Imaging prices at Baptist Health Citizens Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
3-D radiotherapy plan dose-volume histograms (77295) $12,320 $12,320 9.9×
Abdomen 1 View (74018) $1,634 $1,634 20.9×
Abdomen 2 views (74019) $1,595 $1,595 17.0×
Acute Gastrointestinal Blood Loss Imaging (78278) $3,025 $3,025 8.4×
Angiography extremity bilateral rs&i (75716) $8,145 $8,145 2.9×
Angiography extremity unilateral rs&i (75710) $6,185 $6,185 2.2×
Ankle 2 views (73600) $1,165 $1,165 14.9×
Aortography thoracic serialography rs&i (75605) $7,439 $7,439 1.5×
Artery X-Rays Abdomen (75726) $7,528 $7,528 1.5×
Arthrogram hip (73525) $2,449 $2,449 7.8×
Arthrogram Wrist (73115) $3,044 $3,044 9.7×
Basic radiation dosimetry calculation (77300) $899 $899 7.5×
Bone age studies (77072) $563 $563 6.0×
Bone Imaging 3 Phase (78315) $4,865 $4,865 13.6×
Bone Imaging Limited Area (78300) $4,191 $4,191 11.7×
Bone Imaging Whole Body (78306) $6,077 $6,077 16.9×
Brain Imaging Pet Metabolic Evaluation (78608) $12,624 $12,624 9.8×
Cardiac MRI w/w/o contrast & further seq (75561) $11,012 $11,012 35.2×
Cardiac MRI w/w/o contrast w/stress (75563) $7,761 $7,761 11.0×
Cat Scan Follow-Up Study (76380) $2,035 $2,035 26.1×
Chest 1 view (71045) $1,048 $1,048 13.4×
Chest 2 views (71046) $1,011 $1,011 13.0×
Chest 3 views (71047) $1,668 $1,668 21.4×
Chest 4 or more views (71048) $1,803 $1,803 19.2×
Clavicle complete (73000) $1,138 $1,138 14.6×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $7,826 $7,826 83.5×
Continuing medical physics consltj pr wk (77336) $1,552 $1,552 12.9×
Contrast Exam Abdominl Aorta (75625) $7,842 $7,842 2.8×
Contrast X-Ray Bladder (74430) $1,171 $1,171 3.7×
Contrast X-Ray Of Elbow (73085) $1,668 $1,668 5.3×
CT abdomen and pelvis without and with contrast (74178) $26,474 $26,474 84.6×
CT abdomen and pelvis without contrast (74176) $16,162 $16,162 75.5×
CT abdomen w contrast (74160) $12,761 $12,761 81.1×
CT abdomen w wo contrast (74170) $13,975 $13,975 88.8×
CT abdomen w/o contrast (74150) $7,426 $7,426 79.2×
CT Angio Abdomen and Pelvis (74174) $24,531 $24,531 78.4×
CT Angio Chest (71275) $12,155 $12,155 77.3×
CT Angio Head (70496) $10,348 $10,348 65.8×
CT angio hrt w/3d image (75574) $5,755 $5,755 18.4×
Ct Angio Lwr Extr W/O&W/Dye (73706) $7,573 $7,573 48.1×
CT Angio Neck (70498) $11,955 $11,955 76.0×
Ct Angio Upr Extrm W/O&W/Dye (73206) $9,289 $9,289 59.0×
CT cervical spine w/ contrast (72126) $8,954 $8,954 28.6×
CT cervical spine w/o contrast (72125) $7,638 $7,638 81.5×
CT cervical spine w/wo cont (72127) $10,942 $10,942 69.6×
CT chest w contrast (71260) $10,755 $10,755 68.4×
CT chest w/wo contrast (71270) $12,158 $12,158 77.3×
CT head/brain with contrast (70460) $8,254 $8,254 52.5×
CT head/brain without and with contrast (70470) $13,587 $13,587 86.4×
CT heart contrast eval cardiac structure&morph (75572) $8,143 $8,143 26.0×
CT heart no contrast quant eval coronry calcium (75571) $827 $827 10.6×
CT iac w contrast (70481) $9,218 $9,218 58.6×
CT l-spine w&w/o contrast (72133) $13,075 $13,075 83.1×
CT lower ext w/o (73700) $5,015 $5,015 53.5×
CT lower extremity w/contrast material (73701) $11,179 $11,179 71.1×
CT lumbar spine w contrast (72132) $8,981 $8,981 28.7×
CT lumbar spine w/o contrast (72131) $6,197 $6,197 66.1×
CT maxillofacial w contrast (70487) $10,101 $10,101 64.2×
CT maxillofacial wo contrast (70486) $7,098 $7,098 75.7×
CT neck tissue combo (70492) $8,136 $8,136 51.7×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $10,256 $10,256 65.2×
CT orbits w/o contrast (70480) $7,208 $7,208 76.9×
CT pelvis w&w/o contrast (72194) $10,636 $10,636 67.6×
CT pelvis w/o contrast (72192) $7,914 $7,914 84.4×
CT scan of leg combo (73702) $9,340 $9,340 59.4×
CT scans face/jaw combo (70488) $10,814 $10,814 68.7×
CT soft tissue neck w contrast (70491) $8,082 $8,082 51.4×
CT soft tissue neck w/o contrast (70490) $7,631 $7,631 81.4×
CT thoracic spine w contrast (72129) $9,013 $9,013 57.3×
CT thoracic spine w/o contrast (72128) $6,031 $6,031 64.3×
CT thoracic spine w/wo cont (72130) $11,347 $11,347 72.1×
CT thorax w/o contrast (71250) $7,157 $7,157 76.3×
CT upper ext wo (73200) $7,029 $7,029 75.0×
CT upper extremity w/o & w/contrast material (73202) $11,141 $11,141 70.8×
CT upper extremity with contrast (73201) $8,776 $8,776 28.0×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $13,240 $13,240 84.2×
Cta Abdomen (74175) $14,365 $14,365 91.3×
CTA pelvis (72191) $12,042 $12,042 76.5×
Dxa Bone Density Axial (77080) $1,730 $1,730 18.4×
Echo Guide For Artery Repair (76936) $1,508 $1,508 7.8×
Esophagram (74220) $1,459 $1,459 9.3×
Fetal Biophys Profile W/Nst (76818) $2,277 $2,277 24.3×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $1,175 $1,175 12.5×
Fluoroscopy up to 1 hr (76000) $1,252 $1,252 5.9×
Foot 2 views (73620) $856 $856 11.0×
Forearm 2 views (73090) $1,192 $1,192 15.3×
Gastric emptying imaging study (78264) $5,352 $5,352 14.9×
Gated Heart Planar Single (78472) $4,046 $4,046 11.3×
Hand 2 views (73120) $1,452 $1,452 15.5×
Hepatobil Syst Image W/Drug (78227) $9,426 $9,426 19.4×
Hepatobiliary System Imaging (78226) $5,341 $5,341 14.9×
Ht Muscle Image Spect Sing (78451) $9,980 $9,980 8.6×
Hysterosalpingogram (74740) $1,505 $1,505 7.0×
Interstitial radiation source applic complex (77778) $3,427 $3,427 5.5×
K Flow/Funct Image W/Drug (78708) $6,555 $6,555 13.5×
K Flow/Funct Image W/O Drug (78707) $3,657 $3,657 7.5×
Knee 3 Views (73562) $1,311 $1,311 16.8×
Liver & Spleen Imaging Static Only (78215) $3,720 $3,720 10.4×
Lung Perf&Ventilat Diferentl (78598) $3,784 $3,784 7.8×
Lung perfusion differential (78597) $4,438 $4,438 12.4×
Lung Ventilat&Perfus Imaging (78582) $3,969 $3,969 8.1×
Lymph System Imaging (78195) $3,483 $3,483 7.2×
Magnetic Image Jaw Joint (70336) $6,391 $6,391 29.9×
Meckels Divert Exam (78290) $2,247 $2,247 6.3×
Mlc imrt design & construction per imrt plan (77338) $18,452 $18,452 54.9×
Mr safety implant&/fb assmt clin staf 1st 15 min (76014) $126 $126 4.9×
Mr safety implt electronics prepj supvj phys/qhp (76018) $473 $473 5.5×
Mr safety implt pos&/immoblj (76019) $306 $306 5.8×
Mra Head W/O & W/Contrast Material (70546) $9,664 $9,664 30.9×
MRA head w/o contrast (70544) $6,964 $6,964 32.5×
Mra Neck W/O &W/Contrast Material (70549) $9,079 $9,079 29.0×
MRA neck w/o contrast (70547) $6,455 $6,455 30.2×
MRI abdomen w/o contrast (74181) $7,464 $7,464 34.9×
MRI any jt lower extrem w/contrast material (73722) $9,914 $9,914 14.1×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $12,498 $12,498 39.9×
MRI any jt upper extremity w/contrast matrl (73222) $10,161 $10,161 14.5×
MRI cardiac w/o contrast (75557) $10,171 $10,171 47.5×
MRI cervical spine w contrast (72142) $14,739 $14,739 47.1×
MRI cervical spine w/o cont (72141) $10,858 $10,858 50.7×
MRI chest w/o contrast (71550) $8,636 $8,636 40.4×
MRI chest wo w contrast (71552) $6,297 $6,297 20.1×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $9,966 $9,966 31.8×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $8,725 $8,725 40.8×
MRI lumbar spine w contrast (72149) $11,856 $11,856 37.9×
Mri Neck Spine W/O & W/Dye (72156) $12,723 $12,723 40.7×
MRI orbit face &/neck w/o contrast (70540) $11,051 $11,051 51.6×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $13,752 $13,752 43.9×
MRI pelvis w/o & w contrast (72197) $10,799 $10,799 34.5×
MRI pelvis w/o contrast (72195) $8,292 $8,292 38.7×
MRI thoracic spine w/o contrast (72146) $10,412 $10,412 48.7×
MRI upper extremity oth than jt w/contr matrl (73219) $10,746 $10,746 34.3×
MRI upper extremity oth than jt w/o contr matrl (73218) $8,838 $8,838 41.3×
Mri Uppr Extremity W/O&W/Dye (73220) $11,652 $11,652 37.2×
MRI, abdomen, combo (74183) $12,654 $12,654 40.4×
MRI, dorsal spine combo (72157) $11,718 $11,718 37.4×
MRI, dorsal spine contrast (72147) $11,150 $11,150 35.6×
MRI, joint upper extrem (73221) $9,946 $9,946 46.5×
MRI, joint upper extrem combo (73223) $11,648 $11,648 37.2×
MRI, lumbar spine combo (72158) $15,450 $15,450 49.4×
Myocardial Spect Multiple Studies (78452) $13,449 $13,449 11.6×
Neck soft tissue (70360) $839 $839 10.7×
Ntsty modul radthx pln dose-vol histos (77301) $9,966 $9,966 8.0×
Nuclear Rx Oral Admin (79005) $1,741 $1,741 8.3×
Parathyroid Planar Imaging (78070) $4,104 $4,104 11.4×
Parathyroid planar imaging w/wo subtraction (78071) $3,952 $3,952 11.0×
Pelvis 1 or 2 views (72170) $1,004 $1,004 10.7×
PET image w/CT, full body (78816) $21,930 $21,930 17.1×
PET imaging CT attenuation skull base mid-thigh (78815) $21,930 $21,930 17.1×
Pulmonary Perfusion Imaging Particulate (78580) $3,316 $3,316 9.2×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $2,442 $2,442 26.0×
Radex Ankle Complete Minimum 3 Views (73610) $1,353 $1,353 17.3×
Radex Calcaneus Minimum 2 Views (73650) $875 $875 11.2×
Radex elbow complete minimum 3 views (73080) $1,248 $1,248 16.0×
Radex Facial Bones Complete Minimum 3 Views (70150) $1,713 $1,713 18.3×
Radex fingr minimum 2 views (73140) $1,005 $1,005 12.9×
Radex foot complete minimum 3 views (73630) $1,358 $1,358 17.4×
Radex Hand Minimum 3 Views (73130) $1,248 $1,248 16.0×
Radex lower extremity infant minimum 2 views (73592) $361 $361 4.6×
Radex Nasal Bones Complete Minimum 3 Views (70160) $1,303 $1,303 16.7×
Radex Ribs Unilateral 2 Views (71100) $1,247 $1,247 16.0×
Radex shoulder complete minimum 2 views (73030) $2,041 $2,041 26.1×
Radex Sinuses Paransl < 3 Views (70210) $966 $966 12.4×
Radex Spine 1 View Specify Level (72020) $921 $921 11.8×
Radex Sternum Minimum 2 Views (71120) $1,126 $1,126 14.4×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $1,056 $1,056 13.5×
Radex Toe Minimum 2 Views (73660) $820 $820 10.5×
Radex upper extremity infant minimum 2 views (73092) $353 $353 3.8×
Radex Wrist Complete Minimum 3 Views (73110) $1,325 $1,325 17.0×
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $2,234 $2,234 23.8×
Radiation Delivery Stereotactic Cranial Linear (77372) $36,577 $36,577 5.5×
Radiation treatment delivery level 3 (77412) $4,102 $4,102 8.3×
Radiolog exam mandible compl minimum 4 views (70110) $1,373 $1,373 14.6×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $1,595 $1,595 17.0×
Radiologic exam colon double contrast study (74280) $2,925 $2,925 18.6×
Radiologic exam colon single contrast study (74270) $2,265 $2,265 14.4×
Radiologic exam knee complete 4/more views (73564) $1,740 $1,740 18.6×
Radiologic exam pelvis compl minimum 3 views (72190) $955 $955 10.2×
Radiologic Exam Small Int Single Contrast Study (74250) $1,924 $1,924 12.2×
Radiologic exam swallow function contrast study (74230) $1,077 $1,077 6.8×
Radiologic exam upr gi trc double contrast study (74246) $4,314 $4,314 27.4×
Radiologic examination femur 1 view (73551) $401 $401 5.1×
Radiologic examination femur minimum 2 views (73552) $1,018 $1,018 13.0×
Radiologic examination knee 1/2 views (73560) $1,052 $1,052 13.5×
Radiologic Examination Osseous Survey Limited (77074) $916 $916 9.8×
Radiologic examination tibia & fibula 2 views (73590) $1,105 $1,105 14.2×
Ribs bilateral 3 views (71110) $2,186 $2,186 23.3×
Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) $2,216 $2,216 6.2×
Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804)
range across 2 matching MRF lines		 $2,996–$13,929 $2,996–$13,929 varies
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) $18,310 $18,310 37.6×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803)
range across 2 matching MRF lines		 $8,853–$15,711 $8,853–$15,711 varies
Scapula (73010) $849 $849 9.1×
Screening Digital Breast Tomosynthesis Bi (77063) $281 $281 12.0×
Shoulder 1 view (73020) $936 $936 12.0×
Shoulder Arthrography (73040) $1,895 $1,895 6.1×
Skull less than 4 views (70250) $1,036 $1,036 11.0×
Special dosimetry (77331) $1,553 $1,553 12.9×
Special Physics Consult (77370) $4,775 $4,775 39.6×
Special teletherapy port plan (77321) $13,106 $13,106 39.0×
Special treatment procedure (77470) $5,870 $5,870 11.8×
Stereotactic Body Radiation Delivery (77373) $5,294 $5,294 3.3×
Sternoclavicular joints (71130) $1,044 $1,044 13.4×
Telethx isodose pln cplx w/basic dosimetry (77307) $6,060 $6,060 18.0×
Ther Rad Simulaj-Aided Field Setting Complex (77290) $3,598 $3,598 10.7×
Ther rad simulaj-aided field setting simple (77280) $2,356 $2,356 19.5×
Thoracic spine 2 views (72070) $1,353 $1,353 14.4×
Thoracic spine 3 views (72072) $1,608 $1,608 17.1×
Thoracolumbar 2 views (72080) $896 $896 11.5×
Thyroid Imaging With Vascular Flow (78013) $1,993 $1,993 5.6×
Thyroid Met Imaging Body (78018) $3,208 $3,208 6.6×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $3,587 $3,587 10.0×
Tx Devices Design & Construction Complex (77334) $2,643 $2,643 7.9×
Tx devices design & construction simple (77332) $1,017 $1,017 8.4×
Ultrasound Breast Limited (76642) $1,640 $1,640 21.0×
Ultrasound Elastography Parenchyma (76981) $1,701 $1,701 18.1×
Ultrasound Exam Aaa Screen (76706) $2,748 $2,748 29.3×
Ultrasound, abdomen limited (76705) $2,173 $2,173 23.2×
Upper gi w/o kub (74240) $3,639 $3,639 23.1×
Us breast unilateral complete (76641) $2,282 $2,282 24.3×
Us chest (76604) $920 $920 9.8×
Us complete joint (76881) $1,623 $1,623 17.3×
Us exam, pelvic, limited (76857) $2,016 $2,016 21.5×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $1,623 $1,623 17.3×
Us ob limited 1 or more fetuses (76815) $1,203 $1,203 12.8×
Us ob transvaginal (76817) $1,396 $1,396 14.9×
Us pelvic non ob complete (76856) $2,580 $2,580 27.5×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $1,957 $1,957 20.9×
Us retroperitoneal complete (76770) $2,482 $2,482 26.5×
Us retroperitoneal limited (76775) $2,029 $2,029 21.6×
Us scrotum and contents (76870) $2,063 $2,063 22.0×
Us thyroid (76536) $1,758 $1,758 18.7×
Venography caval inferior serialography rs&i (75825) $6,407 $6,407 2.3×
Venography extremity bilateral rs&i (75822) $2,902 $2,902 2.1×
Venography extremity unilateral rs&i (75820) $2,412 $2,412 1.7×
Wrist 2 views (73100) $1,123 $1,123 14.4×
X-Ray Aorta Leg Arteries (75630) $7,562 $7,562 2.7×
X-Ray Bend Only L-S Spine (72120) $962 $962 10.3×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $774 $774 9.9×
X-Ray Exam Breast Specimen (76098) $1,214 $1,214 2.5×
X-Ray Exam Entire Spi 1 Vw (72081) $2,249 $2,249 28.8×
X-Ray Exam Entire Spi 2/3 Vw (72082) $1,478 $1,478 15.8×
X-Ray Exam Entire Spi 4/5 Vw (72083) $1,751 $1,751 18.7×
X-Ray Exam Hip Uni 1 View (73501) $770 $770 9.9×
X-Ray Exam Hip Uni 2-3 Views (73502) $1,184 $1,184 15.2×
X-Ray Exam Hip Uni 4/> Views (73503) $1,717 $1,717 18.3×
X-Ray Exam Hips Bi 2 Views (73521) $721 $721 7.7×
X-Ray Exam Hips Bi 3-4 Views (73522) $1,441 $1,441 15.4×
X-Ray Exam Hips Bi 5/> Views (73523) $2,886 $2,886 30.8×
X-Ray Exam L-S Spine Bending (72114) $1,838 $1,838 19.6×
X-Ray Exam Neck Spine 2-3 Vw (72040) $1,411 $1,411 18.1×
X-Ray Exam Neck Spine 6/>Vws (72052) $1,955 $1,955 20.8×
X-Ray Exam Unilat Ribs/Chest (71101) $1,330 $1,330 14.2×
X-ray eye for foreign body (70030) $1,479 $1,479 18.9×
X-ray humerus (73060) $975 $975 12.5×
X-ray IV pyelogram (ivp) (74400) $3,323 $3,323 21.1×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $856 $856 11.0×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $828 $828 10.6×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $1,478 $1,478 15.8×
X-ray nose-rectum child f.b. (76010) $776 $776 9.9×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $3,011 $3,011 32.1×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $818 $818 8.7×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $610 $610 6.5×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $1,115 $1,115 14.3×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $1,753 $1,753 22.5×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $1,863 $1,863 19.9×
X-ray thoracic spine 4 vw (72074) $1,376 $1,376 14.7×
X-Ray Tmj Unilat (70328) $618 $618 7.9×
X-Rays Bone Survey Complete (77075) $1,598 $1,598 17.0×
Xr c-spine 4 or 5 views (72050) $2,023 $2,023 21.6×
Xr facial bones less than 3 views (70140) $884 $884 11.3×
Xr orbits complete 4 views (70200) $1,786 $1,786 19.0×

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.