Imaging prices at Ochsner Abrom Kaplan Memorial Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $408.60 $908 5.2×
Abdomen 2 views (74019) $119.70 $266 1.3×
Acute Gastrointestinal Blood Loss Imaging (78278) $898.65 $1,997 2.5×
Ankle 2 views (73600)
range across 2 matching MRF lines
$96.30–$192.60 $214–$428 varies
Bone age studies (77072) $121.50 $270 1.3×
Bone Imaging 3 Phase (78315) $582.75 $1,295 1.6×
Bone Imaging Whole Body (78306) $532.80 $1,184 1.5×
Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) $365.40 $812 1.0×
Chest 1 view (71045) $97.65 $217 1.2×
Chest 2 views (71046) $119.70 $266 1.5×
Chest 3 views (71047) $112.50 $250 1.4×
Chest 4 or more views (71048) $126 $280 1.3×
Clavicle complete (73000)
range across 2 matching MRF lines
$94.95–$189.90 $211–$422 varies
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $203.85 $453 2.2×
Contrast Xray Throat/Cerv Esopha (74210) $172.80 $384 1.1×
CT abdomen and pelvis without and with contrast (74178) $1,476.45 $3,281 4.7×
CT abdomen and pelvis without contrast (74176) $1,105.20 $2,456 5.1×
CT abdomen w contrast (74160) $861.30 $1,914 5.4×
CT abdomen w wo contrast (74170) $984.60 $2,188 6.2×
CT abdomen w/o contrast (74150) $737.10 $1,638 7.8×
CT Angio Abdomen and Pelvis (74174) $414.45 $921 1.3×
CT Angio Chest (71275) $1,054.80 $2,344 6.6×
CT Angio Head (70496) $1,054.80 $2,344 6.6×
Ct Angio Lwr Extr W/O&W/Dye (73706)
range across 2 matching MRF lines
$499.50–$999 $1,110–$2,220 varies
CT Angio Neck (70498) $1,054.80 $2,344 6.6×
Ct Angio Upr Extrm W/O&W/Dye (73206) $499.95 $1,111 3.1×
CT bone density (77078) $499.95 $1,111 6.3×
CT cervical spine w/ contrast (72126) $843.30 $1,874 2.7×
CT cervical spine w/o contrast (72125) $809.10 $1,798 8.5×
CT cervical spine w/wo cont (72127) $499.95 $1,111 3.1×
CT chest w contrast (71260) $855.90 $1,902 5.4×
CT chest w/wo contrast (71270) $1,054.80 $2,344 6.6×
CT head/brain with contrast (70460) $749.70 $1,666 4.7×
CT head/brain without and with contrast (70470) $877.95 $1,951 5.5×
CT heart no contrast quant eval coronry calcium (75571) $90.45 $201 1.1×
CT l-spine w&w/o contrast (72133) $975.60 $2,168 6.1×
CT lower ext w/o (73700)
range across 2 matching MRF lines
$737.10–$1,474.20 $1,638–$3,276 varies
CT lower extremity w/contrast material (73701)
range across 2 matching MRF lines
$798.30–$1,596.60 $1,774–$3,548 varies
CT lumbar spine w contrast (72132) $843.30 $1,874 2.7×
CT lumbar spine w/o contrast (72131) $821.70 $1,826 8.7×
CT maxillofacial w contrast (70487) $773.10 $1,718 4.9×
CT maxillofacial wo contrast (70486) $846.45 $1,881 8.9×
CT neck tissue combo (70492) $1,031.85 $2,293 6.5×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $1,031.85 $2,293 6.5×
CT orbits w/o contrast (70480) $877.95 $1,951 9.3×
CT pelvis w/o contrast (72192) $737.10 $1,638 7.8×
CT scan of leg combo (73702)
range across 2 matching MRF lines
$877.95–$1,755.90 $1,951–$3,902 varies
CT scans face/jaw combo (70488) $876.15 $1,947 5.5×
CT soft tissue neck w contrast (70491) $749.70 $1,666 4.7×
CT soft tissue neck w/o contrast (70490) $737.10 $1,638 7.8×
CT thoracic spine w contrast (72129) $499.95 $1,111 3.1×
CT thoracic spine w/o contrast (72128) $780.30 $1,734 8.2×
CT thoracic spine w/wo cont (72130) $975.60 $2,168 6.1×
CT thorax w/o contrast (71250) $762.30 $1,694 8.1×
CT upper ext wo (73200)
range across 2 matching MRF lines
$737.10–$1,474.20 $1,638–$3,276 varies
CT upper extremity with contrast (73201)
range across 2 matching MRF lines
$798.30–$1,596.60 $1,774–$3,548 varies
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $921.60 $2,048 5.8×
Cta Abdomen (74175) $1,054.80 $2,344 6.6×
CTA pelvis (72191) $499.95 $1,111 3.1×
Dxa Bone Density Axial (77080) $209.70 $466 2.2×
Dxa bone density study (77085) $105.75 $235 1.1×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $121.50 $270 1.3×
Fluoroscopy up to 1 hr (76000) $238.50 $530 1.1×
Foot 2 views (73620)
range across 2 matching MRF lines
$96.30–$192.60 $214–$428 varies
Forearm 2 views (73090)
range across 2 matching MRF lines
$96.30–$192.60 $214–$428 varies
Gastric emptying imaging study (78264) $631.80 $1,404 1.7×
Hand 2 views (73120)
range across 2 matching MRF lines
$96.30–$192.60 $214–$428 varies
Hepatobil Syst Image W/Drug (78227) $621 $1,380 1.3×
Hepatobiliary System Imaging (78226) $1,111.95 $2,471 3.1×
Knee 3 Views (73562)
range across 2 matching MRF lines
$119.70–$239.40 $266–$532 varies
Liver & Spleen Imaging Static Only (78215) $420.30 $934 1.2×
Lung Ventilat&Perfus Imaging (78582) $675.90 $1,502 1.4×
Meckels Divert Exam (78290) $420.30 $934 1.2×
MRA head w/o contrast (70544) $675 $1,500 3.1×
MRI abdomen w contrast (74182) $675 $1,500 2.1×
MRI abdomen w/o contrast (74181) $1,201.95 $2,671 5.6×
MRI any jt lower extrem w/contrast material (73722)
range across 2 matching MRF lines
$796.95–$1,593.90 $1,771–$3,542 varies
MRI any jt lower extrem w/o & w/contrast matrl (73723)
range across 2 matching MRF lines
$1,915.20–$3,830.40 $4,256–$8,512 varies
MRI cervical spine w/o cont (72141) $1,201.95 $2,671 5.6×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $1,915.20 $4,256 6.1×
MRI lower extrem oth/thn jt w/o contr matrl (73718)
range across 2 matching MRF lines
$1,244.25–$2,488.50 $2,765–$5,530 varies
Mri Neck Spine W/O & W/Dye (72156) $2,691.45 $5,981 8.5×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $2,259.90 $5,022 7.2×
MRI pelvis w/o & w contrast (72197) $1,410.75 $3,135 4.5×
MRI pelvis w/o contrast (72195) $1,201.95 $2,671 5.6×
MRI thoracic spine w/o contrast (72146) $1,201.95 $2,671 5.6×
MRI upper extremity oth than jt w/o contr matrl (73218)
range across 2 matching MRF lines
$675–$1,350 $1,500–$3,000 varies
Mri Uppr Extremity W/O&W/Dye (73220) $675 $1,500 2.1×
MRI, abdomen, combo (74183) $2,259.90 $5,022 7.2×
MRI, dorsal spine combo (72157) $2,691.45 $5,981 8.5×
MRI, dorsal spine contrast (72147) $675 $1,500 2.1×
MRI, joint upper extrem (73221) $1,244.25 $2,765 5.8×
MRI, joint upper extrem combo (73223)
range across 2 matching MRF lines
$1,915.20–$3,830.40 $4,256–$8,512 varies
MRI, lumbar spine combo (72158) $2,691.45 $5,981 8.5×
Neck soft tissue (70360) $96.30 $214 1.2×
Parathyroid planar imaging w/wo subtraction (78071) $350.55 $779 1.0×
Pelvis 1 or 2 views (72170) $97.65 $217 1.0×
Pulmonary Perfusion Imaging Particulate (78580) $420.30 $934 1.2×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $166.50 $370 1.8×
Radex Ankle Complete Minimum 3 Views (73610)
range across 2 matching MRF lines
$96.30–$192.60 $214–$428 varies
Radex Calcaneus Minimum 2 Views (73650)
range across 2 matching MRF lines
$96.30–$192.60 $214–$428 varies
Radex elbow complete minimum 3 views (73080)
range across 2 matching MRF lines
$101.25–$202.50 $225–$450 varies
Radex Facial Bones Complete Minimum 3 Views (70150) $109.80 $244 1.2×
Radex fingr minimum 2 views (73140) $96.30 $214 1.2×
Radex foot complete minimum 3 views (73630)
range across 2 matching MRF lines
$96.30–$192.60 $214–$428 varies
Radex Hand Minimum 3 Views (73130)
range across 2 matching MRF lines
$96.30–$192.60 $214–$428 varies
Radex Nasal Bones Complete Minimum 3 Views (70160) $94.95 $211 1.2×
Radex Ribs Unilateral 2 Views (71100) $108.90 $242 1.4×
Radex shoulder complete minimum 2 views (73030)
range across 2 matching MRF lines
$108.90–$217.80 $242–$484 varies
Radex Spine 1 View Specify Level (72020) $106.65 $237 1.4×
Radex Sternum Minimum 2 Views (71120) $119.70 $266 1.5×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $153.45 $341 1.9×
Radex Toe Minimum 2 Views (73660) $96.30 $214 1.2×
Radex Wrist Complete Minimum 3 Views (73110)
range across 2 matching MRF lines
$96.30–$192.60 $214–$428 varies
Radiolog exam mandible compl minimum 4 views (70110) $134.10 $298 1.4×
Radiologic exam knee complete 4/more views (73564)
range across 2 matching MRF lines
$162.90–$325.80 $362–$724 varies
Radiologic exam pelvis compl minimum 3 views (72190) $124.65 $277 1.3×
Radiologic exam swallow function contrast study (74230) $380.70 $846 2.4×
Radiologic examination femur minimum 2 views (73552)
range across 2 matching MRF lines
$108.90–$217.80 $242–$484 varies
Radiologic examination knee 1/2 views (73560)
range across 2 matching MRF lines
$99.90–$199.80 $222–$444 varies
Radiologic Examination Osseous Survey Limited (77074) $121.50 $270 1.3×
Radiologic examination tibia & fibula 2 views (73590)
range across 2 matching MRF lines
$96.30–$192.60 $214–$428 varies
Ribs bilateral 3 views (71110) $87.30 $194 0.9×
Scapula (73010)
range across 2 matching MRF lines
$96.30–$192.60 $214–$428 varies
Screening Digital Breast Tomosynthesis Bi (77063) $99.90 $222 4.3×
Shoulder 1 view (73020)
range across 2 matching MRF lines
$102.60–$205.20 $228–$456 varies
Skull less than 4 views (70250) $94.95 $211 1.0×
Thoracic spine 2 views (72070) $65.70 $146 0.7×
Thoracic spine 3 views (72072) $396 $880 4.2×
Thoracolumbar 2 views (72080) $107.55 $239 1.4×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $490.05 $1,089 1.4×
Ultrasound Exam Aaa Screen (76706) $121.50 $270 1.3×
Ultrasound, abdomen limited (76705) $299.70 $666 3.2×
Us chest (76604) $249.75 $555 2.6×
Us complete joint (76881) $108.45 $241 1.1×
Us exam, pelvic, limited (76857) $265.05 $589 2.8×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $243.90 $542 2.6×
Us ob limited 1 or more fetuses (76815) $265.05 $589 2.8×
Us ob transvaginal (76817) $306.45 $681 3.2×
Us pelvic non ob complete (76856) $319.05 $709 3.4×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $306.45 $681 3.2×
Us retroperitoneal complete (76770) $299.70 $666 3.2×
Us retroperitoneal limited (76775) $199.35 $443 2.1×
Us scrotum and contents (76870) $256.95 $571 2.7×
Us thyroid (76536) $340.65 $757 3.6×
Wrist 2 views (73100)
range across 2 matching MRF lines
$96.30–$192.60 $214–$428 varies
X-Ray Bend Only L-S Spine (72120) $121.50 $270 1.3×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070)
range across 2 matching MRF lines
$96.30–$192.60 $214–$428 varies
X-Ray Exam Entire Spi 2/3 Vw (72082) $124.65 $277 1.3×
X-Ray Exam Hip Uni 1 View (73501) $100.35 $223 1.3×
X-Ray Exam Hip Uni 2-3 Views (73502) $109.35 $243 1.4×
X-Ray Exam Hips Bi 2 Views (73521) $120.15 $267 1.3×
X-Ray Exam Hips Bi 3-4 Views (73522) $105.75 $235 1.1×
X-Ray Exam Hips Bi 5/> Views (73523) $121.50 $270 1.3×
X-Ray Exam L-S Spine Bending (72114) $168.30 $374 1.8×
X-Ray Exam Neck Spine 2-3 Vw (72040) $124.65 $277 1.6×
X-Ray Exam Neck Spine 6/>Vws (72052) $157.95 $351 1.7×
X-Ray Exam Unilat Ribs/Chest (71101) $142.20 $316 1.5×
X-ray humerus (73060) $96.30 $214 1.2×
X-ray IV pyelogram (ivp) (74400) $345.15 $767 2.2×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $34.65 $77 0.4×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $198.45 $441 2.5×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $126 $280 1.3×
X-ray nose-rectum child f.b. (76010) $40.95 $91 0.5×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $119.70 $266 1.3×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $284.40 $632 3.0×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $96.30 $214 1.2×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $126 $280 1.6×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $166.50 $370 1.8×
X-ray thoracic spine 4 vw (72074) $124.65 $277 1.3×
X-Rays Bone Survey Complete (77075) $381.15 $847 4.0×
Xr c-spine 4 or 5 views (72050) $166.50 $370 1.8×
Xr facial bones less than 3 views (70140) $104.40 $232 1.3×
Xr orbits complete 4 views (70200) $121.50 $270 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.