78815

Nuclear medicine study from skull base to mid-thigh with ct scan

Medicare pricing data for 10,801 providers across 52 states

🤖AI Overview

Prices vary significantly by location — from $111 in West Virginia to $1,252 in Alaska. 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 from skull base to mid-thigh with ct scan (HCPCS code 78815) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $613.55, but hospitals typically charge $2,048 — a 3.3x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$122.71

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $613.55, your out-of-pocket cost would be approximately $122.71. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$613.55
Average Hospital Charge
$2,048
Markup Ratio
3.3x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$2,047.80
Medicare Allowed$613.55
Medicare Payment$486.49

Hospitals charge 3.3x more than what Medicare allows for this procedure. Medicare actually pays $486.49 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$1,252$4,850231,627+104.1%
Nevada$1,184$3,2461235,539+93.0%
Puerto Rico$1,040$1,08717292+69.6%
Maryland$1,040$2,51018123,516+69.5%
California$933$2,9571,01983,512+52.0%
Florida$932$2,93068362,267+51.8%
Arizona$904$2,51130117,564+47.4%
New Jersey$890$2,58626618,986+45.1%
New York$868$3,19255255,706+41.5%
Wyoming$817$2,952291,658+33.1%
Alabama$765$1,99323611,920+24.7%
New Mexico$742$3,559763,580+20.9%
Massachusetts$724$2,49623925,753+18.0%
Hawaii$721$1,937152,013+17.5%
Arkansas$693$2,36714315,361+13.0%
Colorado$672$1,73920013,025+9.5%
Kansas$614$1,70214110,080+0.1%
Texas$591$2,0291,09664,661-3.7%
Idaho$548$1,942633,549-10.7%
Washington$537$1,45420212,936-12.4%
South Dakota$523$1,447251,986-14.7%
Virginia$510$1,66320518,055-16.9%
Oregon$477$1,4581216,144-22.2%
Maine$475$1,627642,827-22.6%
Nebraska$463$1,462955,134-24.5%
Illinois$454$1,67752031,774-26.0%
Utah$454$1,516612,511-26.1%
Pennsylvania$445$1,52939129,871-27.4%
Tennessee$441$1,67121416,989-28.1%
Louisiana$415$1,3791809,503-32.4%
Indiana$382$1,35323812,922-37.8%
Iowa$337$1,2271657,470-45.1%
Wisconsin$336$1,97831910,934-45.2%
Minnesota$324$1,54132518,520-47.2%
North Dakota$323$865333,104-47.4%
Connecticut$321$1,0351126,248-47.6%
New Hampshire$311$1,280643,582-49.3%
Oklahoma$304$1,10511810,668-50.5%
Rhode Island$300$952202,432-51.0%
Ohio$283$1,13031018,845-53.9%
South Carolina$279$1,39816313,667-54.5%
Kentucky$269$9361418,912-56.2%
Mississippi$267$1,1101077,093-56.5%
Delaware$250$1,204212,250-59.2%
North Carolina$236$1,02126621,807-61.6%
District of Columbia$236$971171,343-61.6%
Georgia$217$1,08027417,631-64.7%
Montana$201$634431,480-67.3%
Missouri$192$77724116,344-68.7%
Michigan$157$98723414,030-74.5%
Vermont$136$622191,273-77.8%
West Virginia$111$477874,389-82.0%

⚠️ 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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