78306

Nuclear medicine study of bone and/or joint whole body

Medicare pricing data for 11,526 providers across 52 states

🤖AI Overview

Prices vary significantly by location — from $38 in South Dakota to $184 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 bone and/or joint whole body (HCPCS code 78306) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $72.80, but hospitals typically charge $316.45 — a 4.3x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$14.56

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $72.80, your out-of-pocket cost would be approximately $14.56. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$72.80
Average Hospital Charge
$316.45
Markup Ratio
4.3x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$316.45
Medicare Allowed$72.80
Medicare Payment$56.28

Hospitals charge 4.3x more than what Medicare allows for this procedure. Medicare actually pays $56.28 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Puerto Rico$184$24827205+153.1%
Nevada$149$5581391,150+104.9%
Arizona$145$7001922,940+98.7%
Maryland$130$3621863,098+78.6%
New Jersey$129$4723465,137+77.1%
Florida$118$46178811,383+62.0%
Arkansas$99$4591073,206+36.3%
Nebraska$94$5261031,601+28.5%
New York$93$3664988,634+27.9%
California$87$38292310,790+19.9%
Texas$81$38585613,629+11.7%
Kansas$79$2201742,133+8.5%
Alaska$76$42031328+4.0%
Washington$76$2882423,794+3.8%
Delaware$75$29319781+3.0%
Alabama$68$2602882,807-6.5%
Connecticut$68$2321371,931-6.8%
Tennessee$66$3143494,126-10.0%
Mississippi$62$3241411,813-14.4%
New Mexico$61$29065828-16.2%
Virginia$61$2142285,436-16.7%
Oregon$56$1961521,978-23.6%
Illinois$54$2845297,457-25.3%
North Carolina$54$2514806,831-25.6%
Idaho$54$22982778-26.4%
Ohio$53$2853045,611-27.7%
Massachusetts$52$2182664,143-28.2%
Minnesota$52$2243442,789-28.5%
Utah$52$22874499-29.0%
Kentucky$50$2001772,372-31.0%
Wyoming$50$20832197-31.2%
Wisconsin$49$4192872,480-33.2%
Iowa$48$2141501,573-33.8%
Colorado$48$2051572,287-34.0%
Pennsylvania$48$2354747,511-34.7%
Georgia$47$2633903,844-35.4%
Missouri$47$2012534,126-35.5%
Indiana$46$2082283,085-36.6%
Vermont$46$24825428-36.8%
Michigan$45$2192734,174-37.8%
Oklahoma$45$2111431,789-38.5%
Louisiana$44$2602122,020-39.0%
South Carolina$42$2292062,509-41.9%
District of Columbia$42$17215712-41.9%
New Hampshire$41$29079832-44.3%
Rhode Island$40$16923458-45.0%
Montana$39$13048554-46.4%
Hawaii$39$22531405-46.4%
Maine$39$15877612-46.8%
North Dakota$39$19232379-46.9%
West Virginia$38$1801031,010-47.7%
South Dakota$38$13024515-47.9%

⚠️ 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