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.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) | $2,179.84 | $8,719.36 | 1.6× |
| Abdomen 1 View (74018) | $46.54 | $186.16 | 0.6× |
| 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 pulmonary unilateral slctv rs&i (75741) | $1,317.68 | $5,270.72 | 0.4× |
| Ankle 2 views (73600) | $97.19 | $388.74 | 1.2× |
| Artery X-Rays Abdomen (75726) unusually low: confirm this is the full procedure |
$2,448.94 | $9,795.76 | 0.5× |
| Artery X-Rays Pelvis (75736) unusually low: confirm this is the full procedure |
$2,195.18 | $8,780.72 | 0.4× |
| Artery X-Rays Spine (75705) unusually low: confirm this is the full procedure |
$2,565.68 | $10,262.72 | 0.5× |
| Arthrogram hip (73525) | $191.56 | $766.22 | 0.6× |
| Basic radiation dosimetry calculation (77300) | $226.46 | $905.84 | 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 Imaging Whole Body (78306) | $652.08 | $2,608.32 | 1.7× |
| Bone survey infant (77076) | $73.84 | $295.36 | 0.7× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $400.40 | $1,601.60 | 0.8× |
| Chest 1 view (71045) | $44.72 | $178.88 | 0.5× |
| Chest 2 views (71046) | $45.24 | $180.96 | 0.5× |
| 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× |
| Contrast Exam Abdominl Aorta (75625) | $1,317.68 | $5,270.72 | 0.4× |
| Contrast X-Ray Bladder (74430) | $226.98 | $907.92 | 0.7× |
| 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 Abdomen and Pelvis (74174) | $384.28 | $1,537.12 | 1.1× |
| CT Angio Chest (71275) | $384.28 | $1,537.10 | 2.3× |
| CT Angio Head (70496) | $384.28 | $1,537.10 | 2.3× |
| CT angio hrt w/3d image (75574) | $384.28 | $1,537.12 | 1.1× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $384.28 | $1,537.12 | 2.3× |
| CT Angio Neck (70498) | $384.28 | $1,537.10 | 2.3× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $384.28 | $1,537.12 | 2.3× |
| CT cervical spine w/ contrast (72126) | $384.28 | $1,537.12 | 1.1× |
| CT cervical spine w/o contrast (72125) | $384.28 | $1,537.12 | 3.8× |
| CT cervical spine w/wo cont (72127) | $384.28 | $1,537.12 | 2.3× |
| CT chest w contrast (71260) | $384.28 | $1,537.12 | 2.3× |
| CT chest w/wo contrast (71270) | $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 l-spine w&w/o contrast (72133) | $384.28 | $1,537.12 | 2.3× |
| CT lower ext w/o (73700) | $384.28 | $1,537.12 | 3.8× |
| CT lower extremity w/contrast material (73701) | $384.28 | $1,537.12 | 2.3× |
| CT lumbar spine w contrast (72132) | $384.28 | $1,537.12 | 1.1× |
| CT lumbar spine w/o contrast (72131) | $384.28 | $1,537.12 | 3.8× |
| CT maxillofacial w contrast (70487) | $384.28 | $1,537.12 | 2.3× |
| CT maxillofacial wo contrast (70486) | $384.28 | $1,537.12 | 3.8× |
| CT neck tissue combo (70492) | $384.28 | $1,537.12 | 2.3× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (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 scan of leg combo (73702) | $384.28 | $1,537.12 | 2.3× |
| CT scans face/jaw combo (70488) | $384.28 | $1,537.12 | 2.3× |
| CT soft tissue neck w contrast (70491) | $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 ext wo (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 pelvis (72191) | $384.28 | $1,537.12 | 2.3× |
| Diskography lumbar (72295) | $2,947.10 | $11,788.40 | 1.6× |
| Dxa Bone Density Axial (77080) | $103.74 | $414.96 | 1.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $51.22 | $204.88 | 0.6× |
| Echo Guide For Artery Repair (76936) | $120.90 | $483.60 | 0.6× |
| Esophagram (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× |
| Gastric emptying imaging study (78264) | $600.60 | $2,402.40 | 1.6× |
| Gastroesophageal Reflux Exam (78262) | $185.38 | $741.52 | 0.5× |
| Gated Heart Planar Single (78472) | $424.06 | $1,696.24 | 1.1× |
| Hand 2 views (73120) | $68.20 | $272.79 | 0.7× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $1,317.68 | $5,270.72 | 0.4× |
| Hepatobil Syst Image W/Drug (78227) | $652.08 | $2,608.32 | 1.2× |
| Hepatobiliary System Imaging (78226) | $388.96 | $1,555.84 | 1.0× |
| Ht Muscle Image Spect Sing (78451) | $523.12 | $2,092.48 | 0.4× |
| Hysterosalpingogram (74740) | $304.46 | $1,217.84 | 1.3× |
| Image fusion (77399) | $123.76 | $495.04 | 1.0× |
| Infant hip ultrasound, limited static exam (76886) | $96.98 | $387.92 | 1.2× |
| K Flow/Funct Image W/Drug (78708) | $251.42 | $1,005.68 | 0.5× |
| K Flow/Funct Image W/O Drug (78707) | $236.60 | $946.40 | 0.4× |
| Knee 3 Views (73562) | $99.34 | $397.34 | 1.2× |
| Liver & Spleen Imaging Static Only (78215) | $170.56 | $682.24 | 0.4× |
| Lung Ventilat&Perfus Imaging (78582) | $547.04 | $2,188.16 | 1.0× |
| Lymph System Imaging (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/O & W/Contrast Material (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 contrast (74181) | $583.70 | $2,334.80 | 2.5× |
| MRI any jt lower extrem w/contrast material (73722) | $583.70 | $2,334.80 | 0.8× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $583.70 | $2,334.80 | 1.7× |
| MRI any jt upper extremity w/contrast matrl (73222) | $583.70 | $2,334.80 | 0.8× |
| MRI cervical spine w contrast (72142) | $583.70 | $2,334.80 | 1.7× |
| MRI cervical spine w/o cont (72141) | $583.70 | $2,334.80 | 2.5× |
| MRI chest wo w contrast (71552) | $583.70 | $2,334.80 | 1.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $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 Neck Spine W/O & W/Dye (72156) | $583.70 | $2,334.80 | 1.7× |
| MRI orbit face &/neck w/o contrast (70540) | $583.70 | $2,334.80 | 2.5× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $583.70 | $2,334.80 | 1.7× |
| MRI pelvis w/o & w contrast (72197) | $583.70 | $2,334.80 | 1.7× |
| MRI pelvis w/o contrast (72195) | $583.70 | $2,334.80 | 2.5× |
| MRI thoracic spine w/o contrast (72146) | $583.70 | $2,334.80 | 2.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $583.70 | $2,334.80 | 2.5× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $583.70 | $2,334.80 | 1.7× |
| MRI, abdomen, combo (74183) | $583.70 | $2,334.80 | 1.7× |
| MRI, dorsal spine combo (72157) | $583.70 | $2,334.80 | 1.7× |
| MRI, joint upper extrem (73221) | $583.70 | $2,334.80 | 2.5× |
| MRI, joint upper extrem combo (73223) | $583.70 | $2,334.80 | 1.7× |
| MRI, lumbar spine combo (72158) | $583.70 | $2,334.80 | 1.7× |
| 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× |
| 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× |
| Parathyroid imaging w/tomographic 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 Lmtd (78814) | $1,058.46 | $4,233.84 | 0.8× |
| PET image w/CT, full body (78816) | $2,542.80 | $10,171.20 | 1.8× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $1,058.46 | $4,233.84 | 0.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $152.10 | $608.38 | 1.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $225.16 | $900.64 | 0.4× |
| Radex Ankle Complete Minimum 3 Views (73610) | $103.58 | $414.32 | 1.2× |
| Radex Calcaneus Minimum 2 Views (73650) | $58.06 | $232.24 | 0.7× |
| Radex elbow complete minimum 3 views (73080) | $66.04 | $264.16 | 0.8× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $77.48 | $309.92 | 0.8× |
| Radex fingr minimum 2 views (73140) | $59.02 | $236.08 | 0.7× |
| Radex foot complete minimum 3 views (73630) | $106.79 | $427.15 | 1.3× |
| Radex Hand Minimum 3 Views (73130) | $70.03 | $280.10 | 0.8× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $77.48 | $309.92 | 0.9× |
| Radex Ribs Unilateral 2 Views (71100) | $77.48 | $309.92 | 0.9× |
| Radex shoulder complete minimum 2 views (73030) | $78.02 | $312.09 | 0.9× |
| Radex Sinuses Paransl < 3 Views (70210) | $65.78 | $263.12 | 0.8× |
| Radex Spine 1 View Specify Level (72020) | $73.32 | $293.28 | 0.9× |
| Radex Sternum Minimum 2 Views (71120) | $77.48 | $309.92 | 0.9× |
| Radex Toe Minimum 2 Views (73660) | $60.32 | $241.28 | 0.7× |
| Radex upper extremity infant minimum 2 views (73092) | $78.78 | $315.12 | 0.8× |
| Radex Wrist Complete Minimum 3 Views (73110) | $63.70 | $254.79 | 0.8× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $4,481.10 | $17,924.40 | 0.6× |
| Radiation treatment delivery level 3 (77412) | $328.64 | $1,314.56 | 0.6× |
| Radiolog exam mandible compl minimum 4 views (70110) | $101.14 | $404.56 | 1.0× |
| 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 knee complete 4/more views (73564) | $112.32 | $449.28 | 1.1× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $88.66 | $354.64 | 0.9× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $162.24 | $648.96 | 1.0× |
| Radiologic exam swallow function contrast study (74230) | $99.32 | $397.28 | 0.6× |
| Radiologic exam upr gi trc double contrast study (74246) | $158.08 | $632.32 | 0.9× |
| Radiologic examination femur minimum 2 views (73552) | $46.48 | $185.91 | 0.6× |
| Radiologic examination knee 1/2 views (73560) | $89.24 | $356.96 | 1.1× |
| Radiologic Examination Osseous Survey Limited (77074) | $108.16 | $432.64 | 1.1× |
| Radiologic examination tibia & fibula 2 views (73590) | $88.90 | $355.58 | 1.1× |
| Ribs bilateral 3 views (71110) | $88.40 | $353.60 | 0.9× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $236.60 | $946.40 | 0.6× |
| 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/acquisj 1day img (78830) | $744.38 | $2,977.52 | 0.6× |
| Scapula (73010) | $81.53 | $326.10 | 0.8× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $67.08 | $268.32 | 2.9× |
| Shoulder 1 view (73020) | $57.98 | $231.92 | 0.7× |
| Shoulder Arthrography (73040) | $200.20 | $800.80 | 0.6× |
| Skull less than 4 views (70250) | $98.02 | $392.08 | 1.0× |
| Special dosimetry (77331) | $245.18 | $980.72 | 1.9× |
| Special Physics Consult (77370) | $242.58 | $970.32 | 1.9× |
| Special teletherapy port plan (77321) | $534.56 | $2,138.24 | 1.5× |
| 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 Rdctj Intussusception/Obstrcj (74283) | $172.90 | $691.60 | 1.0× |
| Thoracic spine 2 views (72070) | $72.54 | $290.16 | 0.7× |
| Thoracolumbar 2 views (72080) | $76.18 | $304.72 | 0.9× |
| Thyroid Met Imaging Body (78018) | $513.50 | $2,054 | 1.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $151.06 | $604.24 | 0.4× |
| Tx Devices Design & Construction Complex (77334) | $464.10 | $1,856.40 | 1.3× |
| Tx devices design & construction intermediate (77333) | $419.64 | $1,678.56 | 3.2× |
| Tx devices design & construction simple (77332) | $392.60 | $1,570.40 | 3.0× |
| Ultrasound Breast Limited (76642) | $62.26 | $249.02 | 0.7× |
| Ultrasound elastography first target lesion (76982) | $59.80 | $239.20 | 0.6× |
| Ultrasound Elastography Parenchyma (76981) | $52.26 | $209.04 | 0.5× |
| Ultrasound Exam Aaa Screen (76706) | $54.08 | $216.32 | 0.5× |
| Ultrasound, abdomen limited (76705) | $61.62 | $246.48 | 0.6× |
| Upper gi w/o kub (74240) | $96.98 | $387.92 | 0.6× |
| Urethrocystography retrograde (74450) | $226.20 | $904.80 | 1.0× |
| Us breast unilateral complete (76641) | $84.80 | $339.18 | 0.8× |
| Us chest (76604) | $150.54 | $602.16 | 1.5× |
| Us exam, pelvic, limited (76857) | $118.04 | $472.16 | 1.2× |
| Us head (76506) | $154.70 | $618.80 | 1.5× |
| Us kidney transplant (76776) | $412.62 | $1,650.48 | 4.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $105.30 | $421.20 | 1.0× |
| Us ob limited 1 or more fetuses (76815) | $127.14 | $508.56 | 1.3× |
| Us ob transvaginal (76817) | $157.04 | $628.16 | 1.6× |
| Us pelvic non ob complete (76856) | $169.26 | $677.04 | 1.7× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (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 thyroid (76536) | $174.20 | $696.80 | 1.7× |
| Vein X-Ray Chest (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 antegrade pyelogram tube (74425) | $255.84 | $1,023.36 | 0.8× |
| X-Ray Aorta Leg Arteries (75630) | $1,317.68 | $5,270.72 | 0.4× |
| X-Ray Bend Only L-S Spine (72120) | $83.20 | $332.80 | 0.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $61.46 | $245.84 | 0.7× |
| X-Ray Exam Breast Specimen (76098) | $248.56 | $994.24 | 0.5× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $46.28 | $185.12 | 0.5× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $54.60 | $218.40 | 0.5× |
| 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 2 Views (73521) | $54.60 | $218.39 | 0.5× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $60.06 | $240.24 | 0.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $89.96 | $359.84 | 1.1× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $101.92 | $407.68 | 1.0× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $81.90 | $327.60 | 0.8× |
| X-ray humerus (73060) | $72.28 | $289.12 | 0.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $42.90 | $171.60 | 0.5× |
| 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 Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $90.22 | $360.88 | 0.9× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $85.80 | $343.20 | 0.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $82.16 | $328.64 | 1.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $77.48 | $309.92 | 0.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $101.66 | $406.64 | 1.0× |
| X-ray thoracic spine 4 vw (72074) | $95.68 | $382.72 | 0.9× |
| X-Rays Bone Survey Complete (77075) | $150.02 | $600.08 | 1.5× |
| Xr c-spine 4 or 5 views (72050) | $95.16 | $380.64 | 0.9× |