Nuclear medicine study of lymphatic system
Medicare pricing data for 4,997 providers across 52 states
This procedure has a 5.3x markup — hospitals charge $347.12 but Medicare allows only $65.31. Uninsured patients may face bills 5.3 times higher than what insurance negotiates. Prices vary significantly by location — from $49 in Idaho to $139 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 lymphatic system (HCPCS code 78195) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $65.31, but hospitals typically charge $347.12 — a 5.3x 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 $65.31, your out-of-pocket cost would be approximately $13.06. 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 5.3x more than what Medicare allows for this procedure. Medicare actually pays $51.04 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Puerto Rico | $139 | $186 | 13 | 29 | +113.5% |
| Nebraska | $115 | $523 | 47 | 167 | +75.9% |
| New Jersey | $96 | $505 | 116 | 579 | +47.4% |
| Kansas | $93 | $241 | 62 | 205 | +42.2% |
| California | $82 | $402 | 461 | 2,789 | +25.1% |
| Washington | $80 | $264 | 102 | 545 | +23.2% |
| Arizona | $76 | $610 | 71 | 265 | +16.9% |
| Alaska | $72 | $347 | 14 | 39 | +9.6% |
| Arkansas | $70 | $290 | 45 | 176 | +7.5% |
| Florida | $70 | $486 | 401 | 2,489 | +7.1% |
| New York | $69 | $362 | 227 | 1,553 | +6.2% |
| Illinois | $67 | $405 | 269 | 1,352 | +2.5% |
| Maryland | $67 | $222 | 88 | 637 | +2.1% |
| Tennessee | $64 | $267 | 142 | 775 | -2.5% |
| Texas | $63 | $393 | 334 | 1,765 | -3.0% |
| District of Columbia | $60 | $249 | 19 | 159 | -8.3% |
| Ohio | $59 | $331 | 167 | 585 | -9.6% |
| Connecticut | $58 | $211 | 44 | 154 | -11.1% |
| Massachusetts | $58 | $211 | 106 | 521 | -11.9% |
| Rhode Island | $57 | $219 | 15 | 140 | -12.9% |
| Missouri | $57 | $263 | 128 | 746 | -13.0% |
| Pennsylvania | $56 | $273 | 168 | 738 | -14.1% |
| Delaware | $56 | $361 | 5 | 41 | -14.3% |
| Colorado | $56 | $256 | 55 | 217 | -14.5% |
| New Hampshire | $56 | $290 | 37 | 128 | -14.7% |
| Michigan | $55 | $272 | 141 | 636 | -15.1% |
| New Mexico | $55 | $204 | 23 | 215 | -15.2% |
| Oregon | $55 | $183 | 46 | 179 | -15.5% |
| Georgia | $55 | $377 | 177 | 652 | -15.6% |
| Virginia | $55 | $241 | 125 | 693 | -15.8% |
| North Dakota | $55 | $259 | 17 | 103 | -16.0% |
| Minnesota | $55 | $263 | 117 | 337 | -16.1% |
| Wyoming | $55 | $406 | 13 | 30 | -16.3% |
| Nevada | $55 | $520 | 39 | 86 | -16.5% |
| Hawaii | $55 | $219 | 23 | 87 | -16.5% |
| South Dakota | $54 | $204 | 19 | 70 | -17.2% |
| Montana | $54 | $194 | 36 | 117 | -17.2% |
| Louisiana | $54 | $388 | 61 | 209 | -17.4% |
| North Carolina | $54 | $288 | 145 | 842 | -17.5% |
| West Virginia | $54 | $295 | 44 | 135 | -17.7% |
| Vermont | $54 | $307 | 8 | 29 | -17.7% |
| Maine | $54 | $200 | 25 | 71 | -17.7% |
| Kentucky | $54 | $158 | 45 | 187 | -18.0% |
| Indiana | $53 | $263 | 94 | 363 | -18.1% |
| Alabama | $53 | $164 | 119 | 468 | -18.2% |
| South Carolina | $53 | $343 | 97 | 477 | -18.3% |
| Wisconsin | $53 | $584 | 141 | 447 | -18.3% |
| Iowa | $53 | $231 | 69 | 206 | -18.5% |
| Oklahoma | $53 | $263 | 65 | 262 | -18.6% |
| Mississippi | $52 | $323 | 66 | 487 | -19.7% |
| Utah | $51 | $244 | 17 | 73 | -21.8% |
| Idaho | $49 | $327 | 50 | 151 | -24.4% |
⚠️ 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