Imaging prices at St. Helena Parish Hospital & Nursing Home

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $88 $88 1.1×
Abdomen 2 views (74019)
range across 2 matching MRF lines
$107–$133 $107–$133 varies
Ankle 2 views (73600) $101 $101 1.3×
Bone age studies (77072) $70 $70 0.7×
Cat Scan Follow-Up Study (76380) $385 $385 4.9×
Chest 1 view (71045) $101 $101 1.3×
Chest 2 views (71046) $126 $126 1.6×
Chest 3 views (71047)
range across 3 matching MRF lines
$96–$144 $96–$144 varies
Chest 4 or more views (71048) $147 $147 1.6×
Clavicle complete (73000) $114 $114 1.4×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $1,155 $1,155 12.2×
CT abdomen and pelvis without and with contrast (74178) $3,360 $3,360 10.6×
CT abdomen and pelvis without contrast (74176) $2,240 $2,240 10.4×
CT abdomen w contrast (74160) $1,400 $1,400 8.8×
CT abdomen w wo contrast (74170) $1,680 $1,680 10.6×
CT abdomen w/o contrast (74150) $1,120 $1,120 11.8×
CT Angio Abdomen and Pelvis (74174) $2,000 $2,000 6.3×
CT Angio Chest (71275) $2,000 $2,000 12.6×
CT Angio Head (70496) $2,000 $2,000 12.6×
CT Angio Neck (70498) $2,000 $2,000 12.6×
CT cervical spine w/ contrast (72126) $1,400 $1,400 4.4×
CT cervical spine w/o contrast (72125) $1,120 $1,120 11.8×
CT cervical spine w/wo cont (72127) $1,680 $1,680 10.6×
CT chest w contrast (71260) $1,400 $1,400 8.8×
CT chest w/wo contrast (71270)
range across 4 matching MRF lines
$1,400–$1,680 $1,400–$1,680 varies
CT head/brain with contrast (70460) $1,225 $1,225 7.7×
CT head/brain without and with contrast (70470) $1,400 $1,400 8.8×
CT iac w contrast (70481) $1,120 $1,120 7.1×
CT l-spine w&w/o contrast (72133) $1,680 $1,680 10.6×
CT lower ext w/o (73700) $980 $980 10.4×
CT lower extremity w/contrast material (73701)
range across 15 matching MRF lines
$980–$1,120 $980–$1,120 varies
CT lumbar spine w contrast (72132) $1,400 $1,400 4.4×
CT lumbar spine w/o contrast (72131) $1,120 $1,120 11.8×
CT maxillofacial w contrast (70487) $1,120 $1,120 7.1×
CT maxillofacial wo contrast (70486) $980 $980 10.4×
CT neck tissue combo (70492) $1,400 $1,400 8.8×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $1,400 $1,400 8.8×
CT orbits w/o contrast (70480) $980 $980 10.4×
CT pelvis w&w/o contrast (72194) $1,680 $1,680 10.6×
CT pelvis w/o contrast (72192) $1,120 $1,120 11.8×
CT scan of leg combo (73702)
range across 15 matching MRF lines
$980–$1,400 $980–$1,400 varies
CT scans face/jaw combo (70488) $1,400 $1,400 8.8×
CT soft tissue neck w contrast (70491) $1,120 $1,120 7.1×
CT soft tissue neck w/o contrast (70490) $980 $980 10.4×
CT thoracic spine w contrast (72129) $1,400 $1,400 8.8×
CT thoracic spine w/o contrast (72128) $1,120 $1,120 11.8×
CT thoracic spine w/wo cont (72130) $1,680 $1,680 10.6×
CT thorax w/o contrast (71250)
range across 4 matching MRF lines
$1,155–$2,170 $1,155–$2,170 varies
CT upper ext wo (73200) $980 $980 10.4×
CT upper extremity w/o & w/contrast material (73202)
range across 15 matching MRF lines
$980–$1,400 $980–$1,400 varies
CT upper extremity with contrast (73201)
range across 15 matching MRF lines
$980–$1,120 $980–$1,120 varies
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $2,000 $2,000 12.6×
Cta Abdomen (74175) $2,000 $2,000 12.6×
Esophagram (74220) $385 $385 2.4×
Fluoroscopy up to 1 hr (76000) $252 $252 1.2×
Foot 2 views (73620) $101 $101 1.3×
Forearm 2 views (73090) $101 $101 1.3×
Hand 2 views (73120) $101 $101 1.1×
Knee 3 Views (73562) $75 $75 1.0×
Neck soft tissue (70360) $67 $67 0.9×
Pelvis 1 or 2 views (72170) $88 $88 0.9×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $138 $138 1.5×
Radex Ankle Complete Minimum 3 Views (73610) $112 $112 1.4×
Radex Calcaneus Minimum 2 Views (73650) $101 $101 1.3×
Radex elbow complete minimum 3 views (73080) $112 $112 1.4×
Radex Facial Bones Complete Minimum 3 Views (70150) $132 $132 1.4×
Radex fingr minimum 2 views (73140) $98 $98 1.2×
Radex foot complete minimum 3 views (73630) $101 $101 1.3×
Radex Hand Minimum 3 Views (73130) $101 $101 1.3×
Radex lower extremity infant minimum 2 views (73592) $93 $93 1.2×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $101 $101 1.1×
Radex Nasal Bones Complete Minimum 3 Views (70160) $111 $111 1.4×
Radex Ribs Unilateral 2 Views (71100) $217 $217 2.8×
Radex shoulder complete minimum 2 views (73030) $114 $114 1.4×
Radex Sinuses Paransl < 3 Views (70210) $115 $115 1.5×
Radex Spine 1 View Specify Level (72020) $111 $111 1.4×
Radex Sternum Minimum 2 Views (71120) $122 $122 1.5×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $157 $157 2.0×
Radex Toe Minimum 2 Views (73660) $91 $91 1.2×
Radex upper extremity infant minimum 2 views (73092) $93 $93 1.0×
Radex Wrist Complete Minimum 3 Views (73110) $112 $112 1.4×
Radiologic exam knee complete 4/more views (73564) $119 $119 1.3×
Radiologic exam pelvis compl minimum 3 views (72190) $124 $124 1.3×
Radiologic Exam Small Int Single Contrast Study (74250) $252 $252 1.6×
Radiologic examination femur minimum 2 views (73552) $101 $101 1.3×
Radiologic examination knee 1/2 views (73560) $101 $101 1.3×
Radiologic examination tibia & fibula 2 views (73590) $101 $101 1.3×
Ribs bilateral 3 views (71110) $236 $236 2.5×
Scapula (73010) $101 $101 1.1×
Sella turcica (70240) $132 $132 1.7×
Shoulder 1 view (73020) $101 $101 1.3×
Skull less than 4 views (70250) $174 $174 1.8×
Sternoclavicular joints (71130) $131 $131 1.7×
Thoracic spine 2 views (72070) $154 $154 1.6×
Thoracic spine 3 views (72072) $138 $138 1.5×
Thoracolumbar 2 views (72080) $124 $124 1.6×
Ultrasound Breast Limited (76642) $260 $260 3.3×
Ultrasound Exam Aaa Screen (76706) $266 $266 2.8×
Ultrasound, abdomen limited (76705)
range across 3 matching MRF lines
$280–$381 $280–$381 varies
Upper gi w/o kub (74240) $273 $273 1.7×
Us breast unilateral complete (76641) $260 $260 2.7×
Us chest (76604) $310 $310 3.3×
Us exam, pelvic, limited (76857) $280 $280 3.0×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $227 $227 2.4×
Us ob limited 1 or more fetuses (76815) $189 $189 2.0×
Us pelvic non ob complete (76856) $280 $280 3.0×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $280 $280 3.0×
Us retroperitoneal complete (76770) $364 $364 3.8×
Us retroperitoneal limited (76775)
range across 3 matching MRF lines
$266–$412 $266–$412 varies
Us scrotum and contents (76870) $203 $203 2.1×
Us spinal canal and contents (76800) $280 $280 3.0×
Us thyroid (76536) $412 $412 4.4×
Wrist 2 views (73100) $101 $101 1.3×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $101 $101 1.3×
X-Ray Bend Only L-S Spine (72120) $168 $168 1.8×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $101 $101 1.3×
X-Ray Exam Entire Spi 2/3 Vw (72082) $217 $217 2.3×
X-Ray Exam Entire Spi 4/5 Vw (72083) $124 $124 1.3×
X-Ray Exam Hip Uni 1 View (73501) $88 $88 1.1×
X-Ray Exam Hip Uni 2-3 Views (73502) $145 $145 1.8×
X-Ray Exam Hips Bi 2 Views (73521) $164 $164 1.7×
X-Ray Exam L-S Spine Bending (72114) $221 $221 2.3×
X-Ray Exam Neck Spine 2-3 Vw (72040) $174 $174 2.2×
X-Ray Exam Neck Spine 6/>Vws (72052) $211 $211 2.2×
X-Ray Exam Unilat Ribs/Chest (71101) $124 $124 1.3×
X-ray eye for foreign body (70030) $132 $132 1.7×
X-ray humerus (73060) $101 $101 1.3×
X-ray IV pyelogram (ivp) (74400) $315 $315 2.0×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $96 $96 1.2×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $93 $93 1.2×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $111 $111 1.2×
X-ray nose-rectum child f.b. (76010) $96 $96 1.2×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $168 $168 1.8×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $115 $115 1.2×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $96 $96 1.0×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $111 $111 1.4×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $132 $132 1.7×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $174 $174 1.8×
X-ray thoracic spine 4 vw (72074) $171 $171 1.8×
X-Ray Tmj Unilat (70328) $93 $93 1.2×
X-Rays Bone Survey Complete (77075) $540 $540 5.7×
Xr c-spine 4 or 5 views (72050) $184 $184 1.9×
Xr facial bones less than 3 views (70140) $132 $132 1.7×
XR Mastoids < 3 Views Bilateral (70120) $115 $115 1.2×
Xr orbits complete 4 views (70200) $184 $184 1.9×

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.