Imaging prices at Northern Louisiana Medical Center

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

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

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ProcedureCash priceGross charge× Medicare
Abdomen 2 views (74019) $335.22 $609.50 3.5×
Acute gastrointestinal blood loss imaging (78278) $1,468.50 $2,670 4.1×
Angiography extremity bilateral rs&i (75716) $4,115.65 $7,483 1.4×
Angiography extremity unilateral rs&i (75710) $5,737.60 $10,432 2.0×
Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) $1,876.32 $3,411.50 0.7×
Ankle 2 views (73600) $335.22 $609.50 4.3×
Aortography abdl bi iliofem low extrem cath rs&i (75630) $4,193.47 $7,624.50 1.5×
Aortography abdominal serialography rs&i (75625) $5,737.60 $10,432 2.0×
Arthrogram elbow (73085) $770 $1,400 2.4×
Arthrogram hip (73525) $779.07 $1,416.50 2.5×
Arthrogram shoulder (73040) $783.47 $1,424.50 2.5×
Arthrography knee lt (73580) $777.15 $1,413 2.5×
Bone &/Joint Imaging Limited Area (78300) $1,781.17 $3,238.50 4.9×
Bone &/Joint Imaging Multiple Areas (78305) $1,574.92 $2,863.50 4.4×
Bone &/joint imaging whole body (78306) $1,574.92 $2,863.50 4.4×
Bone age studies (77072) $335.22 $609.50 3.5×
Bone Imaging 3 Phase (78315) $1,574.92 $2,863.50 4.4×
Bone survey complete (77075) $799.70 $1,454 8.4×
Brain imaging < 4 static views w vascular flow (78601) $641.30 $1,166 1.8×
Cervical spine 2 or 3 views (72040) $335.22 $609.50 4.3×
Chest 1 view (71045) $251.35 $457 3.2×
Chest 3 views (71047) $463.92 $843.50 5.9×
Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) $675.40 $1,228 4.3×
Clavicle complete (73000) $335.22 $609.50 4.3×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $341.27 $620.50 3.6×
CT abdomen and pelvis without and with contrast (74178) $6,413.82 $11,661.50 20.3×
CT abdomen and pelvis without contrast (74176) $4,095.85 $7,447 19.0×
CT abdomen w contrast (74160) $2,704.90 $4,918 17.0×
CT abdomen w wo contrast (74170) $3,207.05 $5,831 20.2×
CT abdomen w/o contrast (74150) $2,047.65 $3,723 21.6×
CT angiography upper extremity lt (73206) $3,216.95 $5,849 20.3×
CT c-spine w/o contrast (72125) $2,047.65 $3,723 21.6×
CT cervical spine w&w/o contrast (72127) $3,207.05 $5,831 20.2×
CT cervical spine with contrast (72126) $2,704.90 $4,918 8.6×
CT chest w/wo contrast (71270) $3,207.05 $5,831 20.2×
CT chest with contrast (71260) $2,704.90 $4,918 17.0×
CT head/brain with contrast (70460) $2,704.90 $4,918 17.0×
CT head/brain without and with contrast (70470) $3,207.05 $5,831 20.2×
CT heart no contrast quant eval coronry calcium (75571) $110 $200 1.4×
CT iac w contrast (70481) $2,704.90 $4,918 17.0×
CT lower ext w/o (73700) $2,047.65 $3,723 21.6×
CT lower extremity w wo contrast (73702) $3,207.05 $5,831 20.2×
CT lower extremity with contrast (73701) $2,704.90 $4,918 17.0×
CT lumbar spine w & w/o contrast (72133) $3,207.05 $5,831 20.2×
CT lumbar spine w/o contrast (72131) $2,047.65 $3,723 21.6×
CT lumbar spine with contrast (72132) $2,704.90 $4,918 8.6×
CT maxillofacial w contrast (70487) $2,704.90 $4,918 17.0×
CT maxillofacial w/o contrast (70486) $2,047.65 $3,723 21.6×
CT maxillofacial w/wo contrast (70488) $3,207.05 $5,831 20.2×
CT neck soft tissue w contrast (70491) $2,704.90 $4,918 17.0×
CT orbit sella/post fossa/ear w/o & w/contr matr (70482) $3,207.05 $5,831 20.2×
CT orbits w/o contrast (70480) $2,047.65 $3,723 21.6×
CT pelvis w & w/o contrast (72194) $3,207.05 $5,831 20.2×
CT pelvis w/o contrast (72192) $2,047.65 $3,723 21.6×
CT soft tissue neck w/o & w/contrast material (70492) $3,207.05 $5,831 20.2×
CT soft tissue neck w/o contrast (70490) $2,047.65 $3,723 21.6×
CT thoracic spine w/contrast (72129) $2,704.90 $4,918 17.0×
CT thoracic spine w/o contrast (72128) $2,047.65 $3,723 21.6×
CT thoracic spine w/wo contrast (72130) $3,207.05 $5,831 20.2×
CT thorax w/o contrast (71250) $2,047.65 $3,723 21.6×
CT upper extremity w/o & w/contrast material (73202) $3,207.05 $5,831 20.2×
CT upper extremity w/o contrast rt (73200) $2,047.65 $3,723 21.6×
CT upper extremity with contrast (73201) $2,704.90 $4,918 8.6×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $3,216.95 $5,849 20.3×
Cta Abdomen (74175) $3,216.95 $5,849 20.3×
CTA abdomen pelvis (74174) $6,433.90 $11,698 20.4×
CTA chest (71275) $3,216.95 $5,849 20.3×
Cta Head (70496) $3,216.95 $5,849 20.3×
CTA head&neck c+ w/noncontrast img&post-pxessing (70471) $6,433.90 $11,698 20.4×
CTA lwr ext w&w/o contrast (73706) $3,216.95 $5,849 20.3×
Cta Neck (70498) $3,216.95 $5,849 20.3×
Cta Pelvis (72191) $3,216.95 $5,849 20.3×
Cystography minimum 3 views rs&i (74430) $1,141.25 $2,075 3.6×
Dxa bone density study 1/> sites axial skel (77080) $555.50 $1,010 5.9×
Echoencephalography real time imaging (76506) $513.70 $934 5.4×
Esophagus (74220) $675.40 $1,228 4.3×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $1,123.37 $2,042.50 11.9×
Fluoroscopy up to 1 hr (76000) $355.57 $646.50 1.6×
Foot 2 views (73620) $335.22 $609.50 4.3×
Forearm 2 views (73090) $335.22 $609.50 4.3×
Gated Heart Planar Single (78472) $1,658.80 $3,016 4.6×
Hand 2 views (73120) $335.22 $609.50 3.5×
Hand 3 views (73130) $335.22 $609.50 4.3×
Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) $1,760 $3,200 3.6×
Hepatobiliary syst imaging including gallbladder (78226) $1,760 $3,200 4.9×
Ht muscle image spect sing (78451) $1,760.55 $3,201 1.5×
Humerus Min 2 Views Left (73060) $335.22 $609.50 4.3×
Hysterosalpingogram (74740) $1,397.82 $2,541.50 6.5×
Kidney img morphology vascular flow 1 w/rx (78708) $1,815 $3,300 3.7×
Knee 3 views (73562) $335.22 $609.50 4.3×
Lung perf&ventilat diferentl (78598) $2,266 $4,120 4.6×
Lymphoscintigraphy (78195) $1,570.80 $2,856 3.2×
Meckels Diverticulum (78290) $1,468.50 $2,670 4.1×
MRA head w & w/o contrast (70546) $4,024.90 $7,318 12.7×
MRA head w/o contrast (70544) $2,814.07 $5,116.50 13.0×
MRA head with contrast (70545) $3,036.55 $5,521 9.6×
MRA neck w contrast (70548) $3,036.55 $5,521 9.6×
Mra Neck W/O &W/Contrast Material (70549) $4,024.90 $7,318 12.7×
MRA neck w/o contrast (70547) $2,814.07 $5,116.50 13.0×
MRI abdomen w contrast (74182) $2,811.60 $5,112 8.9×
MRI abdomen w/o & w/contrast material (74183) $4,024.90 $7,318 12.7×
MRI abdomen w/o contrast (74181) $2,814.07 $5,116.50 13.0×
MRI any jnt lwr ext with con lt (73722) $4,223.04 $7,678.25 5.9×
MRI any jt upper extremity w/contrast matrl (73222) $5,409.52 $9,835.50 7.6×
MRI c-spine with contrast (72142) $3,036.55 $5,521 9.6×
MRI cervical spine w/o contrast (72141) $2,814.07 $5,116.50 13.0×
MRI chest w/o & w/contrast material (71552) $4,024.90 $7,318 12.7×
MRI chest w/o contrast (71550) $2,814.07 $5,116.50 13.0×
MRI chest with contrast (71551) $3,036.55 $5,521 4.3×
MRI Forearm w/ Contrast Bilateral 73219 (73219) $4,024.90 $7,318 12.7×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $3,036.55 $5,521 9.6×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $2,814.07 $5,116.50 13.0×
MRI orbit face &/neck w/o contrast (70540) $2,814.07 $5,116.50 13.0×
MRI orbit/face/neck w&w/o cont (70543) $4,024.90 $7,318 12.7×
MRI orbit/face/neck w/contrast (70542) $3,036.55 $5,521 9.6×
MRI pelvis w contrast (72196) $4,223.04 $7,678.25 13.4×
MRI pelvis w/o & w/contrast material (72197) $4,024.90 $7,318 12.7×
MRI pelvis w/o contrast (72195) $2,814.07 $5,116.50 13.0×
MRI scan of arm joint before and after contrast (73223) $5,409.25 $9,835 17.1×
MRI scan of leg joint before and after contrast (73723) $4,717.21 $8,576.75 14.9×
MRI spinal canal cervical w/o & w/contr matrl (72156) $4,024.90 $7,318 12.7×
MRI spinal canal lumbar w/contrast material (72149) $3,036.55 $5,521 9.6×
MRI spinal canal lumbar w/o & w/contr matrl (72158) $4,024.90 $7,318 12.7×
MRI spinal canal thoracic w/contrast matrl (72147) $3,036.55 $5,521 9.6×
MRI spinal canal thoracic w/o & w/contr matrl (72157) $4,024.90 $7,318 12.7×
MRI thoracic spine w/o contrast (72146) $2,814.07 $5,116.50 13.0×
MRI upper ext joint w/o contrast (73221) $5,409.52 $9,835.50 25.0×
MRI upper extrem other than jt w/o & w/contras (73220) $4,024.90 $7,318 12.7×
MRI upper extremity oth than jt w/o contr matrl (73218) $2,814.07 $5,116.50 13.0×
Myocardial Spect Multiple Studies (78452) $1,760.55 $3,201 1.5×
Neck soft tissue (70360) $335.22 $609.50 4.3×
Nm csf leak detection (78650) $1,430 $2,600 1.2×
Nm gastric emptying study (78264) $1,468.50 $2,670 4.1×
Nuclear Rx Oral Admin (79005) $1,277.37 $2,322.50 6.0×
Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) $460.90 $838 4.9×
Osseous survey infant (77076) $689.70 $1,254 7.3×
Osseous survey limited (77074) $799.70 $1,454 8.4×
Parathyroid imaging (78070) $1,091.75 $1,985 3.0×
Pelvis 1 or 2 views (72170) $335.22 $609.50 3.5×
PET image w/CT, skull-thigh (78815) $6,558.75 $11,925 5.1×
PET imaging for CT attenuation whole body (78816) $6,558.75 $11,925 5.1×
Pr MRI, lower extr, w/o contrast f/u by contrast (73720) $4,024.90 $7,318 12.7×
Pulmonary Perfusion Imaging Particulate (78580) $1,278.47 $2,324.50 3.5×
Pulmonary Ventilation & Perfusion Imaging (78582) $2,557.22 $4,649.50 5.2×
Radex abscess/fistula/sinus tract rs&i (76080) $533.50 $970 1.1×
Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) $310.47 $564.50 3.3×
Radex hips bilateral with pelvis 2 views (73521) $534.87 $972.50 5.6×
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $463.92 $843.50 4.9×
Radiolog exam mandible compl minimum 4 views (70110) $335.22 $609.50 3.5×
Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) $335.22 $609.50 4.3×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $335.22 $609.50 3.5×
Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) $335.22 $609.50 4.3×
Radiologic exam colon single contrast study (74270) $675.40 $1,228 4.3×
Radiologic Exam Esophagus Double Contrast Study (74221) $675.40 $1,228 4.3×
Radiologic exam upr gi trc double contrast study (74246) $695.75 $1,265 4.4×
Radiologic exam upr gi trc single contrast study (74240) $683.92 $1,243.50 4.3×
Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) $335.22 $609.50 4.3×
Radiological examination surgical specimen (76098) $766.97 $1,394.50 1.6×
Ribs bilateral 3 views (71110) $335.22 $609.50 3.5×
Rp loclzj tum plnr whole body single day imaging (78802) $2,187.90 $3,978 4.5×
Rp loclzj tum spect 1 area single day imaging (78803) $1,430 $2,600 2.9×
Scanogram (77073) $335.22 $609.50 3.5×
Scapula complete (73010) $335.22 $609.50 3.5×
Screening digital breast tomosynthesis (77063) $45.37 $82.50 1.9×
Small bowel series (74250) $675.40 $1,228 4.3×
Spine thoracic 3 views (72072) $335.22 $609.50 3.5×
Thyroid carcinoma metastases img whole body (78018) $560.17 $1,018.50 1.1×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $942.42 $1,713.50 2.6×
Ultrasound, abdomen limited (76705) $807.95 $1,469 8.5×
Umbilical-artery Doppler (OB) (76820) $126.50 $230 1.3×
Upper Extremity Infant (73092) $335.22 $609.50 3.5×
Urethrocystography retrograde rs&i (74450) $1,141.25 $2,075 5.3×
Urethrocystography voiding (74455) $770 $1,400 3.6×
Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) $801.07 $1,456.50 5.0×
Us breast unilateral complete (76641) $452.65 $823 4.8×
Us breast unilateral limited (76642) $452.65 $823 5.7×
Us chest (76604) $513.70 $934 5.4×
Us infant hips dynamic (76885) $513.70 $934 6.5×
Us kidney transplant (76776) $807.95 $1,469 8.5×
Us ob transvaginal (76817) $513.70 $934 5.4×
Us pelvic non ob complete (76856) $807.95 $1,469 8.5×
Us pelvic nonobstetric image dcmtn limited/f/u (76857) $513.70 $934 5.4×
Us pregnancy ltd (76815) $513.70 $934 5.4×
Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) $807.95 $1,469 8.5×
Us retroperitoneal complete (76770) $807.95 $1,469 8.5×
Us retroperitoneal limited (76775) $807.95 $1,469 8.5×
Us scrotum and contents (76870) $807.95 $1,469 8.5×
Us soft tissue head/neck (76536) $807.95 $1,469 8.5×
Us spinal canal and contents (76800) $807.95 $1,469 8.5×
Us transrectal (76872) $337.83 $614.24 3.6×
Us xtr non-vasc lmtd (76882) $403.97 $734.50 4.3×
Venography caval superior serialography rs&i (75827) $3,575 $6,500 2.5×
Venography extremity unilateral rs&i (75820) $3,575 $6,500 2.5×
Wrist 2 views (73100) $335.22 $609.50 4.3×
X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) $577.50 $1,050 6.1×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $335.22 $609.50 4.3×
X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) $335.22 $609.50 4.3×
X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) $1,047.75 $1,905 6.6×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $335.22 $609.50 4.3×
X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) $335.22 $609.50 4.3×
X-ray exam hip uni 1 view (73501) $335.22 $609.50 4.3×
X-Ray Exam Hip Uni 2-3 Views (73502) $335.22 $609.50 4.3×
X-Ray Exam Hips Bi 3-4 Views (73522) $534.87 $972.50 5.6×
X-ray exam of femur 1 (73551) $335.22 $609.50 4.3×
X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) $335.22 $609.50 3.5×
X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) $335.22 $609.50 4.3×
X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) $335.22 $609.50 4.3×
X-Ray Heel - Xr Calcaneus 2 Views Right (73650) $335.22 $609.50 4.3×
X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) $335.22 $609.50 3.5×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $335.22 $609.50 4.3×
X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) $335.22 $609.50 4.3×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $335.22 $609.50 3.5×
X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) $577.50 $1,050 6.1×
X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) $335.22 $609.50 3.5×
X-Ray Nasal Bones - Xr Nasal Bones (70160) $335.22 $609.50 4.3×
X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) $335.22 $609.50 4.3×
X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) $335.22 $609.50 3.5×
X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) $335.22 $609.50 3.5×
X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) $1,141.25 $2,075 3.6×
X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) $335.22 $609.50 4.3×
X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) $335.22 $609.50 3.5×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $577.50 $1,050 6.1×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $335.22 $609.50 3.5×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $335.22 $609.50 4.3×
X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) $335.22 $609.50 4.3×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $335.22 $609.50 4.3×
X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) $335.22 $609.50 4.3×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $577.50 $1,050 6.1×
X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) $335.22 $609.50 3.5×
X-Ray Spine One View - Xr Spine (72020) $335.22 $609.50 4.3×
X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) $2,535.22 $4,609.50 32.2×
X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) $335.22 $609.50 4.3×
X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) $335.22 $609.50 3.5×
X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) $335.22 $609.50 4.3×
X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) $335.22 $609.50 4.3×
Xr c-spine 6 or more views (72052) $577.50 $1,050 6.1×
Xr finger(s) 2+ views (73140) $335.22 $609.50 4.3×
Xr shoulder 1 view (73020) $335.22 $609.50 4.3×
Xr spine cervical 4 or 5 views (72050) $577.22 $1,049.50 6.1×
Xr tibia/fibula 2 views (73590) $335.22 $609.50 4.3×
Xr tmj bilateral (70330) $355.56 $646.48 4.5×
Xray knee 1 or 2 views rt (73560) $335.22 $609.50 4.3×