Cost analysis for CPT 78815 — Nuclear medicine study from skull base to mid-thigh with ct scan
Average Medicare Payment
N/A
Total Payments (Latest)
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Services (Latest)
N/A
Price Change (–)
N/A
The most expensive state pays 14.2x more than the cheapest for this procedure. XX averages $1087.36 vs AA at $76.74.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| XX | $1087.36 | $220.7K | 203 | 1 |
| AK | $999.51 | $1.6M | 1.6K | 15 |
| NV | $936.82 | $5.0M | 5.3K | 62 |
| PR | $877.90 | $214.2K | 244 | 6 |
| MD | $830.35 | $19.4M | 23.4K | 112 |
| CA | $742.07 | $61.0M | 82.2K | 586 |
| FL | $741.33 | $45.4M | 61.3K | 373 |
| NJ | $714.93 | $13.4M | 18.7K | 161 |
| AZ | $714.41 | $12.2M | 17.1K | 161 |
| NY | $688.90 | $37.9M | 55.0K | 325 |
| WY | $650.81 | $1.0M | 1.6K | 14 |
| AL | $610.17 | $7.1M | 11.6K | 149 |
| NM | $598.85 | $2.1M | 3.5K | 33 |
| MA | $577.64 | $14.7M | 25.5K | 156 |
| HI | $575.38 | $1.2M | 2.0K | 8 |
| AR | $549.95 | $8.4M | 15.2K | 100 |
| CO | $534.53 | $6.8M | 12.8K | 116 |
| KS | $490.68 | $4.9M | 9.9K | 87 |
| TX | $455.94 | $28.5M | 62.6K | 600 |
| ID | $436.05 | $1.5M | 3.5K | 50 |
| WA | $425.06 | $5.4M | 12.7K | 107 |
| SD | $417.79 | $818.9K | 2.0K | 20 |
| VA | $404.61 | $7.2M | 17.8K | 130 |
| ME | $382.59 | $1.1M | 2.8K | 39 |
| OR | $379.59 | $2.3M | 6.0K | 80 |
| NE | $374.64 | $1.9M | 5.0K | 57 |
| IL | $360.89 | $11.3M | 31.2K | 365 |
| PA | $354.70 | $10.4M | 29.4K | 220 |
| TN | $348.63 | $5.8M | 16.8K | 152 |
| UT | $342.57 | $833.8K | 2.4K | 39 |
| LA | $333.29 | $3.1M | 9.2K | 109 |
| IN | $302.39 | $3.8M | 12.7K | 144 |
| IA | $265.21 | $1.9M | 7.2K | 94 |
| WI | $258.97 | $2.7M | 10.4K | 173 |
| ND | $255.00 | $785.4K | 3.1K | 29 |
| CT | $253.37 | $1.5M | 6.1K | 68 |
| MN | $250.04 | $4.5M | 18.0K | 176 |
| NH | $246.98 | $868.9K | 3.5K | 53 |
| RI | $236.66 | $574.4K | 2.4K | 16 |
| OK | $233.09 | $2.5M | 10.5K | 84 |
| OH | $222.07 | $4.1M | 18.4K | 185 |
| SC | $220.90 | $3.0M | 13.5K | 116 |
| KY | $211.66 | $1.9M | 8.8K | 97 |
| MS | $209.32 | $1.5M | 7.0K | 74 |
| DE | $194.78 | $435.5K | 2.2K | 15 |
| NC | $185.34 | $4.0M | 21.6K | 196 |
| DC | $172.46 | $227.7K | 1.3K | 7 |
| GA | $168.99 | $2.9M | 17.4K | 193 |
| MT | $159.93 | $227.4K | 1.4K | 28 |
| MO | $149.43 | $2.4M | 16.1K | 156 |
| MI | $119.61 | $1.6M | 13.7K | 143 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Tony Abraham | Diagnostic Radiology | NY | $3.8M | 2.5K | $1542.93 |
| Ronald Goodwich | Diagnostic Radiology | FL | $2.8M | 2.4K | $1192.50 |
| Pejman Dalaie | Nuclear Medicine | NY | $2.1M | 1.4K | $1502.54 |
| Paul Makhlouf | Nuclear Medicine | FL | $2.1M | 1.7K | $1237.50 |
| Esther Coronel | Nuclear Medicine | NY | $1.9M | 1.3K | $1537.45 |
| Frederic Yeganeh | Diagnostic Radiology | MD | $1.7M | 1.4K | $1209.98 |
| Ethan Spiegler | Nuclear Medicine | MD | $1.6M | 1.3K | $1216.50 |
| Umass Memorial Mri & Imaging Center, Llc | Independent Diagnostic Testing Facility (IDTF) | MA | $1.5M | 1.2K | $1228.67 |
| Shields Imaging Of Eastern Massachusetts Llc | Independent Diagnostic Testing Facility (IDTF) | MA | $1.3M | 956 | $1385.64 |
| Lisa Kalimi | Nuclear Medicine | NY | $1.3M | 862 | $1529.07 |
| Patrick Gonzales | Diagnostic Radiology | CA | $1.3M | 805 | $1634.49 |
| Pet Llc | Independent Diagnostic Testing Facility (IDTF) | FL | $1.3M | 1.1K | $1171.73 |
| Rhonda Wyatt | Diagnostic Radiology | CA | $1.3M | 917 | $1373.04 |
| Kamran Koochek | Diagnostic Radiology | CA | $1.2M | 823 | $1463.01 |
| David Carlson | Nuclear Medicine | CA | $1.2M | 852 | $1407.22 |
| Roel Galope | Diagnostic Radiology | NJ | $1.2M | 914 | $1297.41 |
| Changping Jia | Nuclear Medicine | NY | $1.2M | 773 | $1501.64 |
| Aaron Kistler | Nuclear Medicine | VA | $1.1M | 746 | $1489.20 |
| Medina Kushen | Nuclear Medicine | FL | $1.1M | 915 | $1179.06 |
| Cape Cod Pet/Ct Services Llc | Independent Diagnostic Testing Facility (IDTF) | MA | $1.1M | 809 | $1319.71 |
The data suggests significant pricing inconsistencies for CPT 78815. With a 14.2x price gap between the most and least expensive states, geography plays an outsized role in what Medicare pays for this procedure.
Costs have remained relatively stable over time, but the geographic variation suggests Medicare's geographic adjustment factors may not fully capture the true cost differences across states.
This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.