Imaging prices at Our Lady of the Lake Assumption Community Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $62 $124 0.8×
Abdomen 2 views (74019) $120.50 $241 1.3×
Ankle 2 views (73600) $128.50 $257 1.6×
Bone age studies (77072) $81 $162 0.9×
Cat Scan Follow-Up Study (76380) $516.50 $1,033 6.6×
Chest 1 view (71045) $59 $118 0.7×
Chest 2 views (71046) $83 $166 1.1×
Chest 3 views (71047)
range across 2 matching MRF lines		 $83–$91.50 $166–$183 varies
Clavicle complete (73000) $78 $156 1.0×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $226 $452 2.4×
CT abdomen and pelvis without and with contrast (74178) $2,793 $5,586 8.8×
CT abdomen and pelvis without contrast (74176) $1,877.50 $3,755 8.7×
CT abdomen w contrast (74160) $1,409 $2,818 8.9×
CT abdomen w wo contrast (74170) $1,644.50 $3,289 10.4×
CT abdomen w/o contrast (74150) $1,644.50 $3,289 17.4×
CT Angio Abdomen and Pelvis (74174) $2,357.50 $4,715 7.5×
CT Angio Chest (71275) $1,514 $3,028 9.5×
CT Angio Head (70496) $1,471.50 $2,943 9.3×
CT angio hrt w/3d image (75574) $1,115.50 $2,231 3.5×
Ct Angio Lwr Extr W/O&W/Dye (73706) $1,340.50 $2,681 8.4×
CT Angio Neck (70498) $1,486 $2,972 9.4×
Ct Angio Upr Extrm W/O&W/Dye (73206) $1,294 $2,588 8.1×
CT cervical spine w/ contrast (72126) $1,387.50 $2,775 4.4×
CT cervical spine w/o contrast (72125) $1,242.50 $2,485 13.1×
CT cervical spine w/wo cont (72127) $1,646 $3,292 10.4×
CT chest w contrast (71260) $1,339.50 $2,679 8.4×
CT chest w/wo contrast (71270) $1,596 $3,192 10.0×
CT colonography screening (74263) $701 $1,402 3.2×
CT Colonogrphy Dx Image Postprocess W/Contrast (74262) $781 $1,562 4.9×
CT colonogrphy dx image postprocess w/o contrast (74261) $742 $1,484 7.8×
CT head/brain with contrast (70460) $1,221.50 $2,443 7.7×
CT head/brain without and with contrast (70470) $1,455.50 $2,911 9.2×
CT heart contrast eval cardiac structure&morph (75572) $939 $1,878 3.0×
CT heart no contrast quant eval coronry calcium (75571) $136 $272 1.7×
CT hrt w/3d image congen (75573) $947 $1,894 3.0×
CT iac w contrast (70481) $1,221 $2,442 7.7×
CT l-spine w&w/o contrast (72133) $1,544.50 $3,089 9.7×
CT lower ext w/o (73700) $1,018 $2,036 10.8×
CT lower extremity w/contrast material (73701) $1,212.50 $2,425 7.6×
CT lumbar spine w contrast (72132) $1,383 $2,766 4.4×
CT lumbar spine w/o contrast (72131) $1,182 $2,364 12.5×
CT maxillofacial w contrast (70487) $1,248 $2,496 7.9×
CT maxillofacial wo contrast (70486) $1,013.50 $2,027 10.7×
CT neck tissue combo (70492) $1,497 $2,994 9.4×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $1,499 $2,998 9.4×
CT orbits w/o contrast (70480) $1,070.50 $2,141 11.3×
CT pelvis w&w/o contrast (72194) $1,596.50 $3,193 10.1×
CT pelvis w/o contrast (72192) $1,091.50 $2,183 11.5×
CT scan of leg combo (73702) $1,346.50 $2,693 8.5×
CT scans face/jaw combo (70488) $1,451 $2,902 9.1×
CT soft tissue neck w contrast (70491) $1,282 $2,564 8.1×
CT soft tissue neck w/o contrast (70490) $1,009 $2,018 10.7×
CT thoracic spine w contrast (72129) $1,312.50 $2,625 8.3×
CT thoracic spine w/o contrast (72128) $1,097.50 $2,195 11.6×
CT thoracic spine w/wo cont (72130) $1,525 $3,050 9.6×
CT thorax w/o contrast (71250) $1,052 $2,104 11.1×
CT upper ext wo (73200) $1,028 $2,056 10.9×
CT upper extremity w/o & w/contrast material (73202) $1,454 $2,908 9.2×
CT upper extremity with contrast (73201) $1,201 $2,402 3.8×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $1,629.50 $3,259 10.3×
Cta Abdomen (74175) $1,544.50 $3,089 9.7×
CTA pelvis (72191) $1,514.50 $3,029 9.5×
Foot 2 views (73620) $59.50 $119 0.8×
Forearm 2 views (73090) $78 $156 1.0×
Hand 2 views (73120) $68.50 $137 0.7×
Infusion Ivp (74410) $303 $606 1.9×
Knee 3 Views (73562) $75 $150 1.0×
Neck soft tissue (70360) $83.50 $167 1.1×
Pelvis 1 or 2 views (72170) $120 $240 1.3×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $182.50 $365 1.9×
Radex Ankle Complete Minimum 3 Views (73610) $69.50 $139 0.9×
Radex Calcaneus Minimum 2 Views (73650) $70.50 $141 0.9×
Radex elbow complete minimum 3 views (73080) $69.50 $139 0.9×
Radex Facial Bones Complete Minimum 3 Views (70150) $148 $296 1.6×
Radex fingr minimum 2 views (73140) $118 $236 1.5×
Radex foot complete minimum 3 views (73630) $87 $174 1.1×
Radex Hand Minimum 3 Views (73130) $83.50 $167 1.1×
Radex lower extremity infant minimum 2 views (73592) $141 $282 1.8×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $132.60 $265.20 1.4×
Radex Nasal Bones Complete Minimum 3 Views (70160) $135.20 $270.40 1.7×
Radex Ribs Unilateral 2 Views (71100) $119.50 $239 1.5×
Radex shoulder complete minimum 2 views (73030) $106 $212 1.3×
Radex Sinuses Paransl < 3 Views (70210) $55 $110 0.7×
Radex Spine 1 View Specify Level (72020) $137.50 $275 1.7×
Radex Sternum Minimum 2 Views (71120) $153 $306 1.9×
Radex Toe Minimum 2 Views (73660) $118 $236 1.5×
Radex upper extremity infant minimum 2 views (73092) $130.50 $261 1.4×
Radex Wrist Complete Minimum 3 Views (73110) $74.50 $149 0.9×
Radiolog exam mandible compl minimum 4 views (70110) $127 $254 1.3×
Radiologic exam knee complete 4/more views (73564) $205 $410 2.2×
Radiologic examination femur 1 view (73551) $56.50 $113 0.7×
Radiologic examination femur minimum 2 views (73552) $155 $310 2.0×
Radiologic examination knee 1/2 views (73560) $75 $150 1.0×
Radiologic examination tibia & fibula 2 views (73590) $74.50 $149 0.9×
Scapula (73010) $106 $212 1.1×
Shoulder 1 view (73020) $133 $266 1.7×
Skull less than 4 views (70250) $78 $156 0.8×
Sternoclavicular joints (71130) $158.50 $317 2.0×
Thoracic spine 2 views (72070) $249.50 $499 2.6×
Thoracic spine 3 views (72072) $113.50 $227 1.2×
Thoracolumbar 2 views (72080) $227 $454 2.9×
Ultrasound, abdomen limited (76705) $190.50 $381 2.0×
Us exam, pelvic, limited (76857) $184.50 $369 1.9×
Us pelvic non ob complete (76856) $342.50 $685 3.6×
Us retroperitoneal complete (76770) $220 $440 2.3×
Us retroperitoneal limited (76775) $187 $374 2.0×
Us scrotum and contents (76870) $353.50 $707 3.7×
Us thyroid (76536) $325 $650 3.4×
Wrist 2 views (73100) $69.50 $139 0.9×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $116.50 $233 1.5×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $50.50 $101 0.6×
X-Ray Exam Entire Spi 2/3 Vw (72082) $454 $908 4.8×
X-Ray Exam Hip Uni 1 View (73501) $132 $264 1.7×
X-Ray Exam Hip Uni 2-3 Views (73502) $158 $316 2.0×
X-Ray Exam Hips Bi 3-4 Views (73522) $248.50 $497 2.6×
X-Ray Exam Hips Bi 5/> Views (73523) $274.50 $549 2.9×
X-Ray Exam L-S Spine Bending (72114) $324 $648 3.4×
X-Ray Exam Neck Spine 2-3 Vw (72040) $109.50 $219 1.4×
X-Ray Exam Neck Spine 6/>Vws (72052) $128.50 $257 1.4×
X-Ray Exam Unilat Ribs/Chest (71101) $119.50 $239 1.3×
X-ray humerus (73060) $70 $140 0.9×
X-ray IV pyelogram (ivp) (74400) $303 $606 1.9×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $73 $146 0.9×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $109.50 $219 1.2×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $282 $564 3.0×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $86.50 $173 0.9×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $115.50 $231 1.5×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $92 $184 1.2×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $135 $270 1.4×
X-Rays Bone Length Studies (77073) $334.50 $669 3.5×
Xr c-spine 4 or 5 views (72050) $241 $482 2.5×
Xr orbits complete 4 views (70200) $118 $236 1.2×

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.