Nuclear medicine study whole body with ct scan
Medicare pricing data for 7,691 providers across 52 states
Prices vary significantly by location — from $111 in West Virginia to $1,299 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 whole body with ct scan (HCPCS code 78816) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $568.04, but hospitals typically charge $2,010 — a 3.5x 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 $568.04, your out-of-pocket cost would be approximately $113.61. 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 3.5x more than what Medicare allows for this procedure. Medicare actually pays $450.05 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $1,299 | $5,188 | 16 | 267 | +128.7% |
| Nevada | $1,123 | $3,179 | 74 | 615 | +97.6% |
| Puerto Rico | $1,084 | $1,532 | 17 | 219 | +90.8% |
| Maryland | $972 | $2,615 | 140 | 3,008 | +71.1% |
| New Jersey | $899 | $2,826 | 204 | 2,272 | +58.3% |
| Florida | $855 | $2,735 | 451 | 8,974 | +50.6% |
| Wyoming | $853 | $1,651 | 17 | 74 | +50.2% |
| California | $845 | $3,010 | 697 | 11,686 | +48.7% |
| Hawaii | $836 | $2,061 | 10 | 200 | +47.2% |
| Alabama | $782 | $1,849 | 145 | 991 | +37.7% |
| Arizona | $763 | $2,133 | 222 | 2,551 | +34.3% |
| New York | $762 | $3,201 | 380 | 8,676 | +34.1% |
| New Mexico | $702 | $3,856 | 48 | 380 | +23.6% |
| Colorado | $619 | $1,617 | 158 | 2,059 | +8.9% |
| Massachusetts | $615 | $2,220 | 183 | 3,798 | +8.3% |
| Virginia | $561 | $1,880 | 144 | 2,875 | -1.2% |
| Arkansas | $546 | $1,758 | 86 | 2,480 | -3.9% |
| Texas | $540 | $1,922 | 733 | 10,011 | -4.9% |
| Idaho | $510 | $1,782 | 59 | 551 | -10.2% |
| Washington | $478 | $1,330 | 146 | 2,190 | -15.8% |
| Nebraska | $451 | $1,272 | 73 | 926 | -20.6% |
| Kansas | $442 | $1,223 | 101 | 1,209 | -22.2% |
| Oregon | $440 | $1,352 | 98 | 1,141 | -22.5% |
| Pennsylvania | $440 | $1,632 | 301 | 3,711 | -22.5% |
| Maine | $437 | $1,542 | 51 | 436 | -23.2% |
| Tennessee | $403 | $1,604 | 150 | 1,775 | -29.0% |
| Indiana | $391 | $1,370 | 168 | 1,477 | -31.2% |
| Illinois | $383 | $1,510 | 368 | 3,655 | -32.5% |
| Louisiana | $377 | $1,306 | 116 | 748 | -33.6% |
| South Dakota | $357 | $981 | 23 | 334 | -37.2% |
| Wisconsin | $349 | $2,295 | 216 | 1,772 | -38.5% |
| Oklahoma | $332 | $1,124 | 90 | 1,196 | -41.6% |
| Minnesota | $309 | $1,425 | 245 | 2,739 | -45.5% |
| Rhode Island | $299 | $1,092 | 16 | 310 | -47.4% |
| Ohio | $297 | $1,132 | 215 | 2,566 | -47.6% |
| Connecticut | $290 | $1,026 | 78 | 747 | -48.9% |
| District of Columbia | $286 | $1,458 | 10 | 199 | -49.6% |
| Mississippi | $283 | $1,185 | 73 | 824 | -50.1% |
| South Carolina | $279 | $1,407 | 117 | 1,767 | -50.9% |
| Utah | $269 | $772 | 46 | 314 | -52.7% |
| Kentucky | $267 | $1,479 | 104 | 762 | -52.9% |
| Delaware | $260 | $1,361 | 21 | 324 | -54.3% |
| Iowa | $259 | $1,054 | 111 | 1,131 | -54.4% |
| North Dakota | $247 | $669 | 30 | 257 | -56.6% |
| New Hampshire | $235 | $1,258 | 52 | 583 | -58.6% |
| Georgia | $219 | $1,050 | 210 | 2,208 | -61.5% |
| North Carolina | $187 | $830 | 207 | 3,666 | -67.2% |
| Michigan | $175 | $920 | 171 | 1,904 | -69.1% |
| Montana | $171 | $578 | 36 | 223 | -69.9% |
| Missouri | $170 | $620 | 180 | 1,883 | -70.0% |
| Vermont | $111 | $566 | 16 | 261 | -80.4% |
| West Virginia | $111 | $460 | 60 | 391 | -80.5% |
⚠️ 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