Price Checker / CPT 78830
CPT 78830 — Rp loclzj tum spect w/ct 1
2026 Medicare Physician Fee Schedule rates and hospital pricing data
$421
What Medicare pays in a hospital/ASC setting
$421
What Medicare pays in a physician's office
$3,260
Based on 14 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 78830
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Conemaugh Meyersdale Medical Center , PA | $5,017 | — | 1204% |
| UM Shore Medical Center at Chestertown Chestertown, MD | $5,261 | — | 1150% |
| UM Shore Medical Center at Chestertown , MD | $5,261 | $5,156 | 1150% |
| UM Shore Medical Center at Easton Easton, MD | $5,041 | — | 1098% |
| University of Maryland Medical Center - Midtown Campus , MD | $4,058 | — | 864% |
| UM Capital Region Medical Center Largo, MD | $3,462 | — | 723% |
| UM Laurel Medical Center Laurel, MD | $3,414 | — | 711% |
| Frederick Health Hospital , MD | $2,659 | $2,606 | 532% |
| Frederick Health Hospital , MD | $2,659 | — | 532% |
| UM Charles Regional Medical Center La Plata, MD | $2,170 | — | 416% |
| UM Upper Chesapeake Medical Center Bel Air, MD | $2,076 | — | 393% |
| Meritus Medical Center, Inc. , MD | $1,829 | — | 335% |
| UM St. Joseph Medical Center Towson, MD | $1,576 | — | 274% |
| UM Baltimore Washington Medical Center Glen Burnie, MD | $1,164 | — | 177% |
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About CPT 78830
CPT code 78830 refers to “Rp loclzj tum spect w/ct 1”. Under the 2026 Medicare Physician Fee Schedule, this procedure is reimbursed at $421 in a facility (hospital or ambulatory surgery center) and $421in 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.