Imaging prices at West Feliciana Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $231.99 $386.65 2.9×
Abdomen 2 views (74019) $255.77 $426.29 2.7×
Ankle 2 views (73600) $217.24 $362.07 2.8×
Bone age studies (77072) $184.50 $307.50 1.9×
Bone Imaging Whole Body (78306) $1,205.74 $2,009.57 3.3×
Bone survey infant (77076) $189 $315 2.0×
Chest 1 view (71045) $209.84 $349.73 2.7×
Chest 2 views (71046) $228.10 $380.16 2.9×
Chest 3 views (71047) $323.24 $538.74 4.1×
Cholecystography Oral Contrast (74290) $276 $460 1.7×
Clavicle complete (73000) $209.78 $349.64 2.7×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $372.58 $620.96 3.9×
Contrast X-Ray Of Elbow (73085) $377.85 $629.75 1.2×
Contrast Xray Throat/Cerv Esopha (74210) $279.50 $465.83 1.8×
CT abdomen and pelvis without and with contrast (74178) $2,998.69 $4,997.81 9.5×
CT abdomen and pelvis without contrast (74176) $2,256.59 $3,760.99 10.4×
CT abdomen w contrast (74160) $1,668.72 $2,781.20 10.5×
CT abdomen w wo contrast (74170) $1,928.54 $3,214.23 12.1×
CT abdomen w/o contrast (74150) $1,440.56 $2,400.94 15.2×
CT Angio Abdomen and Pelvis (74174) $2,456.99 $4,094.98 7.8×
CT Angio Chest (71275) $1,645.46 $2,742.43 10.4×
CT Angio Head (70496) $1,535.25 $2,558.75 9.7×
Ct Angio Lwr Extr W/O&W/Dye (73706) $1,694.65 $2,824.41 10.7×
CT Angio Neck (70498) $1,560.62 $2,601.04 9.8×
Ct Angio Upr Extrm W/O&W/Dye (73206) $1,303.74 $2,172.90 8.2×
CT cervical spine w/ contrast (72126) $1,675.46 $2,792.44 5.3×
CT cervical spine w/o contrast (72125) $1,563.66 $2,606.10 16.5×
CT cervical spine w/wo cont (72127) $2,019.36 $3,365.60 12.7×
CT chest w contrast (71260) $1,670.51 $2,784.18 10.5×
CT chest w/wo contrast (71270) $1,702.88 $2,838.13 10.7×
CT head/brain with contrast (70460) $1,216.61 $2,027.68 7.7×
CT head/brain without and with contrast (70470) $1,600.04 $2,666.73 10.1×
CT heart no contrast quant eval coronry calcium (75571) $219.86 $366.43 2.8×
CT iac w contrast (70481) $1,375.88 $2,293.13 8.7×
CT l-spine w&w/o contrast (72133) $1,817.54 $3,029.23 11.4×
CT lower ext w/o (73700) $1,137.42 $1,895.70 12.0×
CT lower extremity w/contrast material (73701) $1,444.85 $2,408.09 9.1×
CT lumbar spine w contrast (72132) $1,828.97 $3,048.29 5.8×
CT lumbar spine w/o contrast (72131) $1,445.47 $2,409.12 15.3×
CT maxillofacial w contrast (70487) $1,342.72 $2,237.87 8.5×
CT maxillofacial wo contrast (70486) $1,243.39 $2,072.32 13.1×
CT neck tissue combo (70492) $1,541.05 $2,568.42 9.7×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $1,598.40 $2,664 10.1×
CT orbits w/o contrast (70480) $1,277.65 $2,129.42 13.5×
CT pelvis w&w/o contrast (72194) $1,770.08 $2,950.14 11.1×
CT pelvis w/o contrast (72192) $1,142.80 $1,904.66 12.1×
CT scan of leg combo (73702)
range across 24 matching MRF lines
$223.84–$1,467.05 $373.06–$2,445.08 varies
CT scans face/jaw combo (70488) $1,399.84 $2,333.07 8.8×
CT soft tissue neck w contrast (70491) $1,409.38 $2,348.97 8.9×
CT soft tissue neck w/o contrast (70490) $1,150.14 $1,916.90 12.1×
CT thoracic spine w contrast (72129) $1,639.36 $2,732.26 10.3×
CT thoracic spine w/o contrast (72128) $1,345.87 $2,243.12 14.2×
CT thoracic spine w/wo cont (72130) $1,694.33 $2,823.88 10.7×
CT thorax w/o contrast (71250) $1,321.55 $2,202.58 14.0×
CT upper ext wo (73200) $1,089.45 $1,815.75 11.5×
CT upper extremity w/o & w/contrast material (73202) $1,207.22 $2,012.04 7.6×
CT upper extremity with contrast (73201) $1,338.79 $2,231.32 4.2×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $2,082.16 $3,470.26 13.1×
Cta Abdomen (74175) $1,505.44 $2,509.06 9.5×
CTA head&neck c+ w/noncontrast img&post-pxessing (70471) $1,535.25 $2,558.75 4.9×
CTA pelvis (72191) $1,146.30 $1,910.50 7.2×
Discography Cerv/Thor Spine (72285) $1,019.70 $1,699.50 0.6×
Diskography lumbar (72295) $1,257.80 $2,096.33 0.7×
Dxa Bone Density Axial (77080) $333.97 $556.62 3.5×
Dxa bone density study (77085) $257.94 $429.90 2.7×
Dxa bone density study 1/>sites appendiclr skel (77081) $148.48 $247.46 1.9×
Esophagram (74220) $376.14 $626.90 2.4×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $283.12 $471.86 3.0×
Foot 2 views (73620) $229.87 $383.11 2.9×
Forearm 2 views (73090) $223.75 $372.91 2.8×
Hand 2 views (73120) $251.10 $418.50 2.7×
Infant hip ultrasound with hip movement (dynamic) (76885) $283.50 $472.50 3.6×
Infusion Ivp (74410) $377.03 $628.39 2.4×
Knee 3 Views (73562) $250.17 $416.95 3.2×
Mra Head W/O & W/Contrast Material (70546) $2,438.98 $4,064.96 7.7×
MRA head w/o contrast (70544) $1,906.34 $3,177.24 8.8×
MRA head with contrast (70545) $1,715.40 $2,859 5.4×
MRA neck w contrast (70548) $2,624.57 $4,374.28 8.3×
Mra Neck W/O &W/Contrast Material (70549) $2,589.02 $4,315.03 8.2×
MRA neck w/o contrast (70547) $1,952.58 $3,254.30 9.0×
MRI abdomen w contrast (74182) $2,289.51 $3,815.85 7.2×
MRI abdomen w/o contrast (74181) $1,846.39 $3,077.31 8.5×
MRI any jt lower extrem w/contrast material (73722) $1,999.65 $3,332.75 2.8×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $2,482.79 $4,137.99 7.9×
MRI any jt upper extremity w/contrast matrl (73222) $2,276.92 $3,794.86 3.2×
MRI brain functional w/o physician admnistration (70554) $2,416.76 $4,027.93 11.2×
MRI cervical spine w contrast (72142) $1,172.80 $1,954.67 3.7×
MRI cervical spine w/o cont (72141) $1,942.75 $3,237.91 9.0×
MRI chest w/o contrast (71550) $2,193.84 $3,656.40 10.2×
MRI chest with contrast (71551) $1,360.80 $2,268 1.9×
MRI chest wo w contrast (71552) $2,407.31 $4,012.18 7.6×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $1,310.40 $2,184 4.1×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720)
range across 12 matching MRF lines
$1,968.09–$2,490.92 $3,280.15–$4,151.54 varies
MRI lower extrem oth/thn jt w/o contr matrl (73718)
range across 15 matching MRF lines
$1,968.09–$2,490.92 $3,280.15–$4,151.54 varies
MRI lumbar spine w contrast (72149) $1,541.99 $2,569.98 4.9×
Mri Neck Spine W/O & W/Dye (72156) $2,796.39 $4,660.65 8.9×
MRI orbit face &/neck w/o contrast (70540) $1,678.70 $2,797.83 7.8×
MRI orbit face neck w contrast (70542) $1,431.13 $2,385.22 4.5×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $2,604.06 $4,340.10 8.2×
MRI pelvis w contrast (72196) $1,772.81 $2,954.69 5.6×
MRI pelvis w/o & w contrast (72197) $2,530.81 $4,218.02 8.0×
MRI pelvis w/o contrast (72195) $1,925.20 $3,208.66 8.9×
MRI thoracic spine w/o contrast (72146) $1,868.53 $3,114.21 8.6×
MRI upper extremity oth than jt w/contr matrl (73219) $2,591.21 $4,318.69 8.2×
MRI upper extremity oth than jt w/o contr matrl (73218) $1,702.76 $2,837.94 7.9×
Mri Uppr Extremity W/O&W/Dye (73220) $2,436.53 $4,060.88 7.7×
MRI, abdomen, combo (74183) $2,905.73 $4,842.88 9.2×
MRI, dorsal spine combo (72157) $2,845.03 $4,741.72 9.0×
MRI, dorsal spine contrast (72147) $2,584.43 $4,307.38 8.2×
MRI, joint upper extrem (73221) $1,845.03 $3,075.05 8.5×
MRI, joint upper extrem combo (73223) $2,386.73 $3,977.88 7.6×
MRI, lumbar spine combo (72158) $2,795.92 $4,659.86 8.9×
Neck soft tissue (70360) $192.99 $321.65 2.4×
Pelvis 1 or 2 views (72170) $242.09 $403.48 2.6×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $367.61 $612.68 3.9×
Radex Ankle Complete Minimum 3 Views (73610) $218.78 $364.63 2.8×
Radex Calcaneus Minimum 2 Views (73650) $157.42 $262.37 2.0×
Radex elbow complete minimum 3 views (73080) $226.48 $377.47 2.9×
Radex Facial Bones Complete Minimum 3 Views (70150) $238.59 $397.65 2.5×
Radex fingr minimum 2 views (73140) $156.71 $261.19 2.0×
Radex foot complete minimum 3 views (73630) $215.23 $358.72 2.7×
Radex Hand Minimum 3 Views (73130) $233.05 $388.42 3.0×
Radex lower extremity infant minimum 2 views (73592) $520.67 $867.79 6.6×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $288.60 $481 3.0×
Radex Nasal Bones Complete Minimum 3 Views (70160) $196.21 $327.01 2.5×
Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) $221.08 $368.46 2.8×
Radex Ribs Unilateral 2 Views (71100) $196.60 $327.67 2.5×
Radex shoulder complete minimum 2 views (73030) $262.82 $438.04 3.3×
Radex Sinuses Paransl < 3 Views (70210) $264.49 $440.82 3.4×
Radex Spine 1 View Specify Level (72020) $180.97 $301.62 2.3×
Radex Sternum Minimum 2 Views (71120) $236.57 $394.29 3.0×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $231.84 $386.40 2.9×
Radex Toe Minimum 2 Views (73660) $173.86 $289.76 2.2×
Radex upper extremity infant minimum 2 views (73092)
range across 4 matching MRF lines
$172.62–$260.19 $287.70–$433.65 varies
Radex Wrist Complete Minimum 3 Views (73110) $213.67 $356.12 2.7×
Radiolog exam mandible compl minimum 4 views (70110) $276.51 $460.85 2.9×
Radiologic exam colon double contrast study (74280) $847.64 $1,412.73 5.3×
Radiologic exam colon single contrast study (74270) $677.59 $1,129.32 4.3×
Radiologic exam knee complete 4/more views (73564) $282.98 $471.64 3.0×
Radiologic exam pelvis compl minimum 3 views (72190) $228.08 $380.14 2.4×
Radiologic Exam Small Int Single Contrast Study (74250) $499.20 $832 3.1×
Radiologic exam swallow function contrast study (74230)
range across 3 matching MRF lines
$438.76–$443.60 $731.26–$739.33 varies
Radiologic examination femur 1 view (73551) $250.56 $417.60 3.2×
Radiologic examination femur minimum 2 views (73552) $228.99 $381.65 2.9×
Radiologic examination knee 1/2 views (73560) $213.67 $356.12 2.7×
Radiologic examination tibia & fibula 2 views (73590) $228.31 $380.51 2.9×
Ribs bilateral 3 views (71110) $259.56 $432.60 2.7×
Scapula (73010) $233.10 $388.50 2.5×
Sella turcica (70240) $153.43 $255.71 1.9×
Shoulder 1 view (73020) $257.02 $428.36 3.3×
Skull less than 4 views (70250) $243.73 $406.21 2.6×
Sternoclavicular joints (71130) $286.68 $477.80 3.6×
Thoracic spine 2 views (72070) $255.69 $426.15 2.7×
Thoracic spine 3 views (72072) $316.81 $528.02 3.3×
Thoracolumbar 2 views (72080) $228.26 $380.43 2.9×
Ultrasound Exam Aaa Screen (76706) $363.85 $606.42 3.8×
Ultrasound, abdomen limited (76705) $428.53 $714.22 4.5×
Unlisted Dx Radiographic Procedure (76499) $334.20 $557 4.2×
Unlisted us procedure (76999) $439.23 $732.05 5.6×
Upper gi w/o kub (74240) $573.43 $955.71 3.6×
Us breast unilateral complete (76641) $520.02 $866.70 5.5×
Us chest (76604) $429.55 $715.91 4.5×
Us complete joint (76881) $353.13 $588.55 3.7×
Us exam, pelvic, limited (76857) $325.48 $542.46 3.4×
Us head (76506) $306.42 $510.70 3.2×
Us kidney transplant (76776) $560.65 $934.42 5.9×
Us ob detailed single fetus (76811) $729.08 $1,215.13 3.4×
Us ob limited 1 or more fetuses (76815) $253.15 $421.92 2.7×
Us ob transvaginal (76817) $440.57 $734.29 4.7×
Us pelvic non ob complete (76856) $505.62 $842.70 5.3×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $440.61 $734.35 4.7×
Us preg uterus real time f/u trnsabdl per fetus (76816) $345.46 $575.77 3.6×
Us retroperitoneal complete (76770) $491.66 $819.44 5.2×
Us retroperitoneal limited (76775) $516.71 $861.19 5.5×
Us scrotum and contents (76870) $441.55 $735.91 4.7×
Us thyroid (76536) $494.32 $823.87 5.2×
Vertebral fracture assessment via dxa (77086) $132.85 $221.42 1.7×
Wrist 2 views (73100) $206.40 $344 2.6×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $189 $315 2.4×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $223.84 $373.06 2.8×
X-Ray Exam Entire Spi 1 Vw (72081) $162.60 $271 2.1×
X-Ray Exam Entire Spi 2/3 Vw (72082) $363.41 $605.69 3.8×
X-Ray Exam Hip Uni 1 View (73501) $226.04 $376.74 2.9×
X-Ray Exam Hip Uni 2-3 Views (73502) $238.10 $396.83 3.0×
X-Ray Exam Hips Bi 2 Views (73521) $212.85 $354.75 2.2×
X-Ray Exam Neck Spine 2-3 Vw (72040) $257.82 $429.70 3.3×
X-Ray Exam Neck Spine 6/>Vws (72052) $348.63 $581.05 3.7×
X-Ray Exam Unilat Ribs/Chest (71101) $325.57 $542.61 3.4×
X-ray humerus (73060) $230.10 $383.50 2.9×
X-ray IV pyelogram (ivp) (74400) $446.45 $744.09 2.8×
X-ray IV pyelogram+tomography (74415) $669.07 $1,115.12 4.2×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $388.95 $648.25 4.9×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $285.49 $475.81 3.0×
X-ray nose-rectum child f.b. (76010) $189 $315 2.4×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $398.53 $664.22 4.2×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $230.99 $384.99 2.4×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $226.05 $376.75 2.9×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $233.12 $388.53 3.0×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $339.71 $566.18 3.6×
X-Rays Bone Survey Complete (77075) $477.76 $796.27 5.0×
Xr c-spine 4 or 5 views (72050) $337.82 $563.03 3.6×
Xr orbits complete 4 views (70200) $234.77 $391.28 2.5×

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.