78227

Nuclear medicine study of liver and bile duct system with use of drugs

Medicare pricing data for 8,852 providers across 52 states

🤖AI Overview

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

$16.68

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.

Average Allowed Cost
$83.41
Average Hospital Charge
$353.96
Markup Ratio
4.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$353.96
Medicare Allowed$83.41
Medicare Payment$64.54

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

StateAllowed CostHospital ChargeProvidersServicesvs. National
Puerto Rico$223$3221854+166.8%
Nevada$173$656119503+107.9%
Maryland$171$4901631,273+105.3%
Wyoming$167$3882355+100.5%
Arizona$160$7651761,029+91.7%
New York$142$5173081,293+69.9%
Florida$138$5536593,538+65.1%
New Jersey$127$451220660+52.5%
Delaware$123$40320138+48.0%
Massachusetts$109$567172717+30.8%
Kansas$99$285150644+18.3%
Texas$92$4646453,174+10.9%
Tennessee$86$3632741,543+2.8%
Connecticut$84$29681313+0.7%
Washington$84$295155677+0.5%
California$83$3286522,697-0.5%
Nebraska$81$33780418-2.9%
North Carolina$78$3393171,578-6.7%
Mississippi$74$347109603-10.8%
Alabama$73$163233990-12.9%
Missouri$73$2452201,208-13.0%
Utah$71$30477301-14.7%
Oregon$68$252113400-18.6%
Idaho$67$37578358-20.1%
Colorado$64$272159796-23.0%
Illinois$63$3463691,727-24.5%
Georgia$63$2753081,428-24.8%
Iowa$60$230122531-28.0%
New Mexico$58$26050280-30.0%
Michigan$57$2692561,086-31.2%
Alaska$56$35425102-32.6%
Pennsylvania$56$3103381,726-32.9%
Wisconsin$56$384209671-33.4%
Virginia$55$1762051,224-33.6%
Minnesota$55$237263767-34.1%
Indiana$53$287182811-37.0%
Kentucky$48$210124696-42.5%
South Carolina$47$2501851,021-43.7%
Ohio$47$2962361,417-44.2%
District of Columbia$45$15216144-46.0%
Louisiana$44$2581641,016-47.4%
Arkansas$43$161105960-48.0%
New Hampshire$42$23650134-49.9%
Hawaii$42$2211544-49.9%
Rhode Island$42$14623168-50.0%
Maine$42$17454173-50.0%
Montana$42$13144151-50.1%
Vermont$41$2061632-50.3%
North Dakota$41$1692996-50.9%
South Dakota$41$1462196-51.0%
West Virginia$40$16779482-51.5%
Oklahoma$40$281124694-51.6%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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💊 Need post-procedure medications? Check costs on OpenPrescriber