Imaging prices at Our Lady of the Angels Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $204.50 $409 2.6×
Abdomen 2 views (74019) $223 $446 2.4×
Ankle 2 views (73600) $151 $302 1.9×
Arthrogram hip (73525) $510 $1,020 1.6×
Bone age studies (77072) $129 $258 1.4×
Bone Imaging 3 Phase (78315) $1,245 $2,490 3.4×
Bone Imaging Limited Area (78300) $817 $1,634 2.3×
Bone Imaging Whole Body (78306) $1,106.50 $2,213 3.1×
Bone survey infant (77076) $129 $258 1.4×
Cat Scan Follow-Up Study (76380) $437.50 $875 5.5×
Chest 1 view (71045) $192 $384 2.4×
Chest 2 views (71046) $223.50 $447 2.8×
Chest 3 views (71047) $246 $492 3.1×
Chest 4 or more views (71048) $255.50 $511 2.7×
Clavicle complete (73000) $161.50 $323 2.0×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271)
range across 2 matching MRF lines		 $207.50–$338.50 $415–$677 varies
Contrast X-Ray Bladder (74430) $483 $966 1.5×
Contrast X-Ray Of Elbow (73085) $654 $1,308 2.1×
CT abdomen and pelvis without and with contrast (74178) $1,542 $3,084 4.9×
CT abdomen and pelvis without contrast (74176) $1,227.50 $2,455 5.7×
CT abdomen w contrast (74160) $1,488 $2,976 9.4×
CT abdomen w wo contrast (74170) $1,542 $3,084 9.7×
CT abdomen w/o contrast (74150) $1,227.50 $2,455 12.9×
CT Angio Abdomen and Pelvis (74174) $1,848.50 $3,697 5.8×
CT Angio Chest (71275) $1,610 $3,220 10.1×
CT Angio Head (70496) $1,532 $3,064 9.6×
Ct Angio Lwr Extr W/O&W/Dye (73706) $2,143.50 $4,287 13.5×
CT Angio Neck (70498) $1,425 $2,850 9.0×
Ct Angio Upr Extrm W/O&W/Dye (73206) $1,499 $2,998 9.4×
CT cervical spine w/ contrast (72126) $1,301 $2,602 4.1×
CT cervical spine w/o contrast (72125) $1,232.50 $2,465 13.0×
CT cervical spine w/wo cont (72127) $1,378 $2,756 8.7×
CT chest w contrast (71260) $1,373 $2,746 8.6×
CT chest w/wo contrast (71270) $1,544 $3,088 9.7×
CT head/brain with contrast (70460) $1,042.50 $2,085 6.6×
CT head/brain without and with contrast (70470) $1,299 $2,598 8.2×
CT iac w contrast (70481) $1,159.50 $2,319 7.3×
CT l-spine w&w/o contrast (72133) $1,696.50 $3,393 10.7×
CT lower ext w/o (73700) $1,227.50 $2,455 12.9×
CT lower extremity w/contrast material (73701) $1,551 $3,102 9.8×
CT lumbar spine w contrast (72132) $1,643 $3,286 5.2×
CT lumbar spine w/o contrast (72131) $1,495 $2,990 15.8×
CT maxillofacial w contrast (70487) $1,165 $2,330 7.3×
CT maxillofacial wo contrast (70486) $937 $1,874 9.9×
CT neck tissue combo (70492) $1,298 $2,596 8.2×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $1,233.50 $2,467 7.8×
CT orbits w/o contrast (70480) $933.50 $1,867 9.8×
CT pelvis w&w/o contrast (72194) $1,602 $3,204 10.1×
CT pelvis w/o contrast (72192) $1,195.50 $2,391 12.6×
CT scan of leg combo (73702) $1,706 $3,412 10.7×
CT scans face/jaw combo (70488) $1,280.50 $2,561 8.1×
CT soft tissue neck w contrast (70491) $1,185.50 $2,371 7.5×
CT soft tissue neck w/o contrast (70490) $954 $1,908 10.1×
CT thoracic spine w contrast (72129) $1,383 $2,766 8.7×
CT thoracic spine w/o contrast (72128) $1,313.50 $2,627 13.9×
CT thoracic spine w/wo cont (72130) $1,454 $2,908 9.1×
CT thorax w/o contrast (71250) $1,284 $2,568 13.5×
CT upper ext wo (73200) $1,136 $2,272 12.0×
CT upper extremity w/o & w/contrast material (73202) $1,699.50 $3,399 10.7×
CT upper extremity with contrast (73201) $1,362.50 $2,725 4.3×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $1,716 $3,432 10.8×
Cta Abdomen (74175) $1,590 $3,180 10.0×
CTA pelvis (72191) $1,602 $3,204 10.1×
Doppler Fetal Mid Cerebral Artery (76821) $322.50 $645 3.4×
Dxa Bone Density Axial (77080) $250 $500 2.6×
Dxa bone density study (77085) $453 $906 4.8×
Echograp Trans R Pros Study (76873) $164.50 $329 1.7×
Esophagram (74220) $300.50 $601 1.9×
Fetal Biophys Profile W/Nst (76818) $265 $530 2.8×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $253.50 $507 2.7×
Fluoroscopy up to 1 hr (76000) $328 $656 1.5×
Foot 2 views (73620) $129.50 $259 1.6×
Forearm 2 views (73090) $154 $308 2.0×
Gastric emptying imaging study (78264) $909 $1,818 2.5×
Gated Heart Planar Single (78472) $1,040 $2,080 2.9×
Hand 2 views (73120) $129 $258 1.4×
Hepatobil Syst Image W/Drug (78227) $623.50 $1,247 1.3×
Hepatobiliary System Imaging (78226) $570 $1,140 1.6×
Ht Muscle Image Spect Sing (78451) $1,655.50 $3,311 1.4×
Hysterosalpingogram (74740) $425 $850 2.0×
Infant hip ultrasound with hip movement (dynamic) (76885) $127.50 $255 1.6×
K Flow/Funct Image W/Drug (78708) $1,249.50 $2,499 2.5×
K Flow/Funct Image W/O Drug (78707) $1,249.50 $2,499 2.5×
Knee 3 Views (73562) $166 $332 2.1×
Lung Ventilat&Perfus Imaging (78582) $623.50 $1,247 1.3×
Magnetic Image Jaw Joint (70336) $557 $1,114 2.6×
MRA head w/o contrast (70544) $1,558 $3,116 7.2×
MRA neck w/o contrast (70547) $1,798.50 $3,597 8.3×
MRI abdomen w/o contrast (74181) $1,500 $3,000 6.9×
MRI any jt lower extrem w/contrast material (73722) $1,509.50 $3,019 2.1×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $1,857.50 $3,715 5.9×
MRI any jt upper extremity w/contrast matrl (73222) $1,723 $3,446 2.4×
MRI cervical spine w/o cont (72141) $1,740 $3,480 8.0×
MRI chest wo w contrast (71552) $1,973 $3,946 6.2×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $1,882.50 $3,765 6.0×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $1,546 $3,092 7.1×
Mri Neck Spine W/O & W/Dye (72156) $2,372 $4,744 7.5×
MRI orbit face &/neck w/o contrast (70540) $1,011.50 $2,023 4.7×
MRI orbit face neck w contrast (70542) $1,699 $3,398 5.4×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $2,079 $4,158 6.6×
MRI pelvis w/o & w contrast (72197) $1,943 $3,886 6.1×
MRI pelvis w/o contrast (72195) $1,388 $2,776 6.4×
MRI thoracic spine w/o contrast (72146) $1,540 $3,080 7.1×
MRI upper extremity oth than jt w/o contr matrl (73218) $1,477 $2,954 6.8×
Mri Uppr Extremity W/O&W/Dye (73220) $1,804 $3,608 5.7×
MRI, abdomen, combo (74183) $1,969 $3,938 6.2×
MRI, dorsal spine combo (72157) $2,135 $4,270 6.7×
MRI, joint upper extrem (73221) $1,485.50 $2,971 6.9×
MRI, joint upper extrem combo (73223) $1,981 $3,962 6.3×
MRI, lumbar spine combo (72158) $2,330.50 $4,661 7.4×
Myocardial Spect Multiple Studies (78452) $1,655.50 $3,311 1.4×
Neck soft tissue (70360) $167 $334 2.1×
Nonvascular Shunt X-Ray (75809) $161 $322 1.7×
Nuclear Rx Oral Admin (79005) $654.50 $1,309 3.1×
Oph bmtry us echograpy a-scan io lens pwr cal (76519) $221.50 $443 2.3×
Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) $345 $690 3.6×
Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) $62 $124 2.4×
Ophthalmic us dx quantitative a-scan only (76511) $165 $330 1.7×
Parathyroid Planar Imaging (78070) $786.50 $1,573 2.2×
Pelvis 1 or 2 views (72170) $149.50 $299 1.6×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $314 $628 3.3×
Radex abscess/fistula/sinus tract rs&i (76080) $709 $1,418 1.4×
Radex Ankle Complete Minimum 3 Views (73610) $164.50 $329 2.1×
Radex Calcaneus Minimum 2 Views (73650) $137 $274 1.7×
Radex elbow complete minimum 3 views (73080) $201.50 $403 2.6×
Radex Facial Bones Complete Minimum 3 Views (70150) $209.50 $419 2.2×
Radex fingr minimum 2 views (73140) $130.50 $261 1.7×
Radex foot complete minimum 3 views (73630) $155 $310 2.0×
Radex Hand Minimum 3 Views (73130) $159 $318 2.0×
Radex lower extremity infant minimum 2 views (73592) $68.50 $137 0.9×
Radex Nasal Bones Complete Minimum 3 Views (70160) $159 $318 2.0×
Radex Ribs Unilateral 2 Views (71100) $178 $356 2.3×
Radex shoulder complete minimum 2 views (73030) $175 $350 2.2×
Radex Sinuses Paransl < 3 Views (70210) $186.50 $373 2.4×
Radex Spine 1 View Specify Level (72020) $143.50 $287 1.8×
Radex Sternum Minimum 2 Views (71120) $171.50 $343 2.2×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $195 $390 2.5×
Radex Toe Minimum 2 Views (73660) $137 $274 1.7×
Radex upper extremity infant minimum 2 views (73092) $129 $258 1.4×
Radex Wrist Complete Minimum 3 Views (73110) $155 $310 2.0×
Radiolog exam mandible compl minimum 4 views (70110) $219.50 $439 2.3×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $314 $628 3.3×
Radiologic exam colon double contrast study (74280) $512 $1,024 3.2×
Radiologic exam colon single contrast study (74270) $494 $988 3.1×
Radiologic exam knee complete 4/more views (73564) $199.50 $399 2.1×
Radiologic exam pelvis compl minimum 3 views (72190) $191.50 $383 2.0×
Radiologic Exam Small Int Single Contrast Study (74250) $390 $780 2.5×
Radiologic exam swallow function contrast study (74230) $382 $764 2.4×
Radiologic exam upr gi trc double contrast study (74246) $468 $936 2.9×
Radiologic examination femur 1 view (73551) $86 $172 1.1×
Radiologic examination femur minimum 2 views (73552) $86 $172 1.1×
Radiologic examination knee 1/2 views (73560) $138.50 $277 1.8×
Radiologic Examination Osseous Survey Limited (77074) $367.50 $735 3.9×
Radiologic examination tibia & fibula 2 views (73590) $159 $318 2.0×
Ribs bilateral 3 views (71110) $215 $430 2.3×
Rp loclzj tum plnr 1 area single day imaging (78800) $969 $1,938 2.7×
Scapula (73010) $138.50 $277 1.5×
Screening Digital Breast Tomosynthesis Bi (77063) $31.50 $63 1.3×
Shoulder 1 view (73020) $151 $302 1.9×
Shoulder Arthrography (73040) $524 $1,048 1.7×
Skull less than 4 views (70250) $159 $318 1.7×
Thoracic spine 2 views (72070) $191 $382 2.0×
Thoracic spine 3 views (72072) $207.50 $415 2.2×
Thoracolumbar 2 views (72080) $242.50 $485 3.1×
Thyroid Imaging With Vascular Flow (78013) $483.50 $967 1.3×
Thyroid Uptake Measurement (78012) $483.50 $967 1.3×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $483.50 $967 1.3×
Ultrasound Breast Limited (76642) $137 $274 1.7×
Ultrasound Elastography Parenchyma (76981) $131.50 $263 1.4×
Ultrasound, abdomen limited (76705) $417.50 $835 4.4×
Umbilical-artery Doppler (OB) (76820) $165 $330 1.7×
Upper gi w/o kub (74240) $468 $936 2.9×
Us breast unilateral complete (76641) $173 $346 1.8×
Us chest (76604) $437 $874 4.6×
Us complete joint (76881) $225 $450 2.4×
Us exam, pelvic, limited (76857) $238.50 $477 2.5×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $145 $290 1.5×
Us ob detailed single fetus (76811) $509.50 $1,019 2.4×
Us ob limited 1 or more fetuses (76815) $190 $380 2.0×
Us ob transvaginal (76817) $293 $586 3.1×
Us pelvic non ob complete (76856) $488 $976 5.1×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $387 $774 4.1×
Us preg uterus real time f/u trnsabdl per fetus (76816) $165 $330 1.7×
Us retroperitoneal complete (76770) $488 $976 5.1×
Us retroperitoneal limited (76775) $434 $868 4.6×
Us scrotum and contents (76870) $446 $892 4.7×
Us spinal canal and contents (76800) $201 $402 2.1×
Us thyroid (76536) $439.50 $879 4.6×
Wrist 2 views (73100) $146.50 $293 1.9×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $68.50 $137 0.9×
X-Ray Bend Only L-S Spine (72120) $289.50 $579 3.1×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $161.50 $323 2.0×
X-Ray Exam Breast Specimen (76098) $640 $1,280 1.3×
X-Ray Exam Entire Spi 1 Vw (72081) $86 $172 1.1×
X-Ray Exam Entire Spi 2/3 Vw (72082) $143 $286 1.5×
X-Ray Exam Hip Uni 1 View (73501) $86 $172 1.1×
X-Ray Exam Hip Uni 2-3 Views (73502) $86 $172 1.1×
X-Ray Exam Hips Bi 2 Views (73521) $143 $286 1.5×
X-Ray Exam Hips Bi 3-4 Views (73522) $243 $486 2.6×
X-Ray Exam L-S Spine Bending (72114) $304 $608 3.2×
X-Ray Exam Neck Spine 2-3 Vw (72040) $195 $390 2.5×
X-Ray Exam Neck Spine 6/>Vws (72052) $365 $730 3.9×
X-Ray Exam Unilat Ribs/Chest (71101) $183.50 $367 1.9×
X-ray eye for foreign body (70030) $176.50 $353 2.2×
X-ray humerus (73060) $159 $318 2.0×
X-ray IV pyelogram (ivp) (74400) $502.50 $1,005 3.2×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $143.50 $287 1.8×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $90.50 $181 1.1×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $129 $258 1.4×
X-ray nose-rectum child f.b. (76010) $87.50 $175 1.1×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $221.50 $443 2.3×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $195 $390 2.1×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $159 $318 2.0×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $219.50 $439 2.8×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $262.50 $525 2.8×
X-ray thoracic spine 4 vw (72074) $256 $512 2.7×
X-Ray Tmj Unilat (70328) $72.50 $145 0.9×
X-Rays Bone Length Studies (77073) $137 $274 1.4×
X-Rays Bone Survey Complete (77075) $441.50 $883 4.7×
Xr c-spine 4 or 5 views (72050) $280 $560 3.0×
Xr facial bones less than 3 views (70140) $126 $252 1.6×
Xr orbits complete 4 views (70200) $205.50 $411 2.2×

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.