Price Checker / CPT 78803
CPT 78803 — Rp loclzj tum spect 1 area
2026 Medicare Physician Fee Schedule rates and hospital pricing data
$336
What Medicare pays in a hospital/ASC setting
$336
What Medicare pays in a physician's office
$10,942
Based on 43 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 78803
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| John Muir Health Concord Medical Center , CA | $145,417 | $65,438 | 43220% |
| John Muir Health Walnut Creek Medical Center , CA | $145,417 | $65,438 | 43220% |
| Oakdale Community Hospital , LA | $1,930 | — | 8659% |
| PAM Rehabilitation Hospital of Tulsa , OK | $9,594 | $9,594 | 2758% |
| PAM Specialty Hospital of Rocky Mount , NC | $9,594 | $9,594 | 2758% |
| PAM Specialty Hospital of Tulsa , OK | $9,594 | $9,594 | 2758% |
| PAM Specialty Hospital of Tulsa Tulsa, OK | $9,594 | — | 2472% |
| Kindred Hospital Las Vegas - Flamingo Las Vegas, NV | $7,244 | — | 2058% |
| Kindred Hospital Las Vegas - Sahara Las Vegas, NV | $7,244 | — | 2058% |
| Kindred Hospital Clear Lake Webster, TX | $4,802 | — | 1331% |
| Kindred Hospital Dallas Central Dallas, TX | $4,802 | — | 1331% |
| Kindred Hospital Houston Medical Center Houston, TX | $4,802 | — | 1331% |
| Kindred Hospital Houston Northwest Houston, TX | $4,802 | — | 1331% |
| Kindred Hospital San Antonio Central San Antonio, TX | $4,802 | — | 1331% |
| Kindred Hospital San Antonio San Antonio, TX | $4,802 | — | 1331% |
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About CPT 78803
CPT code 78803 refers to “Rp loclzj tum spect 1 area”. Under the 2026 Medicare Physician Fee Schedule, this procedure is reimbursed at $336 in a facility (hospital or ambulatory surgery center) and $336in 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.