Nuclear medicine study of lung ventilation and circulation
Medicare pricing data for 8,877 providers across 52 states
This procedure has a 5.2x markup — hospitals charge $285.16 but Medicare allows only $54.60. Uninsured patients may face bills 5.2 times higher than what insurance negotiates. 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 lung ventilation and circulation (HCPCS code 78582) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $54.60, but hospitals typically charge $285.16 — a 5.2x 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 $54.60, your out-of-pocket cost would be approximately $10.92. 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 5.2x more than what Medicare allows for this procedure. Medicare actually pays $42.41 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Arizona | $86 | $639 | 133 | 1,029 | +56.6% |
| Oregon | $75 | $252 | 65 | 238 | +37.6% |
| Maryland | $69 | $217 | 157 | 2,255 | +27.0% |
| Alaska | $65 | $466 | 21 | 68 | +19.1% |
| Nevada | $62 | $535 | 114 | 683 | +14.4% |
| Washington | $61 | $250 | 138 | 870 | +12.2% |
| Florida | $61 | $331 | 712 | 5,433 | +10.9% |
| Massachusetts | $59 | $221 | 201 | 1,165 | +7.8% |
| California | $58 | $286 | 781 | 5,746 | +6.3% |
| New Jersey | $57 | $255 | 214 | 1,523 | +4.6% |
| North Carolina | $56 | $297 | 372 | 2,279 | +2.6% |
| Iowa | $56 | $212 | 72 | 287 | +2.5% |
| Mississippi | $56 | $265 | 94 | 518 | +2.0% |
| New York | $55 | $311 | 346 | 2,859 | +0.8% |
| District of Columbia | $53 | $166 | 19 | 496 | -2.5% |
| Illinois | $52 | $322 | 393 | 2,696 | -4.9% |
| Connecticut | $52 | $204 | 105 | 707 | -5.1% |
| Texas | $51 | $347 | 603 | 3,321 | -6.5% |
| Georgia | $51 | $294 | 369 | 1,670 | -7.0% |
| Ohio | $51 | $289 | 265 | 2,135 | -7.3% |
| Hawaii | $51 | $265 | 20 | 45 | -7.4% |
| Michigan | $50 | $259 | 247 | 1,282 | -7.8% |
| Colorado | $50 | $247 | 177 | 1,034 | -8.8% |
| Delaware | $50 | $255 | 22 | 506 | -8.9% |
| Pennsylvania | $50 | $312 | 293 | 1,713 | -9.0% |
| Montana | $49 | $177 | 32 | 108 | -9.5% |
| Rhode Island | $49 | $162 | 18 | 138 | -9.5% |
| Wisconsin | $49 | $497 | 237 | 1,105 | -9.8% |
| North Dakota | $49 | $210 | 30 | 105 | -10.1% |
| New Mexico | $49 | $211 | 47 | 369 | -10.2% |
| Wyoming | $49 | $282 | 10 | 16 | -10.2% |
| Minnesota | $49 | $228 | 288 | 970 | -10.3% |
| Maine | $49 | $200 | 39 | 95 | -10.3% |
| New Hampshire | $49 | $355 | 40 | 151 | -10.5% |
| Tennessee | $49 | $251 | 276 | 1,893 | -10.5% |
| Virginia | $49 | $186 | 211 | 1,083 | -10.7% |
| South Dakota | $49 | $175 | 20 | 155 | -11.0% |
| Vermont | $49 | $256 | 16 | 57 | -11.1% |
| Missouri | $48 | $196 | 218 | 1,576 | -11.6% |
| Puerto Rico | $48 | $110 | 9 | 15 | -11.7% |
| Utah | $48 | $188 | 55 | 142 | -12.0% |
| Idaho | $48 | $416 | 50 | 169 | -12.1% |
| Kansas | $48 | $175 | 79 | 321 | -12.1% |
| Kentucky | $48 | $200 | 144 | 786 | -12.1% |
| Louisiana | $48 | $267 | 158 | 831 | -12.4% |
| West Virginia | $48 | $229 | 89 | 464 | -12.5% |
| Oklahoma | $48 | $245 | 139 | 580 | -12.5% |
| Indiana | $48 | $232 | 149 | 928 | -12.5% |
| South Carolina | $48 | $232 | 209 | 1,298 | -12.5% |
| Nebraska | $48 | $154 | 51 | 271 | -12.6% |
| Alabama | $48 | $122 | 198 | 1,166 | -12.7% |
| Arkansas | $47 | $252 | 86 | 682 | -13.8% |
⚠️ 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