Price Checker / CPT 78451

CPT 78451Ht muscle image spect sing

2026 Medicare Physician Fee Schedule rates and hospital pricing data

Medicare Rate (Facility)

$311

What Medicare pays in a hospital/ASC setting

Medicare Rate (Office)

$311

What Medicare pays in a physician's office

Avg Hospital Charge

$7,774

Based on 105 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 78451

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

HospitalGross ChargeCash Ratevs Medicare
Red Bay Hospital

, AL

$144,500$144,50046318%
Red Bay Hospital

, AL

$144,50046318%
St. Elizabeth Hospital

, CO

$10,310$10,3103212%
EHHS Fulton Square Clinic

, WI

$9,885$7,2163075%
Brown County Hospital

Ainsworth, NE

$4,3142672%
Logan Regional Medical Center

Logan, WV

$6,8092087%
Cornerstone Specialty Hospitals Bossier City

Bossier City, LA

$6,7692074%
Cornerstone Specialty Hospitals Huntington

Huntington, WV

$6,7692074%
Community Rehabilitation Hospital South

, IN

$6,289$6,2891920%
Atlantic Rehabilitation Institute

, NJ

$6,225$6,2251900%
Down East Community Hospital

, ME

$6,129$4,5971869%
Community Rehabilitation Hospital North

, IN

$6,106$6,1061861%
Kindred Hospital Albuquerque

Albuquerque, NM

$6,0521844%
Kindred Hospital East New Jersey

Passaic, NJ

$6,0521844%
Kindred Hospital New Jersey - Morris County

Dover, NJ

$6,0521844%

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About CPT 78451

CPT code 78451 refers to “Ht muscle image spect sing”. Under the 2026 Medicare Physician Fee Schedule, this procedure is reimbursed at $311 in a facility (hospital or ambulatory surgery center) and $311in 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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