Imaging prices at Ochsner Acadia General Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $208.84 $908 2.7×
Abdomen 2 views (74019) $61.18 $266 0.6×
Acute Gastrointestinal Blood Loss Imaging (78278) $459.31 $1,997 1.3×
Ankle 2 views (73600)
range across 2 matching MRF lines
$49.22–$98.44 $214–$428 varies
Bone age studies (77072) $85.10 $370 0.9×
Bone Imaging 3 Phase (78315) $297.85 $1,295 0.8×
Bone Imaging Limited Area (78300) $214.82 $934 0.6×
Bone Imaging Whole Body (78306) $272.32 $1,184 0.8×
Brachytx isodose complex (77318) $345.46 $1,502 1.0×
Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) $136.62 $594 0.4×
Chest 1 view (71045) $49.91 $217 0.6×
Chest 2 views (71046) $61.18 $266 0.8×
Chest 3 views (71047) $57.50 $250 0.7×
Chest 4 or more views (71048) $64.40 $280 0.7×
Clavicle complete (73000)
range across 2 matching MRF lines
$48.53–$97.06 $211–$422 varies
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $104.19 $453 1.1×
Contrast X-Ray Bladder (74430) $176.41 $767 0.6×
Contrast Xray Throat/Cerv Esopha (74210) $64.63 $281 0.4×
CT abdomen and pelvis without and with contrast (74178) $754.63 $3,281 2.4×
CT abdomen and pelvis without contrast (74176) $564.88 $2,456 2.6×
CT abdomen w contrast (74160) $440.22 $1,914 2.8×
CT abdomen w wo contrast (74170) $503.24 $2,188 3.2×
CT abdomen w/o contrast (74150) $376.74 $1,638 4.0×
CT Angio Abdomen and Pelvis (74174) $211.83 $921 0.7×
CT Angio Chest (71275) $539.12 $2,344 3.4×
CT Angio Head (70496) $539.12 $2,344 3.4×
Ct Angio Lwr Extr W/O&W/Dye (73706)
range across 2 matching MRF lines
$539.12–$1,078.24 $2,344–$4,688 varies
CT Angio Neck (70498) $539.12 $2,344 3.4×
Ct Angio Upr Extrm W/O&W/Dye (73206) $539.12 $2,344 3.4×
CT cervical spine w/ contrast (72126) $431.02 $1,874 1.4×
CT cervical spine w/o contrast (72125) $413.54 $1,798 4.4×
CT cervical spine w/wo cont (72127) $498.64 $2,168 3.1×
CT chest w contrast (71260) $437.46 $1,902 2.8×
CT chest w/wo contrast (71270) $539.12 $2,344 3.4×
CT head/brain with contrast (70460) $383.18 $1,666 2.4×
CT head/brain without and with contrast (70470) $448.73 $1,951 2.8×
CT heart no contrast quant eval coronry calcium (75571) $46.23 $201 0.6×
CT iac w contrast (70481) $488.29 $2,123 3.1×
CT l-spine w&w/o contrast (72133) $498.64 $2,168 3.1×
CT lower ext w/o (73700)
range across 2 matching MRF lines
$376.74–$753.48 $1,638–$3,276 varies
CT lower extremity w/contrast material (73701)
range across 2 matching MRF lines
$408.02–$816.04 $1,774–$3,548 varies
CT lumbar spine w contrast (72132) $255.53 $1,111 0.8×
CT lumbar spine w/o contrast (72131) $419.98 $1,826 4.4×
CT maxillofacial w contrast (70487) $395.14 $1,718 2.5×
CT maxillofacial wo contrast (70486) $254.84 $1,108 2.7×
CT neck tissue combo (70492) $527.39 $2,293 3.3×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $527.39 $2,293 3.3×
CT orbits w/o contrast (70480) $448.73 $1,951 4.7×
CT pelvis w&w/o contrast (72194) $503.24 $2,188 3.2×
CT pelvis w/o contrast (72192) $376.74 $1,638 4.0×
CT scan of leg combo (73702)
range across 2 matching MRF lines
$448.73–$897.46 $1,951–$3,902 varies
CT scans face/jaw combo (70488) $447.81 $1,947 2.8×
CT soft tissue neck w contrast (70491) $383.18 $1,666 2.4×
CT soft tissue neck w/o contrast (70490) $376.74 $1,638 4.0×
CT thoracic spine w contrast (72129) $255.53 $1,111 1.6×
CT thoracic spine w/o contrast (72128) $398.82 $1,734 4.2×
CT thoracic spine w/wo cont (72130) $498.64 $2,168 3.1×
CT thorax w/o contrast (71250) $389.62 $1,694 4.1×
CT upper ext wo (73200)
range across 2 matching MRF lines
$376.74–$753.48 $1,638–$3,276 varies
CT upper extremity w/o & w/contrast material (73202)
range across 2 matching MRF lines
$448.73–$897.92 $1,951–$3,904 varies
CT upper extremity with contrast (73201)
range across 2 matching MRF lines
$408.02–$816.04 $1,774–$3,548 varies
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $471.04 $2,048 3.0×
Cta Abdomen (74175) $539.12 $2,344 3.4×
CTA pelvis (72191) $255.53 $1,111 1.6×
Dxa Bone Density Axial (77080) $107.18 $466 1.1×
Dxa bone density study (77085) $39.56 $172 0.4×
Dxa bone density study 1/>sites appendiclr skel (77081) $46.23 $201 0.6×
Esophagram (74220) $111.78 $486 0.7×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $147.66 $642 1.6×
Fluoroscopy up to 1 hr (76000) $121.90 $530 0.6×
Foot 2 views (73620)
range across 2 matching MRF lines
$49.22–$98.44 $214–$428 varies
Forearm 2 views (73090)
range across 2 matching MRF lines
$49.22–$98.44 $214–$428 varies
Gastric emptying imaging study (78264) $322.92 $1,404 0.9×
Hand 2 views (73120)
range across 2 matching MRF lines
$49.22–$98.44 $214–$428 varies
Hepatobil Syst Image W/Drug (78227) $317.40 $1,380 0.6×
Hepatobiliary System Imaging (78226) $568.33 $2,471 1.6×
Hysterosalpingogram (74740) $232.76 $1,012 1.1×
Infusion Ivp (74410) $179.17 $779 1.1×
K Flow/Funct Image W/Drug (78708) $317.40 $1,380 0.6×
K Flow/Funct Image W/O Drug (78707) $267.26 $1,162 0.5×
Knee 3 Views (73562)
range across 2 matching MRF lines
$61.18–$122.36 $266–$532 varies
Lung perfusion differential (78597) $214.82 $934 0.6×
Lung Ventilat&Perfus Imaging (78582) $345.46 $1,502 0.7×
Lymph System Imaging (78195) $267.26 $1,162 0.5×
Meckels Divert Exam (78290) $214.82 $934 0.6×
MRA head w/o contrast (70544) $644.69 $2,803 3.0×
MRA neck w contrast (70548) $644.69 $2,803 2.0×
Mra Neck W/O &W/Contrast Material (70549) $1,255.11 $5,457 4.0×
MRA neck w/o contrast (70547) $644.69 $2,803 3.0×
MRI abdomen w/o contrast (74181) $614.33 $2,671 2.8×
MRI any jt lower extrem w/contrast material (73722)
range across 2 matching MRF lines
$779.47–$1,558.94 $3,389–$6,778 varies
MRI any jt lower extrem w/o & w/contrast matrl (73723)
range across 2 matching MRF lines
$978.88–$1,957.76 $4,256–$8,512 varies
MRI any jt upper extremity w/contrast matrl (73222)
range across 2 matching MRF lines
$779.47–$1,558.94 $3,389–$6,778 varies
MRI Breast W/O Contrast Bilateral (77047) $348.91 $1,517 1.6×
MRI cervical spine w contrast (72142) $345 $1,500 1.1×
MRI cervical spine w/o cont (72141) $614.33 $2,671 2.8×
MRI chest w/o contrast (71550) $345 $1,500 1.6×
MRI chest wo w contrast (71552) $1,155.06 $5,022 3.7×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $978.88 $4,256 3.1×
MRI lower extrem oth/thn jt w/o contr matrl (73718)
range across 2 matching MRF lines
$635.95–$1,271.90 $2,765–$5,530 varies
MRI lumbar spine w contrast (72149) $779.47 $3,389 2.5×
Mri Neck Spine W/O & W/Dye (72156) $1,375.63 $5,981 4.4×
MRI orbit face &/neck w/o contrast (70540) $635.95 $2,765 2.9×
MRI orbit face neck w contrast (70542) $779.47 $3,389 2.5×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $1,189.56 $5,172 3.8×
MRI pelvis w contrast (72196) $635.95 $2,765 2.0×
MRI pelvis w/o & w contrast (72197) $721.05 $3,135 2.3×
MRI pelvis w/o contrast (72195) $614.33 $2,671 2.8×
MRI thoracic spine w/o contrast (72146) $614.33 $2,671 2.8×
MRI upper extremity oth than jt w/o contr matrl (73218)
range across 2 matching MRF lines
$978.88–$1,957.76 $4,256–$8,512 varies
Mri Uppr Extremity W/O&W/Dye (73220) $635.95 $2,765 2.0×
MRI, abdomen, combo (74183) $1,155.06 $5,022 3.7×
MRI, dorsal spine combo (72157) $1,375.63 $5,981 4.4×
MRI, dorsal spine contrast (72147) $345 $1,500 1.1×
MRI, joint upper extrem (73221) $635.95 $2,765 2.9×
MRI, joint upper extrem combo (73223)
range across 2 matching MRF lines
$978.88–$1,957.76 $4,256–$8,512 varies
MRI, lumbar spine combo (72158) $1,375.63 $5,981 4.4×
Neck soft tissue (70360) $49.22 $214 0.6×
Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) $21.39 $93 0.1×
Parathyroid Planar Imaging (78070) $392.15 $1,705 1.1×
Parathyroid planar imaging w/wo subtraction (78071) $214.82 $934 0.6×
Pelvis 1 or 2 views (72170) $49.91 $217 0.5×
Pulmonary Perfusion Imaging Particulate (78580) $232.30 $1,010 0.6×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $62.10 $270 0.7×
Radex abscess/fistula/sinus tract rs&i (76080) $132.71 $577 0.3×
Radex Ankle Complete Minimum 3 Views (73610)
range across 2 matching MRF lines
$49.22–$98.44 $214–$428 varies
Radex Calcaneus Minimum 2 Views (73650)
range across 2 matching MRF lines
$49.22–$98.44 $214–$428 varies
Radex elbow complete minimum 3 views (73080)
range across 2 matching MRF lines
$51.75–$103.50 $225–$450 varies
Radex Facial Bones Complete Minimum 3 Views (70150) $56.12 $244 0.6×
Radex fingr minimum 2 views (73140) $49.22 $214 0.6×
Radex foot complete minimum 3 views (73630)
range across 2 matching MRF lines
$49.22–$98.44 $214–$428 varies
Radex Hand Minimum 3 Views (73130)
range across 2 matching MRF lines
$49.22–$98.44 $214–$428 varies
Radex lower extremity infant minimum 2 views (73592)
range across 2 matching MRF lines
$56.12–$112.24 $244–$488 varies
Radex Nasal Bones Complete Minimum 3 Views (70160) $48.53 $211 0.6×
Radex Ribs Unilateral 2 Views (71100) $55.66 $242 0.7×
Radex shoulder complete minimum 2 views (73030)
range across 2 matching MRF lines
$55.66–$111.32 $242–$484 varies
Radex Spine 1 View Specify Level (72020) $54.51 $237 0.7×
Radex Sternum Minimum 2 Views (71120) $61.18 $266 0.8×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $78.43 $341 1.0×
Radex Toe Minimum 2 Views (73660) $49.22 $214 0.6×
Radex upper extremity infant minimum 2 views (73092)
range across 2 matching MRF lines
$62.10–$124.20 $270–$540 varies
Radex Wrist Complete Minimum 3 Views (73110)
range across 2 matching MRF lines
$49.22–$98.44 $214–$428 varies
Radiolog exam mandible compl minimum 4 views (70110) $68.54 $298 0.7×
Radiologic exam colon double contrast study (74280) $168.59 $733 1.1×
Radiologic exam colon single contrast study (74270) $141.45 $615 0.9×
Radiologic exam knee complete 4/more views (73564)
range across 2 matching MRF lines
$83.26–$166.52 $362–$724 varies
Radiologic exam pelvis compl minimum 3 views (72190) $63.71 $277 0.7×
Radiologic Exam Small Int Single Contrast Study (74250) $111.78 $486 0.7×
Radiologic exam swallow function contrast study (74230) $194.58 $846 1.2×
Radiologic exam teeth complete full mouth (70320) $44.16 $192 0.2×
Radiologic exam upr gi trc double contrast study (74246) $202.63 $881 1.3×
Radiologic examination femur minimum 2 views (73552)
range across 2 matching MRF lines
$55.66–$111.32 $242–$484 varies
Radiologic examination knee 1/2 views (73560)
range across 2 matching MRF lines
$51.06–$102.12 $222–$444 varies
Radiologic Examination Osseous Survey Limited (77074) $76.59 $333 0.8×
Radiologic examination tibia & fibula 2 views (73590)
range across 2 matching MRF lines
$49.22–$98.44 $214–$428 varies
Ribs bilateral 3 views (71110) $44.62 $194 0.5×
Rp loclzj tum plnr 1 area single day imaging (78800) $214.82 $934 0.6×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $743.59 $3,233 1.5×
Scapula (73010)
range across 2 matching MRF lines
$49.22–$98.44 $214–$428 varies
Screening Digital Breast Tomosynthesis Bi (77063) $51.06 $222 2.2×
Shoulder 1 view (73020)
range across 2 matching MRF lines
$52.44–$104.88 $228–$456 varies
Shoulder Arthrography (73040)
range across 2 matching MRF lines
$191.82–$383.64 $834–$1,668 varies
Skull less than 4 views (70250) $48.53 $211 0.5×
Sternoclavicular joints (71130) $55.66 $242 0.7×
Tbs technical calculation only (77091) $91.54 $398 1.2×
Thoracic spine 2 views (72070) $33.58 $146 0.4×
Thoracic spine 3 views (72072) $202.40 $880 2.1×
Thoracolumbar 2 views (72080) $54.97 $239 0.7×
Thyroid Uptake Measurement (78012) $131.56 $572 0.4×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $250.47 $1,089 0.7×
Ultrasound Breast Limited (76642)
range across 3 matching MRF lines
$97.06–$194.12 $422–$844 varies
Ultrasound Exam Aaa Screen (76706) $96.60 $420 1.0×
Ultrasound, abdomen limited (76705) $153.18 $666 1.6×
Unlisted us procedure (76999) $28.75 $125 0.4×
Upper gi w/o kub (74240) $117.53 $511 0.7×
Urethrocystogram voiding (74455) $176.41 $767 0.8×
Urethrocystography retrograde (74450) $176.41 $767 0.8×
Us breast unilateral complete (76641)
range across 2 matching MRF lines
$104.19–$208.38 $453–$906 varies
Us chest (76604) $127.65 $555 1.3×
Us complete joint (76881)
range across 2 matching MRF lines
$61.18–$131.33 $266–$571 varies
Us exam, pelvic, limited (76857) $135.47 $589 1.4×
Us kidney transplant (76776) $64.17 $279 0.7×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $124.66 $542 1.3×
Us ob detailed single fetus (76811) $179.17 $779 0.8×
Us ob limited 1 or more fetuses (76815) $135.47 $589 1.4×
Us ob transvaginal (76817) $156.63 $681 1.7×
Us pelvic non ob complete (76856) $163.07 $709 1.7×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $156.63 $681 1.7×
Us retroperitoneal complete (76770) $153.18 $666 1.6×
Us retroperitoneal limited (76775) $101.89 $443 1.1×
Us scrotum and contents (76870) $124.66 $542 1.3×
Us thyroid (76536)
range across 2 matching MRF lines
$132.25–$174.11 $575–$757 varies
Wrist 2 views (73100)
range across 2 matching MRF lines
$49.22–$98.44 $214–$428 varies
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $57.96 $252 0.7×
X-Ray Bend Only L-S Spine (72120) $134.32 $584 1.4×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070)
range across 2 matching MRF lines
$49.22–$98.44 $214–$428 varies
X-Ray Exam Breast Specimen (76098) $130.64 $568 0.3×
X-Ray Exam Entire Spi 1 Vw (72081) $27.83 $121 0.4×
X-Ray Exam Entire Spi 2/3 Vw (72082) $63.71 $277 0.7×
X-Ray Exam Hip Uni 1 View (73501) $51.29 $223 0.7×
X-Ray Exam Hip Uni 2-3 Views (73502) $55.89 $243 0.7×
X-Ray Exam Hips Bi 2 Views (73521) $61.41 $267 0.6×
X-Ray Exam Hips Bi 3-4 Views (73522) $39.56 $172 0.4×
X-Ray Exam Hips Bi 5/> Views (73523) $98.21 $427 1.0×
X-Ray Exam L-S Spine Bending (72114) $86.02 $374 0.9×
X-Ray Exam Neck Spine 2-3 Vw (72040) $63.71 $277 0.8×
X-Ray Exam Neck Spine 6/>Vws (72052) $80.73 $351 0.9×
X-Ray Exam Unilat Ribs/Chest (71101) $72.68 $316 0.8×
X-ray eye for foreign body (70030) $46.23 $201 0.6×
X-ray humerus (73060) $49.22 $214 0.6×
X-ray IV pyelogram (ivp) (74400) $176.41 $767 1.1×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $46.23 $201 0.6×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $101.43 $441 1.3×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $64.40 $280 0.7×
X-ray nose-rectum child f.b. (76010) $46.23 $201 0.6×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $112.24 $488 1.2×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $61.18 $266 0.6×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $145.36 $632 1.5×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $49.22 $214 0.6×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $64.40 $280 0.8×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $85.10 $370 0.9×
X-ray thoracic spine 4 vw (72074) $292.56 $1,272 3.1×
X-Ray Urinary Tract Exam With Contrast Material (74420) $176.41 $767 0.6×
X-Rays Bone Length Studies (77073) $62.10 $270 0.7×
X-Rays Bone Survey Complete (77075) $194.81 $847 2.1×
Xr c-spine 4 or 5 views (72050) $85.10 $370 0.9×
Xr facial bones less than 3 views (70140) $53.36 $232 0.7×
Xr orbits complete 4 views (70200) $62.10 $270 0.7×

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.