Imaging prices at Baptist Health Brookwood Hospital

Birmingham, AL · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
3-D radiotherapy plan dose-volume histograms (77295) $12,947 $12,947 10.2×
Abdomen 2 views (74019) $886 $886 9.3×
Acute gastrointestinal blood loss imaging (78278) $2,791 $2,791 7.6×
Angiography extremity bilateral rs&i (75716) $7,372 $7,372 2.6×
Angiography extremity unilateral rs&i (75710) $19,697.80 $19,697.80 6.8×
Angiography Spinal Selective Rs&I (75705) $12,778 $12,778 2.5×
Angiography visceral slctv/supraslctv rs&i (75726) $7,372 $7,372 1.4×
Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) $7,595 $7,595 2.6×
Angrph pulmonary nonslctv cath/ven njx rs&i (75746) $7,179 $7,179 2.5×
Ankle 2 views (73600) $2,244.82 $2,244.82 28.2×
Antegrade urography radiological supvj & interpj (74425) $5,648 $5,648 17.7×
Aortogram thoracic (75605) $9,595 $9,595 1.9×
Aortography abdominal serialography rs&i (75625) $7,556.69 $7,556.69 2.6×
Arthrogram shoulder (73040) $3,858 $3,858 12.1×
Basic radiation dosimetry calculation (77300) $1,669 $1,669 13.6×
Bone &/Joint Imaging Limited Area (78300) $4,397 $4,397 12.0×
Bone &/joint imaging whole body (78306) $10,489 $10,489 28.7×
Bone Imaging 3 Phase (78315) $7,970 $7,970 21.8×
Bone survey complete (77075) $5,105 $5,105 53.4×
Brachytx isodose intermed (77317) $2,344 $2,344 6.8×
Brachytx isodose pln smpl w/dosimetry cal (77316) $856 $856 2.5×
Brain Imaging Pet Metabolic Evaluation (78608) $15,304 $15,304 11.7×
Cervical spine 2 or 3 views (72040) $2,347.71 $2,347.71 29.5×
Chest 1 view (71045) $1,035 $1,035 13.0×
Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) $1,992 $1,992 12.4×
Clavicle complete (73000) $1,822 $1,822 22.9×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $493 $493 5.2×
Continuing medical physics consltj pr wk (77336) $1,886 $1,886 15.3×
CT abdomen and pelvis without and with contrast (74178) $23,374.28 $23,374.28 73.2×
CT abdomen and pelvis without contrast (74176) $17,598 $17,598 80.6×
CT abdomen w contrast (74160) $12,498 $12,498 77.9×
CT abdomen w wo contrast (74170) $14,119 $14,119 88.0×
CT abdomen w/o contrast (74150) $9,963 $9,963 104.2×
CT angio hrt w/3d image (75574) $3,495 $3,495 11.0×
CT angiography upper extremity lt (73206) $3,723.13 $3,723.13 23.2×
CT c-spine w/o contrast (72125) $14,658.21 $14,658.21 153.3×
CT cervical spine w&w/o contrast (72127) $15,018 $15,018 93.6×
CT cervical spine with contrast (72126) $16,316 $16,316 51.1×
CT chest with contrast (71260) $9,071 $9,071 56.5×
CT head/brain with contrast (70460) $6,896 $6,896 43.0×
CT head/brain without and with contrast (70470) $11,887 $11,887 74.1×
CT heart no contrast quant eval coronry calcium (75571) $1,170 $1,170 14.7×
CT iac w contrast (70481) $18,604.50 $18,604.50 116.0×
CT limited/localized follow up study (76380) $8,490 $8,490 106.7×
CT lower ext w/o (73700) $10,411.90 $10,411.90 108.9×
CT lower extremity w wo contrast (73702) $10,923 $10,923 68.1×
CT lower extremity with contrast (73701) $10,105 $10,105 63.0×
CT lumbar spine w & w/o contrast (72133) $17,308 $17,308 107.9×
CT lumbar spine w/o contrast (72131) $15,265.90 $15,265.90 159.6×
CT lumbar spine with contrast (72132) $16,485.80 $16,485.80 51.7×
CT maxillofacial w contrast (70487) $6,372 $6,372 39.7×
CT maxillofacial w/o contrast (70486) $7,675.38 $7,675.38 80.3×
CT maxillofacial w/wo contrast (70488) $9,004.88 $9,004.88 56.1×
CT neck soft tissue w contrast (70491) $14,671 $14,671 91.4×
CT orbit sella/post fossa/ear w/o & w/contr matr (70482) $5,928 $5,928 36.9×
CT orbits w/o contrast (70480) $11,690.80 $11,690.80 122.3×
CT pelvis w & w/o contrast (72194) $8,909 $8,909 55.5×
CT pelvis w/o contrast (72192) $7,082 $7,082 74.1×
CT soft tissue neck w/o & w/contrast material (70492) $13,431 $13,431 83.7×
CT soft tissue neck w/o contrast (70490) $12,761.81 $12,761.81 133.4×
CT thoracic spine w/contrast (72129) $13,849 $13,849 86.3×
CT thoracic spine w/o contrast (72128) $12,898.86 $12,898.86 134.9×
CT thoracic spine w/wo contrast (72130) $17,249 $17,249 107.5×
CT thorax w/o contrast (71250) $7,663 $7,663 80.1×
CT upper extremity w/o & w/contrast material (73202) $8,923 $8,923 55.6×
CT upper extremity w/o contrast rt (73200) $6,761 $6,761 70.7×
CT upper extremity with contrast (73201) $7,451 $7,451 23.3×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $6,668.64 $6,668.64 41.6×
Cta Abdomen (74175) $5,983 $5,983 37.3×
CTA abdomen pelvis (74174) $8,822.79 $8,822.79 27.6×
CTA chest (71275) $6,825 $6,825 42.5×
Cta Head (70496) $5,493.38 $5,493.38 34.2×
CTA lwr ext w&w/o contrast (73706) $3,437 $3,437 21.4×
Cta Neck (70498) $6,319.59 $6,319.59 39.4×
Cta Pelvis (72191) $4,024 $4,024 25.1×
Cystography minimum 3 views rs&i (74430) $2,446 $2,446 7.7×
Echoencephalography real time imaging (76506) $1,965 $1,965 20.5×
Esophagus (74220) $1,279 $1,279 8.0×
Fetal biophysical profile non-stress testing (76818) $5,813 $5,813 60.8×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $4,890 $4,890 51.1×
Fluoroscopy up to 1 hr (76000) $1,549 $1,549 7.1×
Foot 2 views (73620) $1,477.84 $1,477.84 18.6×
Forearm 2 views (73090) $2,247 $2,247 28.2×
Gated Heart Planar Single (78472) $4,478 $4,478 12.2×
Hand 2 views (73120) $1,781 $1,781 18.6×
Hand 3 views (73130) $2,188.06 $2,188.06 27.5×
Hdr rdncl ntrstl/intrcav brachytx 1 channel (77770) $11,387 $11,387 17.9×
Hdr rdncl ntrstl/intrcav brachytx 2-12 channel (77771) $13,949 $13,949 21.9×
Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) $9,164 $9,164 18.5×
Hepatobiliary syst imaging including gallbladder (78226) $8,728 $8,728 23.9×
Ht muscle image spect sing (78451) $15,967 $15,967 13.5×
Humerus Min 2 Views Left (73060) $1,988.40 $1,988.40 25.0×
Hysterosalpingogram (74740) $4,433 $4,433 20.3×
Kidney img morphology vascular flow 1 w/rx (78708) $6,843 $6,843 13.8×
Knee 3 views (73562) $2,671 $2,671 33.6×
Liver & spleen imaging static only (78215) $6,240 $6,240 17.1×
Lymphoscintigraphy (78195) $3,265 $3,265 6.6×
Mlc imrt design & construction per imrt plan (77338) $2,126 $2,126 6.2×
MRA head w & w/o contrast (70546) $7,817 $7,817 24.5×
MRA head w/o contrast (70544) $5,042 $5,042 23.1×
Mra Neck W/O &W/Contrast Material (70549) $7,138 $7,138 22.4×
MRA neck w/o contrast (70547) $4,930.33 $4,930.33 22.6×
MRI abdomen w contrast (74182) $9,006 $9,006 28.2×
MRI abdomen w/o & w/contrast material (74183) $10,332.08 $10,332.08 32.4×
MRI abdomen w/o contrast (74181) $5,256 $5,256 24.1×
MRI any jt upper extremity w/contrast matrl (73222) $6,011 $6,011 8.4×
MRI c-spine with contrast (72142) $11,801 $11,801 37.0×
MRI cervical spine w/o contrast (72141) $11,249 $11,249 51.5×
MRI chest w/o contrast (71550) $14,916 $14,916 68.3×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $8,059 $8,059 25.3×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $6,282.11 $6,282.11 28.8×
MRI orbit/face/neck w&w/o cont (70543) $5,731 $5,731 18.0×
MRI pelvis w/o & w/contrast material (72197) $8,170 $8,170 25.6×
MRI pelvis w/o contrast (72195) $5,552 $5,552 25.4×
MRI scan of arm joint before and after contrast (73223) $7,475 $7,475 23.4×
MRI scan of leg joint before and after contrast (73723) $10,325 $10,325 32.4×
MRI spinal canal cervical w/o & w/contr matrl (72156) $13,464 $13,464 42.2×
MRI spinal canal lumbar w/contrast material (72149) $11,164 $11,164 35.0×
MRI spinal canal lumbar w/o & w/contr matrl (72158) $14,342.81 $14,342.81 44.9×
MRI spinal canal thoracic w/contrast matrl (72147) $11,969 $11,969 37.5×
MRI spinal canal thoracic w/o & w/contr matrl (72157) $12,666.15 $12,666.15 39.7×
MRI thoracic spine w/o contrast (72146) $13,097 $13,097 60.0×
MRI tmj (70336) $18,800 $18,800 86.1×
MRI upper ext joint w/o contrast (73221) $6,011 $6,011 27.5×
MRI upper extrem other than jt w/o & w/contras (73220) $10,939 $10,939 34.3×
MRI upper extremity oth than jt w/o contr matrl (73218) $6,011 $6,011 27.5×
Myocardial Imaging Pet Metabolic Evaluation (78459) $13,484 $13,484 11.4×
Myocardial Spect Multiple Studies (78452) $25,046.75 $25,046.75 21.2×
Myocrd img PET prfuj mlt std rst&strs cncrnt CT (78431) $11,252 $11,252 5.6×
N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (75580) $6,453 $6,453 8.2×
Neck soft tissue (70360) $849.80 $849.80 10.7×
Nm gastric emptying study (78264) $6,852 $6,852 18.7×
Ntsty modul radthx pln dose-vol histos (77301) $21,000 $21,000 16.6×
Nuclear medicine of blood flow in heart muscle at rest and with stress (78492) $13,484 $13,484 10.3×
Nuclear medicine study of blood flow in heart muscle at rest with stress (78491) $13,484 $13,484 10.3×
Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) $1,870 $1,870 19.6×
Osseous survey infant (77076) $1,276 $1,276 13.3×
Parathyrd planar w/spect&CT (78072) $2,830 $2,830 5.7×
Pelvis 1 or 2 views (72170) $1,923.99 $1,923.99 20.1×
PET image w/CT, skull-thigh (78815) $13,935 $13,935 10.7×
PET imaging for CT attenuation whole body (78816) $13,935 $13,935 10.7×
Pr MRI, lower extr, w/o contrast f/u by contrast (73720) $6,978 $6,978 21.9×
Pulmonary Ventilation & Perfusion Imaging (78582) $6,124 $6,124 12.3×
Radex hips bilateral with pelvis 2 views (73521) $1,452 $1,452 15.2×
Radiation Delivery Stereotactic Cranial Linear (77372) $38,807 $38,807 5.8×
Radiation treatment delivery 1 mev >= complex (77412) $1,848 $1,848 3.7×
Radiolog exam mandible compl minimum 4 views (70110) $3,212.67 $3,212.67 33.6×
Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) $2,012 $2,012 25.3×
Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) $2,065 $2,065 25.9×
Radiologic exam colon single contrast study (74270) $3,011.91 $3,011.91 18.8×
Radiologic Exam Esophagus Double Contrast Study (74221) $1,279 $1,279 8.0×
Radiologic exam upr gi trc double contrast study (74246) $4,336 $4,336 27.0×
Radiologic exam upr gi trc single contrast study (74240) $1,373 $1,373 8.6×
Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) $1,389 $1,389 17.4×
Ribs bilateral 3 views (71110) $3,169 $3,169 33.1×
Rp loclzj tum spect 1 area single day imaging (78803) $5,859 $5,859 11.8×
Scapula complete (73010) $2,748 $2,748 28.7×
Shuntogram indwelling nonvascular shunt rs&i (75809) $5,162 $5,162 54.0×
Small bowel series (74250) $3,468 $3,468 21.6×
Spec medical radj physics consltj (77370) $2,182 $2,182 17.7×
Spec telethx port pln parts hemibdy tot bdy (77321) $833 $833 2.4×
Special treatment procedure (77470) $2,439 $2,439 4.8×
Spine thoracic 3 views (72072) $2,942.54 $2,942.54 30.8×
Stereotactic body radiation delivery (77373) $11,484 $11,484 7.0×
Telethx isodose pln cplx w/basic dosimetry (77307) $4,438 $4,438 13.0×
Ther rad simulaj-aided field setting complex (77290) $5,630 $5,630 16.4×
Ther rad simulaj-aided field setting simple (77280) $2,919 $2,919 23.7×
Thoracolumbar 2 views (72080) $2,334 $2,334 29.3×
Thyroid Imaging With Vascular Flow (78013) $2,693 $2,693 7.4×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $5,036 $5,036 13.8×
Treatment devices simple (77332) $1,415 $1,415 11.5×
Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) $13,366 $13,366 26.9×
Tx devices design & construction complex (77334) $3,434 $3,434 10.0×
Ultrasound, abdomen limited (76705) $2,160.85 $2,160.85 22.6×
Urethrocystography retrograde rs&i (74450) $3,097 $3,097 14.2×
Urethrocystography voiding (74455) $3,816 $3,816 17.5×
Us abdl aorta screen aaa (76706) $1,223 $1,223 12.8×
Us breast unilateral complete (76641) $2,112 $2,112 22.1×
Us breast unilateral limited (76642) $2,112 $2,112 26.5×
Us chest (76604) $1,025 $1,025 10.7×
Us compl joint r-t w/image documentation (76881) $861 $861 9.0×
Us ob detailed single fetus (76811) $4,620 $4,620 21.2×
Us ob transvaginal (76817) $2,071.25 $2,071.25 21.7×
Us pelvic non ob complete (76856) $2,558.13 $2,558.13 26.8×
Us pelvic nonobstetric image dcmtn limited/f/u (76857) $1,871.86 $1,871.86 19.6×
Us pregnancy ltd (76815) $1,867 $1,867 19.5×
Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) $2,135 $2,135 22.3×
Us retroperitoneal complete (76770) $1,888 $1,888 19.7×
Us retroperitoneal limited (76775) $2,631 $2,631 27.5×
Us scrotum and contents (76870) $4,265.16 $4,265.16 44.6×
Us soft tissue head/neck (76536) $1,676.30 $1,676.30 17.5×
Us spinal canal and contents (76800) $1,965 $1,965 20.5×
Us xtr non-vasc lmtd (76882) $861 $861 9.0×
Venogram extremity bilateral (75822) $5,820 $5,820 4.0×
Venogram orbital (75880) $3,212 $3,212 5.6×
Venography caval inferior serialography rs&i (75825) $7,583 $7,583 2.6×
Venography caval superior serialography rs&i (75827) $4,881 $4,881 3.4×
Venography extremity unilateral rs&i (75820) $3,659 $3,659 2.5×
Venography venous sinus/jugular cath rs&i (75860) $7,126 $7,126 2.5×
Wrist 2 views (73100) $1,460.77 $1,460.77 18.4×
X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) $1,329 $1,329 13.9×
X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) $2,465.43 $2,465.43 31.0×
X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) $4,287 $4,287 26.7×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $1,983.88 $1,983.88 24.9×
X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) $2,410.61 $2,410.61 30.3×
X-ray exam hip uni 1 view (73501) $737.25 $737.25 9.3×
X-Ray Exam Hip Uni 2-3 Views (73502) $1,419.66 $1,419.66 17.8×
X-Ray Exam Hips Bi 3-4 Views (73522) $673 $673 7.0×
X-ray exam of femur 1 (73551) $473 $473 5.9×
X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) $1,725 $1,725 18.0×
X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) $2,247.55 $2,247.55 28.2×
X-Ray Heel - Xr Calcaneus 2 Views Right (73650) $1,851 $1,851 23.3×
X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) $2,465.69 $2,465.69 25.8×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $1,607 $1,607 20.2×
X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) $409 $409 5.1×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $1,618.52 $1,618.52 16.9×
X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) $3,927 $3,927 41.1×
X-Ray Nasal Bones - Xr Nasal Bones (70160) $2,367.13 $2,367.13 29.7×
X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) $3,376 $3,376 35.3×
X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) $1,866 $1,866 19.5×
X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) $2,378.35 $2,378.35 29.9×
X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) $2,845.25 $2,845.25 29.8×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $2,969.86 $2,969.86 31.1×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $1,257 $1,257 13.1×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $2,077.08 $2,077.08 26.1×
X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) $2,608.34 $2,608.34 32.8×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $2,790 $2,790 35.1×
X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) $1,089 $1,089 13.7×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $3,761 $3,761 39.3×
X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) $2,003 $2,003 20.9×
X-Ray Spine One View - Xr Spine (72020) $962 $962 12.1×
X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) $2,735 $2,735 34.4×
X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) $2,154.71 $2,154.71 22.5×
X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) $1,493.49 $1,493.49 18.8×
X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) $2,076.23 $2,076.23 26.1×
Xr finger(s) 2+ views (73140) $1,443.92 $1,443.92 18.1×
Xr shoulder 1 view (73020) $2,108.77 $2,108.77 26.5×
Xr spine cervical 4 or 5 views (72050) $5,221.28 $5,221.28 54.6×
Xr tibia/fibula 2 views (73590) $2,103.05 $2,103.05 26.4×
Xray knee 1 or 2 views rt (73560) $1,680.09 $1,680.09 21.1×