Imaging prices at St. Charles Surgical Hospital
New Orleans, LA · every code in this section with a posted price and a Medicare benchmark.
133 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) | $186.31 | $528.30 | 2.3× |
| Abdomen 2 views (74019) | $225.01 | $638.04 | 2.3× |
| Ankle 2 views (73600) | $186.31 | $528.30 | 2.3× |
| Chest 1 view (71045) | $186.31 | $528.30 | 2.3× |
| Chest 2 views (71046) | $186.31 | $528.30 | 2.3× |
| Chest 3 views (71047) | $186.31 | $528.30 | 2.3× |
| Chest 4 or more views (71048) | $225.01 | $638.04 | 2.3× |
| Cholecystography Oral Contrast (74290) | $376.68 | $1,068.12 | 2.3× |
| Clavicle complete (73000) | $186.31 | $528.30 | 2.3× |
| Contrast X-Ray Of Knee Joint (73580) | $755.67 | $2,142.78 | 2.3× |
| CT abdomen and pelvis without and with contrast (74178) | $1,102.02 | $3,124.89 | 3.4× |
| CT abdomen and pelvis without contrast (74176) | $745.89 | $2,115.05 | 3.3× |
| CT abdomen w contrast (74160) | $980.04 | $2,779 | 6.0× |
| CT abdomen w wo contrast (74170) | $1,085.84 | $3,079 | 6.6× |
| CT abdomen w/o contrast (74150) | $619.98 | $1,758 | 6.3× |
| CT Angio Abdomen and Pelvis (74174) | $1,500 | $6,356 | 4.6× |
| CT Angio Chest (71275) | $1,120.75 | $3,178 | 6.8× |
| CT Angio Head (70496) | $1,120.75 | $3,178 | 6.8× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,120.75 | $3,178 | 6.8× |
| CT Angio Neck (70498) | $1,120.75 | $3,178 | 6.8× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,120.75 | $3,178 | 6.8× |
| CT bone density (77078) | $271.70 | $770.44 | 3.3× |
| CT cervical spine w/ contrast (72126) | $1,102.02 | $3,124.89 | 3.4× |
| CT cervical spine w/o contrast (72125) | $619.98 | $1,758 | 6.3× |
| CT cervical spine w/wo cont (72127) | $1,085.84 | $3,079 | 6.6× |
| CT chest w contrast (71260) | $980.04 | $2,779 | 6.0× |
| CT chest w/wo contrast (71270) | $1,085.84 | $3,079 | 6.6× |
| CT head/brain with contrast (70460) | $980.04 | $2,779 | 6.0× |
| CT head/brain without and with contrast (70470) | $1,085.84 | $3,079 | 6.6× |
| CT iac w contrast (70481) | $980.04 | $2,779 | 6.0× |
| CT l-spine w&w/o contrast (72133) | $1,085.84 | $3,079 | 6.6× |
| CT lower ext w/o (73700) | $619.98 | $1,758 | 6.3× |
| CT lower extremity w/contrast material (73701) | $980.04 | $2,779 | 6.0× |
| CT lumbar spine w contrast (72132) | $1,102.02 | $3,124.89 | 3.4× |
| CT lumbar spine w/o contrast (72131) | $619.98 | $1,758 | 6.3× |
| CT maxillofacial w contrast (70487) | $980.04 | $2,779 | 6.0× |
| CT maxillofacial wo contrast (70486) | $619.98 | $1,758 | 6.3× |
| CT neck tissue combo (70492) | $1,085.84 | $3,079 | 6.6× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,085.84 | $3,079 | 6.6× |
| CT orbits w/o contrast (70480) | $619.98 | $1,758 | 6.3× |
| CT pelvis w&w/o contrast (72194) | $1,085.84 | $3,079 | 6.6× |
| CT pelvis w/o contrast (72192) | $619.98 | $1,758 | 6.3× |
| CT scan of leg combo (73702) | $1,085.84 | $3,079 | 6.6× |
| CT scans face/jaw combo (70488) | $1,085.84 | $3,079 | 6.6× |
| CT soft tissue neck w contrast (70491) | $980.04 | $2,779 | 6.0× |
| CT soft tissue neck w/o contrast (70490) | $619.98 | $1,758 | 6.3× |
| CT thoracic spine w contrast (72129) | $980.04 | $2,779 | 6.0× |
| CT thoracic spine w/o contrast (72128) | $619.98 | $1,758 | 6.3× |
| CT thoracic spine w/wo cont (72130) | $1,085.84 | $3,079 | 6.6× |
| CT thorax w/o contrast (71250) | $619.98 | $1,758 | 6.3× |
| CT upper ext wo (73200) | $619.98 | $1,758 | 6.3× |
| CT upper extremity w/o & w/contrast material (73202) | $1,085.84 | $3,079 | 6.6× |
| CT upper extremity with contrast (73201) | $1,102.02 | $3,124.89 | 3.4× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $795.60 | $2,256 | 4.8× |
| Cta Abdomen (74175) | $1,120.75 | $3,178 | 6.8× |
| CTA pelvis (72191) | $1,120.75 | $3,178 | 6.8× |
| Diskography lumbar (72295) | $4,131.98 | $11,716.62 | 2.3× |
| Fluoroscopy up to 1 hr (76000) | $511.47 | $1,450.32 | 2.3× |
| Foot 2 views (73620) | $186.31 | $528.30 | 2.3× |
| Forearm 2 views (73090) | $186.31 | $528.30 | 2.3× |
| Hand 2 views (73120) | $225.01 | $638.04 | 2.3× |
| Knee 3 Views (73562) | $186.31 | $528.30 | 2.3× |
| Liver imaging static only (78201) | $818.15 | $2,319.94 | 1.6× |
| Liver imaging w/vascular flow (78202) | $818.15 | $2,319.94 | 1.6× |
| MRI thoracic spine w/o contrast (72146) | $1,092.54 | $3,098 | 4.9× |
| Neck soft tissue (70360) | $186.31 | $528.30 | 2.3× |
| Optic foramina (70190) | $186.31 | $528.30 | 2.3× |
| Pelvis 1 or 2 views (72170) | $225.01 | $638.04 | 2.3× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $225.01 | $638.04 | 2.3× |
| Radex Ankle Complete Minimum 3 Views (73610) | $186.31 | $528.30 | 2.3× |
| Radex Calcaneus Minimum 2 Views (73650) | $186.31 | $528.30 | 2.3× |
| Radex elbow complete minimum 3 views (73080) | $186.31 | $528.30 | 2.3× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $225.01 | $638.04 | 2.3× |
| Radex fingr minimum 2 views (73140) | $186.31 | $528.30 | 2.3× |
| Radex foot complete minimum 3 views (73630) | $186.31 | $528.30 | 2.3× |
| Radex Hand Minimum 3 Views (73130) | $186.31 | $528.30 | 2.3× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $225.01 | $638.04 | 2.3× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $186.31 | $528.30 | 2.3× |
| Radex shoulder complete minimum 2 views (73030) | $186.31 | $528.30 | 2.3× |
| Radex Sinuses Paransl < 3 Views (70210) | $186.31 | $528.30 | 2.3× |
| Radex Spine 1 View Specify Level (72020) | $186.31 | $528.30 | 2.3× |
| Radex Sternum Minimum 2 Views (71120) | $186.31 | $528.30 | 2.3× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $186.31 | $528.30 | 2.3× |
| Radex Toe Minimum 2 Views (73660) | $186.31 | $528.30 | 2.3× |
| Radex Wrist Complete Minimum 3 Views (73110) | $186.31 | $528.30 | 2.3× |
| Radiolog exam mandible compl minimum 4 views (70110) | $225.01 | $638.04 | 2.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $225.01 | $638.04 | 2.3× |
| Radiologic exam knee complete 4/more views (73564) | $225.01 | $638.04 | 2.3× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $225.01 | $638.04 | 2.3× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $376.68 | $1,068.12 | 2.3× |
| Radiologic examination knee 1/2 views (73560) | $186.31 | $528.30 | 2.3× |
| Radiologic examination tibia & fibula 2 views (73590) | $186.31 | $528.30 | 2.3× |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $1,160.18 | $3,289.80 | 2.3× |
| Ribs bilateral 3 views (71110) | $225.01 | $638.04 | 2.3× |
| Scapula (73010) | $225.01 | $638.04 | 2.3× |
| Shoulder 1 view (73020) | $186.31 | $528.30 | 2.3× |
| Shoulder Arthrography (73040) | $755.67 | $2,142.78 | 2.3× |
| Skull less than 4 views (70250) | $225.01 | $638.04 | 2.3× |
| Thoracic spine 2 views (72070) | $225.01 | $638.04 | 2.3× |
| Thoracic spine 3 views (72072) | $225.01 | $638.04 | 2.3× |
| Thoracolumbar 2 views (72080) | $186.31 | $528.30 | 2.3× |
| Ultrasound Breast Limited (76642) | $248.41 | $704.40 | 3.0× |
| Ultrasound, abdomen limited (76705) | $317.39 | $900 | 3.2× |
| Unlisted fluoroscopic procedure (76496) | $272.96 | $774 | 3.3× |
| Us complete joint (76881) | $316.34 | $897 | 3.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $300.01 | $850.72 | 3.1× |
| Us retroperitoneal complete (76770) | $316.34 | $897 | 3.2× |
| Us retroperitoneal limited (76775) | $323.04 | $916 | 3.3× |
| Vascular Flow Imaging (78445) | $850.26 | $2,410.98 | 2.3× |
| Wrist 2 views (73100) | $186.31 | $528.30 | 2.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $186.31 | $528.30 | 2.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $186.31 | $528.30 | 2.3× |
| X-Ray Exam Breast Specimen (76098) | $1,160.18 | $3,289.80 | 2.3× |
| X-Ray Exam Hip Uni 1 View (73501) | $186.31 | $528.30 | 2.3× |
| X-Ray Exam L-S Spine Bending (72114) | $225.01 | $638.04 | 2.3× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $186.31 | $528.30 | 2.3× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $225.01 | $638.04 | 2.3× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $225.01 | $638.04 | 2.3× |
| X-ray humerus (73060) | $186.31 | $528.30 | 2.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $186.31 | $528.30 | 2.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $186.31 | $528.30 | 2.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $225.01 | $638.04 | 2.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $225.01 | $638.04 | 2.3× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $225.01 | $638.04 | 2.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $186.31 | $528.30 | 2.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $186.31 | $528.30 | 2.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $225.01 | $638.04 | 2.3× |
| X-ray thoracic spine 4 vw (72074) | $225.01 | $638.04 | 2.3× |
| X-Ray Tmj Unilat (70328) | $186.31 | $528.30 | 2.3× |
| Xr c-spine 4 or 5 views (72050) | $225.01 | $638.04 | 2.3× |
| Xr facial bones less than 3 views (70140) | $186.31 | $528.30 | 2.3× |
| XR Mastoids < 3 Views Bilateral (70120) | $225.01 | $638.04 | 2.3× |
| Xr orbits complete 4 views (70200) | $225.01 | $638.04 | 2.3× |