Imaging prices at Forrest City Medical Center

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $231.19 $385.31 2.9×
Acute Gastrointestinal Blood Loss Imaging (78278) $509.99 $849.98 1.4×
Angio internal mammary (75756) $3,896.90 $6,494.83 1.4×
Angiography extremity bilateral rs&i (75716) $3,896.90 $6,494.83 1.4×
Angiography extremity unilateral rs&i (75710) $3,896.90 $6,494.83 1.4×
Ankle 2 views (73600)
range across 2 matching MRF lines
$231.19–$460.16 $385.31–$766.94 varies
Arthrogram ankle (73615) $2,205.73 $3,676.22 6.9×
Arthrogram hip (73525) $2,205.73 $3,676.22 6.9×
Arthrogram Wrist (73115) $2,205.73 $3,676.22 6.9×
Bone age studies (77072) $231.19 $385.31 2.4×
Bone Imaging 3 Phase (78315) $1,412.76 $2,354.60 3.9×
Bone Imaging Limited Area (78300) $1,412.76 $2,354.60 3.9×
Bone Imaging Whole Body (78306) $1,412.76 $2,354.60 3.9×
Bone survey infant (77076) $392.13 $653.55 4.1×
Chest 1 view (71045) $231.19 $385.31 2.9×
Chest 2 views (71046) $231.19 $385.31 2.9×
Clavicle complete (73000)
range across 2 matching MRF lines
$231.19–$460.16 $385.31–$766.94 varies
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $135.07 $225.11 1.4×
Contrast Exam Abdominl Aorta (75625) $3,896.90 $6,494.83 1.4×
Contrast X-Ray Bladder (74430) $806.93 $1,344.89 2.5×
Contrast X-Ray Of Elbow (73085) $2,205.73 $3,676.22 6.9×
Contrast X-Ray Of Knee Joint (73580) $2,205.73 $3,676.22 6.9×
CT abdomen and pelvis without and with contrast (74178) $3,380.65 $5,634.41 10.6×
CT abdomen and pelvis without contrast (74176) $2,093.05 $3,488.42 9.6×
CT abdomen w contrast (74160) $1,420.74 $2,367.90 8.9×
CT abdomen w wo contrast (74170) $1,690.69 $2,817.81 10.6×
CT abdomen w/o contrast (74150) $1,046.89 $1,744.82 11.0×
CT Angio Chest (71275) $1,420.74 $2,367.90 8.9×
CT Angio Head (70496) $1,685.57 $2,809.28 10.6×
Ct Angio Lwr Extr W/O&W/Dye (73706) $3,307.48 $5,512.47 20.7×
CT Angio Neck (70498) $1,685.57 $2,809.28 10.6×
Ct Angio Upr Extrm W/O&W/Dye (73206)
range across 2 matching MRF lines
$1,420.74–$3,307.48 $2,367.90–$5,512.47 varies
CT bone density (77078) $93.17 $155.28 1.2×
CT cervical spine w/ contrast (72126) $1,420.74 $2,367.90 4.5×
CT cervical spine w/o contrast (72125) $1,046.89 $1,744.82 11.0×
CT cervical spine w/wo cont (72127) $1,690.69 $2,817.81 10.6×
CT chest w contrast (71260) $1,420.74 $2,367.90 8.9×
CT chest w/wo contrast (71270) $1,690.69 $2,817.81 10.6×
CT head/brain with contrast (70460) $1,420.74 $2,367.90 8.9×
CT head/brain without and with contrast (70470) $1,690.69 $2,817.81 10.6×
CT heart no contrast quant eval coronry calcium (75571) $80.47 $134.11 1.0×
CT l-spine w&w/o contrast (72133) $1,690.69 $2,817.81 10.6×
CT lower ext w/o (73700)
range across 2 matching MRF lines
$1,081.28–$2,093.05 $1,802.14–$3,488.42 varies
CT lower extremity w/contrast material (73701)
range across 2 matching MRF lines
$1,420.74–$2,842.20 $2,367.90–$4,737 varies
CT lumbar spine w contrast (72132) $1,420.74 $2,367.90 4.5×
CT lumbar spine w/o contrast (72131) $1,046.89 $1,744.82 11.0×
CT maxillofacial w contrast (70487) $1,469.02 $2,448.36 9.2×
CT maxillofacial wo contrast (70486) $1,046.89 $1,744.82 11.0×
CT neck tissue combo (70492) $1,673.87 $2,789.78 10.5×
CT orbits w/o contrast (70480) $1,046.89 $1,744.82 11.0×
CT pelvis w&w/o contrast (72194) $1,690.69 $2,817.81 10.6×
CT pelvis w/o contrast (72192) $1,046.89 $1,744.82 11.0×
CT scan of leg combo (73702)
range across 2 matching MRF lines
$1,690.69–$3,381.38 $2,817.81–$5,635.63 varies
CT scans face/jaw combo (70488) $1,690.69 $2,817.81 10.6×
CT soft tissue neck w contrast (70491) $1,420.74 $2,367.90 8.9×
CT soft tissue neck w/o contrast (70490) $1,046.89 $1,744.82 11.0×
CT thoracic spine w contrast (72129) $1,420.74 $2,367.90 8.9×
CT thoracic spine w/o contrast (72128) $1,046.89 $1,744.82 11.0×
CT thorax w/o contrast (71250) $1,046.89 $1,744.82 11.0×
CT upper ext wo (73200)
range across 2 matching MRF lines
$1,046.89–$2,093.05 $1,744.82–$3,488.42 varies
CT upper extremity w/o & w/contrast material (73202)
range across 2 matching MRF lines
$1,242.31–$3,381.38 $2,070.52–$5,635.63 varies
CT upper extremity with contrast (73201)
range across 2 matching MRF lines
$987.64–$2,842.20 $1,646.06–$4,737 varies
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $2,037.47 $3,395.78 12.8×
Cta Abdomen (74175) $1,420.74 $2,367.90 8.9×
Esophagram (74220) $463.82 $773.03 2.9×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $501.14 $835.23 5.3×
Fluoroscopy up to 1 hr (76000) $337.65 $562.75 1.6×
Follow-Up Angiography (75898) $1,126.82 $1,878.03 0.4×
Foot 2 views (73620)
range across 2 matching MRF lines
$231.19–$460.16 $385.31–$766.94 varies
Forearm 2 views (73090)
range across 2 matching MRF lines
$231.19–$460.16 $385.31–$766.94 varies
Gastric emptying imaging study (78264) $1,334.74 $2,224.57 3.7×
Gated Heart Planar Single (78472) $651.61 $1,086.01 1.8×
Hand 2 views (73120)
range across 2 matching MRF lines
$231.19–$460.16 $385.31–$766.94 varies
Hepatobil Syst Image W/Drug (78227) $1,527.40 $2,545.66 3.1×
Hepatobiliary System Imaging (78226) $1,527.40 $2,545.66 4.2×
Ht Muscle Image Spect Sing (78451) $1,541.21 $2,568.68 1.3×
Hysterosalpingogram (74740) $437.57 $729.29 2.0×
Kidney Imaging Morphoogy W/Vascular Flow (78701) $1,294.10 $2,156.83 3.6×
Knee 3 Views (73562)
range across 2 matching MRF lines
$228.25–$460.16 $380.42–$766.94 varies
Liver & Spleen Imaging Static Only (78215) $1,527.40 $2,545.66 4.2×
Lung Ventilat&Perfus Imaging (78582) $1,892.36 $3,153.94 3.8×
Lymph System Imaging (78195) $2,180.18 $3,633.63 4.4×
Magnetic Image Jaw Joint (70336) $1,687.76 $2,812.93 7.8×
Meckels Divert Exam (78290) $1,387.57 $2,312.62 3.8×
Mra Head W/O & W/Contrast Material (70546) $2,021.02 $3,368.36 6.4×
MRA head w/o contrast (70544) $1,943.09 $3,238.48 8.9×
MRA neck w contrast (70548) $1,943.09 $3,238.48 6.1×
Mra Neck W/O &W/Contrast Material (70549) $1,943.09 $3,238.48 6.1×
MRA neck w/o contrast (70547) $2,004.53 $3,340.89 9.2×
MRI abdomen w/o contrast (74181) $1,943.09 $3,238.48 8.9×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $2,908.05 $4,846.75 9.2×
MRI cervical spine w/o cont (72141) $1,943.09 $3,238.48 8.9×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $2,816.60 $4,694.34 8.9×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $1,943.09 $3,238.48 8.9×
MRI lumbar spine w contrast (72149) $2,379.60 $3,966 7.5×
Mri Neck Spine W/O & W/Dye (72156) $2,816.60 $4,694.34 8.9×
MRI orbit face &/neck w/o contrast (70540) $1,943.09 $3,238.48 8.9×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $2,816.60 $4,694.34 8.9×
MRI pelvis w contrast (72196) $2,064.53 $3,440.89 6.5×
MRI pelvis w/o & w contrast (72197) $3,003.15 $5,005.25 9.5×
MRI pelvis w/o contrast (72195) $1,833.36 $3,055.60 8.4×
MRI thoracic spine w/o contrast (72146) $1,943.09 $3,238.48 8.9×
MRI upper extremity oth than jt w/o contr matrl (73218)
range across 2 matching MRF lines
$1,943.09–$3,885.44 $3,238.48–$6,475.74 varies
Mri Uppr Extremity W/O&W/Dye (73220)
range across 2 matching MRF lines
$2,908.05–$5,632.47 $4,846.75–$9,387.45 varies
MRI, dorsal spine combo (72157) $2,908.05 $4,846.75 9.2×
MRI, joint upper extrem (73221) $1,943.09 $3,238.48 8.9×
MRI, joint upper extrem combo (73223) $2,816.60 $4,694.34 8.9×
MRI, lumbar spine combo (72158) $2,816.60 $4,694.34 8.9×
Myocardial Perfusion Planar 1 Study Rest/Stress (78453) $1,840.21 $3,067.01 1.6×
Myocardial Spect Multiple Studies (78452) $1,840.21 $3,067.01 1.6×
Neck soft tissue (70360) $231.19 $385.31 2.9×
Nonvascular Shunt X-Ray (75809) $131.17 $218.61 1.4×
Parathyroid imaging w/tomographic spect & CT (78072) $1,359.93 $2,266.55 2.8×
Parathyroid Planar Imaging (78070) $985.21 $1,642.01 2.7×
Parathyroid planar imaging w/wo subtraction (78071) $1,359.93 $2,266.55 3.7×
Pelvis 1 or 2 views (72170) $231.19 $385.31 2.4×
Pulmonary Perfusion Imaging Particulate (78580) $1,173.79 $1,956.31 3.2×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $392.13 $653.55 4.1×
Radex Ankle Complete Minimum 3 Views (73610)
range across 2 matching MRF lines
$231.19–$460.16 $385.31–$766.94 varies
Radex Calcaneus Minimum 2 Views (73650)
range across 2 matching MRF lines
$228.25–$345.31 $380.42–$575.51 varies
Radex elbow complete minimum 3 views (73080)
range across 2 matching MRF lines
$231.19–$460.16 $385.31–$766.94 varies
Radex Facial Bones Complete Minimum 3 Views (70150) $220.20 $367 2.3×
Radex fingr minimum 2 views (73140)
range across 2 matching MRF lines
$231.19–$460.16 $385.31–$766.94 varies
Radex foot complete minimum 3 views (73630)
range across 2 matching MRF lines
$231.19–$460.16 $385.31–$766.94 varies
Radex Hand Minimum 3 Views (73130)
range across 2 matching MRF lines
$231.19–$460.16 $385.31–$766.94 varies
Radex lower extremity infant minimum 2 views (73592) $460.16 $766.94 5.8×
Radex Nasal Bones Complete Minimum 3 Views (70160) $220.20 $367 2.8×
Radex Ribs Unilateral 2 Views (71100) $220.20 $367 2.8×
Radex shoulder complete minimum 2 views (73030)
range across 2 matching MRF lines
$231.19–$460.16 $385.31–$766.94 varies
Radex Sinuses Paransl < 3 Views (70210) $231.19 $385.31 2.9×
Radex Spine 1 View Specify Level (72020) $231.19 $385.31 2.9×
Radex Sternum Minimum 2 Views (71120) $231.19 $385.31 2.9×
Radex Toe Minimum 2 Views (73660)
range across 2 matching MRF lines
$231.19–$460.16 $385.31–$766.94 varies
Radex upper extremity infant minimum 2 views (73092) $231.19 $385.31 2.4×
Radex Wrist Complete Minimum 3 Views (73110)
range across 2 matching MRF lines
$231.19–$460.16 $385.31–$766.94 varies
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $739.87 $1,233.11 7.8×
Radiolog exam mandible compl minimum 4 views (70110)
range across 2 matching MRF lines
$224.45–$231.19 $374.09–$385.31 varies
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $231.19 $385.31 2.4×
Radiologic exam colon double contrast study (74280) $725.74 $1,209.56 4.5×
Radiologic exam colon single contrast study (74270) $463.82 $773.03 2.9×
Radiologic exam knee complete 4/more views (73564)
range across 2 matching MRF lines
$231.19–$460.16 $385.31–$766.94 varies
Radiologic Exam Small Int Single Contrast Study (74250) $463.82 $773.03 2.9×
Radiologic exam swallow function contrast study (74230) $145.85 $243.09 0.9×
Radiologic examination femur minimum 2 views (73552)
range across 2 matching MRF lines
$231.19–$460.16 $385.31–$766.94 varies
Radiologic examination knee 1/2 views (73560)
range across 2 matching MRF lines
$231.19–$460.16 $385.31–$766.94 varies
Radiologic Examination Osseous Survey Limited (77074) $392.13 $653.55 4.1×
Radiologic examination tibia & fibula 2 views (73590)
range across 2 matching MRF lines
$231.19–$460.16 $385.31–$766.94 varies
Radiologic examination, internal auditory meati, complete Non-Facility (70134) $784.26 $1,307.10 1.6×
Rp loclzj tum plnr 1 area single day imaging (78800) $2,125.10 $3,541.83 5.8×
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) $2,125.10 $3,541.83 4.3×
Scapula (73010)
range across 2 matching MRF lines
$231.19–$460.16 $385.31–$766.94 varies
Shoulder 1 view (73020)
range across 2 matching MRF lines
$231.19–$460.16 $385.31–$766.94 varies
Shoulder Arthrography (73040) $2,205.73 $3,676.22 6.9×
Skull less than 4 views (70250) $231.19 $385.31 2.4×
Temporomandble Jt Arthrography Rs&I (70332) $2,205.73 $3,676.22 10.2×
Thoracic spine 2 views (72070) $231.19 $385.31 2.4×
Thoracic spine 3 views (72072) $231.19 $385.31 2.4×
Thyroid Imaging With Vascular Flow (78013) $873.02 $1,455.04 2.4×
Thyroid Uptake Measurement (78012) $873.02 $1,455.04 2.4×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $873.02 $1,455.04 2.4×
Ultrasound Breast Limited (76642) $186.35 $310.58 2.4×
Ultrasound, abdomen limited (76705) $501.14 $835.23 5.3×
Upper gi w/o kub (74240) $341.80 $569.66 2.1×
Us breast unilateral complete (76641) $186.35 $310.58 2.0×
Us chest (76604) $501.14 $835.23 5.3×
Us complete joint (76881) $501.14 $835.23 5.3×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $250.94 $418.23 2.6×
Us ob limited 1 or more fetuses (76815) $313.85 $523.08 3.3×
Us ob transvaginal (76817) $501.14 $835.23 5.3×
Us pelvic non ob complete (76856) $501.14 $835.23 5.3×
Us retroperitoneal complete (76770) $501.14 $835.23 5.3×
Us retroperitoneal limited (76775) $501.14 $835.23 5.3×
Us scrotum and contents (76870) $501.14 $835.23 5.3×
Us thyroid (76536) $501.14 $835.23 5.3×
Vein X-Ray Chest (75827) $1,126.82 $1,878.03 0.8×
Venography caval inferior serialography rs&i (75825) $3,896.90 $6,494.83 1.4×
Wrist 2 views (73100)
range across 2 matching MRF lines
$231.19–$460.16 $385.31–$766.94 varies
X-Ray Aorta Leg Arteries (75630) $4,182.98 $6,971.64 1.5×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070)
range across 2 matching MRF lines
$231.19–$460.16 $385.31–$766.94 varies
X-Ray Exam Breast Specimen (76098) $215.09 $358.48 0.4×
X-Ray Exam Entire Spi 1 Vw (72081) $369.93 $616.55 4.7×
X-Ray Exam Entire Spi 2/3 Vw (72082) $369.93 $616.55 3.9×
X-Ray Exam Entire Spi 4/5 Vw (72083) $739.87 $1,233.11 7.8×
X-Ray Exam Hip Uni 1 View (73501) $231.19 $385.31 2.9×
X-Ray Exam Hip Uni 2-3 Views (73502) $218.09 $363.49 2.8×
X-Ray Exam Hip Uni 4/> Views (73503) $327.14 $545.24 3.4×
X-Ray Exam Hips Bi 2 Views (73521) $436.19 $726.98 4.6×
X-Ray Exam Hips Bi 3-4 Views (73522) $436.19 $726.98 4.6×
X-Ray Exam Hips Bi 5/> Views (73523) $872.38 $1,453.97 9.2×
X-Ray Exam Neck Spine 2-3 Vw (72040) $231.19 $385.31 2.9×
X-Ray Exam Neck Spine 6/>Vws (72052) $392.13 $653.55 4.1×
X-ray eye for foreign body (70030) $460.16 $766.94 5.8×
X-ray humerus (73060)
range across 2 matching MRF lines
$231.19–$460.16 $385.31–$766.94 varies
X-ray IV pyelogram (ivp) (74400) $806.93 $1,344.89 5.1×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $231.19 $385.31 2.9×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $231.19 $385.31 2.4×
X-ray nose-rectum child f.b. (76010) $256.87 $428.12 3.2×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $784.26 $1,307.10 8.2×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $231.19 $385.31 2.4×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $231.19 $385.31 2.9×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $231.19 $385.31 2.9×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $392.13 $653.55 4.1×
Xr c-spine 4 or 5 views (72050) $392.13 $653.55 4.1×
Xr facial bones less than 3 views (70140) $220.20 $367 2.8×
Xr orbits complete 4 views (70200) $231.19 $385.31 2.4×

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.