78608

Nuclear medicine study of brain with metabolic evaluation

Medicare pricing data for 1,808 providers across 48 states

🤖AI Overview

Prices vary significantly by location — from $65 in Nebraska to $1,533 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 brain with metabolic evaluation (HCPCS code 78608) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $689.71, but hospitals typically charge $2,209 — a 3.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$137.94

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $689.71, your out-of-pocket cost would be approximately $137.94. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$689.71
Average Hospital Charge
$2,209
Markup Ratio
3.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$2,208.61
Medicare Allowed$689.71
Medicare Payment$547.85

Hospitals charge 3.2x more than what Medicare allows for this procedure. Medicare actually pays $547.85 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Puerto Rico$1,533$2,120316+122.2%
Alabama$1,372$4,980830+98.9%
California$1,149$3,3742112,273+66.6%
Nevada$1,087$4,06326197+57.6%
Maryland$1,003$2,729581,003+45.5%
Florida$973$3,0421461,241+41.1%
New York$838$3,0231372,753+21.5%
New Mexico$774$2,5201476+12.2%
Maine$739$2,7931563+7.1%
Virginia$724$2,10545368+5.0%
New Jersey$711$1,89961333+3.1%
Arizona$701$1,73149641+1.6%
South Dakota$681$776931-1.2%
Georgia$679$1,23116109-1.5%
Idaho$640$2,105517-7.1%
Texas$631$1,96996873-8.6%
Colorado$630$1,7723083-8.7%
Wisconsin$564$2,49440168-18.2%
Washington$540$1,38540289-21.7%
North Carolina$426$1,1113893-38.2%
Massachusetts$366$1,97284617-46.9%
Illinois$353$1,38581458-48.9%
Oregon$344$1,0512194-50.1%
Pennsylvania$335$1,01685498-51.4%
Tennessee$309$1,37228247-55.2%
Louisiana$292$8582253-57.7%
Mississippi$280$1,1531185-59.5%
Ohio$267$67448414-61.2%
Kansas$264$76417153-61.7%
New Hampshire$230$1,52419164-66.6%
Arkansas$222$5441685-67.8%
Minnesota$136$42867812-80.3%
Michigan$118$93352246-82.9%
Connecticut$98$4101970-85.9%
Indiana$85$51228104-87.7%
District of Columbia$74$1,030527-89.3%
Rhode Island$70$307560-89.8%
Montana$69$223113-90.0%
North Dakota$68$215418-90.1%
Kentucky$68$2421023-90.2%
Vermont$67$353424-90.2%
Missouri$67$28531114-90.2%
West Virginia$67$253825-90.3%
Utah$67$3161123-90.3%
South Carolina$67$3921038-90.4%
Iowa$66$2521374-90.4%
Oklahoma$65$2771443-90.5%
Nebraska$65$311978-90.5%

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

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💊 Need post-procedure medications? Check costs on OpenPrescriber