Price Checker / CPT 78226
CPT 78226 — Hepatobiliary system imaging
2026 Medicare Physician Fee Schedule rates and hospital pricing data
$285
What Medicare pays in a hospital/ASC setting
$285
What Medicare pays in a physician's office
$3,071
Based on 18 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 78226
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| "UAB St. Vincent's St. Clair" , AL | $7,845 | $1,647 | 2654% |
| Kindred Hospital Las Vegas - Flamingo Las Vegas, NV | $5,168 | — | 1714% |
| Kindred Hospital Las Vegas - Sahara Las Vegas, NV | $5,168 | — | 1714% |
| UM Shore Medical Center at Chestertown Chestertown, MD | $3,770 | — | 1223% |
| UM Shore Medical Center at Chestertown , MD | $3,770 | $3,695 | 1223% |
| UM Shore Medical Center at Easton Easton, MD | $3,613 | — | 1168% |
| Cornerstone Specialty Hospitals Muskogee Muskogee, OK | $3,526 | — | 1138% |
| Cornerstone Specialty Hospitals Broken Arrow Broken Arrow, OK | $3,295 | — | 1057% |
| University of Maryland Medical Center - Midtown Campus , MD | $2,909 | — | 921% |
| UM Capital Region Medical Center Largo, MD | $2,481 | — | 771% |
| UM Laurel Medical Center Laurel, MD | $2,447 | — | 759% |
| Frederick Health Hospital , MD | $1,906 | $1,868 | 569% |
| Frederick Health Hospital , MD | $1,906 | — | 569% |
| Mid Coast Medical Center - Trinity Trinity, TX | $1,663 | — | 484% |
| Meritus Medical Center, Inc. , MD | $1,638 | — | 475% |
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About CPT 78226
CPT code 78226 refers to “Hepatobiliary system imaging”. Under the 2026 Medicare Physician Fee Schedule, this procedure is reimbursed at $285 in a facility (hospital or ambulatory surgery center) and $285in 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
- Upload your bill— we'll identify this code and compare it against the rates shown above.
- Get a dispute letter— citing the Medicare rate and your hospital's own published pricing data.
- Negotiate or let us handle it — 25% of savings, no savings = no fee.