Imaging prices at Baptist Memorial Hospital-Carroll County

Huntingdon, TN · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Abdomen 2 views (74019) $107.18 $466 1.1×
Acute gastrointestinal blood loss imaging (78278) $357.42 $1,554 1.0×
Angiography extremity bilateral rs&i (75716) $1,810.79 $7,873 0.6×
Angiography extremity unilateral rs&i (75710) $1,259.02 $5,474 0.4×
Angiography visceral slctv/supraslctv rs&i (75726)
unusually low: confirm this is the full procedure
$1,795.15 $7,805 0.4×
Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) $437 $1,900 0.2×
Ankle 2 views (73600) $75.67 $329 1.0×
Aortogram thoracic (75605)
unusually low: confirm this is the full procedure
$1,862.08 $8,096 0.4×
Aortography abdl bi iliofem low extrem cath rs&i (75630) $1,810.79 $7,873 0.6×
Aortography abdominal serialography rs&i (75625) $1,810.79 $7,873 0.6×
Arthrogram shoulder (73040) $304.75 $1,325 1.0×
Bone &/Joint Imaging Limited Area (78300) $357.42 $1,554 1.0×
Bone &/Joint Imaging Multiple Areas (78305) $287.96 $1,252 0.8×
Bone &/joint imaging whole body (78306) $557.29 $2,423 1.5×
Bone Imaging 3 Phase (78315) $681.49 $2,963 1.9×
Bone survey complete (77075) $229.31 $997 2.4×
Cervical spine 2 or 3 views (72040) $112.24 $488 1.4×
Chest 1 view (71045) $92 $400 1.2×
Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) $186.53 $811 1.2×
Clavicle complete (73000) $103.04 $448 1.3×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $51.06 $222 0.5×
CT abdomen and pelvis without and with contrast (74178) $1,815.85 $7,895 5.7×
CT abdomen and pelvis without contrast (74176) $1,414.50 $6,150 6.5×
CT abdomen w contrast (74160) $808.68 $3,516 5.1×
CT abdomen w wo contrast (74170) $915.86 $3,982 5.8×
CT abdomen w/o contrast (74150) $717.60 $3,120 7.6×
CT angio hrt w/3d image (75574) $888.72 $3,864 2.8×
CT angiography upper extremity lt (73206) $853.99 $3,713 5.4×
CT c-spine w/o contrast (72125) $770.73 $3,351 8.1×
CT cervical spine w&w/o contrast (72127) $861.81 $3,747 5.4×
CT cervical spine with contrast (72126) $808.68 $3,516 2.6×
CT chest w/wo contrast (71270) $900.22 $3,914 5.7×
CT chest with contrast (71260) $808.68 $3,516 5.1×
CT head/brain with contrast (70460) $808.68 $3,516 5.1×
CT head/brain without and with contrast (70470) $887.57 $3,859 5.6×
CT heart no contrast quant eval coronry calcium (75571) $61.87 $269 0.8×
CT iac w contrast (70481) $777.63 $3,381 4.9×
CT limited/localized follow up study (76380) $342.93 $1,491 4.3×
CT lower ext w/o (73700) $688.16 $2,992 7.3×
CT lower extremity w wo contrast (73702) $700.12 $3,044 4.4×
CT lower extremity with contrast (73701) $983.48 $4,276 6.2×
CT lumbar spine w & w/o contrast (72133) $900.22 $3,914 5.7×
CT lumbar spine w/o contrast (72131) $790.51 $3,437 8.3×
CT lumbar spine with contrast (72132) $827.08 $3,596 2.6×
CT maxillofacial w contrast (70487) $696.90 $3,030 4.4×
CT maxillofacial w/o contrast (70486) $688.16 $2,992 7.3×
CT maxillofacial w/wo contrast (70488) $884.35 $3,845 5.6×
CT neck soft tissue w contrast (70491) $808.68 $3,516 5.1×
CT orbit sella/post fossa/ear w/o & w/contr matr (70482) $853.53 $3,711 5.4×
CT orbits w/o contrast (70480) $476.79 $2,073 5.0×
CT pelvis w & w/o contrast (72194) $900.22 $3,914 5.7×
CT pelvis w/o contrast (72192) $684.71 $2,977 7.2×
CT scan for measuring calcium and other minerals in bone (77078) $173.65 $755 2.2×
CT soft tissue neck w/o & w/contrast material (70492) $1,029.71 $4,477 6.5×
CT soft tissue neck w/o contrast (70490) $712.54 $3,098 7.5×
CT thoracic spine w/contrast (72129) $868.25 $3,775 5.5×
CT thoracic spine w/o contrast (72128) $727.26 $3,162 7.7×
CT thoracic spine w/wo contrast (72130) $900.22 $3,914 5.7×
CT thorax w/o contrast (71250) $392.26 $1,705.50 4.1×
CT upper extremity w/o & w/contrast material (73202) $812.36 $3,532 5.1×
CT upper extremity w/o contrast rt (73200) $688.16 $2,992 7.3×
CT upper extremity with contrast (73201) $755.78 $3,286 2.4×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $985.09 $4,283 6.2×
Cta Abdomen (74175) $1,022.58 $4,446 6.4×
CTA abdomen pelvis (74174) $2,008.59 $8,733 6.3×
CTA chest (71275) $1,015.91 $4,417 6.4×
Cta Head (70496) $1,029.71 $4,477 6.5×
CTA lwr ext w&w/o contrast (73706) $727.03 $3,161 4.6×
Cta Neck (70498) $1,029.71 $4,477 6.5×
Cta Pelvis (72191) $985.09 $4,283 6.2×
Dxa bone density study 1/> sites axial skel (77080) $114.77 $499 1.2×
Dxa bone density study 1/>sites appendiclr skel (77081) $45.08 $196 0.6×
Esophagus (74220) $165.60 $720 1.0×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $284.28 $1,236 3.0×
Fluoroscopy up to 1 hr (76000) $130.18 $566 0.6×
Foot 2 views (73620) $91.54 $398 1.2×
Forearm 2 views (73090) $66.58 $289.50 0.8×
Gated Heart Planar Single (78472) $349.60 $1,520 1.0×
Hand 2 views (73120) $46.80 $203.50 0.5×
Hand 3 views (73130) $97.29 $423 1.2×
Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) $641.47 $2,789 1.3×
Hepatobiliary syst imaging including gallbladder (78226) $507.38 $2,206 1.4×
Ht muscle image spect sing (78451) $1,027.64 $4,468 0.9×
Humerus Min 2 Views Left (73060) $72.22 $314 0.9×
Hysterosalpingogram (74740) $180.78 $786 0.8×
Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) $537.74 $2,338 1.1×
Knee 3 views (73562) $112.24 $488 1.4×
Liver & Spleen Imaging W/Vascular Flow (78216) $379.96 $1,652 1.0×
Lung perf&ventilat diferentl (78598) $735.77 $3,199 1.5×
Lung perfusion differential (78597) $481.16 $2,092 1.3×
Lung Ventilation Imaging (78579) $255.07 $1,109 0.7×
Lymphoscintigraphy (78195) $220.11 $957 0.4×
Meckels Diverticulum (78290) $350.29 $1,523 1.0×
MRA head w/o contrast (70544) $922.07 $4,009 4.3×
MRA neck w contrast (70548) $985.55 $4,285 3.1×
Mra Neck W/O &W/Contrast Material (70549) $1,422.09 $6,183 4.5×
MRA neck w/o contrast (70547) $881.82 $3,834 4.1×
MRI abdomen w/o & w/contrast material (74183) $1,457.51 $6,337 4.6×
MRI abdomen w/o contrast (74181) $856.06 $3,722 4.0×
MRI any jnt lwr ext with con lt (73722) $1,073.87 $4,669 1.5×
MRI any jt upper extremity w/contrast matrl (73222) $1,034.08 $4,496 1.5×
MRI c-spine with contrast (72142) $972.67 $4,229 3.1×
MRI cervical spine w/o contrast (72141) $939.55 $4,085 4.3×
MRI chest w/o & w/contrast material (71552) $1,479.82 $6,434 4.7×
MRI chest w/o contrast (71550) $784.76 $3,412 3.6×
MRI chest with contrast (71551) $939.55 $4,085 1.3×
MRI Forearm w/ Contrast Bilateral 73219 (73219) $1,020.74 $4,438 3.2×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $1,020.74 $4,438 3.2×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $786.14 $3,418 3.6×
MRI orbit face &/neck w/o contrast (70540) $604.56 $2,628.50 2.8×
MRI orbit/face/neck w&w/o cont (70543) $1,109.52 $4,824 3.5×
MRI pelvis w contrast (72196) $1,124.93 $4,891 3.6×
MRI pelvis w/o & w/contrast material (72197) $1,140.80 $4,960 3.6×
MRI pelvis w/o contrast (72195) $1,119.64 $4,868 5.2×
MRI scan of arm joint before and after contrast (73223) $1,109.52 $4,824 3.5×
MRI scan of leg joint before and after contrast (73723) $1,109.52 $4,824 3.5×
MRI spinal canal cervical w/o & w/contr matrl (72156) $1,382.07 $6,009 4.4×
MRI spinal canal lumbar w/contrast material (72149) $1,020.74 $4,438 3.2×
MRI spinal canal lumbar w/o & w/contr matrl (72158) $1,302.49 $5,663 4.1×
MRI spinal canal thoracic w/contrast matrl (72147) $1,090.20 $4,740 3.4×
MRI spinal canal thoracic w/o & w/contr matrl (72157) $1,109.52 $4,824 3.5×
MRI thoracic spine w/o contrast (72146) $686.09 $2,983 3.2×
MRI tmj (70336) $910.80 $3,960 4.2×
MRI upper ext joint w/o contrast (73221) $1,034.08 $4,496 4.8×
MRI upper extrem other than jt w/o & w/contras (73220) $1,109.52 $4,824 3.5×
MRI upper extremity oth than jt w/o contr matrl (73218) $784.76 $3,412 3.6×
Myocardial Spect Multiple Studies (78452) $1,612.76 $7,012 1.4×
Neck soft tissue (70360) $85.56 $372 1.1×
Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) $159.39 $693 0.4×
Nm gastric emptying study (78264) $590.64 $2,568 1.6×
Nuclear medicine of heart muscle at rest with stress (78454) $1,260.17 $5,479 1.1×
Nuclear medicine study of kidney and blood flow (78701) $379.04 $1,648 1.0×
Nuclear medicine study of stomach to assess emptying small bowel movement (78265) $570.86 $2,482 1.6×
Nuclear medicine study to assess blood clot in vein of side (78457) $531.30 $2,310 1.1×
Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) $172.96 $752 1.8×
Osseous survey infant (77076) $125.12 $544 1.3×
Parathyroid imaging (78070) $272.78 $1,186 0.8×
Pelvis 1 or 2 views (72170) $89.93 $391 0.9×
Pr MRI, lower extr, w/o contrast f/u by contrast (73720) $1,109.52 $4,824 3.5×
Pulmonary Perfusion Imaging Particulate (78580) $406.64 $1,768 1.1×
Pulmonary Ventilation & Perfusion Imaging (78582) $735.77 $3,199 1.5×
Radex abscess/fistula/sinus tract rs&i (76080) $166.52 $724 0.3×
Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) $91.31 $397 1.2×
Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) $101.20 $440 1.1×
Radex hips bilateral with pelvis 2 views (73521) $114.54 $498 1.2×
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $167.44 $728 1.8×
Radiolog exam mandible compl minimum 4 views (70110) $136.16 $592 1.4×
Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) $89.70 $390 1.1×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $136.85 $595 1.4×
Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) $105.34 $458 1.3×
Radiologic exam colon single contrast study (74270) $199.64 $868 1.3×
Radiologic exam upr gi trc double contrast study (74246) $383.18 $1,666 2.4×
Radiologic exam upr gi trc single contrast study (74240) $290.26 $1,262 1.8×
Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) $97.98 $426 1.2×
Radiological examination surgical specimen (76098) $337.06 $1,465.50 0.7×
Ribs bilateral 3 views (71110) $141.68 $616 1.5×
Sacroiliac Joints < 3 Views (72200) $97.75 $425 1.0×
Scapula complete (73010) $107.18 $466 1.1×
Screening digital breast tomosynthesis (77063) $24.15 $105 1.0×
Small bowel series (74250) $269.79 $1,173 1.7×
Spine thoracic 3 views (72072) $137.08 $596 1.4×
Thoracolumbar 2 views (72080) $106.49 $463 1.3×
Thyroid Imaging With Vascular Flow (78013) $322.69 $1,403 0.9×
Thyroid uptake measurement (78012) $292.33 $1,271 0.8×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $378.81 $1,647 1.0×
Tmj unilateral (70328) $34.50 $150 0.4×
Ultrasound, abdomen limited (76705) $157.55 $685 1.7×
Unlisted magnetic resonance procedure (76498) $24.15 $105 0.3×
Upper Extremity Infant (73092) $68.08 $296 0.7×
Urethrocystography voiding (74455) $267.72 $1,164 1.2×
Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) $256.68 $1,116 1.6×
Us abdl aorta screen aaa (76706) $92 $400 1.0×
Us breast unilateral complete (76641) $189.52 $824 2.0×
Us breast unilateral limited (76642) $112.24 $488 1.4×
Us chest (76604) $61.64 $268 0.6×
Us compl joint r-t w/image documentation (76881) $176.87 $769 1.9×
Us ob detailed single fetus (76811) $468.28 $2,036 2.2×
Us ob transvaginal (76817) $180.78 $786 1.9×
Us pelvic non ob complete (76856) $287.96 $1,252 3.0×
Us pelvic nonobstetric image dcmtn limited/f/u (76857) $146.74 $638 1.5×
Us pregnancy ltd (76815) $228.62 $994 2.4×
Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) $288.19 $1,253 3.0×
Us retroperitoneal complete (76770) $280.83 $1,221 3.0×
Us retroperitoneal limited (76775) $232.53 $1,011 2.5×
Us scrotum and contents (76870) $320.62 $1,394 3.4×
Us soft tissue head/neck (76536) $235.06 $1,022 2.5×
Us spinal canal and contents (76800) $118.91 $517 1.3×
Us xtr non-vasc lmtd (76882) $112.01 $487 1.2×
Venogram extremity bilateral (75822) $586.73 $2,551 0.4×
Venography caval inferior serialography rs&i (75825) $1,810.79 $7,873 0.6×
Venography caval superior serialography rs&i (75827) $641.47 $2,789 0.4×
Venography extremity unilateral rs&i (75820) $558.67 $2,429 0.4×
Wrist 2 views (73100) $78.89 $343 1.0×
X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) $148.35 $645 1.6×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $111.78 $486 1.4×
X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) $103.04 $448 1.3×
X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) $230 $1,000 1.4×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $71.99 $313 0.9×
X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) $106.49 $463 1.3×
X-ray exam entire spi 4/5 vw (72083) $145.13 $631 1.5×
X-ray exam hip uni 1 view (73501) $60.49 $263 0.8×
X-Ray Exam Hip Uni 2-3 Views (73502) $118.22 $514 1.5×
X-ray exam hip uni 4/> views (73503) $130.87 $569 1.4×
X-Ray Exam Hips Bi 3-4 Views (73522) $130.87 $569 1.4×
X-Ray Exam Hips Bi 5/> Views (73523) $151.57 $659 1.6×
X-ray exam of femur 1 (73551) $54.28 $236 0.7×
X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) $180.55 $785 1.9×
X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) $189.29 $823 2.4×
X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) $99.82 $434 1.3×
X-Ray Heel - Xr Calcaneus 2 Views Right (73650) $100.05 $435 1.3×
X-ray IV pyelogram+drip infusn (74410) $256.68 $1,116 1.6×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $89.24 $388 1.1×
X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) $131.56 $572 1.4×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $68.08 $296 0.9×
X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) $73.83 $321 0.9×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $137.08 $596 1.4×
X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) $159.16 $692 1.7×
X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) $137.08 $596 1.4×
X-Ray Nasal Bones - Xr Nasal Bones (70160) $100.97 $439 1.3×
X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) $101.20 $440 1.3×
X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) $132.94 $578 1.4×
X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) $126.50 $550 1.3×
X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) $114.31 $497 1.4×
X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) $173.65 $755 1.8×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $232.53 $1,011 2.5×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $131.56 $572 1.4×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $97.75 $425 1.2×
X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) $112.24 $488 1.4×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $126.50 $550 1.6×
X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) $55.89 $243 0.7×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $148.35 $645 1.6×
X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) $99.94 $434.50 1.1×
X-Ray Spine One View - Xr Spine (72020) $50.14 $218 0.6×
X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) $85.56 $372 1.1×
X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) $123.51 $537 1.6×
X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) $127.65 $555 1.3×
X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) $154.33 $671 1.6×
X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) $69 $300 0.9×
X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) $100.05 $435 1.3×
Xr c-spine 6 or more views (72052) $173.65 $755 1.8×
Xr chest 4+ views (71048) $118.22 $514 1.2×
Xr finger(s) 2+ views (73140) $78.66 $342 1.0×
Xr shoulder 1 view (73020) $47.61 $207 0.6×
Xr spine cervical 4 or 5 views (72050) $136.16 $592 1.4×
Xr tibia/fibula 2 views (73590) $99.82 $434 1.3×
Xr tmj bilateral (70330) $136.16 $592 1.7×
Xray knee 1 or 2 views rt (73560) $99.59 $433 1.3×