Localized tumor imaging, limited area nuclear medicine scan

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

PR MOLECULAR BREAST IMAGING

Payers reporting CPT 78800

Payer pricing summary

Low

$167

Average

$850

Median

$660

High

$7.2k

Payer rate distribution

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#
1	Bcbs Al facility · other · outpatient · +2 other terms	5	$1.3k	$916	$593	65%	15–42	$244 – $1.7k
2	Anthem fee schedule · outpatient · +28 other terms	182	$630	$477	$552	116%	2–20	$8 – $4.4k
3	UnitedHealthcare fee schedule · outpatient · +36 other terms	729	$575	$616	$531	86%	1–10	$1 – $11.8k
4	Blue Cross Blue Shield fee schedule · outpatient · +33 other terms	479	$487	$548	$419	77%	1–10	$1 – $5.8k
5	Aetna fee schedule · outpatient · +35 other terms	646	$493	$860	$1.1k	130%	—	$1 – $28.1k
6	Cigna fee schedule · outpatient · +31 other terms	410	$688	$880	$612	70%	—	$31 – $6.6k
7	Humana fee schedule · outpatient · +32 other terms	401	$413	$537	$522	97%	—	$1 – $2.9k
8	Molina fee schedule · outpatient · +32 other terms	245	$411	$402	$266	66%	—	$1 – $2.2k
9	WellCare fee schedule · outpatient · +22 other terms	178	$405	$411	$162	39%	—	$33 – $942
10	MultiPlan fee schedule · outpatient · +21 other terms	111	$1.2k	$1.2k	$1.1k	88%	—	$40 – $5.4k
11	Ambetter fee schedule · outpatient · +21 other terms	109	$669	$564	$319	57%	—	$82 – $2.4k
12	Kaiser fee schedule · outpatient · +24 other terms	103	$579	$787	$807	103%	—	$31 – $4.6k
13	Devoted facility · fee schedule · outpatient · +18 other terms	88	$406	$464	$424	92%	—	$17 – $4.9k
14	Caresource fee schedule · outpatient · +18 other terms	81	$412	$405	$191	47%	—	$1 – $1.5k
15	Aetna Better Health fee schedule · outpatient · +19 other terms	79	$272	$306	$140	46%	—	$107 – $1.4k
16	Oscar facility · fee schedule · outpatient · +21 other terms	65	$584	$553	$139	25%	—	$287 – $751
17	Highmark facility · fee schedule · outpatient · +20 other terms	63	$518	$506	$352	70%	—	$23 – $1.8k
18	First Health fee schedule · outpatient · +19 other terms	62	$595	$847	$1.1k	130%	—	$37 – $5.2k
19	Tricare fee schedule · outpatient · +19 other terms	55	$400	$498	$415	83%	—	$30 – $2.3k
20	Optum fee schedule · outpatient · +23 other terms	53	$370	$767	$789	103%	—	$33 – $3.4k
21	Amerihealth Caritas facility · fee schedule · outpatient · +17 other terms	50	$109	$312	$400	128%	—	$55 – $2.0k
22	Medicare facility · fee schedule · outpatient · +18 other terms	42	$415	$534	$551	103%	—	$356 – $4.8k
23	Cigna Healthspring fee schedule · outpatient · +10 other terms	39	$396	$379	$78	21%	—	$236 – $500
24	Clover facility · fee schedule · outpatient · +12 other terms	39	$421	$409	$30	7%	—	$348 – $473
25	Medicaid facility · fee schedule · outpatient · +17 other terms	36	$236	$315	$352	112%	—	$30 – $1.8k

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