Imaging prices at LaSalle General Hospital

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

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018)
range across 2 matching MRF lines		 $103.20–$130.80 $172–$218 varies
Abdomen 2 views (74019) $147 $245 1.6×
Ankle 2 views (73600) $75 $125 1.0×
Bone age studies (77072) $75 $125 0.8×
Bone Imaging 3 Phase (78315) $771 $1,285 2.1×
Bone Imaging Limited Area (78300) $652.80 $1,088 1.8×
Bone Imaging Whole Body (78306) $742.20 $1,237 2.1×
Chest 1 view (71045) $56.40 $94 0.7×
Chest 2 views (71046) $107.40 $179 1.4×
Chest 4 or more views (71048) $70.80 $118 0.7×
Clavicle complete (73000) $107.40 $179 1.4×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $150 $250 1.6×
CT abdomen and pelvis without and with contrast (74178) $661.20 $1,102 2.1×
CT abdomen and pelvis without contrast (74176) $378 $630 1.7×
CT abdomen w contrast (74160) $597 $995 3.8×
CT abdomen w wo contrast (74170) $661.20 $1,102 4.2×
CT abdomen w/o contrast (74150) $378 $630 4.0×
CT Angio Abdomen and Pelvis (74174) $1,785 $2,975 5.7×
CT Angio Chest (71275) $1,140 $1,900 7.2×
CT Angio Head (70496) $1,479 $2,465 9.3×
Ct Angio Lwr Extr W/O&W/Dye (73706) $1,146 $1,910 7.2×
CT Angio Neck (70498) $1,551 $2,585 9.8×
Ct Angio Upr Extrm W/O&W/Dye (73206) $1,014 $1,690 6.4×
CT cervical spine w/o contrast (72125) $378 $630 4.0×
CT cervical spine w/wo cont (72127) $661.20 $1,102 4.2×
CT chest w contrast (71260) $597 $995 3.8×
CT chest w/wo contrast (71270) $661.20 $1,102 4.2×
CT head/brain with contrast (70460) $597 $995 3.8×
CT head/brain without and with contrast (70470) $661.20 $1,102 4.2×
CT heart no contrast quant eval coronry calcium (75571) $150 $250 1.9×
CT iac w contrast (70481) $597 $995 3.8×
CT l-spine w&w/o contrast (72133) $661.20 $1,102 4.2×
CT lower ext w/o (73700) $378 $630 4.0×
CT lower extremity w/contrast material (73701) $597 $995 3.8×
CT lumbar spine w contrast (72132) $597 $995 1.9×
CT lumbar spine w/o contrast (72131)
range across 2 matching MRF lines		 $378–$661.20 $630–$1,102 varies
CT maxillofacial w contrast (70487) $597 $995 3.8×
CT maxillofacial wo contrast (70486) $378 $630 4.0×
CT neck tissue combo (70492) $661.20 $1,102 4.2×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $661.20 $1,102 4.2×
CT orbits w/o contrast (70480) $378 $630 4.0×
CT pelvis w&w/o contrast (72194) $661.20 $1,102 4.2×
CT pelvis w/o contrast (72192) $378 $630 4.0×
CT scan of leg combo (73702) $661.20 $1,102 4.2×
CT scans face/jaw combo (70488) $661.20 $1,102 4.2×
CT soft tissue neck w contrast (70491) $597 $995 3.8×
CT soft tissue neck w/o contrast (70490) $378 $630 4.0×
CT thoracic spine w contrast (72129) $597 $995 3.8×
CT thoracic spine w/o contrast (72128) $378 $630 4.0×
CT thoracic spine w/wo cont (72130) $661.20 $1,102 4.2×
CT thorax w/o contrast (71250) $378 $630 4.0×
CT upper ext wo (73200) $378 $630 4.0×
CT upper extremity w/o & w/contrast material (73202) $661.20 $1,102 4.2×
CT upper extremity with contrast (73201) $597 $995 1.9×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $1,230 $2,050 7.7×
Cta Abdomen (74175)
range across 3 matching MRF lines		 $1,200–$1,230 $2,000–$2,050 varies
CTA pelvis (72191) $1,227 $2,045 7.7×
Dxa Bone Density Axial (77080) $195.60 $326 2.1×
Esophagram (74220)
range across 2 matching MRF lines		 $120–$153.60 $200–$256 varies
Fetal Biophys Profile W/Nst (76818) $208.80 $348 2.2×
Fluoroscopy up to 1 hr (76000) $237 $395 1.1×
Forearm 2 views (73090) $107.40 $179 1.4×
Gastric emptying imaging study (78264) $688.20 $1,147 1.9×
Hand 2 views (73120) $81 $135 0.9×
Hepatobil Syst Image W/Drug (78227) $652.80 $1,088 1.3×
Hysterosalpingogram (74740) $405.60 $676 1.9×
K Flow/Funct Image Multiple (78709) $1,239 $2,065 2.5×
K Flow/Funct Image W/O Drug (78707) $768.60 $1,281 1.6×
Knee 3 Views (73562) $116.40 $194 1.5×
Liver & Spleen Imaging W/Vascular Flow (78216) $549.60 $916 1.5×
Lung Perf&Ventilat Diferentl (78598) $831 $1,385 1.7×
Lung perfusion differential (78597) $496.80 $828 1.4×
MRA head w/o contrast (70544) $727.80 $1,213 3.4×
MRI abdomen w/o contrast (74181) $727.80 $1,213 3.4×
MRI any jt lower extrem w/contrast material (73722) $859.80 $1,433 1.2×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $859.80 $1,433 2.7×
MRI any jt upper extremity w/contrast matrl (73222) $859.80 $1,433 1.2×
MRI cervical spine w contrast (72142) $859.80 $1,433 2.7×
MRI cervical spine w/o cont (72141) $727.80 $1,213 3.4×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $859.80 $1,433 2.7×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $859.80 $1,433 2.7×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $727.80 $1,213 3.4×
MRI lumbar spine w contrast (72149) $859.80 $1,433 2.7×
Mri Neck Spine W/O & W/Dye (72156) $859.80 $1,433 2.7×
MRI orbit face &/neck w/o contrast (70540) $727.80 $1,213 3.4×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $859.80 $1,433 2.7×
MRI pelvis w/o & w contrast (72197) $859.80 $1,433 2.7×
MRI pelvis w/o contrast (72195) $727.80 $1,213 3.4×
MRI thoracic spine w/o contrast (72146) $727.80 $1,213 3.4×
MRI upper extremity oth than jt w/o contr matrl (73218) $727.80 $1,213 3.4×
Mri Uppr Extremity W/O&W/Dye (73220) $859.80 $1,433 2.7×
MRI, abdomen, combo (74183) $859.80 $1,433 2.7×
MRI, dorsal spine combo (72157) $859.80 $1,433 2.7×
MRI, joint upper extrem (73221) $727.80 $1,213 3.4×
MRI, joint upper extrem combo (73223) $859.80 $1,433 2.7×
MRI, lumbar spine combo (72158) $859.80 $1,433 2.7×
Myocardial Spect Multiple Studies (78452) $1,895.40 $3,159 1.6×
Nonvascular Shunt X-Ray (75809) $496.20 $827 5.2×
Parathyroid Planar Imaging (78070) $504.60 $841 1.4×
Pelvis 1 or 2 views (72170) $107.40 $179 1.1×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $172.80 $288 1.8×
Radex Ankle Complete Minimum 3 Views (73610) $107.40 $179 1.4×
Radex Calcaneus Minimum 2 Views (73650) $107.40 $179 1.4×
Radex elbow complete minimum 3 views (73080) $107.40 $179 1.4×
Radex Facial Bones Complete Minimum 3 Views (70150) $123 $205 1.3×
Radex fingr minimum 2 views (73140) $107.40 $179 1.4×
Radex foot complete minimum 3 views (73630) $107.40 $179 1.4×
Radex Hand Minimum 3 Views (73130) $107.40 $179 1.4×
Radex lower extremity infant minimum 2 views (73592) $75 $125 1.0×
Radex Nasal Bones Complete Minimum 3 Views (70160) $123 $205 1.6×
Radex Ribs Unilateral 2 Views (71100) $147 $245 1.9×
Radex shoulder complete minimum 2 views (73030) $107.40 $179 1.4×
Radex Sinuses Paransl < 3 Views (70210) $87 $145 1.1×
Radex Spine 1 View Specify Level (72020) $87 $145 1.1×
Radex Sternum Minimum 2 Views (71120) $123 $205 1.6×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $123 $205 1.6×
Radex Toe Minimum 2 Views (73660) $107.40 $179 1.4×
Radex upper extremity infant minimum 2 views (73092) $75 $125 0.8×
Radex Wrist Complete Minimum 3 Views (73110) $107.40 $179 1.4×
Radiolog exam mandible compl minimum 4 views (70110) $124.80 $208 1.3×
Radiologic exam pelvis compl minimum 3 views (72190) $200.40 $334 2.1×
Radiologic exam upr gi trc double contrast study (74246) $130.20 $217 0.8×
Radiologic examination femur minimum 2 views (73552) $107.40 $179 1.4×
Radiologic examination knee 1/2 views (73560) $107.40 $179 1.4×
Radiologic Examination Osseous Survey Limited (77074) $99 $165 1.0×
Radiologic examination tibia & fibula 2 views (73590) $107.40 $179 1.4×
Ribs bilateral 3 views (71110) $201 $335 2.1×
Scapula (73010) $107.40 $179 1.1×
Screening Digital Breast Tomosynthesis Bi (77063)
range across 2 matching MRF lines		 $24.30–$48.60 $40.50–$81 varies
Skull less than 4 views (70250) $87 $145 0.9×
Sternoclavicular joints (71130) $107.40 $179 1.4×
Thoracic spine 3 views (72072) $123 $205 1.3×
Thyroid Imaging With Vascular Flow (78013) $417.60 $696 1.2×
Ultrasound Breast Limited (76642) $208.80 $348 2.6×
Ultrasound Exam Aaa Screen (76706) $27 $45 0.3×
Ultrasound, abdomen limited (76705) $232.20 $387 2.5×
Unlisted Dx Radiographic Procedure (76499) $87 $145 1.1×
Us chest (76604) $179.40 $299 1.9×
Us exam, pelvic, limited (76857) $232.20 $387 2.5×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $345 $575 3.6×
Us ob detailed single fetus (76811) $274.80 $458 1.3×
Us ob limited 1 or more fetuses (76815) $203.40 $339 2.1×
Us ob transvaginal (76817) $198.60 $331 2.1×
Us pelvic non ob complete (76856) $274.80 $458 2.9×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $271.80 $453 2.9×
Us preg uterus real time f/u trnsabdl per fetus (76816) $267 $445 2.8×
Us retroperitoneal complete (76770) $298.20 $497 3.1×
Us retroperitoneal limited (76775) $232.20 $387 2.5×
Us scrotum and contents (76870) $180 $300 1.9×
Us thyroid (76536) $278.40 $464 2.9×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $212.40 $354 2.7×
X-Ray Bend Only L-S Spine (72120) $165 $275 1.7×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $150 $250 1.9×
X-Ray Exam Entire Spi 1 Vw (72081) $90 $150 1.1×
X-Ray Exam Hip Uni 1 View (73501) $107.40 $179 1.4×
X-Ray Exam Hip Uni 2-3 Views (73502) $107.40 $179 1.4×
X-Ray Exam Hips Bi 2 Views (73521) $107.40 $179 1.1×
X-Ray Exam Neck Spine 2-3 Vw (72040) $109.80 $183 1.4×
X-Ray Exam Neck Spine 6/>Vws (72052) $120 $200 1.3×
X-Ray Exam Unilat Ribs/Chest (71101) $222 $370 2.3×
X-ray humerus (73060) $107.40 $179 1.4×
X-ray IV pyelogram (ivp) (74400) $222.60 $371 1.4×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $107.40 $179 1.4×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $136.20 $227 1.4×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $276.60 $461 2.9×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $154.20 $257 1.6×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $136.20 $227 1.7×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $147 $245 1.9×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $174 $290 1.8×
Xr c-spine 4 or 5 views (72050) $120 $200 1.3×
XR Mastoids < 3 Views Bilateral (70120) $51 $85 0.5×
Xr orbits complete 4 views (70200) $123 $205 1.3×

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.