72040) $197 $562 2.5×
X-Ray Exam Neck Spine 6/>Vws (72052) $295 $843 3.1×
X-Ray Exam Unilat Ribs/Chest (71101) $159 $454 1.7×
X-ray humerus (73060) $165 $471 2.1×
X-ray IV pyelogram (ivp) (74400) $324 $925 2.0×
X-ray IV pyelogram+tomography (74415) $352 $1,005 2.2×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $106 $303 1.3×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $181 $517 2.3×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $197 $563 2.1×
X-ray nose-rectum child f.b. (76010) $106 $303 1.3×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $185 $528 2.0×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $154 $439 1.6×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $17 $49 0.2×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $109 $311 1.4×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $142 $407 1.8×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $144 $412 1.5×
X-Ray Urinary Tract Exam With Contrast Material (74420) $284 $812 0.9×
X-Rays Bone Length Studies (77073) $145 $415 1.5×
X-Rays Bone Survey Complete (77075) $294 $839 3.1×
Xr c-spine 4 or 5 views (72050) $295 $843 3.1×
Xr facial bones less than 3 views (70140) $126 $359 1.6×
XR Mastoids < 3 Views Bilateral (70120) $118 $337 1.2×
Xr orbits complete 4 views (70200) $155 $442 1.6×
Xr Tomogram Single Plane (76100) $231 $659 2.4×

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.