Nuclear medicine study of liver and bile duct system
Medicare pricing data for 9,380 providers across 51 states
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 liver and bile duct system (HCPCS code 78226) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $44.91, but hospitals typically charge $216.71 — a 4.8x 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 $44.91, your out-of-pocket cost would be approximately $8.98. 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 4.8x more than what Medicare allows for this procedure. Medicare actually pays $34.69 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Florida | $64 | $288 | 784 | 4,629 | +41.5% |
| Maryland | $54 | $187 | 160 | 794 | +21.0% |
| New York | $54 | $247 | 415 | 2,653 | +20.8% |
| California | $51 | $231 | 864 | 5,351 | +14.6% |
| Nevada | $51 | $320 | 92 | 300 | +14.4% |
| Tennessee | $50 | $211 | 273 | 1,380 | +12.3% |
| New Jersey | $49 | $218 | 335 | 1,954 | +8.8% |
| Alaska | $47 | $318 | 18 | 44 | +4.2% |
| Connecticut | $47 | $193 | 117 | 595 | +3.6% |
| Nebraska | $46 | $159 | 68 | 295 | +2.9% |
| Mississippi | $46 | $205 | 102 | 582 | +1.8% |
| Illinois | $44 | $233 | 466 | 2,136 | -2.6% |
| Arizona | $43 | $362 | 146 | 797 | -4.1% |
| Ohio | $42 | $238 | 252 | 1,243 | -5.4% |
| Texas | $41 | $251 | 664 | 2,945 | -8.1% |
| Kentucky | $41 | $166 | 141 | 558 | -8.8% |
| North Carolina | $41 | $202 | 331 | 1,256 | -8.9% |
| Arkansas | $39 | $157 | 81 | 392 | -12.3% |
| Pennsylvania | $39 | $222 | 419 | 2,104 | -14.0% |
| Massachusetts | $38 | $140 | 226 | 898 | -14.7% |
| District of Columbia | $38 | $162 | 17 | 74 | -16.3% |
| Iowa | $37 | $174 | 100 | 244 | -17.1% |
| Missouri | $36 | $154 | 209 | 1,104 | -19.0% |
| South Carolina | $36 | $201 | 188 | 578 | -19.3% |
| Delaware | $35 | $166 | 22 | 195 | -21.9% |
| Washington | $35 | $141 | 112 | 603 | -22.0% |
| Rhode Island | $35 | $137 | 22 | 160 | -22.2% |
| New Hampshire | $35 | $164 | 64 | 179 | -22.6% |
| Montana | $35 | $118 | 33 | 63 | -22.9% |
| Minnesota | $35 | $179 | 234 | 618 | -23.1% |
| Colorado | $34 | $197 | 126 | 389 | -23.3% |
| Hawaii | $34 | $239 | 21 | 121 | -23.4% |
| New Mexico | $34 | $202 | 43 | 254 | -23.4% |
| Michigan | $34 | $197 | 285 | 1,569 | -23.5% |
| Alabama | $34 | $111 | 184 | 830 | -23.6% |
| Vermont | $34 | $199 | 20 | 56 | -23.7% |
| Virginia | $34 | $133 | 214 | 1,120 | -23.8% |
| Wyoming | $34 | $135 | 20 | 54 | -23.8% |
| Oregon | $34 | $135 | 101 | 282 | -23.9% |
| North Dakota | $34 | $123 | 25 | 97 | -24.1% |
| Maine | $34 | $133 | 31 | 58 | -24.2% |
| Georgia | $34 | $197 | 334 | 1,250 | -24.6% |
| Utah | $34 | $158 | 37 | 86 | -24.8% |
| Louisiana | $34 | $211 | 173 | 604 | -24.8% |
| South Dakota | $34 | $133 | 16 | 170 | -25.0% |
| Indiana | $34 | $141 | 196 | 892 | -25.2% |
| Idaho | $34 | $187 | 41 | 105 | -25.3% |
| Oklahoma | $33 | $153 | 116 | 402 | -25.6% |
| Wisconsin | $33 | $255 | 186 | 567 | -25.7% |
| Kansas | $33 | $108 | 91 | 346 | -25.7% |
| West Virginia | $33 | $163 | 83 | 329 | -26.3% |
⚠️ 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