Nuclear medicine study of liver and bile duct system with use of drugs
Medicare pricing data for 8,852 providers across 52 states
Prices vary significantly by location — from $40 in Oklahoma to $223 in Puerto Rico. Where you get this procedure matters more than almost any other factor. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Nuclear medicine study of liver and bile duct system with use of drugs (HCPCS code 78227) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $83.41, but hospitals typically charge $353.96 — a 4.2x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $83.41, your out-of-pocket cost would be approximately $16.68. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 4.2x more than what Medicare allows for this procedure. Medicare actually pays $64.54 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Puerto Rico | $223 | $322 | 18 | 54 | +166.8% |
| Nevada | $173 | $656 | 119 | 503 | +107.9% |
| Maryland | $171 | $490 | 163 | 1,273 | +105.3% |
| Wyoming | $167 | $388 | 23 | 55 | +100.5% |
| Arizona | $160 | $765 | 176 | 1,029 | +91.7% |
| New York | $142 | $517 | 308 | 1,293 | +69.9% |
| Florida | $138 | $553 | 659 | 3,538 | +65.1% |
| New Jersey | $127 | $451 | 220 | 660 | +52.5% |
| Delaware | $123 | $403 | 20 | 138 | +48.0% |
| Massachusetts | $109 | $567 | 172 | 717 | +30.8% |
| Kansas | $99 | $285 | 150 | 644 | +18.3% |
| Texas | $92 | $464 | 645 | 3,174 | +10.9% |
| Tennessee | $86 | $363 | 274 | 1,543 | +2.8% |
| Connecticut | $84 | $296 | 81 | 313 | +0.7% |
| Washington | $84 | $295 | 155 | 677 | +0.5% |
| California | $83 | $328 | 652 | 2,697 | -0.5% |
| Nebraska | $81 | $337 | 80 | 418 | -2.9% |
| North Carolina | $78 | $339 | 317 | 1,578 | -6.7% |
| Mississippi | $74 | $347 | 109 | 603 | -10.8% |
| Alabama | $73 | $163 | 233 | 990 | -12.9% |
| Missouri | $73 | $245 | 220 | 1,208 | -13.0% |
| Utah | $71 | $304 | 77 | 301 | -14.7% |
| Oregon | $68 | $252 | 113 | 400 | -18.6% |
| Idaho | $67 | $375 | 78 | 358 | -20.1% |
| Colorado | $64 | $272 | 159 | 796 | -23.0% |
| Illinois | $63 | $346 | 369 | 1,727 | -24.5% |
| Georgia | $63 | $275 | 308 | 1,428 | -24.8% |
| Iowa | $60 | $230 | 122 | 531 | -28.0% |
| New Mexico | $58 | $260 | 50 | 280 | -30.0% |
| Michigan | $57 | $269 | 256 | 1,086 | -31.2% |
| Alaska | $56 | $354 | 25 | 102 | -32.6% |
| Pennsylvania | $56 | $310 | 338 | 1,726 | -32.9% |
| Wisconsin | $56 | $384 | 209 | 671 | -33.4% |
| Virginia | $55 | $176 | 205 | 1,224 | -33.6% |
| Minnesota | $55 | $237 | 263 | 767 | -34.1% |
| Indiana | $53 | $287 | 182 | 811 | -37.0% |
| Kentucky | $48 | $210 | 124 | 696 | -42.5% |
| South Carolina | $47 | $250 | 185 | 1,021 | -43.7% |
| Ohio | $47 | $296 | 236 | 1,417 | -44.2% |
| District of Columbia | $45 | $152 | 16 | 144 | -46.0% |
| Louisiana | $44 | $258 | 164 | 1,016 | -47.4% |
| Arkansas | $43 | $161 | 105 | 960 | -48.0% |
| New Hampshire | $42 | $236 | 50 | 134 | -49.9% |
| Hawaii | $42 | $221 | 15 | 44 | -49.9% |
| Rhode Island | $42 | $146 | 23 | 168 | -50.0% |
| Maine | $42 | $174 | 54 | 173 | -50.0% |
| Montana | $42 | $131 | 44 | 151 | -50.1% |
| Vermont | $41 | $206 | 16 | 32 | -50.3% |
| North Dakota | $41 | $169 | 29 | 96 | -50.9% |
| South Dakota | $41 | $146 | 21 | 96 | -51.0% |
| West Virginia | $40 | $167 | 79 | 482 | -51.5% |
| Oklahoma | $40 | $281 | 124 | 694 | -51.6% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber