Price Checker / CPT 78804
CPT 78804 — Rp loclzj tum whbdy 2+d img
2026 Medicare Physician Fee Schedule rates and hospital pricing data
$561
What Medicare pays in a hospital/ASC setting
$561
What Medicare pays in a physician's office
$6,864
Based on 91 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 78804
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| PAM Rehabilitation Hospital of Fargo , ND | $29,462 | $29,462 | 5150% |
| PAM Rehabilitation Hospital of Tulsa , OK | $29,462 | $29,462 | 5150% |
| Warm Springs Rehabilitation Hospital of Kyle Kyle, TX | $29,462 | — | 4625% |
| PAM Health Specialty Hospital of Shreveport FL 10 Shreveport, FL | $29,462 | — | 4363% |
| PAM Rehabilitation Hospital of Tulsa Tulsa, OK | $29,462 | — | 4363% |
| UAB St. Vincent's Birmingham , AL | $12,122 | — | 2060% |
| Logan Regional Medical Center Logan, WV | $7,097 | — | 1165% |
| Kindred Hospital Las Vegas - Flamingo Las Vegas, NV | $7,029 | — | 1153% |
| Kindred Hospital Las Vegas - Sahara Las Vegas, NV | $7,029 | — | 1153% |
| Baptist Memorial Rehabilitation Hospital , TN | $6,913 | — | 1132% |
| Kindred Hospital Chicago Lakeshore Chicago, IL | $6,810 | — | 1114% |
| Kindred Hospital Chicago - North Northlake, IL | $6,810 | — | 1114% |
| Kindred Hospital Chicago - Northlake Northlake, IL | $6,810 | — | 1114% |
| Kindred Hospital Sycamore Sycamore, IL | $6,810 | — | 1114% |
| UM Shore Medical Center at Chestertown Chestertown, MD | $6,576 | — | 1072% |
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About CPT 78804
CPT code 78804 refers to “Rp loclzj tum whbdy 2+d img”. Under the 2026 Medicare Physician Fee Schedule, this procedure is reimbursed at $561 in a facility (hospital or ambulatory surgery center) and $561in 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.