78830

Nuclear medicine study, spect imaging with concurrent ct scan, 1 area or single acquisition, single day imaging

Medicare pricing data for 2,919 providers across 50 states

🤖AI Overview

Prices vary significantly by location — from $62 in Mississippi to $305 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, spect imaging with concurrent ct scan, 1 area or single acquisition, single day imaging (HCPCS code 78830) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $127.07, but hospitals typically charge $635.29 — a 5.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$25.41

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $127.07, your out-of-pocket cost would be approximately $25.41. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$127.07
Average Hospital Charge
$635.29
Markup Ratio
5.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$635.29
Medicare Allowed$127.07
Medicare Payment$99.17

Hospitals charge 5.0x more than what Medicare allows for this procedure. Medicare actually pays $99.17 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Puerto Rico$305$331429+140.3%
Arizona$288$1,67163772+126.9%
California$208$9892524,575+63.6%
Florida$201$1,7311552,222+58.0%
Texas$200$6521541,766+57.2%
Oregon$190$668731,553+49.7%
Maryland$179$56442584+40.9%
Washington$173$68665864+35.9%
Virginia$155$423851,047+21.7%
New Mexico$137$5671693+7.5%
Massachusetts$117$466781,173-8.2%
New Jersey$109$54756426-14.1%
New York$93$5031302,253-26.7%
North Carolina$91$35355640-28.3%
Illinois$84$5411931,610-34.2%
Connecticut$77$33240332-39.0%
Minnesota$73$42079683-42.3%
District of Columbia$72$2475176-43.2%
Wisconsin$72$741140898-43.6%
Michigan$70$4971191,267-44.9%
Rhode Island$69$273566-45.7%
Pennsylvania$68$2621972,414-46.1%
Hawaii$68$231662-46.4%
Delaware$68$231413-46.6%
Colorado$68$33162369-46.8%
New Hampshire$67$2591938-47.2%
North Dakota$67$2111886-47.5%
Maine$67$20638147-47.6%
Ohio$66$249981,317-47.9%
Georgia$66$64490622-47.9%
Vermont$66$3459217-48.0%
Kentucky$66$35120360-48.0%
Montana$66$1931099-48.1%
Missouri$66$31272744-48.1%
South Dakota$66$1948155-48.2%
Utah$66$15767660-48.4%
Louisiana$65$35831250-48.5%
Alabama$65$34510215-48.7%
Tennessee$65$37244376-48.7%
West Virginia$65$20612172-48.8%
Indiana$65$28752317-49.1%
Oklahoma$64$28530107-49.4%
Iowa$64$22837420-49.4%
Idaho$64$2382779-49.5%
South Carolina$64$59340242-49.6%
Kansas$64$17418174-49.7%
Arkansas$63$20324271-50.2%
Nebraska$63$2311661-50.7%
Wyoming$62$186727-50.9%
Mississippi$62$2501037-51.2%

⚠️ 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