Imaging prices at Lourdes Medical Center

Pasco, WA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $120.47 $301.18 1.2×
Abdomen 2 views (74019) $153.99 $384.97 1.3×
Ankle 2 views (73600) $112.44 $281.11 1.2×
Bone age studies (77072) $87.66 $219.16 0.8×
Bone Imaging 3 Phase (78315) $696.86 $1,742.16 1.6×
Bone Imaging Whole Body (78306) $829.35 $2,073.38 1.9×
Chest 1 view (71045) $147.54 $368.84 1.5×
Chest 2 views (71046) $191.80 $479.50 2.0×
Clavicle complete (73000) $86.66 $216.65 0.9×
CT abdomen and pelvis without and with contrast (74178) $1,541.39 $3,853.48 4.0×
CT abdomen and pelvis without contrast (74176) $1,630.20 $4,075.51 6.1×
CT abdomen w contrast (74160) $1,157.80 $2,894.50 5.9×
CT abdomen w wo contrast (74170) $1,416.63 $3,541.58 7.2×
CT abdomen w/o contrast (74150) $959.99 $2,399.98 8.2×
CT Angio Abdomen and Pelvis (74174) $1,800.77 $4,501.93 4.6×
CT Angio Chest (71275) $1,573.19 $3,932.97 8.0×
CT Angio Head (70496) $1,405.46 $3,513.64 7.2×
CT Angio Neck (70498) $1,535.81 $3,839.52 7.9×
CT cervical spine w/o contrast (72125) $983.34 $2,458.34 8.4×
CT chest w contrast (71260) $1,149.63 $2,874.08 5.9×
CT chest w/wo contrast (71270) $1,416.63 $3,541.58 7.2×
CT head/brain with contrast (70460) $1,046.82 $2,617.06 5.4×
CT head/brain without and with contrast (70470) $1,219.25 $3,048.12 6.2×
CT lower ext w/o (73700) $557.78 $1,394.44 4.8×
CT lower extremity w/contrast material (73701) $1,299.46 $3,248.65 6.6×
CT lumbar spine w/o contrast (72131) $983.48 $2,458.70 8.4×
CT maxillofacial w contrast (70487) $953.58 $2,383.96 4.9×
CT maxillofacial wo contrast (70486) $712.61 $1,781.53 6.1×
CT orbits w/o contrast (70480) $878.19 $2,195.47 7.5×
CT pelvis w/o contrast (72192) $955.41 $2,388.52 8.2×
CT soft tissue neck w contrast (70491) $1,209.08 $3,022.70 6.2×
CT soft tissue neck w/o contrast (70490) $966.01 $2,415.02 8.3×
CT thoracic spine w/o contrast (72128) $983.48 $2,458.70 8.4×
CT thorax w/o contrast (71250) $989.35 $2,473.37 8.5×
CT upper ext wo (73200) $892.95 $2,232.38 7.7×
Dxa Bone Density Axial (77080) $340.90 $852.26 2.9×
Esophagram (74220) $483.43 $1,208.58 2.5×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $435.16 $1,087.91 3.7×
Fluoroscopy up to 1 hr (76000) $433.87 $1,084.68 1.6×
Foot 2 views (73620) $71.04 $177.61 0.7×
Forearm 2 views (73090) $75.34 $188.36 0.8×
Gastric emptying imaging study (78264) $895.10 $2,237.75 2.0×
Hand 2 views (73120) $66.90 $167.24 0.6×
Hepatobil Syst Image W/Drug (78227) $861.87 $2,154.67 1.4×
Hepatobiliary System Imaging (78226) $839.81 $2,099.53 1.9×
Ht Muscle Image Spect Sing (78451) $1,380.10 $3,450.26 1.0×
Infant hip ultrasound with hip movement (dynamic) (76885) $228.04 $570.10 2.4×
K Flow/Funct Image W/Drug (78708) $997.66 $2,494.14 1.6×
Knee 3 Views (73562) $137.79 $344.48 1.4×
Lung Perf&Ventilat Diferentl (78598) $1,197.33 $2,993.32 2.0×
Lymph System Imaging (78195) $620.94 $1,552.34 1.0×
Meckels Divert Exam (78290) $558.11 $1,395.27 1.3×
MRA head w/o contrast (70544) $860.35 $2,150.88 3.2×
MRA neck w contrast (70548) $1,312.36 $3,280.89 3.4×
Mra Neck W/O &W/Contrast Material (70549) $1,392.02 $3,480.06 3.6×
MRI abdomen w/o contrast (74181) $841.25 $2,103.12 3.2×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $1,136.24 $2,840.60 2.9×
MRI any jt upper extremity w/contrast matrl (73222) $1,261.88 $3,154.69 1.4×
MRI cervical spine w/o cont (72141) $1,195.22 $2,988.04 4.5×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $1,542.16 $3,855.39 4.0×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $892.36 $2,230.91 3.4×
MRI lumbar spine w contrast (72149) $1,296.86 $3,242.15 3.3×
Mri Neck Spine W/O & W/Dye (72156) $1,426.79 $3,566.98 3.7×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $1,331.85 $3,329.62 3.4×
MRI pelvis w/o & w contrast (72197) $1,191.50 $2,978.75 3.1×
MRI pelvis w/o contrast (72195) $841.25 $2,103.12 3.2×
MRI thoracic spine w/o contrast (72146) $1,156.66 $2,891.64 4.4×
MRI upper extremity oth than jt w/o contr matrl (73218) $1,121.81 $2,804.53 4.2×
Mri Uppr Extremity W/O&W/Dye (73220) $1,472.33 $3,680.83 3.8×
MRI, abdomen, combo (74183) $1,191.50 $2,978.75 3.1×
MRI, dorsal spine combo (72157) $1,472.33 $3,680.83 3.8×
MRI, joint upper extrem (73221) $981.60 $2,454 3.7×
MRI, joint upper extrem combo (73223) $1,472.33 $3,680.83 3.8×
MRI, lumbar spine combo (72158) $1,472.33 $3,680.83 3.8×
Myocardial Spect Multiple Studies (78452) $1,980.70 $4,951.75 1.4×
Neck soft tissue (70360) $109.87 $274.67 1.1×
Parathyroid Planar Imaging (78070) $421.98 $1,054.94 0.9×
Pelvis 1 or 2 views (72170) $102.27 $255.68 0.9×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $211.34 $528.35 1.8×
Radex Ankle Complete Minimum 3 Views (73610) $118.89 $297.22 1.2×
Radex Calcaneus Minimum 2 Views (73650) $115.02 $287.56 1.2×
Radex elbow complete minimum 3 views (73080) $131.78 $329.45 1.4×
Radex Facial Bones Complete Minimum 3 Views (70150) $154.70 $386.75 1.3×
Radex fingr minimum 2 views (73140) $62.88 $157.21 0.6×
Radex foot complete minimum 3 views (73630) $95.69 $239.22 1.0×
Radex Hand Minimum 3 Views (73130) $79.36 $198.39 0.8×
Radex Nasal Bones Complete Minimum 3 Views (70160) $141.38 $353.44 1.5×
Radex Ribs Unilateral 2 Views (71100) $133.07 $332.67 1.4×
Radex shoulder complete minimum 2 views (73030) $130.63 $326.57 1.3×
Radex Sinuses Paransl < 3 Views (70210) $53.26 $133.14 0.5×
Radex Spine 1 View Specify Level (72020) $114.30 $285.76 1.2×
Radex Sternum Minimum 2 Views (71120) $143.24 $358.09 1.5×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $186.64 $466.60 1.9×
Radex Toe Minimum 2 Views (73660) $79.36 $198.39 0.8×
Radex Wrist Complete Minimum 3 Views (73110) $81.94 $204.84 0.8×
Radiologic exam knee complete 4/more views (73564) $220.59 $551.47 1.9×
Radiologic Exam Small Int Single Contrast Study (74250) $513.36 $1,283.40 2.6×
Radiologic exam swallow function contrast study (74230) $508.50 $1,271.25 2.6×
Radiologic exam upr gi trc double contrast study (74246) $498.04 $1,245.10 2.5×
Radiologic examination femur minimum 2 views (73552) $127.91 $319.78 1.3×
Radiologic examination knee 1/2 views (73560) $112.44 $281.11 1.2×
Radiologic examination tibia & fibula 2 views (73590) $140.37 $350.93 1.4×
Ribs bilateral 3 views (71110) $173.04 $432.60 1.5×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $556.47 $1,391.18 0.9×
Rp loclzj tum spect 2 area/sep acquisj img (78831) $940.34 $2,350.85 0.7×
Scapula (73010) $113.45 $283.62 1.0×
Screening Digital Breast Tomosynthesis Bi (77063) $22.78 $56.95 1.0×
Shoulder 1 view (73020) $78.50 $196.25 0.8×
Shoulder Arthrography (73040) $507.50 $1,268.74 1.3×
Skull less than 4 views (70250) $99.84 $249.60 0.9×
Thoracic spine 2 views (72070) $126.62 $316.55 1.1×
Thoracic spine 3 views (72072) $182.34 $455.85 1.6×
Thoracolumbar 2 views (72080) $183.34 $458.36 1.9×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $645.72 $1,614.31 1.4×
Ultrasound Breast Limited (76642) $89.82 $224.55 0.9×
Ultrasound Exam Aaa Screen (76706) $372.99 $932.47 3.2×
Ultrasound, abdomen limited (76705) $332.60 $831.50 2.9×
Us breast unilateral complete (76641) $229.48 $573.70 2.0×
Us chest (76604) $304.82 $762.04 2.6×
Us complete joint (76881) $375.29 $938.22 3.2×
Us exam, pelvic, limited (76857) $127.54 $318.84 1.1×
Us head (76506) $393.88 $984.69 3.4×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $232.76 $581.91 2.0×
Us ob limited 1 or more fetuses (76815) $330.03 $825.07 2.8×
Us ob transvaginal (76817) $267.71 $669.28 2.3×
Us pelvic non ob complete (76856) $320.28 $800.69 2.7×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $370.99 $927.48 3.2×
Us preg uterus real time f/u trnsabdl per fetus (76816) $256.97 $642.43 2.2×
Us retroperitoneal complete (76770) $533.28 $1,333.20 4.6×
Us retroperitoneal limited (76775) $372.99 $932.47 3.2×
Us scrotum and contents (76870) $375.29 $938.22 3.2×
Us spinal canal and contents (76800) $397.20 $993 3.4×
Us thyroid (76536) $309.39 $773.48 2.7×
Wrist 2 views (73100) $75.34 $188.36 0.8×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $74.92 $187.29 0.8×
X-Ray Exam Breast Specimen (76098) $128.34 $320.86 0.2×
X-Ray Exam Entire Spi 1 Vw (72081) $125.33 $313.32 1.3×
X-Ray Exam Entire Spi 2/3 Vw (72082) $146.62 $366.56 1.3×
X-Ray Exam Hip Uni 1 View (73501) $87.38 $218.45 0.9×
X-Ray Exam Hip Uni 2-3 Views (73502) $154.13 $385.32 1.6×
X-Ray Exam Hips Bi 2 Views (73521) $308.12 $770.29 2.6×
X-Ray Exam L-S Spine Bending (72114) $292.59 $731.48 2.5×
X-Ray Exam Neck Spine 2-3 Vw (72040) $141.09 $352.72 1.5×
X-Ray Exam Neck Spine 6/>Vws (72052) $259.92 $649.79 2.2×
X-Ray Exam Unilat Ribs/Chest (71101) $186.21 $465.52 1.6×
X-ray humerus (73060) $91.53 $228.83 0.9×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $126.62 $316.55 1.3×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $133.64 $334.09 1.1×
X-ray nose-rectum child f.b. (76010) $230.90 $577.26 2.4×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $220.07 $550.17 1.9×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $169.74 $424.35 1.5×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $131.78 $329.45 1.4×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $99.84 $249.60 1.0×
X-Ray Urinary Tract Exam With Contrast Material (74420) $670.35 $1,675.88 1.7×
Xr c-spine 4 or 5 views (72050) $174.32 $435.81 1.5×
Xr facial bones less than 3 views (70140) $107.55 $268.88 1.1×