78803

Nuclear medicine study, spect imaging, 1 area or single acquisition, single day imaging

Medicare pricing data for 4,990 providers across 52 states

🤖AI Overview

Prices vary significantly by location — from $48 in Idaho to $339 in Alaska. 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, spect imaging, 1 area or single acquisition, single day imaging (HCPCS code 78803) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $131.71, but hospitals typically charge $530.62 — a 4.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$26.34

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $131.71, your out-of-pocket cost would be approximately $26.34. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$131.71
Average Hospital Charge
$530.62
Markup Ratio
4.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$530.62
Medicare Allowed$131.71
Medicare Payment$103.17

Hospitals charge 4.0x more than what Medicare allows for this procedure. Medicare actually pays $103.17 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$339$3,711979+157.8%
Puerto Rico$305$34317155+131.3%
Florida$229$7653583,775+73.9%
Arizona$216$1,0171041,604+64.2%
Nevada$216$58551395+63.8%
California$206$7383993,873+56.1%
Maryland$164$5141011,223+24.8%
Louisiana$151$76179641+14.8%
Texas$142$6392953,555+7.7%
Georgia$140$4931341,075+6.3%
Delaware$135$48612243+2.6%
New Jersey$130$5241961,870-1.4%
New York$128$6343132,973-2.9%
Washington$122$4001111,066-7.1%
Nebraska$122$47436136-7.5%
Mississippi$117$38536332-11.0%
Arkansas$117$34353381-11.1%
Utah$116$4403296-11.9%
Virginia$114$3331631,105-13.6%
Illinois$112$5872431,677-14.7%
Iowa$111$37055372-15.9%
Minnesota$105$453136570-20.4%
Oregon$101$33354342-23.1%
District of Columbia$96$27916147-27.3%
New Mexico$95$32818109-28.1%
Connecticut$90$46298714-31.5%
Ohio$88$323140992-33.0%
Colorado$88$34745405-33.3%
Wisconsin$88$765112426-33.4%
Maine$86$33135116-34.7%
Pennsylvania$74$2962652,206-43.7%
Massachusetts$73$2751261,272-44.3%
Indiana$71$29778471-46.1%
Missouri$70$265131646-46.8%
Kansas$67$17772500-48.8%
North Carolina$67$418115822-49.4%
South Carolina$64$27787689-51.4%
Alabama$63$22980344-52.1%
Tennessee$58$277971,026-55.7%
New Hampshire$58$43641332-56.1%
Michigan$55$391131755-58.0%
Rhode Island$51$1958147-61.2%
Hawaii$50$2707113-61.8%
Montana$49$2142396-62.4%
North Dakota$49$17421114-62.5%
Wyoming$49$1751030-62.6%
Vermont$49$362811-63.0%
South Dakota$49$19024127-63.1%
Kentucky$48$14758364-63.4%
Oklahoma$48$25858335-63.7%
West Virginia$48$21527155-63.7%
Idaho$48$24453162-63.9%

⚠️ 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