Cardiac CT prices in Bangkok (2026)
Coronary artery calcium score and CT coronary angiography prices at Bangkok private hospitals:
- ▸Coronary artery calcium (CAC) score CT scan: ฿4,000–฿8,000 — the 10-minute calcium scoring scan; no contrast needed; quick, very low radiation dose
- ▸Bumrungrad International: CAC score approximately ฿5,000–฿7,000
- ▸Samitivej Sukhumvit: approximately ฿4,500–฿6,500
- ▸Bangkok Hospital: approximately ฿4,000–฿6,000
- ▸CT coronary angiography (CTCA — 64-slice or higher): ฿15,000–฿35,000 — detailed imaging of the coronary arteries with contrast dye; requires IV cannula; 20–30 minute procedure
- ▸CTCA at Bumrungrad: approximately ฿20,000–฿35,000 (dual-source CT, high accuracy for rapid heart rates)
- ▸CTCA at Samitivej: approximately ฿18,000–฿30,000
- ▸Cardiac CT angiography for structural heart disease (not coronary): ฿20,000–฿40,000
- ▸US/UK price comparison: CAC score $300–$1,500; CTCA $2,000–$6,000 — Bangkok typically 60–80% cheaper
- ▸Preparation: no caffeine 12 hours before CTCA; no fasting needed for CAC score; beta-blocker may be given to slow heart rate before CTCA (pre-medicated at hospital)
Coronary calcium score — what it means
Understanding your Agatston CAC score from a Bangkok cardiac CT:
- ▸CAC score = 0: no calcified plaque detected — very low 10-year risk of major cardiac event (<1%); most JCI guidelines recommend no statin if score is 0 and no other risk factors
- ▸CAC score 1–99: mild calcification — low-to-moderate risk; statin may be recommended depending on other risk factors (age, LDL, diabetes, hypertension); follow-up in 5 years
- ▸CAC score 100–399: moderate calcification — moderate risk; statin therapy generally indicated; lifestyle intervention essential
- ▸CAC score 400–999: high calcification — high risk for cardiac event in next 10 years; intensive statin therapy + aspirin usually recommended; consider CTCA for stenosis severity
- ▸CAC score ≥1000: very high calcification — very high risk; aggressive medical management; cardiology follow-up essential
- ▸CAC score is age- and sex-adjusted: a score of 100 means different risk levels at age 45 vs 65 — your Bangkok cardiologist will interpret in context
- ▸Zero CAC score is powerful: a zero score in an asymptomatic person reclassifies them to lower risk and can often defer statin therapy — a 'heart attack warranty' for approximately 5 years
- ▸CTCA vs CAC score: CAC score detects calcified plaque (burden); CTCA shows stenosis (blockage severity); CTCA is needed if CAC is high or symptoms are present
Who should get a cardiac CT in Bangkok, and when
Indications for cardiac CT at a Bangkok health check-up:
- ▸Intermediate cardiovascular risk (10-year ASCVD risk 7.5–20%): CAC score is most useful in this group to guide statin decision; recommended by ACC/AHA 2019 guidelines
- ▸Age 40–75 with any cardiovascular risk factor (hypertension, diabetes, smoking, family history, dyslipidaemia): consider CAC score to quantify subclinical atherosclerosis
- ▸Already on statin but uncertain about cardiovascular benefit: CAC score = 0 may support de-escalation discussion with your cardiologist
- ▸Check-up found: elevated LDL cholesterol, borderline high blood pressure, or HbA1c in prediabetes range — CAC score adds risk quantification beyond labs alone
- ▸Strong family history of premature heart disease (first-degree relative with MI or cardiac death before age 55 men / 65 women): CAC score from age 40
- ▸Symptomatic patients (chest pain, exertional dyspnoea): CTCA instead of CAC score — to assess stenosis
- ▸Bangkok cardiologist consultation (฿2,000–฿4,000): needed to interpret results and decide management — always get a specialist to review results; never use CAC score alone without clinical context
- ▸No symptoms, low risk (young, no risk factors): CAC score not recommended — radiation exposure (1–3 mSv, equivalent to 6 months background radiation) outweighs benefit in very low-risk patients