Price Checker / CPT 78227
How much does Hepatobil Syst Image W/drug cost?
CPT 78227 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is about 2.1x the fair price. You have grounds to ask for a reduction.
Fair price
$1,700–$2,000
What this should cost
With insurance
~$96,900
Typical out-of-pocket
Overcharged if over
$2,500
Push back above this
The average hospital charge of $3,819 is $1,969 over the fair price (about 2.1x the fair rate).
What hospitals charge for Hepatobil Syst Image W/drug
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 Birmingham , AL | $13,931 | — | 3540% |
| Southwestern Medical Center Lawton, OK | $5,368 | — | 1302% |
| UM Shore Medical Center at Chestertown Chestertown, MD | $5,173 | — | 1251% |
| UM Shore Medical Center at Easton Easton, MD | $4,957 | — | 1195% |
| Cornerstone Specialty Hospitals Muskogee Muskogee, OK | $4,393 | — | 1048% |
| Cornerstone Hospital Conroe Conroe, TX | $4,370 | — | 1042% |
| Cornerstone Specialty Hospitals Broken Arrow Broken Arrow, OK | $4,106 | — | 973% |
| University of Maryland Medical Center - Midtown Campus BALTIMORE, MD | $3,991 | — | 943% |
| Cumberland Healthcare Cumberland, WI | $3,888 | — | 916% |
| Cornerstone Specialty Hospitals Huntington Huntington, WV | $3,854 | — | 907% |
| UM Capital Region Medical Center Largo, MD | $3,404 | — | 789% |
| UM Laurel Medical Center Laurel, MD | $3,357 | — | 777% |
| Frederick Health Hospital FREDERICK, MD | $2,615 | — | 583% |
| Meritus Medical Center, Inc. HAGERSTOWN, MD | $2,248 | — | 487% |
| Iroquois Memorial Hospital WATSEKA, IL | $2,191 | $1,533 | 472% |
Were you billed for this procedure?
Send us your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free review, no obligation.
About Hepatobil Syst Image W/drug
CPT code 78227 refers to hepatobil syst image w/drug (billing description: "Hepatobil syst image w/drug"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $383 in a facility (hospital or surgery center) and $383 in a doctor's office.
The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.
What to do if you were overcharged
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.