Price Checker / CPT 78831
CPT 78831 — Rp loclzj tum spect 2 areas
2026 Medicare Physician Fee Schedule rates and hospital pricing data
$623
What Medicare pays in a hospital/ASC setting
$623
What Medicare pays in a physician's office
$5,322
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 78831
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Denver Health Medical Center Denver, CO | $2,675 | — | 16041% |
| UAB St. Vincent's Birmingham , AL | $13,593 | — | 2082% |
| UM Shore Medical Center at Chestertown Chestertown, MD | $7,804 | — | 1153% |
| UM Shore Medical Center at Chestertown , MD | $7,804 | $7,647 | 1153% |
| UM Shore Medical Center at Easton Easton, MD | $7,478 | — | 1100% |
| University of Maryland Medical Center - Midtown Campus , MD | $6,020 | — | 866% |
| UM Capital Region Medical Center Largo, MD | $5,135 | — | 724% |
| UM Laurel Medical Center Laurel, MD | $5,064 | — | 713% |
| Marlette Regional Hospital , MI | $4,595 | — | 635% |
| Howard Memorial Hospital , AR | $3,982 | — | 539% |
| UM Charles Regional Medical Center La Plata, MD | $3,218 | — | 417% |
| UM Upper Chesapeake Medical Center Bel Air, MD | $3,079 | — | 394% |
| UM St. Joseph Medical Center Towson, MD | $2,337 | — | 275% |
| UM Baltimore Washington Medical Center Glen Burnie, MD | $1,727 | — | 177% |
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About CPT 78831
CPT code 78831 refers to “Rp loclzj tum spect 2 areas”. Under the 2026 Medicare Physician Fee Schedule, this procedure is reimbursed at $623 in a facility (hospital or ambulatory surgery center) and $623in 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.