Imaging prices at Ochsner St. Martin Hospital
Breaux Bridge, LA · every code in this section with a posted price and a Medicare benchmark.
209 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) | $272.40 | $908 | 3.5× |
| Abdomen 2 views (74019) | $79.80 | $266 | 0.8× |
| Angiography extremity bilateral rs&i (75716) | $2,124.90 | $7,083 | 0.7× |
| Angiography extremity unilateral rs&i (75710) | $2,124.90 | $7,083 | 0.7× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$64.20–$128.40 | $214–$428 | varies |
| Artery X-Rays Abdomen (75726) | $3,542.10 | $11,807 | 0.7× |
| Bone age studies (77072) | $111 | $370 | 1.2× |
| Bone Imaging 3 Phase (78315) | $388.50 | $1,295 | 1.1× |
| Bone Imaging Multiple Areas (78305) | $447.30 | $1,491 | 1.2× |
| Bone Imaging Whole Body (78306) | $355.20 | $1,184 | 1.0× |
| Bone survey infant (77076) | $147 | $490 | 1.6× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) | $190.20 | $634 | 0.5× |
| Chest 1 view (71045) | $65.10 | $217 | 0.8× |
| Chest 2 views (71046) | $79.80 | $266 | 1.0× |
| Chest 3 views (71047) | $75 | $250 | 1.0× |
| Chest 4 or more views (71048) | $84 | $280 | 0.9× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$63.30–$126.60 | $211–$422 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $135.90 | $453 | 1.4× |
| Contrast Exam Abdominl Aorta (75625) | $2,124.90 | $7,083 | 0.7× |
| Contrast Xray Throat/Cerv Esopha (74210) | $90 | $300 | 0.6× |
| CT abdomen and pelvis without and with contrast (74178) | $984.30 | $3,281 | 3.1× |
| CT abdomen and pelvis without contrast (74176) | $736.80 | $2,456 | 3.4× |
| CT abdomen w contrast (74160) | $574.20 | $1,914 | 3.6× |
| CT abdomen w wo contrast (74170) | $656.40 | $2,188 | 4.1× |
| CT abdomen w/o contrast (74150) | $491.40 | $1,638 | 5.2× |
| CT Angio Abdomen and Pelvis (74174) | $276.30 | $921 | 0.9× |
| CT Angio Chest (71275) | $703.20 | $2,344 | 4.4× |
| CT Angio Head (70496) | $703.20 | $2,344 | 4.4× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,054.80 | $3,516 | 6.6× |
| CT Angio Neck (70498) | $703.20 | $2,344 | 4.4× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $703.20 | $2,344 | 4.4× |
| CT cervical spine w/o contrast (72125) | $539.40 | $1,798 | 5.7× |
| CT cervical spine w/wo cont (72127) | $650.40 | $2,168 | 4.1× |
| CT chest w contrast (71260) | $570.60 | $1,902 | 3.6× |
| CT chest w/wo contrast (71270) | $703.20 | $2,344 | 4.4× |
| CT head/brain with contrast (70460) | $333.30 | $1,111 | 2.1× |
| CT head/brain without and with contrast (70470) | $585.30 | $1,951 | 3.7× |
| CT heart no contrast quant eval coronry calcium (75571) | $60.30 | $201 | 0.8× |
| CT iac w contrast (70481) | $636.90 | $2,123 | 4.0× |
| CT l-spine w&w/o contrast (72133) | $650.40 | $2,168 | 4.1× |
| CT lower ext w/o (73700) | $491.40 | $1,638 | 5.2× |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$532.20–$1,064.40 | $1,774–$3,548 | varies |
| CT lumbar spine w contrast (72132) | $562.20 | $1,874 | 1.8× |
| CT lumbar spine w/o contrast (72131) | $547.80 | $1,826 | 5.8× |
| CT maxillofacial w contrast (70487) | $515.40 | $1,718 | 3.2× |
| CT maxillofacial wo contrast (70486) | $564.30 | $1,881 | 6.0× |
| CT neck tissue combo (70492) | $687.90 | $2,293 | 4.3× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $687.90 | $2,293 | 4.3× |
| CT orbits w/o contrast (70480) | $585.30 | $1,951 | 6.2× |
| CT pelvis w&w/o contrast (72194) | $656.40 | $2,188 | 4.1× |
| CT pelvis w/o contrast (72192) | $491.40 | $1,638 | 5.2× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$585.30–$1,170.60 | $1,951–$3,902 | varies |
| CT scans face/jaw combo (70488) | $584.10 | $1,947 | 3.7× |
| CT soft tissue neck w contrast (70491) | $499.80 | $1,666 | 3.1× |
| CT soft tissue neck w/o contrast (70490) | $491.40 | $1,638 | 5.2× |
| CT thoracic spine w contrast (72129) | $333.30 | $1,111 | 2.1× |
| CT thoracic spine w/o contrast (72128) | $520.20 | $1,734 | 5.5× |
| CT thoracic spine w/wo cont (72130) | $650.40 | $2,168 | 4.1× |
| CT thorax w/o contrast (71250) | $508.20 | $1,694 | 5.4× |
| CT upper ext wo (73200) | $491.40 | $1,638 | 5.2× |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$333.30–$666.60 | $1,111–$2,222 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$532.20–$1,064.40 | $1,774–$3,548 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $614.40 | $2,048 | 3.9× |
| Cta Abdomen (74175) | $703.20 | $2,344 | 4.4× |
| Dxa Bone Density Axial (77080) | $139.80 | $466 | 1.5× |
| Dxa bone density study (77085) | $54.90 | $183 | 0.6× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $85.20 | $284 | 1.1× |
| Esophagram (74220) | $145.80 | $486 | 0.9× |
| Fluoroscopy up to 1 hr (76000) | $159 | $530 | 0.7× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$64.20–$128.40 | $214–$428 | varies |
| Forearm 2 views (73090) | $41.70 | $139 | 0.5× |
| Gastric emptying imaging study (78264) | $421.20 | $1,404 | 1.2× |
| Gated Heart Planar Single (78472) | $280.20 | $934 | 0.8× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$64.20–$128.40 | $214–$428 | varies |
| Hepatobil Syst Image W/Drug (78227) | $363.60 | $1,212 | 0.7× |
| Hepatobiliary System Imaging (78226) | $741.30 | $2,471 | 2.0× |
| K Flow/Funct Image W/Drug (78708) | $414 | $1,380 | 0.8× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$79.80–$159.60 | $266–$532 | varies |
| Liver & Spleen Imaging Static Only (78215) | $280.20 | $934 | 0.8× |
| Lung Ventilat&Perfus Imaging (78582) | $450.60 | $1,502 | 0.9× |
| Lung Ventilation Imaging (78579) | $354.90 | $1,183 | 1.0× |
| Mra Head W/O & W/Contrast Material (70546) | $1,309.20 | $4,364 | 4.1× |
| MRA head w/o contrast (70544) | $840.90 | $2,803 | 3.9× |
| MRA neck w contrast (70548) | $332.40 | $1,108 | 1.1× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,637.10 | $5,457 | 5.2× |
| MRA neck w/o contrast (70547) | $273.90 | $913 | 1.3× |
| MRI abdomen w/o contrast (74181) | $801.30 | $2,671 | 3.7× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$1,276.80–$2,553.60 | $4,256–$8,512 | varies |
| MRI cervical spine w/o cont (72141) | $801.30 | $2,671 | 3.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,276.80 | $4,256 | 4.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$829.50–$1,659 | $2,765–$5,530 | varies |
| Mri Neck Spine W/O & W/Dye (72156) | $1,794.30 | $5,981 | 5.7× |
| MRI orbit face &/neck w/o contrast (70540) | $450 | $1,500 | 2.1× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,506.60 | $5,022 | 4.8× |
| MRI pelvis w/o & w contrast (72197) | $940.50 | $3,135 | 3.0× |
| MRI pelvis w/o contrast (72195) | $801.30 | $2,671 | 3.7× |
| MRI thoracic spine w/o contrast (72146) | $801.30 | $2,671 | 3.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$1,276.80–$2,553.60 | $4,256–$8,512 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) | $829.50 | $2,765 | 2.6× |
| MRI, abdomen, combo (74183) | $1,506.60 | $5,022 | 4.8× |
| MRI, dorsal spine combo (72157) | $1,794.30 | $5,981 | 5.7× |
| MRI, dorsal spine contrast (72147) | $1,016.70 | $3,389 | 3.2× |
| MRI, joint upper extrem (73221) | $829.50 | $2,765 | 3.8× |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$1,276.80–$2,553.60 | $4,256–$8,512 | varies |
| MRI, lumbar spine combo (72158) | $1,794.30 | $5,981 | 5.7× |
| Myocardial Spect Multiple Studies (78452) | $925.20 | $3,084 | 0.8× |
| Neck soft tissue (70360) | $64.20 | $214 | 0.8× |
| Parathyroid Planar Imaging (78070) | $511.50 | $1,705 | 1.4× |
| Parathyroid planar imaging w/wo subtraction (78071) | $233.70 | $779 | 0.6× |
| Pelvis 1 or 2 views (72170) | $65.10 | $217 | 0.7× |
| Pulmonary Perfusion Imaging Particulate (78580) | $303 | $1,010 | 0.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $111 | $370 | 1.2× |
| Radex Ankle Complete Minimum 3 Views (73610) | $64.20 | $214 | 0.8× |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$64.20–$128.40 | $214–$428 | varies |
| Radex elbow complete minimum 3 views (73080) | $67.50 | $225 | 0.9× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $73.20 | $244 | 0.8× |
| Radex fingr minimum 2 views (73140) | $64.20 | $214 | 0.8× |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$64.20–$128.40 | $214–$428 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$64.20–$128.40 | $214–$428 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$73.20–$146.40 | $244–$488 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $63.30 | $211 | 0.8× |
| Radex Ribs Unilateral 2 Views (71100) | $72.60 | $242 | 0.9× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$72.60–$145.20 | $242–$484 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $60.30 | $201 | 0.8× |
| Radex Spine 1 View Specify Level (72020) | $71.10 | $237 | 0.9× |
| Radex Sternum Minimum 2 Views (71120) | $79.80 | $266 | 1.0× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $102.30 | $341 | 1.3× |
| Radex Toe Minimum 2 Views (73660) | $64.20 | $214 | 0.8× |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$76.50–$153 | $255–$510 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$64.20–$128.40 | $214–$428 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $89.40 | $298 | 0.9× |
| Radiologic exam colon double contrast study (74280) | $132.60 | $442 | 0.8× |
| Radiologic exam colon single contrast study (74270) | $184.50 | $615 | 1.2× |
| Radiologic exam knee complete 4/more views (73564) | $108.60 | $362 | 1.1× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $83.10 | $277 | 0.9× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $145.80 | $486 | 0.9× |
| Radiologic exam swallow function contrast study (74230) | $253.80 | $846 | 1.6× |
| Radiologic exam upr gi trc double contrast study (74246) | $264.30 | $881 | 1.7× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$72.60–$145.20 | $242–$484 | varies |
| Radiologic examination knee 1/2 views (73560) | $66.60 | $222 | 0.8× |
| Radiologic Examination Osseous Survey Limited (77074) | $81 | $270 | 0.9× |
| Radiologic examination tibia & fibula 2 views (73590) | $64.20 | $214 | 0.8× |
| Ribs bilateral 3 views (71110) | $58.20 | $194 | 0.6× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $280.20 | $934 | 0.8× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $969.90 | $3,233 | 2.0× |
| Scapula (73010) | $64.20 | $214 | 0.7× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $66.60 | $222 | 2.8× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$68.40–$136.80 | $228–$456 | varies |
| Skull less than 4 views (70250) | $63.30 | $211 | 0.7× |
| Sternoclavicular joints (71130) | $72.60 | $242 | 0.9× |
| Tbs technical calculation only (77091) | $119.40 | $398 | 1.5× |
| Thoracic spine 2 views (72070) | $43.80 | $146 | 0.5× |
| Thoracic spine 3 views (72072) | $264 | $880 | 2.8× |
| Thoracolumbar 2 views (72080) | $71.70 | $239 | 0.9× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $326.70 | $1,089 | 0.9× |
| Ultrasound Exam Aaa Screen (76706) | $126 | $420 | 1.3× |
| Ultrasound, abdomen limited (76705) | $199.80 | $666 | 2.1× |
| Unlisted us procedure (76999) | $37.50 | $125 | 0.5× |
| Upper gi w/o kub (74240) | $153.30 | $511 | 1.0× |
| Urethrocystography retrograde (74450) | $171 | $570 | 0.8× |
| Us chest (76604) | $166.50 | $555 | 1.8× |
| Us complete joint (76881) | $171.30 | $571 | 1.8× |
| Us exam, pelvic, limited (76857) | $176.70 | $589 | 1.9× |
| Us kidney transplant (76776) | $83.70 | $279 | 0.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $162.60 | $542 | 1.7× |
| Us ob limited 1 or more fetuses (76815) | $176.70 | $589 | 1.9× |
| Us ob transvaginal (76817) | $204.30 | $681 | 2.2× |
| Us pelvic non ob complete (76856) | $212.70 | $709 | 2.2× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $204.30 | $681 | 2.2× |
| Us retroperitoneal complete (76770) | $199.80 | $666 | 2.1× |
| Us retroperitoneal limited (76775) | $132.90 | $443 | 1.4× |
| Us scrotum and contents (76870) | $162.60 | $542 | 1.7× |
| Us thyroid (76536) | $227.10 | $757 | 2.4× |
| Venography caval inferior serialography rs&i (75825) | $2,124.90 | $7,083 | 0.7× |
| Venography extremity bilateral rs&i (75822) | $1,044.30 | $3,481 | 0.7× |
| Venography extremity unilateral rs&i (75820) | $1,044.30 | $3,481 | 0.7× |
| Venography Renal Unilateral (75831) | $2,124.90 | $7,083 | 0.7× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$64.20–$128.40 | $214–$428 | varies |
| X-Ray Aorta Leg Arteries (75630) | $2,124.90 | $7,083 | 0.7× |
| X-Ray Bend Only L-S Spine (72120) | $84.60 | $282 | 0.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$64.20–$128.40 | $214–$428 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $36.30 | $121 | 0.5× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $83.10 | $277 | 0.9× |
| X-Ray Exam Hip Uni 1 View (73501) | $66.90 | $223 | 0.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $72.90 | $243 | 0.9× |
| X-Ray Exam Hips Bi 2 Views (73521) | $80.10 | $267 | 0.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $54.90 | $183 | 0.6× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $128.10 | $427 | 1.4× |
| X-Ray Exam L-S Spine Bending (72114) | $112.20 | $374 | 1.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $83.10 | $277 | 1.1× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $105.30 | $351 | 1.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $94.80 | $316 | 1.0× |
| X-ray humerus (73060) | $64.20 | $214 | 0.8× |
| X-ray IV pyelogram (ivp) (74400) | $230.10 | $767 | 1.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $23.10 | $77 | 0.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $132.30 | $441 | 1.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $84 | $280 | 0.9× |
| X-ray nose-rectum child f.b. (76010) | $60.30 | $201 | 0.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $146.40 | $488 | 1.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $79.80 | $266 | 0.8× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $81 | $270 | 0.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $64.20 | $214 | 0.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $84 | $280 | 1.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $111 | $370 | 1.2× |
| X-ray thoracic spine 4 vw (72074) | $83.10 | $277 | 0.9× |
| X-Rays Bone Survey Complete (77075) | $254.10 | $847 | 2.7× |
| Xr c-spine 4 or 5 views (72050) | $111 | $370 | 1.2× |
| Xr facial bones less than 3 views (70140) | $69.60 | $232 | 0.9× |
| Xr orbits complete 4 views (70200) | $81 | $270 | 0.9× |
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.