Nuclear medicine cisternogram

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Cerebrospinal Fluid Flow W/O Matl Cisternography

Payers reporting CPT 78630

Payer pricing summary

Low

$211

Average

$1.0k

Median

$923

High

$2.8k

Payer rate distribution

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#
1	Medicare other · both · +17 other terms	40	$574	$588	$67	11%	4–40	$493 – $705
2	Anthem fee schedule · outpatient · +28 other terms	170	$818	$648	$762	118%	1–10	$12 – $5.8k
3	UnitedHealthcare fee schedule · outpatient · +38 other terms	685	$755	$782	$644	82%	—	$1 – $15.8k
4	Aetna fee schedule · outpatient · +34 other terms	622	$681	$1.2k	$1.5k	126%	—	$1 – $37.7k
5	Blue Cross Blue Shield fee schedule · outpatient · +34 other terms	450	$782	$865	$609	70%	—	$1 – $5.5k
6	Cigna fee schedule · outpatient · +32 other terms	404	$1.1k	$1.2k	$799	69%	—	$31 – $9.5k
7	Humana fee schedule · outpatient · +30 other terms	377	$582	$794	$952	120%	—	$1 – $5.6k
8	Molina fee schedule · outpatient · +29 other terms	231	$537	$501	$284	57%	—	$1 – $2.2k
9	WellCare fee schedule · outpatient · +23 other terms	159	$544	$556	$230	41%	—	$33 – $1.3k
10	Ambetter facility · fee schedule · outpatient · +20 other terms	119	$925	$873	$446	51%	—	$434 – $7.1k
11	MultiPlan fee schedule · outpatient · +19 other terms	104	$1.7k	$1.5k	$1.1k	76%	—	$1 – $5.6k
12	Kaiser fee schedule · outpatient · +23 other terms	102	$870	$1.0k	$900	86%	—	$31 – $4.8k
13	Devoted facility · fee schedule · outpatient · +17 other terms	96	$533	$560	$294	53%	—	$401 – $4.9k
14	Tricare facility · fee schedule · outpatient · +21 other terms	80	$545	$586	$551	94%	—	$62 – $5.9k
15	Aetna Better Health fee schedule · outpatient · +18 other terms	74	$358	$367	$79	22%	—	$221 – $763
16	Caresource fee schedule · outpatient · +18 other terms	73	$563	$552	$258	47%	—	$1 – $1.3k
17	Oscar facility · fee schedule · outpatient · +18 other terms	65	$794	$764	$213	28%	—	$351 – $1.5k
18	First Health fee schedule · outpatient · +17 other terms	62	$972	$1.0k	$1.2k	116%	—	$37 – $5.5k
19	Highmark facility · fee schedule · outpatient · +20 other terms	60	$661	$681	$438	64%	—	$24 – $2.4k
20	Optum facility · fee schedule · outpatient · +21 other terms	59	$517	$550	$234	42%	—	$480 – $3.5k
21	Amerihealth Caritas facility · fee schedule · outpatient · +13 other terms	41	$144	$386	$410	106%	—	$91 – $2.0k
22	Medicaid facility · fee schedule · outpatient · +14 other terms	38	$356	$450	$366	81%	—	$82 – $1.8k
23	Clover facility · fee schedule · outpatient · +8 other terms	37	$572	$559	$41	7%	—	$492 – $634
24	Cigna Healthspring fee schedule · outpatient · +11 other terms	36	$530	$491	$113	23%	—	$314 – $648
25	Superior Healthplan facility · fee schedule · outpatient · +7 other terms	29	$437	$447	$166	37%	—	$302 – $1.2k

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