Imaging prices at Baptist Memorial Hospital-Leake
Carthage, MS · every code in this section with a posted price and a Medicare benchmark.
213 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) | $129.60 | $288 | 1.7× |
| Abdomen 2 views (74019) | $138.60 | $308 | 1.5× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $417.15 | $927 | 1.2× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$88.65–$106.20 | $197–$236 | varies |
| Bone age studies (77072) | $264.15 | $587 | 2.9× |
| Bone Imaging 3 Phase (78315) | $574.20 | $1,276 | 1.7× |
| Bone Imaging Limited Area (78300) | $517.95 | $1,151 | 1.5× |
| Bone Imaging Whole Body (78306) | $652.50 | $1,450 | 1.9× |
| Bone survey infant (77076) | $174.60 | $388 | 1.9× |
| Cat Scan Follow-Up Study (76380) | $162 | $360 | 2.2× |
| Chest 1 view (71045) | $106.20 | $236 | 1.4× |
| Chest 2 views (71046) | $127.35 | $283 | 1.7× |
| Chest 3 views (71047) | $213.30 | $474 | 2.8× |
| Chest 4 or more views (71048) | $142.20 | $316 | 1.6× |
| Clavicle complete (73000) | $94.50 | $210 | 1.3× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $57.60 | $128 | 0.6× |
| CT abdomen and pelvis without and with contrast (74178) | $1,391.85 | $3,093 | 4.6× |
| CT abdomen and pelvis without contrast (74176) | $1,012.50 | $2,250 | 4.9× |
| CT abdomen w contrast (74160) | $947.70 | $2,106 | 6.3× |
| CT abdomen w wo contrast (74170) | $1,124.55 | $2,499 | 7.4× |
| CT abdomen w/o contrast (74150) | $829.35 | $1,843 | 9.2× |
| CT Angio Abdomen and Pelvis (74174) | $1,362.60 | $3,028 | 4.5× |
| CT Angio Chest (71275) | $1,242.90 | $2,762 | 8.2× |
| CT Angio Head (70496) | $972.90 | $2,162 | 6.4× |
| CT angio hrt w/3d image (75574) | $1,184.40 | $2,632 | 3.9× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,539.90 | $3,422 | 10.2× |
| CT Angio Neck (70498) | $972.90 | $2,162 | 6.4× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,816.65 | $4,037 | 12.0× |
| CT bone density (77078) | $364.05 | $809 | 4.9× |
| CT cervical spine w/ contrast (72126) | $1,169.55 | $2,599 | 3.9× |
| CT cervical spine w/o contrast (72125) | $829.35 | $1,843 | 9.2× |
| CT cervical spine w/wo cont (72127) | $1,302.75 | $2,895 | 8.6× |
| CT chest w contrast (71260) | $947.70 | $2,106 | 6.3× |
| CT chest w/wo contrast (71270) | $900.45 | $2,001 | 6.0× |
| CT head/brain with contrast (70460) | $710.55 | $1,579 | 4.7× |
| CT head/brain without and with contrast (70470) | $887.85 | $1,973 | 5.9× |
| CT heart no contrast quant eval coronry calcium (75571) | $121.05 | $269 | 1.6× |
| CT iac w contrast (70481) | $1,394.10 | $3,098 | 9.2× |
| CT l-spine w&w/o contrast (72133) | $863.10 | $1,918 | 5.7× |
| CT lower ext w/o (73700) | $829.35 | $1,843 | 9.2× |
| CT lower extremity w/contrast material (73701) | $947.70 | $2,106 | 6.3× |
| CT lumbar spine w contrast (72132) | $1,535.40 | $3,412 | 5.1× |
| CT lumbar spine w/o contrast (72131) | $829.35 | $1,843 | 9.2× |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$517.50–$681.30 | $1,150–$1,514 | varies |
| CT maxillofacial wo contrast (70486) | $666.90 | $1,482 | 7.4× |
| CT neck tissue combo (70492) | $887.85 | $1,973 | 5.9× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $756 | $1,680 | 5.0× |
| CT orbits w/o contrast (70480) | $641.25 | $1,425 | 7.1× |
| CT pelvis w&w/o contrast (72194) | $1,124.55 | $2,499 | 7.4× |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$829.35–$1,314.45 | $1,843–$2,921 | varies |
| CT scan of leg combo (73702) | $1,754.55 | $3,899 | 11.6× |
| CT scans face/jaw combo (70488) | $739.80 | $1,644 | 4.9× |
| CT soft tissue neck w contrast (70491) | $829.35 | $1,843 | 5.5× |
| CT soft tissue neck w/o contrast (70490) | $769.50 | $1,710 | 8.5× |
| CT thoracic spine w contrast (72129) | $1,066.05 | $2,369 | 7.0× |
| CT thoracic spine w/o contrast (72128) | $829.35 | $1,843 | 9.2× |
| CT thoracic spine w/wo cont (72130) | $1,302.75 | $2,895 | 8.6× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$666.90–$829.35 | $1,482–$1,843 | varies |
| CT upper ext wo (73200) | $829.35 | $1,843 | 9.2× |
| CT upper extremity w/o & w/contrast material (73202) | $953.10 | $2,118 | 6.3× |
| CT upper extremity with contrast (73201) | $947.70 | $2,106 | 3.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,539.90 | $3,422 | 10.2× |
| Cta Abdomen (74175) | $1,302.75 | $2,895 | 8.6× |
| Dxa Bone Density Axial (77080) | $384.75 | $855 | 4.3× |
| Esophagram (74220) | $153.90 | $342 | 1.0× |
| Fetal Biophys Profile W/Nst (76818) | $330.30 | $734 | 3.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $281.25 | $625 | 3.1× |
| Fluoroscopy up to 1 hr (76000) | $187.65 | $417 | 0.9× |
| Foot 2 views (73620) | $106.20 | $236 | 1.4× |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$85.95–$106.20 | $191–$236 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$393.75–$405.45 | $875–$901 | varies |
| Hand 2 views (73120) range across 2 matching MRF lines |
$106.20–$264.15 | $236–$587 | varies |
| Hepatobil Syst Image W/Drug (78227) | $710.55 | $1,579 | 1.5× |
| Hepatobiliary System Imaging (78226) | $710.55 | $1,579 | 2.1× |
| Ht Muscle Image Spect Sing (78451) | $1,115.10 | $2,478 | 1.0× |
| K Flow/Funct Image W/Drug (78708) | $652.50 | $1,450 | 1.4× |
| Knee 3 Views (73562) | $118.35 | $263 | 1.6× |
| Liver & Spleen Imaging Static Only (78215) | $515.70 | $1,146 | 1.5× |
| Lung Ventilat&Perfus Imaging (78582) | $947.70 | $2,106 | 2.0× |
| Lung Ventilation Imaging (78579) | $532.80 | $1,184 | 1.5× |
| Magnetic Image Jaw Joint (70336) | $1,654.65 | $3,677 | 8.0× |
| Mra Head W/O & W/Contrast Material (70546) | $2,155.95 | $4,791 | 7.2× |
| MRA head w/o contrast (70544) | $1,093.50 | $2,430 | 5.3× |
| MRA head with contrast (70545) | $1,046.70 | $2,326 | 3.5× |
| MRA neck w contrast (70548) | $1,046.70 | $2,326 | 3.5× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,131.65 | $4,737 | 7.1× |
| MRA neck w/o contrast (70547) | $1,093.50 | $2,430 | 5.3× |
| MRI abdomen w contrast (74182) | $1,223.55 | $2,719 | 4.1× |
| MRI abdomen w/o contrast (74181) | $1,090.80 | $2,424 | 5.3× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,131.65 | $4,737 | 7.1× |
| MRI cervical spine w contrast (72142) | $1,332 | $2,960 | 4.4× |
| MRI cervical spine w/o cont (72141) | $1,124.10 | $2,498 | 5.5× |
| MRI chest w/o contrast (71550) | $1,090.80 | $2,424 | 5.3× |
| MRI chest with contrast (71551) | $1,838.25 | $4,085 | 2.7× |
| MRI chest wo w contrast (71552) | $2,131.65 | $4,737 | 7.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,206 | $2,680 | 4.0× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,131.65 | $4,737 | 7.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,184.40 | $2,632 | 5.8× |
| MRI lumbar spine w contrast (72149) | $1,332.90 | $2,962 | 4.4× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,131.65 | $4,737 | 7.1× |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$716.85–$949.95 | $1,593–$2,111 | varies |
| MRI orbit face neck w contrast (70542) | $1,296.90 | $2,882 | 4.3× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$935.55–$2,071.80 | $2,079–$4,604 | varies |
| MRI pelvis w contrast (72196) | $1,818.45 | $4,041 | 6.0× |
| MRI pelvis w/o & w contrast (72197) | $2,131.65 | $4,737 | 7.1× |
| MRI pelvis w/o contrast (72195) | $1,111.05 | $2,469 | 5.4× |
| MRI thoracic spine w/o contrast (72146) | $1,226.70 | $2,726 | 6.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,096.20 | $2,436 | 5.3× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,212.20 | $4,916 | 7.4× |
| MRI, abdomen, combo (74183) | $2,131.65 | $4,737 | 7.1× |
| MRI, dorsal spine combo (72157) | $2,717.10 | $6,038 | 9.0× |
| MRI, dorsal spine contrast (72147) | $1,346.85 | $2,993 | 4.5× |
| MRI, joint upper extrem (73221) | $1,096.20 | $2,436 | 5.3× |
| MRI, joint upper extrem combo (73223) | $2,131.65 | $4,737 | 7.1× |
| MRI, lumbar spine combo (72158) | $2,131.65 | $4,737 | 7.1× |
| Myocardial Spect Multiple Studies (78452) | $1,302.75 | $2,895 | 1.2× |
| Neck soft tissue (70360) | $182.70 | $406 | 2.4× |
| Parathyroid Planar Imaging (78070) | $515.70 | $1,146 | 1.5× |
| Pelvis 1 or 2 views (72170) | $112.95 | $251 | 1.3× |
| Pulmonary Perfusion Imaging Particulate (78580) | $473.40 | $1,052 | 1.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $162.45 | $361 | 1.8× |
| Radex Ankle Complete Minimum 3 Views (73610) | $118.35 | $263 | 1.6× |
| Radex Calcaneus Minimum 2 Views (73650) | $106.20 | $236 | 1.4× |
| Radex elbow complete minimum 3 views (73080) | $103.95 | $231 | 1.4× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $141.30 | $314 | 1.6× |
| Radex fingr minimum 2 views (73140) | $78.75 | $175 | 1.0× |
| Radex foot complete minimum 3 views (73630) | $118.35 | $263 | 1.6× |
| Radex Hand Minimum 3 Views (73130) | $112.95 | $251 | 1.5× |
| Radex lower extremity infant minimum 2 views (73592) | $106.20 | $236 | 1.4× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $153.90 | $342 | 2.1× |
| Radex Ribs Unilateral 2 Views (71100) | $127.35 | $283 | 1.7× |
| Radex shoulder complete minimum 2 views (73030) | $105.30 | $234 | 1.4× |
| Radex Sinuses Paransl < 3 Views (70210) | $212.40 | $472 | 2.8× |
| Radex Spine 1 View Specify Level (72020) range across 3 matching MRF lines |
$93.60–$134.10 | $208–$298 | varies |
| Radex Sternum Minimum 2 Views (71120) | $127.35 | $283 | 1.7× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $144 | $320 | 1.9× |
| Radex Toe Minimum 2 Views (73660) | $106.20 | $236 | 1.4× |
| Radex upper extremity infant minimum 2 views (73092) | $75.60 | $168 | 0.8× |
| Radex Wrist Complete Minimum 3 Views (73110) | $118.35 | $263 | 1.6× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $283.50 | $630 | 3.1× |
| Radiolog exam mandible compl minimum 4 views (70110) | $153.90 | $342 | 1.7× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $147.60 | $328 | 1.6× |
| Radiologic exam colon double contrast study (74280) | $279.45 | $621 | 1.8× |
| Radiologic exam knee complete 4/more views (73564) | $130.50 | $290 | 1.4× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $131.40 | $292 | 1.5× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $162.90 | $362 | 1.1× |
| Radiologic exam swallow function contrast study (74230) | $264.15 | $587 | 1.7× |
| Radiologic examination femur 1 view (73551) | $106.20 | $236 | 1.4× |
| Radiologic examination femur minimum 2 views (73552) | $127.35 | $283 | 1.7× |
| Radiologic examination knee 1/2 views (73560) | $106.20 | $236 | 1.4× |
| Radiologic examination tibia & fibula 2 views (73590) | $106.20 | $236 | 1.4× |
| Ribs bilateral 3 views (71110) | $136.35 | $303 | 1.5× |
| Scapula (73010) range across 2 matching MRF lines |
$73.35–$99.90 | $163–$222 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $45.45 | $101 | 1.9× |
| Shoulder 1 view (73020) | $84.60 | $188 | 1.1× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$85.95–$210.15 | $191–$467 | varies |
| Thoracic spine 2 views (72070) | $127.35 | $283 | 1.4× |
| Thoracic spine 3 views (72072) | $136.35 | $303 | 1.5× |
| Thoracolumbar 2 views (72080) | $161.10 | $358 | 2.1× |
| Thyroid Imaging With Vascular Flow (78013) | $384.75 | $855 | 1.1× |
| Thyroid Uptake Measurement (78012) | $296.10 | $658 | 0.9× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $473.40 | $1,052 | 1.4× |
| Ultrasound Breast Limited (76642) | $213.30 | $474 | 2.8× |
| Ultrasound Exam Aaa Screen (76706) | $180 | $400 | 2.0× |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$281.25–$401.85 | $625–$893 | varies |
| Us breast unilateral complete (76641) | $186.75 | $415 | 2.1× |
| Us chest (76604) | $306.45 | $681 | 3.4× |
| Us complete joint (76881) | $219.15 | $487 | 2.4× |
| Us exam, pelvic, limited (76857) range across 4 matching MRF lines |
$207.45–$313.65 | $461–$697 | varies |
| Us kidney transplant (76776) | $399.15 | $887 | 4.4× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$252–$281.25 | $560–$625 | varies |
| Us ob detailed single fetus (76811) | $292.95 | $651 | 1.4× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$210.15–$297.45 | $467–$661 | varies |
| Us ob transvaginal (76817) | $319.95 | $711 | 3.5× |
| Us pelvic non ob complete (76856) | $281.25 | $625 | 3.1× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $331.65 | $737 | 3.7× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $292.05 | $649 | 3.2× |
| Us retroperitoneal complete (76770) | $374.85 | $833 | 4.2× |
| Us retroperitoneal limited (76775) | $351.90 | $782 | 3.9× |
| Us scrotum and contents (76870) | $306 | $680 | 3.4× |
| Us thyroid (76536) | $278.10 | $618 | 3.1× |
| Wrist 2 views (73100) | $75.60 | $168 | 1.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $124.65 | $277 | 1.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$85.95–$90.90 | $191–$202 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $171.90 | $382 | 2.3× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $229.05 | $509 | 2.5× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $294.75 | $655 | 3.3× |
| X-Ray Exam Hip Uni 1 View (73501) | $106.20 | $236 | 1.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $124.20 | $276 | 1.7× |
| X-Ray Exam Hips Bi 2 Views (73521) | $222.30 | $494 | 2.5× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $306 | $680 | 3.4× |
| X-Ray Exam L-S Spine Bending (72114) | $482.85 | $1,073 | 5.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $236.70 | $526 | 3.2× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $283.95 | $631 | 3.2× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $136.35 | $303 | 1.5× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$103.95–$118.35 | $231–$263 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $142.20 | $316 | 1.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $94.50 | $210 | 1.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $153.45 | $341 | 1.7× |
| X-ray nose-rectum child f.b. (76010) | $86.40 | $192 | 1.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $148.05 | $329 | 1.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $148.05 | $329 | 1.6× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $131.85 | $293 | 1.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $140.40 | $312 | 1.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $142.20 | $316 | 1.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $144 | $320 | 1.6× |
| X-ray thoracic spine 4 vw (72074) | $236.70 | $526 | 2.6× |
| X-Ray Tmj Unilat (70328) | $77.85 | $173 | 1.0× |
| X-Rays Bone Survey Complete (77075) | $270.45 | $601 | 3.0× |
| Xr c-spine 4 or 5 views (72050) | $272.25 | $605 | 3.0× |
| Xr facial bones less than 3 views (70140) | $112.95 | $251 | 1.5× |
| XR Mastoids < 3 Views Bilateral (70120) | $192.60 | $428 | 2.1× |
| Xr orbits complete 4 views (70200) | $112.95 | $251 | 1.3× |
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.