Imaging prices at West Ascension Parish Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018)
range across 3 matching MRF lines
$90–$120 $90–$120 varies
Abdomen 2 views (74019) $105 $105 1.1×
Ankle 2 views (73600) $130 $130 1.6×
Chest 1 view (71045)
range across 5 matching MRF lines
$46–$95 $46–$95 varies
Chest 2 views (71046) $105 $105 1.3×
Clavicle complete (73000) $170 $170 2.2×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $100 $100 1.1×
CT abdomen and pelvis without and with contrast (74178) $3,550 $3,550 11.2×
CT abdomen and pelvis without contrast (74176) $1,800 $1,800 8.3×
CT abdomen w contrast (74160) $1,750 $1,750 11.0×
CT abdomen w wo contrast (74170) $2,050 $2,050 12.9×
CT Angio Chest (71275) $2,450 $2,450 15.4×
CT bone density (77078) $200 $200 2.5×
CT cervical spine w/o contrast (72125) $1,000 $1,000 10.6×
CT chest w contrast (71260) $1,790 $1,790 11.3×
CT head/brain with contrast (70460) $1,590 $1,590 10.0×
CT head/brain without and with contrast (70470) $1,790 $1,790 11.3×
CT heart no contrast quant eval coronry calcium (75571) $100 $100 1.3×
CT lower ext w/o (73700) $790 $790 8.3×
CT lower extremity w/contrast material (73701) $1,480 $1,480 9.3×
CT lumbar spine w/o contrast (72131) $1,300 $1,300 13.7×
CT maxillofacial w contrast (70487) $1,590 $1,590 10.0×
CT maxillofacial wo contrast (70486) $920 $920 9.7×
CT pelvis w/o contrast (72192) $1,000 $1,000 10.6×
CT scan of leg combo (73702) $1,790 $1,790 11.3×
CT soft tissue neck w contrast (70491) $1,670 $1,670 10.5×
CT soft tissue neck w/o contrast (70490) $1,040 $1,040 11.0×
CT thoracic spine w/o contrast (72128) $1,400 $1,400 14.8×
CT thorax w/o contrast (71250) $1,120 $1,120 11.8×
CT upper ext wo (73200) $790 $790 8.3×
Foot 2 views (73620) $130 $130 1.6×
Forearm 2 views (73090) $160 $160 2.0×
Hand 2 views (73120) $130 $130 1.4×
Neck soft tissue (70360) $120 $120 1.5×
Pelvis 1 or 2 views (72170) $85 $85 0.9×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $120 $120 1.3×
Radex Ankle Complete Minimum 3 Views (73610) $170 $170 2.2×
Radex Calcaneus Minimum 2 Views (73650) $140 $140 1.8×
Radex elbow complete minimum 3 views (73080)
range across 3 matching MRF lines
$95–$190 $95–$190 varies
Radex Facial Bones Complete Minimum 3 Views (70150) $105 $105 1.1×
Radex fingr minimum 2 views (73140) $150 $150 1.9×
Radex foot complete minimum 3 views (73630) $170 $170 2.2×
Radex Hand Minimum 3 Views (73130) $170 $170 2.2×
Radex Nasal Bones Complete Minimum 3 Views (70160) $95 $95 1.2×
Radex Ribs Unilateral 2 Views (71100) $95 $95 1.2×
Radex shoulder complete minimum 2 views (73030)
range across 3 matching MRF lines
$85–$170 $85–$170 varies
Radex Sternum Minimum 2 Views (71120) $125 $125 1.6×
Radex Toe Minimum 2 Views (73660) $150 $150 1.9×
Radex Wrist Complete Minimum 3 Views (73110) $170 $170 2.2×
Radiolog exam mandible compl minimum 4 views (70110) $105 $105 1.1×
Radiologic exam knee complete 4/more views (73564)
range across 3 matching MRF lines
$110–$220 $110–$220 varies
Radiologic examination femur minimum 2 views (73552)
range across 3 matching MRF lines
$95–$190 $95–$190 varies
Radiologic examination knee 1/2 views (73560) $170 $170 2.2×
Radiologic examination tibia & fibula 2 views (73590)
range across 3 matching MRF lines
$95–$190 $95–$190 varies
Ribs bilateral 3 views (71110) $155 $155 1.6×
Scapula (73010) $170 $170 1.8×
Shoulder 1 view (73020) $140 $140 1.8×
Skull less than 4 views (70250) $105 $105 1.1×
Thoracic spine 2 views (72070) $110 $110 1.2×
Thoracic spine 3 views (72072) $110 $110 1.2×
Ultrasound, abdomen limited (76705)
range across 5 matching MRF lines
$150–$170 $150–$170 varies
Us breast unilateral complete (76641)
range across 6 matching MRF lines
$170–$350 $170–$350 varies
Us chest (76604) $125 $125 1.3×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882)
range across 2 matching MRF lines
$125–$150 $125–$150 varies
Us pelvic non ob complete (76856)
range across 2 matching MRF lines
$170–$190 $170–$190 varies
Us retroperitoneal complete (76770) $190 $190 2.0×
Us retroperitoneal limited (76775) $125 $125 1.3×
Us thyroid (76536)
range across 2 matching MRF lines
$150–$180 $150–$180 varies
Wrist 2 views (73100) $130 $130 1.6×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $130 $130 1.6×
X-Ray Exam Entire Spi 2/3 Vw (72082) $120 $120 1.3×
X-Ray Exam Hip Uni 2-3 Views (73502)
range across 3 matching MRF lines
$90–$170 $90–$170 varies
X-Ray Exam Hips Bi 2 Views (73521) $135 $135 1.4×
X-Ray Exam L-S Spine Bending (72114) $185 $185 2.0×
X-Ray Exam Neck Spine 2-3 Vw (72040) $110 $110 1.4×
X-Ray Exam Unilat Ribs/Chest (71101) $140 $140 1.5×
X-ray humerus (73060) $170 $170 2.2×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $110 $110 1.2×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $160 $160 1.7×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $125 $125 1.3×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $120 $120 1.5×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $105 $105 1.3×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $125 $125 1.3×
X-Rays Bone Survey Complete (77075) $918 $918 9.7×
Xr c-spine 4 or 5 views (72050) $155 $155 1.6×

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.