Imaging prices at The Spine Hospital of Louisiana

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $292.50 $390 3.7×
Abdomen 2 views (74019) $292.50 $390 3.1×
Ankle 2 views (73600) $105 $140 1.3×
Aortography thoracic w/o serialography rs&i (75600) $3,000 $4,000 1.0×
Cat Scan Follow-Up Study (76380) $1,275 $1,700 16.2×
Chest 1 view (71045) $161.25 $215 2.0×
Chest 2 views (71046) $285 $380 3.6×
Chest 3 views (71047) $450 $600 5.7×
Chest 4 or more views (71048) $450 $600 4.8×
Clavicle complete (73000) $165 $220 2.1×
CT abdomen and pelvis without and with contrast (74178) $1,650 $2,200 5.2×
CT abdomen and pelvis without contrast (74176) $1,275 $1,700 5.9×
CT abdomen w contrast (74160) $1,650 $2,200 10.4×
CT abdomen w wo contrast (74170) $1,650 $2,200 10.4×
CT abdomen w/o contrast (74150) $1,275 $1,700 13.5×
CT Angio Chest (71275) $1,275 $1,700 8.0×
CT Angio Head (70496) $1,650 $2,200 10.4×
CT angio hrt w/3d image (75574) $1,650 $2,200 5.2×
CT Angio Neck (70498) $1,650 $2,200 10.4×
CT cervical spine w/ contrast (72126) $1,650 $2,200 5.2×
CT cervical spine w/o contrast (72125) $1,275 $1,700 13.5×
CT cervical spine w/wo cont (72127) $1,650 $2,200 10.4×
CT chest w contrast (71260) $1,650 $2,200 10.4×
CT chest w/wo contrast (71270) $1,275 $1,700 8.0×
CT head/brain with contrast (70460) $1,650 $2,200 10.4×
CT head/brain without and with contrast (70470) $1,650 $2,200 10.4×
CT heart no contrast quant eval coronry calcium (75571) $1,275 $1,700 16.2×
CT l-spine w&w/o contrast (72133) $1,275 $1,700 8.0×
CT lower ext w/o (73700) $1,275 $1,700 13.5×
CT lumbar spine w contrast (72132) $1,650 $2,200 5.2×
CT lumbar spine w/o contrast (72131) $1,275 $1,700 13.5×
CT maxillofacial wo contrast (70486) $1,275 $1,700 13.5×
CT neck tissue combo (70492) $1,650 $2,200 10.4×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $1,650 $2,200 10.4×
CT orbits w/o contrast (70480) $1,275 $1,700 13.5×
CT pelvis w&w/o contrast (72194) $1,650 $2,200 10.4×
CT pelvis w/o contrast (72192) $1,275 $1,700 13.5×
CT scan of leg combo (73702) $1,650 $2,200 10.4×
CT soft tissue neck w contrast (70491) $1,650 $2,200 10.4×
CT soft tissue neck w/o contrast (70490) $1,275 $1,700 13.5×
CT thoracic spine w contrast (72129) $1,650 $2,200 10.4×
CT thoracic spine w/o contrast (72128) $1,275 $1,700 13.5×
CT thoracic spine w/wo cont (72130) $1,650 $2,200 10.4×
CT thorax w/o contrast (71250) $1,275 $1,700 13.5×
CT upper ext wo (73200) $1,275 $1,700 13.5×
CT upper extremity w/o & w/contrast material (73202) $1,650 $2,200 10.4×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $1,650 $2,200 10.4×
Cta Abdomen (74175) $1,650 $2,200 10.4×
CTA head&neck c+ w/noncontrast img&post-pxessing (70471) $3,300 $4,400 10.4×
Discography Cerv/Thor Spine (72285) $4,875 $6,500 2.8×
Diskography lumbar (72295) $4,875 $6,500 2.8×
Esophagram (74220) $450 $600 2.8×
Fluoroscopy up to 1 hr (76000) $120 $160 0.6×
Foot 2 views (73620) $105 $140 1.3×
Forearm 2 views (73090) $165 $220 2.1×
Hand 2 views (73120) $105 $140 1.1×
Knee 3 Views (73562) $105 $140 1.3×
MRI cervical spine w/o cont (72141) $540.70 $720.93 2.5×
Mri Neck Spine W/O & W/Dye (72156) $540.70 $720.93 1.7×
MRI thoracic spine w/o contrast (72146) $540.70 $720.93 2.5×
Myelogram cervical (72240) $2,438.25 $3,251 3.4×
Myelogram Lumbar (72265) $3,591 $4,788 5.1×
Myelography thoracic (72255) $2,550 $3,400 3.6×
Myelograpy 2/more regions rs&i (72270) $7,236.75 $9,649 10.2×
Neck soft tissue (70360) $165 $220 2.1×
Nonvascular Shunt X-Ray (75809) $262.50 $350 2.8×
Pelvis 1 or 2 views (72170) $105 $140 1.1×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $600 $800 6.3×
Radex abscess/fistula/sinus tract rs&i (76080) $716.25 $955 1.4×
Radex Ankle Complete Minimum 3 Views (73610) $105 $140 1.3×
Radex Calcaneus Minimum 2 Views (73650) $165 $220 2.1×
Radex elbow complete minimum 3 views (73080) $105 $140 1.3×
Radex Facial Bones Complete Minimum 3 Views (70150) $105 $140 1.1×
Radex fingr minimum 2 views (73140) $105 $140 1.3×
Radex foot complete minimum 3 views (73630) $105 $140 1.3×
Radex Hand Minimum 3 Views (73130) $105 $140 1.3×
Radex Ribs Unilateral 2 Views (71100) $105 $140 1.3×
Radex shoulder complete minimum 2 views (73030) $105 $140 1.3×
Radex Spine 1 View Specify Level (72020) $165 $220 2.1×
Radex Wrist Complete Minimum 3 Views (73110) $165 $220 2.1×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $292.50 $390 3.1×
Radiologic exam colon single contrast study (74270) $202.50 $270 1.3×
Radiologic exam knee complete 4/more views (73564) $105 $140 1.1×
Radiologic exam swallow function contrast study (74230) $202.50 $270 1.3×
Radiologic exam upr gi trc double contrast study (74246) $202.50 $270 1.3×
Radiologic examination femur minimum 2 views (73552) $165 $220 2.1×
Radiologic examination knee 1/2 views (73560) $105 $140 1.3×
Radiologic examination tibia & fibula 2 views (73590) $165 $220 2.1×
Ribs bilateral 3 views (71110) $105 $140 1.1×
Scapula (73010) $165 $220 1.7×
Sella turcica (70240) $105 $140 1.3×
Shoulder 1 view (73020) $105 $140 1.3×
Skull less than 4 views (70250) $165 $220 1.7×
Thoracic spine 2 views (72070) $165 $220 1.7×
Thoracic spine 3 views (72072) $165 $220 1.7×
Thoracolumbar 2 views (72080) $165 $220 2.1×
Venography caval inferior serialography rs&i (75825) $2,644.50 $3,526 0.9×
Wrist 2 views (73100) $165 $220 2.1×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $105 $140 1.3×
X-Ray Exam Hip Uni 1 View (73501) $105 $140 1.3×
X-Ray Exam Hip Uni 2-3 Views (73502) $105 $140 1.3×
X-Ray Exam Hips Bi 2 Views (73521) $165 $220 1.7×
X-Ray Exam L-S Spine Bending (72114) $165 $220 1.7×
X-Ray Exam Neck Spine 2-3 Vw (72040) $165 $220 2.1×
X-Ray Exam Neck Spine 6/>Vws (72052) $165 $220 1.7×
X-Ray Exam Unilat Ribs/Chest (71101) $105 $140 1.1×
X-ray eye for foreign body (70030) $62.25 $83 0.8×
X-ray humerus (73060) $165 $220 2.1×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $165 $220 1.7×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $127.50 $170 1.3×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $105 $140 1.1×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $105 $140 1.1×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $105 $140 1.3×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $105 $140 1.1×
Xr c-spine 4 or 5 views (72050) $165 $220 1.7×