Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.
Top Providers in Louisiana
| Provider | Medicare | Services |
|---|---|---|
| Siddiq, Farjaad M.D. | $50.22 | 11 |
Louisiana Pricing in Context
In Louisiana, CPT code 76498 (Other Mri Scan) carries an average Medicare payment of $54.62 - 14% below the national benchmark of $63.53. 7 providers across the state submitted claims for this procedure in 2023, performing 20 total services. Individual payments in LA ranged from N/A at the low end to N/A at the high end, reflecting differences in provider setting (office vs. facility), modifiers, and the specific geographic locality code applied within the state.
The average billed charge in Louisiana is $709.35, which is the figure uninsured patients would most likely encounter before any negotiation or charity discount. Medicare, by statute, only reimburses the allowed amount, the balance between billed and paid is written off under provider participation agreements. Insured patients generally pay a negotiated rate that falls between these two figures; the exact amount depends on plan design, deductible status, and in-network participation. Because Louisiana sits below the national Medicare average, commercial rates in the state may also run lower than the US median.
Using RAND 2024 commercial-to-Medicare ratios for MRI procedures, the estimated commercial insurance price in Louisiana lands near $154.04, with self-pay cash prices typically around $246.42. Before scheduling, patients can request a Good Faith Estimate under the No Surprises Act, compare cash rates from hospital Machine-Readable Files, and confirm whether the provider is in-network with their specific plan. This page presents CMS reference data for informational use; it does not constitute medical or financial advice.
Frequently Asked Questions
How much does Other Mri Scan cost in Louisiana?
The average Medicare payment for Other Mri Scan in Louisiana is $54.62, which is 14% below the national average of $63.53. Providers in LA typically bill $709.35 for this procedure.
What does Other Mri Scan cost with insurance in Louisiana?
With commercial insurance in Louisiana, Other Mri Scan costs an estimated $154.04. Without insurance, the estimated cash price is $246.42. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.
How many providers perform Other Mri Scan in Louisiana?
7 providers in Louisiana billed Medicare for Other Mri Scan in 2023, performing 20 total services. Medicare payments ranged from N/A to N/A depending on the provider.
Is Other Mri Scan cheaper in Louisiana than the national average?
Yes - Other Mri Scan costs 14% below the national average in Louisiana. The state average Medicare payment is $54.62 compared to $63.53 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.
Related Guides
Data from CMS Medicare Physician & Other Practitioners (2023).
Read our methodology - how this data is sourced, computed, and verified.
Related
Every figure on PlainProcedure is rendered directly from CMS Medicare Physician & Other Practitioners data, no number is typed in by an editor. This page draws directly on CMS Medicare Physician & Other Practitioners data, no figure is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error.