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CPT 78226

NM Hepatobiliary System Scan 1

Reported by 163 hospitals in the network under the other methodology.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

Reflects a payer-specific billing methodology not covered by the standard categories.

National pricing summary

Based on 148–490 billing samples across every hospital reporting.

Low

$288

Average

$788

Median

$546

High

$15.5k

Hospitals reporting this code

#HospitalLocationApproximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price.
1Herbert J Thomas Memorial Hospital AssociationSouth Charleston, WV$405$644$54149–58$26$1.9k
2Camden-Clark Memorial Hospital CorporationParkersburg, WV$401$442$10723–41$26$668
3Catholic Health Initiatives ColoradoColorado Springs, CO$404$590$4305–50$253$4.4k
4Foley Hospital Company LLCFoley, AL$427$459$9026$372$1.4k
5Northwest Hospital LLCTucson, AZ$420$506$3634–40$271$6.8k
6Benefis Hospitals IncFalls, MT$408$506$2514–40$402$1.2k
7Reynolds Memorial Hospital, Inc.Glen Dale, WV$401$423$1023–30$26$668
8Princeton Community Hospital Assn Inc.Princeton, WV$429$651$6133–30$26$2.4k
9Triad of Alabama LLCDothan, AL$385$415$6015$235$674
10Wesley Health System LLCHattiesburg, MS$538$1.2k$1.6k2–20$267$6.1k
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