Fluoroscopy produces real-time, moving X-ray images and is used with contrast agents (barium or iodine-based dye) to study how the digestive tract or urinary system functions, rather than just its structure.
| Procedure | Public/Gazetted Rate (KES) | Private Rate (KES, est.) |
|---|---|---|
| Barium swallow | 3,000 – 4,200 | 4,000 – 9,000 |
| Double contrast barium enema | 12,000 – 24,000 | 15,000 – 30,000 |
| Intravenous Urogram (IVU) | 8,400 – 14,400 | 10,000 – 20,000 |
| High-dose IVU | 12,000 – 18,000 | 15,000 – 25,000 |
| Retrograde pyelogram | 9,600 – 14,400 | 12,000 – 20,000 |
The public-sector figures above come from Kenya's gazetted Medical and Dental Professional Fees schedule, which sets barium swallow at KES 3,000–4,200, double contrast barium enema at KES 12,000–24,000, IVU at KES 8,400–14,400, high dose IVU at KES 12,000–18,000, and retrograde pyelogram at KES 9,600–14,400. Private hospitals typically charge above these gazetted minimums once consultant fees, contrast media, and radiologist reporting are added. Under the newer SHIF benefit package, fluoroscopy is covered at two procedures per household, covering continuous X-rays used for guiding angiographic and interventional procedures, GI tract contrast examinations, and certain surgical procedures.
Hospitals offering fluoroscopy services in Nairobi include Kenyatta National Hospital, Aga Khan University Hospital, The Nairobi Hospital, MP Shah Hospital, and diagnostic centres such as ScanLab, which runs dedicated barium enema and related contrast-study services. A referral from a gastroenterologist, urologist, or general physician is usually required, along with specific dietary preparation (fasting or a low-residue diet) in the days before the exam.
