Price Checker / CPT 78215

CPT 78215Lvr&spleen img static only

2026 Medicare Physician Fee Schedule rates and hospital pricing data

Medicare Rate (Facility)

$178

What Medicare pays in a hospital/ASC setting

Medicare Rate (Office)

$178

What Medicare pays in a physician's office

Avg Hospital Charge

$3,011

Based on 11 hospital(s) in our database

What do these numbers mean?

The Medicare rateis what the federal government determines is a fair payment for this procedure. It's based on the Relative Value Unit (RVU) system, which accounts for physician work, practice expense, and malpractice cost. Hospitals and providers often charge 3-20x this amount. If your bill is significantly higher than the Medicare rate, you may have grounds to negotiate.

Hospital Charges for CPT 78215

From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.

HospitalGross ChargeCash Ratevs Medicare
Kindred Hospital Las Vegas - Flamingo

Las Vegas, NV

$7,5094110%
Kindred Hospital Las Vegas - Sahara

Las Vegas, NV

$7,5094110%
Cornerstone Specialty Hospitals Muskogee

Muskogee, OK

$3,6081923%
Cornerstone Specialty Hospitals Broken Arrow

Broken Arrow, OK

$3,3721791%
Hamilton County Public Hospital DBA Van Diest Medical Center

, IA

$2,452$1,9621275%
UM Shore Medical Center at Easton

Easton, MD

$2,1011078%
University of Maryland Medical Center - Midtown Campus

, MD

$1,691848%
UM Capital Region Medical Center

Largo, MD

$1,443709%
UM Laurel Medical Center

Laurel, MD

$1,423698%
Frederick Health Hospital

, MD

$1,108521%
UM Charles Regional Medical Center

La Plata, MD

$904407%

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About CPT 78215

CPT code 78215 refers to “Lvr&spleen img static only”. Under the 2026 Medicare Physician Fee Schedule, this procedure is reimbursed at $178 in a facility (hospital or ambulatory surgery center) and $178in a non-facility (physician's office) setting.

These rates are set by CMS (Centers for Medicare & Medicaid Services) and represent what the government considers a fair payment for this service. While commercial insurance typically pays somewhat more than Medicare, many hospitals charge significantly higher amounts — sometimes 10-50x the Medicare rate.

What to do if you were overcharged

  1. Upload your bill— we'll identify this code and compare it against the rates shown above.
  2. Get a dispute letter— citing the Medicare rate and your hospital's own published pricing data.
  3. Negotiate or let us handle it — 25% of savings, no savings = no fee.

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