Nuclear medicine study of stomach to assess emptying
Medicare pricing data for 8,342 providers across 52 states
Prices vary significantly by location — from $35 in Oklahoma to $183 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 stomach to assess emptying (HCPCS code 78264) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $69.85, but hospitals typically charge $285.62 — a 4.1x 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 $69.85, your out-of-pocket cost would be approximately $13.97. 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 4.1x more than what Medicare allows for this procedure. Medicare actually pays $54.05 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Puerto Rico | $183 | $316 | 20 | 65 | +162.3% |
| Nevada | $167 | $570 | 88 | 356 | +138.6% |
| Maryland | $158 | $422 | 155 | 1,235 | +126.4% |
| Arizona | $136 | $558 | 137 | 977 | +94.8% |
| New Jersey | $124 | $449 | 247 | 1,105 | +77.7% |
| Florida | $106 | $423 | 612 | 4,395 | +52.3% |
| New York | $98 | $327 | 356 | 2,299 | +41.0% |
| California | $88 | $351 | 678 | 3,826 | +26.0% |
| Texas | $87 | $365 | 535 | 3,716 | +25.2% |
| Connecticut | $82 | $248 | 99 | 461 | +17.6% |
| Kansas | $79 | $190 | 125 | 725 | +13.6% |
| New Mexico | $76 | $304 | 55 | 310 | +9.0% |
| Wyoming | $75 | $257 | 28 | 143 | +7.1% |
| Nebraska | $70 | $247 | 76 | 390 | +0.1% |
| Washington | $68 | $246 | 153 | 1,048 | -2.7% |
| Tennessee | $65 | $284 | 251 | 1,602 | -6.6% |
| Oregon | $62 | $217 | 111 | 491 | -11.7% |
| Massachusetts | $60 | $250 | 215 | 1,330 | -14.1% |
| Delaware | $58 | $241 | 16 | 186 | -16.8% |
| Illinois | $58 | $291 | 354 | 1,815 | -16.8% |
| North Carolina | $58 | $237 | 309 | 1,859 | -17.0% |
| Colorado | $57 | $204 | 125 | 884 | -18.2% |
| Mississippi | $53 | $314 | 114 | 871 | -23.8% |
| Kentucky | $52 | $184 | 144 | 999 | -25.2% |
| Iowa | $51 | $200 | 94 | 415 | -27.4% |
| Missouri | $50 | $201 | 198 | 1,385 | -27.9% |
| Alaska | $50 | $347 | 25 | 110 | -28.7% |
| Wisconsin | $48 | $416 | 183 | 778 | -31.9% |
| Ohio | $47 | $268 | 229 | 1,803 | -32.2% |
| Idaho | $47 | $286 | 67 | 326 | -32.4% |
| Georgia | $46 | $227 | 276 | 1,748 | -34.3% |
| Virginia | $46 | $156 | 186 | 1,594 | -34.7% |
| Minnesota | $46 | $188 | 224 | 842 | -34.7% |
| Pennsylvania | $45 | $232 | 356 | 2,729 | -35.6% |
| South Carolina | $43 | $221 | 166 | 1,067 | -38.6% |
| Arkansas | $43 | $166 | 96 | 942 | -38.6% |
| Alabama | $41 | $151 | 180 | 873 | -41.4% |
| District of Columbia | $40 | $181 | 12 | 87 | -42.7% |
| Michigan | $40 | $202 | 188 | 1,182 | -43.0% |
| Indiana | $38 | $177 | 176 | 1,155 | -45.0% |
| Hawaii | $37 | $310 | 17 | 64 | -46.5% |
| Rhode Island | $37 | $141 | 25 | 209 | -46.8% |
| New Hampshire | $37 | $224 | 55 | 222 | -46.9% |
| Montana | $37 | $120 | 39 | 167 | -47.3% |
| Louisiana | $37 | $195 | 180 | 1,153 | -47.7% |
| Vermont | $36 | $226 | 15 | 75 | -47.9% |
| North Dakota | $36 | $182 | 26 | 104 | -48.1% |
| Maine | $36 | $168 | 60 | 181 | -48.5% |
| South Dakota | $36 | $133 | 22 | 174 | -48.7% |
| Utah | $36 | $217 | 49 | 210 | -48.8% |
| West Virginia | $36 | $159 | 76 | 380 | -48.9% |
| Oklahoma | $35 | $173 | 104 | 540 | -49.2% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber