Imaging prices at Baxter Health Fulton County Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $109.70 $156.72 1.4×
Abdomen 2 views (74019) $133.71 $191.02 1.4×
Ankle 2 views (73600)
range across 6 matching MRF lines
$81.87–$86.18 $116.96–$123.12 varies
Chest 1 view (71045) $130.90 $187 1.7×
Chest 2 views (71046) $142.80 $204 1.8×
Chest 4 or more views (71048) $200.20 $286 2.1×
Clavicle complete (73000)
range across 4 matching MRF lines
$70.24–$77.24 $100.34–$110.34 varies
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $152.01 $217.15 1.6×
CT abdomen and pelvis without and with contrast (74178)
range across 2 matching MRF lines
$959.79–$1,423.80 $1,371.13–$2,034 varies
CT abdomen and pelvis without contrast (74176)
range across 2 matching MRF lines
$209.30–$1,017.91 $299–$1,454.16 varies
CT abdomen w contrast (74160) $1,146.32 $1,637.60 7.2×
CT abdomen w wo contrast (74170)
range across 2 matching MRF lines
$157.50–$1,148.78 $225–$1,641.12 varies
CT abdomen w/o contrast (74150) $1,017.91 $1,454.16 10.7×
CT Angio Abdomen and Pelvis (74174) $1,527.75 $2,182.50 4.8×
CT Angio Chest (71275) $1,052.11 $1,503.02 6.6×
CT Angio Head (70496) $1,421.64 $2,030.92 8.9×
Ct Angio Lwr Extr W/O&W/Dye (73706) $1,549.74 $2,213.92 9.7×
CT Angio Neck (70498) $1,052.11 $1,503.02 6.6×
Ct Angio Upr Extrm W/O&W/Dye (73206) $1,170.79 $1,672.56 7.3×
CT cervical spine w/ contrast (72126) $929.72 $1,328.17 2.9×
CT cervical spine w/o contrast (72125) $801.22 $1,144.60 8.4×
CT chest w contrast (71260) $861.83 $1,231.18 5.4×
CT chest w/wo contrast (71270)
range across 3 matching MRF lines
$931–$1,184.32 $1,330–$1,691.88 varies
CT head/brain with contrast (70460) $855.33 $1,221.90 5.4×
CT head/brain without and with contrast (70470) $929.78 $1,328.25 5.8×
CT iac w contrast (70481) $959.79 $1,371.13 6.0×
CT l-spine w&w/o contrast (72133) $919.99 $1,314.27 5.8×
CT lower ext w/o (73700) $801.22 $1,144.60 8.4×
CT lower extremity w/contrast material (73701) $931 $1,330 5.8×
CT lumbar spine w contrast (72132) $801.22 $1,144.60 2.5×
CT lumbar spine w/o contrast (72131) $801.35 $1,144.79 8.4×
CT maxillofacial w contrast (70487) $801.22 $1,144.60 5.0×
CT maxillofacial wo contrast (70486)
range across 2 matching MRF lines
$801.22–$801.35 $1,144.60–$1,144.79 varies
CT neck tissue combo (70492) $929.78 $1,328.25 5.8×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $959.79 $1,371.13 6.0×
CT orbits w/o contrast (70480)
range across 2 matching MRF lines
$801.22–$826 $1,144.60–$1,180 varies
CT pelvis w&w/o contrast (72194) $1,184.32 $1,691.88 7.4×
CT pelvis w/o contrast (72192) $1,017.91 $1,454.16 10.7×
CT scan of leg combo (73702)
range across 5 matching MRF lines
$826–$931 $1,180–$1,330 varies
CT soft tissue neck w contrast (70491) $929.78 $1,328.25 5.8×
CT soft tissue neck w/o contrast (70490) $801.22 $1,144.60 8.4×
CT thoracic spine w contrast (72129) $958.53 $1,369.33 6.0×
CT thoracic spine w/o contrast (72128) $801.22 $1,144.60 8.4×
CT thorax w/o contrast (71250) $801.22 $1,144.60 8.4×
CT upper ext wo (73200) $801.22 $1,144.60 8.4×
CT upper extremity w/o & w/contrast material (73202) $826 $1,180 5.2×
CT upper extremity with contrast (73201) $959.79 $1,371.13 3.0×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $1,052.11 $1,503.02 6.6×
Cta Abdomen (74175) $1,324.05 $1,891.50 8.3×
CTA pelvis (72191) $1,365 $1,950 8.5×
Foot 2 views (73620) $92.20 $131.71 1.2×
Forearm 2 views (73090)
range across 6 matching MRF lines
$87.81–$92.20 $125.44–$131.71 varies
Knee 3 Views (73562) $129.34 $184.77 1.6×
Neck soft tissue (70360) $77.24 $110.34 1.0×
Nonvascular Shunt X-Ray (75809) $252 $360 2.6×
Pelvis 1 or 2 views (72170) $103.30 $147.57 1.1×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $215.60 $308 2.3×
Radex Ankle Complete Minimum 3 Views (73610)
range across 6 matching MRF lines
$79.46–$93.46 $113.51–$133.51 varies
Radex Calcaneus Minimum 2 Views (73650) $92.20 $131.71 1.2×
Radex elbow complete minimum 3 views (73080) $105.43 $150.62 1.3×
Radex fingr minimum 2 views (73140) $92.20 $131.71 1.2×
Radex foot complete minimum 3 views (73630) $98.61 $140.87 1.2×
Radex Hand Minimum 3 Views (73130) $97.32 $139.03 1.2×
Radex Nasal Bones Complete Minimum 3 Views (70160) $89.22 $127.45 1.1×
Radex Ribs Unilateral 2 Views (71100) $60.06 $85.80 0.8×
Radex shoulder complete minimum 2 views (73030)
range across 15 matching MRF lines
$105.43–$129.44 $150.62–$184.91 varies
Radex Sinuses Paransl < 3 Views (70210) $93.91 $134.16 1.2×
Radex Spine 1 View Specify Level (72020) $87.81 $125.44 1.1×
Radex Sternum Minimum 2 Views (71120) $110.46 $157.80 1.4×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $126.56 $180.80 1.6×
Radex Toe Minimum 2 Views (73660) $92.20 $131.71 1.2×
Radex Wrist Complete Minimum 3 Views (73110)
range across 8 matching MRF lines
$95.40–$144.70 $136.28–$206.72 varies
Radiolog exam mandible compl minimum 4 views (70110) $142.21 $203.15 1.5×
Radiologic exam knee complete 4/more views (73564) $144.70 $206.72 1.5×
Radiologic exam pelvis compl minimum 3 views (72190) $136.84 $195.48 1.4×
Radiologic examination femur 1 view (73551) $94.31 $134.73 1.2×
Radiologic examination femur minimum 2 views (73552) $105.43 $150.62 1.3×
Radiologic examination knee 1/2 views (73560)
range across 7 matching MRF lines
$101.59–$861.88 $145.13–$1,231.25 varies
Radiologic examination tibia & fibula 2 views (73590) $105.43 $150.62 1.3×
Scapula (73010) $114.04 $162.91 1.2×
Shoulder 1 view (73020) $76.48 $109.25 1.0×
Skull less than 4 views (70250) $89.22 $127.45 0.9×
Thoracic spine 3 views (72072) $129.34 $184.77 1.4×
Ultrasound, abdomen limited (76705) $129.91 $185.59 1.4×
Us chest (76604) $112.77 $161.10 1.2×
Us complete joint (76881) $155.23 $221.75 1.6×
Us exam, pelvic, limited (76857) $149.21 $213.16 1.6×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $24.11 $34.44 0.3×
Us ob limited 1 or more fetuses (76815) $97.39 $139.13 1.0×
Us pelvic non ob complete (76856) $135 $192.86 1.4×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $177.14 $253.05 1.9×
Us preg uterus real time f/u trnsabdl per fetus (76816) $249.64 $356.63 2.6×
Us retroperitoneal complete (76770) $149.95 $214.22 1.6×
Us retroperitoneal limited (76775)
range across 2 matching MRF lines
$149.88–$293.59 $214.12–$419.41 varies
Us scrotum and contents (76870) $167.99 $239.98 1.8×
Us thyroid (76536) $140.30 $200.43 1.5×
Wrist 2 views (73100) $89.22 $127.45 1.1×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $83.42 $119.17 1.1×
X-Ray Exam Entire Spi 1 Vw (72081) $84.97 $121.38 1.1×
X-Ray Exam Entire Spi 2/3 Vw (72082) $169.05 $241.50 1.8×
X-Ray Exam Hip Uni 1 View (73501) $106.43 $152.04 1.3×
X-Ray Exam Hip Uni 2-3 Views (73502) $135.50 $193.57 1.7×
X-Ray Exam Hips Bi 2 Views (73521) $129.34 $184.77 1.4×
X-Ray Exam Hips Bi 3-4 Views (73522) $94.80 $135.43 1.0×
X-Ray Exam L-S Spine Bending (72114) $137.77 $196.82 1.4×
X-Ray Exam Neck Spine 2-3 Vw (72040) $101.43 $144.90 1.3×
X-Ray Exam Neck Spine 6/>Vws (72052) $118.66 $169.51 1.2×
X-Ray Exam Unilat Ribs/Chest (71101) $98.61 $140.87 1.0×
X-ray humerus (73060)
range across 4 matching MRF lines
$80.50–$88.55 $115–$126.50 varies
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $173.31 $247.58 2.2×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $101.43 $144.90 1.1×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $144.27 $206.10 1.5×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $112.27 $160.38 1.2×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $105.43 $150.62 1.3×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $126.56 $180.80 1.6×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $130.54 $186.48 1.4×
X-ray thoracic spine 4 vw (72074) $103.31 $147.58 1.1×
Xr c-spine 4 or 5 views (72050) $87.06 $124.37 0.9×
Xr orbits complete 4 views (70200) $115.05 $164.36 1.2×

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.