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Table 3:

Case mix and professional component fees by payer type

CPTExaminationCase MixUninsuredMedicare5MedicaidaPrivate Insurance6
70551MR imaging brain WO contrast15%$0$74.64$72.08$131.26
74178CT Abd/pelvis WO/W contrast15%$0$102.53$88.15$173.22
76770US Abd complete10%$0$37.14$32.59$63.33
77067Screening mammogram20%$0$38.79$37.86$63.67
71046XR chest single40%$0$10.25$8.52$18.70
Total100%
  • Note:—W indicates with; WO, without; Abd, abdomen; US, ultrasound; XR, x-ray.

  • a Medicaid fees represent hospital-based Medicaid PC fee averages in Louisiana for the respective examinations and were provided by the Radiology Finance Department of our lead study site.