Imaging prices at Sabine Medical Center
Many, LA · every code in this section with a posted price and a Medicare benchmark.
172 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) range across 4 matching MRF lines |
$8.70–$102 | $29–$340 | varies |
| Abdomen 2 views (74019) range across 4 matching MRF lines |
$11.70–$102 | $39–$340 | varies |
| Angiography extremity unilateral rs&i (75710) | $83.70 | $279 | 0.0× |
| Ankle 2 views (73600) range across 7 matching MRF lines |
$8.70–$78.30 | $29–$261 | varies |
| Bone age studies (77072) range across 3 matching MRF lines |
$9–$57.90 | $30–$193 | varies |
| Bone Imaging 3 Phase (78315) | $461.70 | $1,539 | 1.3× |
| Bone survey infant (77076) range across 4 matching MRF lines |
$33.60–$165 | $112–$550 | varies |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $378.90 | $1,263 | 0.8× |
| Chest 1 view (71045) range across 3 matching MRF lines |
$8.40–$50.70 | $28–$169 | varies |
| Chest 2 views (71046) range across 4 matching MRF lines |
$10.20–$59.40 | $34–$198 | varies |
| Chest 3 views (71047) range across 7 matching MRF lines |
$55.50–$68.70 | $185–$229 | varies |
| Clavicle complete (73000) range across 7 matching MRF lines |
$8.40–$63.60 | $28–$212 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 4 matching MRF lines |
$33.30–$495 | $111–$1,650 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 4 matching MRF lines |
$94.50–$806.40 | $315–$2,688 | varies |
| CT abdomen and pelvis without contrast (74176) range across 4 matching MRF lines |
$82.50–$636.60 | $275–$2,122 | varies |
| CT abdomen w contrast (74160) range across 4 matching MRF lines |
$62.70–$427.50 | $209–$1,425 | varies |
| CT abdomen w wo contrast (74170) range across 4 matching MRF lines |
$33–$653.10 | $110–$2,177 | varies |
| CT abdomen w/o contrast (74150) range across 4 matching MRF lines |
$56.10–$368.70 | $187–$1,229 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 5 matching MRF lines |
$103.50–$660 | $345–$2,200 | varies |
| CT Angio Chest (71275) range across 7 matching MRF lines |
$66–$627 | $220–$2,090 | varies |
| CT Angio Head (70496) range across 4 matching MRF lines |
$66–$660 | $220–$2,200 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 6 matching MRF lines |
$439.50–$604.50 | $1,465–$2,015 | varies |
| CT Angio Neck (70498) range across 5 matching MRF lines |
$54–$594 | $180–$1,980 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 8 matching MRF lines |
$33–$825 | $110–$2,750 | varies |
| CT cervical spine w/ contrast (72126) range across 3 matching MRF lines |
$34.03–$427.50 | $113.46–$1,425 | varies |
| CT cervical spine w/o contrast (72125) range across 4 matching MRF lines |
$48–$368.70 | $160–$1,229 | varies |
| CT cervical spine w/wo cont (72127) range across 4 matching MRF lines |
$61.65–$764.10 | $205.50–$2,547 | varies |
| CT chest w contrast (71260) range across 3 matching MRF lines |
$54.60–$427.50 | $182–$1,425 | varies |
| CT chest w/wo contrast (71270) range across 3 matching MRF lines |
$59.40–$660.30 | $198–$2,201 | varies |
| CT head/brain with contrast (70460) range across 3 matching MRF lines |
$52.80–$427.50 | $176–$1,425 | varies |
| CT head/brain without and with contrast (70470) range across 3 matching MRF lines |
$60.30–$653.10 | $201–$2,177 | varies |
| CT iac w contrast (70481) | $231 | $770 | 1.5× |
| CT l-spine w&w/o contrast (72133) range across 4 matching MRF lines |
$39.30–$764.10 | $131–$2,547 | varies |
| CT lower ext w/o (73700) range across 7 matching MRF lines |
$47.10–$368.70 | $157–$1,229 | varies |
| CT lower extremity w/contrast material (73701) range across 9 matching MRF lines |
$33–$427.50 | $110–$1,425 | varies |
| CT lumbar spine w contrast (72132) range across 4 matching MRF lines |
$32.56–$660.30 | $108.56–$2,201 | varies |
| CT lumbar spine w/o contrast (72131) range across 3 matching MRF lines |
$47.40–$391.80 | $158–$1,306 | varies |
| CT maxillofacial w contrast (70487) range across 3 matching MRF lines |
$52.80–$427.50 | $176–$1,425 | varies |
| CT maxillofacial wo contrast (70486) range across 4 matching MRF lines |
$33–$310.80 | $110–$1,036 | varies |
| CT neck tissue combo (70492) range across 3 matching MRF lines |
$63.30–$660.30 | $211–$2,201 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $368.70 | $1,229 | 2.3× |
| CT orbits w/o contrast (70480) range across 3 matching MRF lines |
$60.60–$208.80 | $202–$696 | varies |
| CT pelvis w&w/o contrast (72194) range across 5 matching MRF lines |
$52.80–$540 | $176–$1,800 | varies |
| CT pelvis w/o contrast (72192) range across 3 matching MRF lines |
$51.30–$302.70 | $171–$1,009 | varies |
| CT scan of leg combo (73702) range across 7 matching MRF lines |
$32.39–$653.10 | $107.98–$2,177 | varies |
| CT scans face/jaw combo (70488) range across 3 matching MRF lines |
$60–$660.30 | $200–$2,201 | varies |
| CT soft tissue neck w contrast (70491) range across 3 matching MRF lines |
$65.40–$427.50 | $218–$1,425 | varies |
| CT soft tissue neck w/o contrast (70490) range across 3 matching MRF lines |
$60–$310.80 | $200–$1,036 | varies |
| CT thoracic spine w contrast (72129) range across 4 matching MRF lines |
$58.20–$427.50 | $194–$1,425 | varies |
| CT thoracic spine w/o contrast (72128) range across 4 matching MRF lines |
$46.80–$368.70 | $156–$1,229 | varies |
| CT thoracic spine w/wo cont (72130) | $764.10 | $2,547 | 4.8× |
| CT thorax w/o contrast (71250) range across 3 matching MRF lines |
$51.30–$368.70 | $171–$1,229 | varies |
| CT upper ext wo (73200) range across 6 matching MRF lines |
$33–$368.70 | $110–$1,229 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 6 matching MRF lines |
$46.80–$653.10 | $156–$2,177 | varies |
| CT upper extremity with contrast (73201) range across 7 matching MRF lines |
$33–$427.50 | $110–$1,425 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 4 matching MRF lines |
$111.60–$594 | $372–$1,980 | varies |
| Cta Abdomen (74175) range across 5 matching MRF lines |
$85.20–$660 | $284–$2,200 | varies |
| CTA pelvis (72191) | $660 | $2,200 | 4.2× |
| Dxa Bone Density Axial (77080) | $66 | $220 | 0.7× |
| Fetal Biophys Profile W/Nst (76818) | $178.50 | $595 | 1.9× |
| Fluoroscopy up to 1 hr (76000) range across 4 matching MRF lines |
$16.50–$99 | $55–$330 | varies |
| Foot 2 views (73620) range across 7 matching MRF lines |
$7.80–$78.30 | $26–$261 | varies |
| Forearm 2 views (73090) range across 7 matching MRF lines |
$7.80–$78.30 | $26–$261 | varies |
| Gastric emptying imaging study (78264) | $384.90 | $1,283 | 1.1× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $164.70 | $549 | 0.5× |
| Hand 2 views (73120) range across 6 matching MRF lines |
$7.80–$78.30 | $26–$261 | varies |
| Hepatobil Syst Image W/Drug (78227) | $42 | $140 | 0.1× |
| Hepatobiliary System Imaging (78226) | $34.80 | $116 | 0.1× |
| K Flow/Funct Image W/O Drug (78707) | $183.60 | $612 | 0.4× |
| Kidney Imaging Morphol (78700) | $231 | $770 | 0.6× |
| Knee 3 Views (73562) range across 6 matching MRF lines |
$9.30–$90.90 | $31–$303 | varies |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $395.70 | $1,319 | 1.1× |
| Lung Ventilat&Perfus Imaging (78582) | $178.50 | $595 | 0.4× |
| Neck soft tissue (70360) range across 3 matching MRF lines |
$8.40–$45.30 | $28–$151 | varies |
| Parathyroid Planar Imaging (78070) | $289.20 | $964 | 0.8× |
| Pelvis 1 or 2 views (72170) range across 4 matching MRF lines |
$8.40–$63.60 | $28–$212 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $165 | $550 | 1.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 4 matching MRF lines |
$85.20–$124.20 | $284–$414 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 7 matching MRF lines |
$8.70–$83.70 | $29–$279 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 8 matching MRF lines |
$7.80–$71.10 | $26–$237 | varies |
| Radex elbow complete minimum 3 views (73080) range across 7 matching MRF lines |
$8.40–$78.30 | $28–$261 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 4 matching MRF lines |
$12.60–$63.60 | $42–$212 | varies |
| Radex fingr minimum 2 views (73140) range across 11 matching MRF lines |
$6.60–$78.30 | $22–$261 | varies |
| Radex foot complete minimum 3 views (73630) range across 7 matching MRF lines |
$8.40–$83.70 | $28–$279 | varies |
| Radex Hand Minimum 3 Views (73130) range across 7 matching MRF lines |
$8.40–$83.70 | $28–$279 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 6 matching MRF lines |
$7.80–$71.10 | $26–$237 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 4 matching MRF lines |
$8.40–$63.60 | $28–$212 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 5 matching MRF lines |
$10.50–$55.20 | $35–$184 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 11 matching MRF lines |
$9.30–$78.30 | $31–$261 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 4 matching MRF lines |
$8.40–$85.20 | $28–$284 | varies |
| Radex Spine 1 View Specify Level (72020) range across 6 matching MRF lines |
$11.70–$95.40 | $39–$318 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 3 matching MRF lines |
$11.70–$55.20 | $39–$184 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 3 matching MRF lines |
$11.10–$50.70 | $37–$169 | varies |
| Radex Toe Minimum 2 Views (73660) range across 6 matching MRF lines |
$6.60–$50.70 | $22–$169 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 5 matching MRF lines |
$8.40–$38.10 | $28–$127 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 7 matching MRF lines |
$8.40–$83.70 | $28–$279 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 3 matching MRF lines |
$20.40–$99 | $68–$330 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 4 matching MRF lines |
$11.70–$50.70 | $39–$169 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 4 matching MRF lines |
$7.23–$76.50 | $24.10–$255 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 7 matching MRF lines |
$10.50–$99 | $35–$330 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 4 matching MRF lines |
$11.70–$38.10 | $39–$127 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 3 matching MRF lines |
$38.10–$171.60 | $127–$572 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 9 matching MRF lines |
$8.70–$77.70 | $29–$259 | varies |
| Radiologic examination knee 1/2 views (73560) range across 9 matching MRF lines |
$8.40–$45.30 | $28–$151 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 7 matching MRF lines |
$7.80–$78.30 | $26–$261 | varies |
| Ribs bilateral 3 views (71110) range across 4 matching MRF lines |
$13.80–$67.80 | $46–$226 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $326.10 | $1,087 | 0.9× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) range across 4 matching MRF lines |
$354.90–$398.40 | $1,183–$1,328 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $435 | $1,450 | 0.9× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $471.60 | $1,572 | 1.0× |
| Scapula (73010) range across 8 matching MRF lines |
$8.70–$78.30 | $29–$261 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 4 matching MRF lines |
$25.20–$35.25 | $84–$117.50 | varies |
| Sella turcica (70240) | $45.30 | $151 | 0.6× |
| Shoulder 1 view (73020) range across 7 matching MRF lines |
$9.30–$47.40 | $31–$158 | varies |
| Sternoclavicular joints (71130) | $66 | $220 | 0.8× |
| Testicular Imaging W/Flow (78761) | $293.10 | $977 | 0.8× |
| Thoracic spine 2 views (72070) range across 3 matching MRF lines |
$9.90–$46.80 | $33–$156 | varies |
| Thoracic spine 3 views (72072) range across 3 matching MRF lines |
$10.50–$46.80 | $35–$156 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $219.90 | $733 | 0.6× |
| Thyroid Met Imaging Body (78018) | $328.80 | $1,096 | 0.7× |
| Thyroid Uptake Measurement (78012) | $286.80 | $956 | 0.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 4 matching MRF lines |
$23.10–$202.20 | $77–$674 | varies |
| Ultrasound Breast Limited (76642) range across 7 matching MRF lines |
$21–$178.50 | $70–$595 | varies |
| Ultrasound Exam Aaa Screen (76706) | $26.40 | $88 | 0.3× |
| Ultrasound, abdomen limited (76705) range across 6 matching MRF lines |
$28.50–$197.70 | $95–$659 | varies |
| Unlisted us procedure (76999) range across 4 matching MRF lines |
$11.70–$178.50 | $39–$595 | varies |
| Upper gi w/o kub (74240) | $171.60 | $572 | 1.1× |
| Us breast unilateral complete (76641) range across 8 matching MRF lines |
$34.80–$178.50 | $116–$595 | varies |
| Us chest (76604) | $27.60 | $92 | 0.3× |
| Us complete joint (76881) | $66 | $220 | 0.7× |
| Us exam, pelvic, limited (76857) | $23.10 | $77 | 0.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 12 matching MRF lines |
$22.80–$280.80 | $76–$936 | varies |
| Us ob detailed single fetus (76811) | $144.30 | $481 | 0.7× |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$30.90–$144.30 | $103–$481 | varies |
| Us ob transvaginal (76817) range across 4 matching MRF lines |
$33–$180.30 | $110–$601 | varies |
| Us pelvic non ob complete (76856) range across 6 matching MRF lines |
$33–$178.50 | $110–$595 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $181.50 | $605 | 1.9× |
| Us retroperitoneal complete (76770) range across 4 matching MRF lines |
$34.80–$178.50 | $116–$595 | varies |
| Us retroperitoneal limited (76775) range across 7 matching MRF lines |
$16.50–$178.50 | $55–$595 | varies |
| Us scrotum and contents (76870) range across 3 matching MRF lines |
$30.30–$178.50 | $101–$595 | varies |
| Us thyroid (76536) range across 5 matching MRF lines |
$27–$178.50 | $90–$595 | varies |
| Us transrectal (76872) | $178.50 | $595 | 1.9× |
| Venography extremity bilateral rs&i (75822) | $68.70 | $229 | 0.0× |
| Wrist 2 views (73100) range across 7 matching MRF lines |
$7.80–$78.30 | $26–$261 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 4 matching MRF lines |
$9.30–$99 | $31–$330 | varies |
| X-Ray Bend Only L-S Spine (72120) | $82.50 | $275 | 0.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 7 matching MRF lines |
$8.40–$78.30 | $28–$261 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $41.40 | $138 | 0.4× |
| X-Ray Exam Hip Uni 1 View (73501) range across 4 matching MRF lines |
$9.30–$44.70 | $31–$149 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 4 matching MRF lines |
$10.50–$44.70 | $35–$149 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 3 matching MRF lines |
$13.80–$82.50 | $46–$275 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) | $82.50 | $275 | 0.9× |
| X-Ray Exam L-S Spine Bending (72114) range across 4 matching MRF lines |
$15–$99 | $50–$330 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 4 matching MRF lines |
$11.70–$106.20 | $39–$354 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 4 matching MRF lines |
$15–$119.10 | $50–$397 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) | $59.40 | $198 | 0.6× |
| X-ray humerus (73060) range across 8 matching MRF lines |
$7.80–$78.30 | $26–$261 | varies |
| X-ray IV pyelogram (ivp) (74400) | $191.10 | $637 | 1.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 4 matching MRF lines |
$8.40–$99 | $28–$330 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 4 matching MRF lines |
$10.50–$95.40 | $35–$318 | varies |
| X-ray nose-rectum child f.b. (76010) range across 4 matching MRF lines |
$33–$99 | $110–$330 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 4 matching MRF lines |
$10.50–$44.70 | $35–$149 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $44.70 | $149 | 0.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 4 matching MRF lines |
$8.40–$66 | $28–$220 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 4 matching MRF lines |
$10.20–$46.80 | $34–$156 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 5 matching MRF lines |
$13.20–$59.40 | $44–$198 | varies |
| X-Rays Bone Length Studies (77073) | $84.60 | $282 | 0.9× |
| X-Rays Bone Survey Complete (77075) | $99 | $330 | 1.0× |
| Xr c-spine 4 or 5 views (72050) range across 4 matching MRF lines |
$13.20–$106.20 | $44–$354 | varies |
| Xr facial bones less than 3 views (70140) | $63.60 | $212 | 0.8× |
| XR Mastoids < 3 Views Bilateral (70120) | $128.10 | $427 | 1.4× |
| Xr orbits complete 4 views (70200) range across 4 matching MRF lines |
$9.30–$63.60 | $31–$212 | varies |
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.