Imaging prices at Baptist Health-Fort Smith

Fort Smith, AR · every code in this section with a posted price and a Medicare benchmark.

241 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) $2,179.84 $8,719.36 1.6×
Abdomen 2 views (74019) $61.10 $244.40 0.6×
Acute gastrointestinal blood loss imaging (78278) $236.60 $946.40 0.6×
Angiography extremity bilateral rs&i (75716) $1,317.68 $5,270.72 0.4×
Angiography extremity unilateral rs&i (75710) $1,317.68 $5,270.72 0.4×
Angiography pelvic slctv/supraslctv rs&i (75736)
unusually low: confirm this is the full procedure
$2,195.18 $8,780.72 0.4×
Angiography pulmonary unilateral slctv rs&i (75741) $1,317.68 $5,270.72 0.4×
Angiography Spinal Selective Rs&I (75705)
unusually low: confirm this is the full procedure
$2,565.68 $10,262.72 0.5×
Angiography visceral slctv/supraslctv rs&i (75726)
unusually low: confirm this is the full procedure
$2,448.94 $9,795.76 0.5×
Ankle 2 views (73600) $97.19 $388.74 1.2×
Antegrade urography radiological supvj & interpj (74425) $255.84 $1,023.36 0.8×
Aortography abdl bi iliofem low extrem cath rs&i (75630) $1,317.68 $5,270.72 0.4×
Aortography abdominal serialography rs&i (75625) $1,317.68 $5,270.72 0.4×
Arthrogram hip (73525) $191.56 $766.22 0.6×
Arthrogram shoulder (73040) $200.20 $800.80 0.6×
Basic radiation dosimetry calculation (77300) $226.46 $905.84 1.7×
Bone &/joint imaging whole body (78306) $652.08 $2,608.32 1.7×
Bone age studies (77072) $54.60 $218.40 0.5×
Bone Imaging 3 Phase (78315) $552.24 $2,208.96 1.4×
Bone survey complete (77075) $150.02 $600.08 1.5×
Brain image w/flow 4 + views (78606) $400.40 $1,601.60 0.8×
Cervical spine 2 or 3 views (72040) $89.96 $359.84 1.1×
Chest 1 view (71045) $44.72 $178.88 0.5×
Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) $99.32 $397.28 0.6×
Clavicle complete (73000) $73.82 $295.27 0.9×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $384.28 $1,537.12 3.8×
Continuing medical physics consltj pr wk (77336) $239.20 $956.80 1.8×
CT abdomen and pelvis without and with contrast (74178) $384.28 $1,537.12 1.1×
CT abdomen and pelvis without contrast (74176) $384.28 $1,537.12 1.7×
CT abdomen w contrast (74160) $384.28 $1,537.12 2.3×
CT abdomen w wo contrast (74170) $384.28 $1,537.12 2.3×
CT abdomen w/o contrast (74150) $384.28 $1,537.12 3.8×
CT angio hrt w/3d image (75574) $384.28 $1,537.12 1.1×
CT angiography upper extremity lt (73206) $384.28 $1,537.12 2.3×
CT c-spine w/o contrast (72125) $384.28 $1,537.12 3.8×
CT cervical spine w&w/o contrast (72127) $384.28 $1,537.12 2.3×
CT cervical spine with contrast (72126) $384.28 $1,537.12 1.1×
CT chest w/wo contrast (71270) $384.28 $1,537.12 2.3×
CT chest with contrast (71260) $384.28 $1,537.12 2.3×
CT head/brain with contrast (70460) $384.28 $1,537.12 2.3×
CT head/brain without and with contrast (70470) $384.28 $1,537.12 2.3×
CT heart contrast eval cardiac structure&morph (75572) $384.28 $1,537.12 1.1×
CT heart no contrast quant eval coronry calcium (75571) $20.67 $82.69 0.2×
CT iac w contrast (70481) $384.28 $1,537.12 2.3×
CT lower ext w/o (73700) $384.28 $1,537.12 3.8×
CT lower extremity w wo contrast (73702) $384.28 $1,537.12 2.3×
CT lower extremity with contrast (73701) $384.28 $1,537.12 2.3×
CT lumbar spine w & w/o contrast (72133) $384.28 $1,537.12 2.3×
CT lumbar spine w/o contrast (72131) $384.28 $1,537.12 3.8×
CT lumbar spine with contrast (72132) $384.28 $1,537.12 1.1×
CT maxillofacial w contrast (70487) $384.28 $1,537.12 2.3×
CT maxillofacial w/o contrast (70486) $384.28 $1,537.12 3.8×
CT maxillofacial w/wo contrast (70488) $384.28 $1,537.12 2.3×
CT neck soft tissue w contrast (70491) $384.28 $1,537.12 2.3×
CT orbit sella/post fossa/ear w/o & w/contr matr (70482) $384.28 $1,537.12 2.3×
CT orbits w/o contrast (70480) $384.28 $1,537.12 3.8×
CT pelvis w & w/o contrast (72194) $384.28 $1,537.12 2.3×
CT pelvis w/o contrast (72192) $384.28 $1,537.12 3.8×
CT soft tissue neck w/o & w/contrast material (70492) $384.28 $1,537.12 2.3×
CT soft tissue neck w/o contrast (70490) $384.28 $1,537.12 3.8×
CT thoracic spine w/contrast (72129) $384.28 $1,537.12 2.3×
CT thoracic spine w/o contrast (72128) $384.28 $1,537.12 3.8×
CT thorax w/o contrast (71250) $384.28 $1,537.12 3.8×
CT upper extremity w/o contrast rt (73200) $384.28 $1,537.12 3.8×
CT upper extremity with contrast (73201) $384.28 $1,537.12 1.1×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $384.28 $1,537.12 2.3×
Cta Abdomen (74175) $384.28 $1,537.12 2.3×
CTA abdomen pelvis (74174) $384.28 $1,537.12 1.1×
CTA chest (71275) $384.28 $1,537.10 2.3×
Cta Head (70496) $384.28 $1,537.10 2.3×
CTA lwr ext w&w/o contrast (73706) $384.28 $1,537.12 2.3×
Cta Neck (70498) $384.28 $1,537.10 2.3×
Cta Pelvis (72191) $384.28 $1,537.12 2.3×
Cystography minimum 3 views rs&i (74430) $226.98 $907.92 0.7×
Diskography lumbar (72295) $2,947.10 $11,788.40 1.6×
Dxa bone density study 1/> sites axial skel (77080) $103.74 $414.96 1.0×
Dxa bone density study 1/>sites appendiclr skel (77081) $51.22 $204.88 0.6×
Echoencephalography real time imaging (76506) $154.70 $618.80 1.5×
Esophagus (74220) $114.92 $459.68 0.7×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $96.98 $387.92 1.0×
Fluoroscopy up to 1 hr (76000) $105.82 $423.28 0.5×
Foot 2 views (73620) $61.58 $246.31 0.7×
Forearm 2 views (73090) $74.35 $297.40 0.9×
Gated Heart Planar Single (78472) $424.06 $1,696.24 1.1×
Hand 2 views (73120) $68.20 $272.79 0.7×
Hand 3 views (73130) $70.03 $280.10 0.8×
Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) $652.08 $2,608.32 1.2×
Hepatobiliary syst imaging including gallbladder (78226) $388.96 $1,555.84 1.0×
Ht muscle image spect sing (78451) $523.12 $2,092.48 0.4×
Humerus Min 2 Views Left (73060) $72.28 $289.12 0.9×
Hysterosalpingogram (74740) $304.46 $1,217.84 1.3×
Image fusion (77399) $123.76 $495.04 1.0×
Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) $236.60 $946.40 0.4×
Kidney img morphology vascular flow 1 w/rx (78708) $251.42 $1,005.68 0.5×
Knee 3 views (73562) $99.34 $397.34 1.2×
Liver & spleen imaging static only (78215) $170.56 $682.24 0.4×
Lymphoscintigraphy (78195) $342.16 $1,368.64 0.7×
Mlc imrt design & construction per imrt plan (77338) $2,006.68 $8,026.72 5.5×
Mr safety implant&/fb assmt clin staf 1st 15 min (76014) $15.86 $63.44 0.6×
MRA head w & w/o contrast (70546) $583.70 $2,334.80 1.7×
MRA head w/o contrast (70544) $583.70 $2,334.80 2.5×
Mra Neck W/O &W/Contrast Material (70549) $583.70 $2,334.80 1.7×
MRA neck w/o contrast (70547) $583.70 $2,334.80 2.5×
MRI abdomen w/o & w/contrast material (74183) $583.70 $2,334.80 1.7×
MRI abdomen w/o contrast (74181) $583.70 $2,334.80 2.5×
MRI any jnt lwr ext with con lt (73722) $583.70 $2,334.80 0.8×
MRI any jt upper extremity w/contrast matrl (73222) $583.70 $2,334.80 0.8×
MRI c-spine with contrast (72142) $583.70 $2,334.80 1.7×
MRI cervical spine w/o contrast (72141) $583.70 $2,334.80 2.5×
MRI chest w/o & w/contrast material (71552) $583.70 $2,334.80 1.7×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $583.70 $2,334.80 2.5×
MRI orbit face &/neck w/o contrast (70540) $583.70 $2,334.80 2.5×
MRI orbit/face/neck w&w/o cont (70543) $583.70 $2,334.80 1.7×
MRI pelvis w/o & w/contrast material (72197) $583.70 $2,334.80 1.7×
MRI pelvis w/o contrast (72195) $583.70 $2,334.80 2.5×
MRI scan of arm joint before and after contrast (73223) $583.70 $2,334.80 1.7×
MRI scan of leg joint before and after contrast (73723) $583.70 $2,334.80 1.7×
MRI spinal canal cervical w/o & w/contr matrl (72156) $583.70 $2,334.80 1.7×
MRI spinal canal lumbar w/o & w/contr matrl (72158) $583.70 $2,334.80 1.7×
MRI spinal canal thoracic w/o & w/contr matrl (72157) $583.70 $2,334.80 1.7×
MRI thoracic spine w/o contrast (72146) $583.70 $2,334.80 2.5×
MRI upper ext joint w/o contrast (73221) $583.70 $2,334.80 2.5×
MRI upper extrem other than jt w/o & w/contras (73220) $583.70 $2,334.80 1.7×
MRI upper extremity oth than jt w/o contr matrl (73218) $583.70 $2,334.80 2.5×
Myocardial Spect Multiple Studies (78452) $782.86 $3,131.43 0.6×
Neck soft tissue (70360) $43.94 $175.76 0.5×
Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) $151.06 $604.24 0.4×
Nm gastric emptying study (78264) $600.60 $2,402.40 1.6×
Nm gastroesophageal reflux study (78262) $185.38 $741.52 0.5×
Ntsty modul radthx pln dose-vol histos (77301) $1,915.94 $7,663.76 1.4×
Nuclear Rx Oral Admin (79005) $277.94 $1,111.76 1.2×
Osseous survey infant (77076) $73.84 $295.36 0.7×
Osseous survey limited (77074) $108.16 $432.64 1.1×
Parathyrd planar w/spect&CT (78072) $297.70 $1,190.80 0.6×
Pelvis 1 or 2 views (72170) $84.76 $339.04 0.8×
PET image w/CT, skull-thigh (78815) $1,058.46 $4,233.84 0.8×
PET imaging CT for attenuation limited area (78814) $1,058.46 $4,233.84 0.8×
PET imaging for CT attenuation whole body (78816) $2,542.80 $10,171.20 1.8×
Pr MRI, lower extr, w/o contrast f/u by contrast (73720) $583.70 $2,334.80 1.7×
Pulmonary Ventilation & Perfusion Imaging (78582) $547.04 $2,188.16 1.0×
Radex abscess/fistula/sinus tract rs&i (76080) $225.16 $900.64 0.4×
Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) $46.28 $185.12 0.5×
Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) $54.60 $218.40 0.5×
Radex hips bilateral with pelvis 2 views (73521) $54.60 $218.39 0.5×
Radiation Delivery Stereotactic Cranial Linear (77372) $4,481.10 $17,924.40 0.6×
Radiation treatment delivery 1 mev >= complex (77412) $328.64 $1,314.56 0.6×
Radiolog exam mandible compl minimum 4 views (70110) $101.14 $404.56 1.0×
Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) $46.54 $186.16 0.6×
Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) $45.24 $180.96 0.5×
Radiologic exam colon single contrast study (74270) $179.66 $718.64 1.1×
Radiologic Exam Esophagus Double Contrast Study (74221) $106.60 $426.40 0.6×
Radiologic exam upr gi trc double contrast study (74246) $158.08 $632.32 0.9×
Radiologic exam upr gi trc single contrast study (74240) $96.98 $387.92 0.6×
Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) $46.48 $185.91 0.6×
Radiological examination surgical specimen (76098) $248.56 $994.24 0.5×
Review by radiologist of liver vein image with assessment of blood flow (75889) $1,317.68 $5,270.72 0.4×
Ribs bilateral 3 views (71110) $88.40 $353.60 0.9×
Rp loclzj tum spect 1 area single day imaging (78803) $523.12 $2,092.48 1.0×
Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) $744.38 $2,977.52 0.6×
Sacroiliac Joints < 3 Views (72200) $85.80 $343.20 0.8×
Scapula complete (73010) $81.53 $326.10 0.8×
Screening digital breast tomosynthesis (77063) $67.08 $268.32 2.9×
Small bowel series (74250) $162.24 $648.96 1.0×
Spec medical radj physics consltj (77370) $242.58 $970.32 1.9×
Spec telethx port pln parts hemibdy tot bdy (77321) $534.56 $2,138.24 1.5×
Special dosimetry (77331) $245.18 $980.72 1.9×
Special treatment procedure (77470) $917.28 $3,669.12 1.7×
Stereotactic body radiation delivery (77373) $3,115.32 $12,461.28 1.8×
Telethx isodose pln cplx w/basic dosimetry (77307) $795.86 $3,183.44 2.2×
Ther rad simulaj-aided field setting complex (77290) $612.56 $2,450.24 1.7×
Ther rad simulaj-aided field setting simple (77280) $230.10 $920.40 1.8×
Therapeutic Enema (74283) $172.90 $691.60 1.0×
Thoracolumbar 2 views (72080) $76.18 $304.72 0.9×
Thyroid carcinoma metastases img whole body (78018) $513.50 $2,054 1.0×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $151.06 $604.24 0.4×
Treatment device intermediate (77333) $419.64 $1,678.56 3.2×
Treatment devices simple (77332) $392.60 $1,570.40 3.0×
Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) $236.60 $946.40 0.6×
Tx devices design & construction complex (77334) $464.10 $1,856.40 1.3×
Ultrasound elastography first target lesion (76982) $59.80 $239.20 0.6×
Ultrasound, abdomen limited (76705) $61.62 $246.48 0.6×
Upper Extremity Infant (73092) $78.78 $315.12 0.8×
Urethrocystography retrograde rs&i (74450) $226.20 $904.80 1.0×
Us abdl aorta screen aaa (76706) $54.08 $216.32 0.5×
Us breast unilateral complete (76641) $84.80 $339.18 0.8×
Us breast unilateral limited (76642) $62.26 $249.02 0.7×
Us chest (76604) $150.54 $602.16 1.5×
Us elastography parenchyma (76981) $52.26 $209.04 0.5×
Us guided compression repair (76936) $120.90 $483.60 0.6×
Us infant hips limited static (76886) $96.98 $387.92 1.2×
Us kidney transplant (76776) $412.62 $1,650.48 4.1×
Us ob transvaginal (76817) $157.04 $628.16 1.6×
Us pelvic non ob complete (76856) $169.26 $677.04 1.7×
Us pelvic nonobstetric image dcmtn limited/f/u (76857) $118.04 $472.16 1.2×
Us pregnancy ltd (76815) $127.14 $508.56 1.3×
Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) $96.98 $387.92 1.0×
Us retroperitoneal limited (76775) $52.26 $209.04 0.5×
Us scrotum and contents (76870) $174.72 $698.88 1.7×
Us soft tissue head/neck (76536) $174.20 $696.80 1.7×
Us xtr non-vasc lmtd (76882) $105.30 $421.20 1.0×
Venography caval superior serialography rs&i (75827) $608.66 $2,434.64 0.4×
Venography extremity unilateral rs&i (75820) $608.66 $2,434.64 0.4×
Wrist 2 views (73100) $52.66 $210.64 0.6×
X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) $152.10 $608.38 1.5×
X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) $103.58 $414.32 1.2×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $61.46 $245.84 0.7×
X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) $66.04 $264.16 0.8×
X-ray exam hip uni 1 view (73501) $46.28 $185.12 0.5×
X-Ray Exam Hip Uni 2-3 Views (73502) $47.57 $190.27 0.6×
X-Ray Exam Hips Bi 3-4 Views (73522) $60.06 $240.24 0.6×
X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) $77.48 $309.92 0.8×
X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) $106.79 $427.15 1.3×
X-Ray Heel - Xr Calcaneus 2 Views Right (73650) $58.06 $232.24 0.7×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $42.90 $171.60 0.5×
X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) $112.32 $449.28 1.1×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $92.04 $368.16 1.1×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $103.74 $414.96 1.0×
X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) $83.20 $332.80 0.8×
X-Ray Nasal Bones - Xr Nasal Bones (70160) $77.48 $309.92 0.9×
X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) $88.66 $354.64 0.9×
X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) $77.48 $309.92 0.9×
X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) $81.90 $327.60 0.8×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $90.22 $360.88 0.9×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $82.16 $328.64 1.0×
X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) $78.02 $312.09 0.9×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $77.48 $309.92 0.9×
X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) $65.78 $263.12 0.8×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $101.66 $406.64 1.0×
X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) $98.02 $392.08 1.0×
X-Ray Spine One View - Xr Spine (72020) $73.32 $293.28 0.9×
X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) $77.48 $309.92 0.9×
X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) $72.54 $290.16 0.7×
X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) $95.68 $382.72 0.9×
X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) $60.32 $241.28 0.7×
X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) $63.70 $254.79 0.8×
Xr c-spine 6 or more views (72052) $101.92 $407.68 1.0×
Xr finger(s) 2+ views (73140) $59.02 $236.08 0.7×
Xr shoulder 1 view (73020) $57.98 $231.92 0.7×
Xr spine cervical 4 or 5 views (72050) $95.16 $380.64 0.9×
Xr tibia/fibula 2 views (73590) $88.90 $355.58 1.1×
Xray knee 1 or 2 views rt (73560) $89.24 $356.96 1.1×