Imaging prices at Riverside Medical Center

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018)
range across 4 matching MRF lines
$78.80–$107.20 $197–$268 varies
Abdomen 2 views (74019) $78.80 $197 0.8×
Acute Gastrointestinal Blood Loss Imaging (78278) $444.80 $1,112 1.2×
Angiography extremity bilateral rs&i (75716) $164 $410 0.1×
Angiography extremity unilateral rs&i (75710) $152.40 $381 0.1×
Artery X-Rays Abdomen (75726)
likely a partial charge, not the full procedure
$214.40 $536 0.0×
Arthrogram hip (73525) $378 $945 1.2×
Bone age studies (77072) $78.80 $197 0.8×
Bone Imaging 3 Phase (78315) $445.20 $1,113 1.2×
Bone Imaging Limited Area (78300) $445.20 $1,113 1.2×
Bone Imaging Whole Body (78306) $445.20 $1,113 1.2×
Bone survey infant (77076) $125.20 $313 1.3×
Brain Flow Imaging Only (78610) $354 $885 0.7×
Chest 1 view (71045) $78.80 $197 1.0×
Chest 2 views (71046) $78.80 $197 1.0×
Chest 3 views (71047) $88.80 $222 1.1×
Chest 4 or more views (71048) $125.20 $313 1.3×
Clavicle complete (73000) $78.80 $197 1.0×
Contrast Exam Abdominl Aorta (75625) $102.80 $257 0.0×
Contrast X-Ray Bladder (74430) $354.40 $886 1.1×
Contrast X-Ray Of Elbow (73085) $392.40 $981 1.2×
Contrast X-Ray Of Knee Joint (73580) $378 $945 1.2×
CT abdomen and pelvis without and with contrast (74178)
range across 3 matching MRF lines
$1,209.20–$1,256.40 $3,023–$3,141 varies
CT abdomen and pelvis without contrast (74176)
range across 3 matching MRF lines
$778.80–$779.20 $1,947–$1,948 varies
CT abdomen w contrast (74160) $801.60 $2,004 5.0×
CT abdomen w wo contrast (74170)
range across 2 matching MRF lines
$903.20–$903.60 $2,258–$2,259 varies
CT abdomen w/o contrast (74150)
range across 2 matching MRF lines
$407.20–$407.60 $1,018–$1,019 varies
CT Angio Abdomen and Pelvis (74174) $940.40 $2,351 3.0×
CT Angio Chest (71275)
range across 2 matching MRF lines
$940.40–$940.80 $2,351–$2,352 varies
CT Angio Head (70496)
range across 2 matching MRF lines
$940.40–$940.80 $2,351–$2,352 varies
CT angio hrt w/3d image (75574) $368 $920 1.2×
Ct Angio Lwr Extr W/O&W/Dye (73706) $940.40 $2,351 5.9×
CT Angio Neck (70498)
range across 2 matching MRF lines
$940.40–$940.80 $2,351–$2,352 varies
Ct Angio Upr Extrm W/O&W/Dye (73206) $940.40 $2,351 5.9×
CT cervical spine w/ contrast (72126) $801.60 $2,004 2.5×
CT cervical spine w/o contrast (72125) $407.20 $1,018 4.3×
CT cervical spine w/wo cont (72127) $868.80 $2,172 5.5×
CT chest w contrast (71260) $801.60 $2,004 5.0×
CT chest w/wo contrast (71270)
range across 2 matching MRF lines
$903.20–$903.60 $2,258–$2,259 varies
CT head/brain with contrast (70460) $801.60 $2,004 5.0×
CT head/brain without and with contrast (70470) $903.20 $2,258 5.7×
CT iac w contrast (70481) $801.60 $2,004 5.0×
CT l-spine w&w/o contrast (72133) $903.20 $2,258 5.7×
CT lower ext w/o (73700)
range across 12 matching MRF lines
$394.40–$407.20 $986–$1,018 varies
CT lower extremity w/contrast material (73701)
range across 5 matching MRF lines
$42–$801.60 $105–$2,004 varies
CT lumbar spine w contrast (72132) $801.60 $2,004 2.5×
CT lumbar spine w/o contrast (72131) $407.20 $1,018 4.3×
CT maxillofacial w contrast (70487) $774.80 $1,937 4.9×
CT maxillofacial wo contrast (70486) $407.20 $1,018 4.3×
CT neck tissue combo (70492)
range across 2 matching MRF lines
$903.20–$903.60 $2,258–$2,259 varies
Ct Orbit/Ear/Fossa W/O&W/Dye (70482)
range across 3 matching MRF lines
$407.20–$903.20 $1,018–$2,258 varies
CT orbits w/o contrast (70480) $407.20 $1,018 4.3×
CT pelvis w&w/o contrast (72194) $903.20 $2,258 5.7×
CT pelvis w/o contrast (72192) $407.20 $1,018 4.3×
CT scans face/jaw combo (70488) $903.20 $2,258 5.7×
CT soft tissue neck w contrast (70491) $801.60 $2,004 5.0×
CT soft tissue neck w/o contrast (70490)
range across 2 matching MRF lines
$407.20–$407.60 $1,018–$1,019 varies
CT thoracic spine w contrast (72129) $801.60 $2,004 5.0×
CT thoracic spine w/o contrast (72128) $407.20 $1,018 4.3×
CT thoracic spine w/wo cont (72130) $903.20 $2,258 5.7×
CT thorax w/o contrast (71250)
range across 3 matching MRF lines
$407.20–$407.60 $1,018–$1,019 varies
CT upper ext wo (73200) $407.20 $1,018 4.3×
CT upper extremity w/o & w/contrast material (73202) $540.40 $1,351 3.4×
CT upper extremity with contrast (73201)
range across 6 matching MRF lines
$407.20–$801.60 $1,018–$2,004 varies
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $756.40 $1,891 4.8×
Cta Abdomen (74175)
range across 2 matching MRF lines
$940.40–$940.80 $2,351–$2,352 varies
CTA head&neck c+ w/noncontrast img&post-pxessing (70471) $1,238 $3,095 3.9×
CTA pelvis (72191) $940.40 $2,351 5.9×
Dxa Bone Density Axial (77080) $100.40 $251 1.1×
Esophagram (74220) $139.60 $349 0.9×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $205.60 $514 2.2×
Fluoroscopy up to 1 hr (76000) $215.20 $538 1.0×
Forearm 2 views (73090) $78.80 $197 1.0×
Gastric emptying imaging study (78264) $444.80 $1,112 1.2×
Gated Heart Planar Single (78472) $526.40 $1,316 1.5×
Hepatobil Syst Image W/Drug (78227) $512 $1,280 1.0×
Hepatobiliary System Imaging (78226) $512 $1,280 1.4×
Ht Muscle Image Spect Sing (78451)
range across 9 matching MRF lines
$84.80–$1,584.40 $212–$3,961 varies
Infant hip ultrasound, limited static exam (76886) $137.60 $344 1.7×
Joint Survey Single View (77077) $72.40 $181 0.8×
K Flow/Funct Image Multiple (78709)
range across 2 matching MRF lines
$416–$573.20 $1,040–$1,433 varies
K Flow/Funct Image W/Drug (78708)
range across 2 matching MRF lines
$199.60–$573.20 $499–$1,433 varies
K Flow/Funct Image W/O Drug (78707)
range across 2 matching MRF lines
$263.60–$573.20 $659–$1,433 varies
Knee 3 Views (73562) $78.80 $197 1.0×
Liver & Spleen Imaging Static Only (78215) $512 $1,280 1.4×
Lung Ventilat&Perfus Imaging (78582) $592 $1,480 1.2×
Lung Ventilation Imaging (78579) $416.40 $1,041 1.2×
Magnetic Image Jaw Joint (70336) $450.40 $1,126 2.1×
Mra Head W/O & W/Contrast Material (70546) $752.80 $1,882 2.4×
MRA head w/o contrast (70544) $450.40 $1,126 2.1×
MRA head with contrast (70545) $651.20 $1,628 2.1×
MRA neck w contrast (70548) $651.20 $1,628 2.1×
Mra Neck W/O &W/Contrast Material (70549) $752.80 $1,882 2.4×
MRA neck w/o contrast (70547) $450.40 $1,126 2.1×
MRI abdomen w contrast (74182) $651.20 $1,628 2.1×
MRI abdomen w/o contrast (74181)
range across 2 matching MRF lines
$305.20–$450.40 $763–$1,126 varies
MRI any jt lower extrem w/contrast material (73722)
range across 9 matching MRF lines
$651.20–$1,302.40 $1,628–$3,256 varies
MRI any jt lower extrem w/o & w/contrast matrl (73723)
range across 7 matching MRF lines
$752.80–$1,505.20 $1,882–$3,763 varies
MRI any jt upper extremity w/contrast matrl (73222) $651.20 $1,628 0.9×
MRI cervical spine w contrast (72142) $651.20 $1,628 2.1×
MRI cervical spine w/o cont (72141) $450.40 $1,126 2.1×
MRI chest w/o contrast (71550) $450.40 $1,126 2.1×
MRI chest with contrast (71551) $651.20 $1,628 0.9×
MRI chest wo w contrast (71552) $752.80 $1,882 2.4×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $651.20 $1,628 2.1×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $752.80 $1,882 2.4×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $450.40 $1,126 2.1×
MRI lumbar spine w contrast (72149) $651.20 $1,628 2.1×
Mri Neck Spine W/O & W/Dye (72156) $752.80 $1,882 2.4×
MRI orbit face &/neck w/o contrast (70540) $450.40 $1,126 2.1×
MRI orbit face neck w contrast (70542) $651.20 $1,628 2.1×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $752.80 $1,882 2.4×
MRI pelvis w contrast (72196) $651.20 $1,628 2.1×
MRI pelvis w/o & w contrast (72197) $752.80 $1,882 2.4×
MRI pelvis w/o contrast (72195) $450.40 $1,126 2.1×
MRI thoracic spine w/o contrast (72146) $450.40 $1,126 2.1×
MRI upper extremity oth than jt w/contr matrl (73219) $651.20 $1,628 2.1×
MRI upper extremity oth than jt w/o contr matrl (73218) $450.40 $1,126 2.1×
Mri Uppr Extremity W/O&W/Dye (73220) $752.80 $1,882 2.4×
MRI, abdomen, combo (74183) $752.80 $1,882 2.4×
MRI, dorsal spine combo (72157) $752.80 $1,882 2.4×
MRI, dorsal spine contrast (72147) $651.20 $1,628 2.1×
MRI, joint upper extrem (73221) $450.40 $1,126 2.1×
MRI, joint upper extrem combo (73223) $752.80 $1,882 2.4×
MRI, lumbar spine combo (72158) $752.80 $1,882 2.4×
Myocardial Spect Multiple Studies (78452)
range across 7 matching MRF lines
$104.40–$1,584.40 $261–$3,961 varies
Neck soft tissue (70360) $78.80 $197 1.0×
Nonvascular Shunt X-Ray (75809) $125.20 $313 1.3×
Parathyroid Planar Imaging (78070) $394.40 $986 1.1×
Pelvis 1 or 2 views (72170) $78.80 $197 0.8×
Pulmonary Perfusion Imaging Particulate (78580) $420.40 $1,051 1.2×
Radex Ankle Complete Minimum 3 Views (73610) $78.80 $197 1.0×
Radex Calcaneus Minimum 2 Views (73650) $78.80 $197 1.0×
Radex elbow complete minimum 3 views (73080) $78.80 $197 1.0×
Radex Facial Bones Complete Minimum 3 Views (70150) $125.20 $313 1.3×
Radex fingr minimum 2 views (73140) $78.80 $197 1.0×
Radex foot complete minimum 3 views (73630) $78.80 $197 1.0×
Radex Hand Minimum 3 Views (73130) $78.80 $197 1.0×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $78.80 $197 0.8×
Radex Nasal Bones Complete Minimum 3 Views (70160) $78.80 $197 1.0×
Radex Ribs Unilateral 2 Views (71100)
range across 3 matching MRF lines
$78.80–$125.20 $197–$313 varies
Radex shoulder complete minimum 2 views (73030) $78.80 $197 1.0×
Radex Spine 1 View Specify Level (72020) $78.80 $197 1.0×
Radex Sternum Minimum 2 Views (71120) $78.80 $197 1.0×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $78.80 $197 1.0×
Radex Toe Minimum 2 Views (73660) $78.80 $197 1.0×
Radex Wrist Complete Minimum 3 Views (73110)
range across 4 matching MRF lines
$78.80–$79.20 $197–$198 varies
Radiolog exam mandible compl minimum 4 views (70110) $125.20 $313 1.3×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $154.80 $387 1.6×
Radiologic exam colon double contrast study (74280) $208 $520 1.3×
Radiologic exam colon single contrast study (74270) $208 $520 1.3×
Radiologic Exam Small Int Single Contrast Study (74250) $139.60 $349 0.9×
Radiologic exam swallow function contrast study (74230) $139.60 $349 0.9×
Radiologic exam upr gi trc double contrast study (74246)
range across 2 matching MRF lines
$206.40–$207.60 $516–$519 varies
Radiologic examination femur 1 view (73551) $76 $190 1.0×
Radiologic examination femur minimum 2 views (73552) $78.80 $197 1.0×
Radiologic examination knee 1/2 views (73560) $78.80 $197 1.0×
Radiologic Examination Osseous Survey Limited (77074) $125.20 $313 1.3×
Radiologic examination tibia & fibula 2 views (73590) $78.80 $197 1.0×
Ribs bilateral 3 views (71110) $125.20 $313 1.3×
Rp loclzj tum plnr 1 area single day imaging (78800)
range across 2 matching MRF lines
$410–$902.80 $1,025–$2,257 varies
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) $894 $2,235 1.8×
Scapula (73010) $78.80 $197 0.8×
Screening Digital Breast Tomosynthesis Bi (77063)
range across 3 matching MRF lines
$56–$112 $140–$280 varies
Shoulder 1 view (73020) $78.80 $197 1.0×
Shoulder Arthrography (73040) $378 $945 1.2×
Skull less than 4 views (70250) $78.80 $197 0.8×
Sternoclavicular joints (71130) $78.80 $197 1.0×
Testicular Imaging W/Flow (78761) $573.20 $1,433 1.6×
Thoracic spine 3 views (72072) $125.20 $313 1.3×
Thyroid Imaging With Vascular Flow (78013) $252 $630 0.7×
Thyroid Uptake Measurement (78012) $193.20 $483 0.5×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $394.40 $986 1.1×
Ultrasound Exam Aaa Screen (76706)
range across 2 matching MRF lines
$139.60–$203.20 $349–$508 varies
Ultrasound, abdomen limited (76705) $205.60 $514 2.2×
Upper gi w/o kub (74240) $208 $520 1.3×
Urethrocystogram voiding (74455) $354.40 $886 1.6×
Urethrocystography retrograde (74450) $296.40 $741 1.4×
Us breast unilateral complete (76641) $137.60 $344 1.5×
Us chest (76604) $205.60 $514 2.2×
Us complete joint (76881)
range across 2 matching MRF lines
$135.20–$205.60 $338–$514 varies
Us exam, pelvic, limited (76857) $137.60 $344 1.5×
Us kidney transplant (76776) $205.60 $514 2.2×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $137.60 $344 1.5×
Us ob detailed single fetus (76811) $291.60 $729 1.3×
Us ob limited 1 or more fetuses (76815) $205.60 $514 2.2×
Us ob transvaginal (76817)
range across 2 matching MRF lines
$205.60–$206 $514–$515 varies
Us pelvic non ob complete (76856)
range across 2 matching MRF lines
$205.60–$206 $514–$515 varies
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801)
range across 2 matching MRF lines
$205.60–$206 $514–$515 varies
Us retroperitoneal complete (76770)
range across 3 matching MRF lines
$104.40–$205.60 $261–$514 varies
Us spinal canal and contents (76800) $137.60 $344 1.5×
Us thyroid (76536) $205.60 $514 2.2×
Venography caval inferior serialography rs&i (75825) $115.20 $288 0.0×
Venography extremity bilateral rs&i (75822)
range across 2 matching MRF lines
$134.40–$744 $336–$1,860 varies
Venography extremity unilateral rs&i (75820)
range across 2 matching MRF lines
$111.20–$409.20 $278–$1,023 varies
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $78.80 $197 1.0×
X-Ray Aorta Leg Arteries (75630) $109.20 $273 0.0×
X-Ray Bend Only L-S Spine (72120) $125.20 $313 1.3×
X-Ray Exam Breast Specimen (76098) $354.40 $886 0.7×
X-Ray Exam Entire Spi 2/3 Vw (72082) $78.80 $197 0.8×
X-Ray Exam Hip Uni 1 View (73501) $81.20 $203 1.0×
X-Ray Exam Hip Uni 2-3 Views (73502) $78.80 $197 1.0×
X-Ray Exam Hips Bi 2 Views (73521) $125.20 $313 1.3×
X-Ray Exam L-S Spine Bending (72114) $125.20 $313 1.3×
X-Ray Exam Neck Spine 2-3 Vw (72040) $78.80 $197 1.0×
X-Ray Exam Neck Spine 6/>Vws (72052) $125.20 $313 1.3×
X-ray eye for foreign body (70030) $78.80 $197 1.0×
X-ray humerus (73060)
range across 2 matching MRF lines
$71.60–$78.80 $179–$197 varies
X-ray IV pyelogram (ivp) (74400) $354.40 $886 2.2×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $78.80 $197 1.0×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $78.80 $197 0.8×
X-ray nose-rectum child f.b. (76010) $78.80 $197 1.0×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $78.80 $197 0.8×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $78.80 $197 1.0×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $78.80 $197 1.0×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $125.20 $313 1.3×
X-Rays Bone Survey Complete (77075) $125.20 $313 1.3×
Xr c-spine 4 or 5 views (72050) $125.20 $313 1.3×
Xr facial bones less than 3 views (70140) $71.60 $179 0.9×
Xr orbits complete 4 views (70200) $78.80 $197 0.8×

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.