78315

Nuclear medicine study of bone taken at different times

Medicare pricing data for 6,844 providers across 52 states

🤖AI Overview

Prices vary significantly by location — from $46 in West Virginia to $214 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 bone taken at different times (HCPCS code 78315) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $91.14, but hospitals typically charge $372.29 — a 4.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$18.23

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $91.14, your out-of-pocket cost would be approximately $18.23. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$91.14
Average Hospital Charge
$372.29
Markup Ratio
4.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$372.29
Medicare Allowed$91.14
Medicare Payment$70.86

Hospitals charge 4.1x more than what Medicare allows for this procedure. Medicare actually pays $70.86 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Puerto Rico$214$29126122+134.9%
Maryland$195$539114843+114.5%
Arizona$186$951118666+103.8%
Nevada$180$73884402+97.1%
New Jersey$150$541225819+65.0%
Florida$150$5315123,221+64.3%
Connecticut$132$36380284+45.0%
California$123$4495152,299+35.4%
New York$122$4153271,487+33.7%
Kansas$100$34988350+9.8%
Nebraska$100$43959289+9.7%
Delaware$98$37215213+7.8%
Minnesota$93$338175682+2.3%
Texas$93$4364572,602+2.1%
Washington$86$347118630-6.2%
Colorado$85$29390514-7.1%
Tennessee$84$377207939-7.6%
Idaho$72$40340189-20.5%
Massachusetts$71$300170719-21.7%
Kentucky$68$266106429-25.4%
Utah$67$31748236-26.8%
Virginia$67$238150869-26.8%
Alaska$64$3901876-29.3%
New Mexico$64$27431155-29.4%
North Carolina$64$2932251,350-29.4%
Wisconsin$63$552177558-30.6%
Missouri$63$240175949-30.8%
Illinois$62$3183381,503-31.6%
New Hampshire$62$40049197-32.3%
Mississippi$60$29582367-33.9%
Oregon$58$24762236-36.2%
Iowa$58$26484279-36.5%
Pennsylvania$57$2843021,865-37.8%
Georgia$56$281193680-38.2%
Louisiana$56$299136495-38.4%
Ohio$55$3351811,029-40.0%
Indiana$52$235146648-42.4%
District of Columbia$52$2181385-43.0%
Alabama$51$163176774-43.8%
Michigan$49$2211791,072-46.4%
South Carolina$49$230126570-46.5%
Arkansas$49$18269585-46.6%
Hawaii$48$2871260-47.5%
Rhode Island$48$20120136-47.8%
Montana$47$1372693-48.0%
Maine$47$18948113-48.8%
Wyoming$47$3232171-48.8%
South Dakota$47$15916137-48.9%
Vermont$47$3441540-48.9%
North Dakota$46$2042559-49.0%
Oklahoma$46$25396483-49.9%
West Virginia$46$22758203-50.0%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber