78708

Nuclear medicine study of kidney, blood, flow, and function with drug administration

Medicare pricing data for 4,781 providers across 51 states

🤖AI Overview

Prices vary significantly by location — from $53 in West Virginia to $119 in Maryland. 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 kidney, blood, flow, and function with drug administration (HCPCS code 78708) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $73.03, but hospitals typically charge $340.16 — a 4.7x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$14.61

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $73.03, your out-of-pocket cost would be approximately $14.61. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$73.03
Average Hospital Charge
$340.16
Markup Ratio
4.7x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$340.16
Medicare Allowed$73.03
Medicare Payment$56.39

Hospitals charge 4.7x more than what Medicare allows for this procedure. Medicare actually pays $56.39 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Maryland$119$33286440+63.3%
Nevada$119$51968201+62.3%
Arizona$106$56991420+44.5%
New York$96$3742401,058+31.5%
New Jersey$92$438163732+26.0%
Florida$89$4433762,059+21.6%
California$82$3644331,576+13.0%
Washington$77$25982316+5.0%
Alaska$76$4301439+3.4%
Mississippi$74$32859149+1.3%
Illinois$73$391214854-0.5%
Texas$72$3982871,087-1.6%
Tennessee$71$314116375-3.1%
Delaware$71$2959109-3.4%
Nebraska$70$31443106-4.1%
Kansas$69$24566218-5.6%
Colorado$64$28172373-12.2%
Connecticut$64$25149167-12.2%
Oregon$64$22555144-12.4%
Virginia$63$238110506-13.7%
Kentucky$62$25862138-15.1%
Minnesota$61$327131428-16.3%
Missouri$61$280127448-16.7%
Georgia$60$330136453-17.3%
Pennsylvania$60$273210999-17.7%
District of Columbia$60$2481066-18.1%
North Carolina$60$281152607-18.3%
Iowa$59$24762221-18.8%
Arkansas$59$22050258-19.4%
Massachusetts$58$218119504-20.5%
Ohio$58$313120601-20.5%
Michigan$58$247109429-21.0%
Wisconsin$57$606103364-21.4%
Hawaii$57$345733-22.2%
Rhode Island$56$2101059-23.0%
Montana$55$1941946-24.0%
New Hampshire$55$4492556-24.6%
North Dakota$55$2481748-24.6%
New Mexico$55$23324138-24.7%
Wyoming$55$2551417-24.8%
Vermont$55$2921246-25.2%
Louisiana$55$297109335-25.3%
South Dakota$54$1731179-25.5%
Utah$54$2002882-25.7%
Maine$54$2152538-25.9%
South Carolina$54$23888336-26.5%
Indiana$54$27586324-26.7%
Oklahoma$53$25266229-26.8%
Alabama$53$21497289-26.8%
Idaho$53$2703388-27.2%
West Virginia$53$23142110-27.3%

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

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber