{"procedure":{"code_type":"CPT","code":"78216","lay_name":"Liver and spleen nuclear scan with blood flow imaging","blurb":"A nuclear medicine imaging study of the liver and spleen using an injected radioactive tracer, including images of blood flow through the organs.","slug":"cpt-78216-liver-and-spleen-nuclear-scan-with-blood-flow-imaging","description":"Liver & Spleen Imaging W/Vascular Flow|PROFESSIONAL COMPONENT","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":{"code":"209","label":"Radioisotope scan and function studies","surgery_flag":"neither"}},"settings":{"outpatient":{"setting":"outpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T01:10:45.071082Z","filing_date_min":"2023-03-09","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:27:14.539774Z","checked_through":"2026-09-25T01:14:07.150894Z","n_priced_setters":3956,"n_filed":1295,"n_usable":1143,"n_not_usable":0,"n_labelled":100,"n_no_cash":52,"n_estimated":0,"n_states":50,"cash_p10":369.27,"cash_p20":478.8,"cash_p25":517.24,"cash_p50":957.0,"cash_p75":1451.25,"cash_p80":1665.75,"cash_p90":2591.51,"cash_mean_trimmed":970.88,"gross_p50":1774.0,"cash_to_gross_p50":0.6,"medicare_rate":408.43,"medicare_schedule":"opps","medicare_year":2026,"cash_to_medicare_p50":2.3431,"by_state":[{"state":"AK","n":2,"p20":null,"p50":null,"p80":null},{"state":"AL","n":7,"p20":null,"p50":null,"p80":null},{"state":"AR","n":9,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":18,"p20":315.56,"p50":571.48,"p80":3168.0},{"state":"CA","n":141,"p20":842.8,"p50":1276.25,"p80":2071.65},{"state":"CO","n":27,"p20":483.29,"p50":881.2,"p80":2591.51},{"state":"CT","n":5,"p20":null,"p50":null,"p80":null},{"state":"DE","n":3,"p20":null,"p50":null,"p80":null},{"state":"FL","n":55,"p20":777.6,"p50":1301.6,"p80":4311.0},{"state":"GA","n":44,"p20":175.5,"p50":691.2,"p80":1451.25},{"state":"HI","n":11,"p20":855.6,"p50":857.4,"p80":1199.4},{"state":"IA","n":26,"p20":345.94,"p50":705.6,"p80":1081.28},{"state":"ID","n":9,"p20":null,"p50":null,"p80":null},{"state":"IL","n":36,"p20":724.0,"p50":987.25,"p80":1464.8},{"state":"IN","n":40,"p20":505.2,"p50":700.8,"p80":1003.2},{"state":"KS","n":14,"p20":460.13,"p50":969.3,"p80":1541.75},{"state":"KY","n":26,"p20":644.23,"p50":1000.0,"p80":1328.4},{"state":"LA","n":25,"p20":246.62,"p50":423.63,"p80":795.3},{"state":"MA","n":15,"p20":549.9,"p50":1187.97,"p80":1372.0},{"state":"MD","n":27,"p20":424.03,"p50":593.13,"p80":730.88},{"state":"ME","n":11,"p20":368.61,"p50":841.5,"p80":1298.58},{"state":"MI","n":13,"p20":468.16,"p50":549.7,"p80":642.88},{"state":"MN","n":15,"p20":746.88,"p50":1259.55,"p80":1259.55},{"state":"MO","n":25,"p20":588.0,"p50":949.0,"p80":1865.5},{"state":"MS","n":5,"p20":null,"p50":null,"p80":null},{"state":"MT","n":2,"p20":null,"p50":null,"p80":null},{"state":"NC","n":20,"p20":514.08,"p50":560.8,"p80":935.9},{"state":"ND","n":1,"p20":null,"p50":null,"p80":null},{"state":"NE","n":28,"p20":480.06,"p50":1080.0,"p80":1937.25},{"state":"NH","n":5,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":34,"p20":444.77,"p50":527.13,"p80":1566.55},{"state":"NM","n":5,"p20":null,"p50":null,"p80":null},{"state":"NV","n":8,"p20":null,"p50":null,"p80":null},{"state":"NY","n":42,"p20":475.51,"p50":499.03,"p80":1647.0},{"state":"OH","n":27,"p20":472.5,"p50":1264.73,"p80":1764.6},{"state":"OK","n":21,"p20":375.4,"p50":429.48,"p80":588.62},{"state":"OR","n":9,"p20":null,"p50":null,"p80":null},{"state":"PA","n":50,"p20":472.32,"p50":713.5,"p80":1262.1},{"state":"RI","n":6,"p20":null,"p50":null,"p80":null},{"state":"SC","n":10,"p20":287.3,"p50":313.46,"p80":1849.0},{"state":"SD","n":4,"p20":null,"p50":null,"p80":null},{"state":"TN","n":25,"p20":196.16,"p50":498.6,"p80":499.84},{"state":"TX","n":140,"p20":504.82,"p50":1069.2,"p80":1816.0},{"state":"UT","n":24,"p20":3564.16,"p50":3564.16,"p80":4193.12},{"state":"VA","n":27,"p20":568.2,"p50":1208.0,"p80":1381.0},{"state":"VT","n":1,"p20":null,"p50":null,"p80":null},{"state":"WA","n":25,"p20":760.8,"p50":878.57,"p80":1382.21},{"state":"WI","n":13,"p20":575.3,"p50":1243.44,"p80":1936.0},{"state":"WV","n":2,"p20":null,"p50":null,"p80":null},{"state":"WY","n":5,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":958,"p20":475.51,"p50":954.8,"p80":1651.0},{"key":"childrens","n":25,"p20":458.22,"p50":1332.0,"p80":2090.84},{"key":"critical_access","n":155,"p20":593.04,"p50":1043.1,"p80":1665.75}],"ownership":[{"key":"for_profit","n":179,"p20":552.27,"p50":1231.0,"p80":3754.0},{"key":"government","n":152,"p20":460.13,"p50":750.0,"p80":1231.17},{"key":"nonprofit","n":807,"p20":475.51,"p50":957.0,"p80":1559.2}],"affiliation":[{"key":"affiliated","n":971,"p20":480.06,"p50":967.5,"p80":1732.5},{"key":"independent","n":172,"p20":460.13,"p50":880.8,"p80":1541.75}]},"histogram":[{"lo":230.75,"hi":308.38,"n":34},{"lo":308.38,"hi":412.12,"n":61},{"lo":412.12,"hi":550.76,"n":173},{"lo":550.76,"hi":736.04,"n":121},{"lo":736.04,"hi":983.65,"n":142},{"lo":983.65,"hi":1314.56,"n":210},{"lo":1314.56,"hi":1756.79,"n":128},{"lo":1756.79,"hi":2347.78,"n":87},{"lo":2347.78,"hi":3137.6,"n":38},{"lo":3137.6,"hi":4193.12,"n":43}],"previous":null},"inpatient":{"setting":"inpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T01:05:50.973703Z","filing_date_min":"2024-01-24","filing_date_max":"2026-09-22","checked_from":"2026-09-05T10:40:30.300935Z","checked_through":"2026-09-25T01:14:07.150894Z","n_priced_setters":3956,"n_filed":903,"n_usable":807,"n_not_usable":0,"n_labelled":50,"n_no_cash":46,"n_estimated":0,"n_states":49,"cash_p10":362.88,"cash_p20":504.82,"cash_p25":552.27,"cash_p50":1051.2,"cash_p75":1443.0,"cash_p80":1651.0,"cash_p90":2424.0,"cash_mean_trimmed":1015.58,"gross_p50":1825.0,"cash_to_gross_p50":0.56,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AK","n":1,"p20":null,"p50":null,"p80":null},{"state":"AL","n":3,"p20":null,"p50":null,"p80":null},{"state":"AR","n":6,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":16,"p20":315.56,"p50":571.48,"p80":3168.0},{"state":"CA","n":121,"p20":1015.95,"p50":1398.8,"p80":2080.0},{"state":"CO","n":19,"p20":470.88,"p50":638.75,"p80":2591.51},{"state":"CT","n":3,"p20":null,"p50":null,"p80":null},{"state":"DE","n":3,"p20":null,"p50":null,"p80":null},{"state":"FL","n":32,"p20":957.0,"p50":957.0,"p80":3951.75},{"state":"GA","n":42,"p20":175.5,"p50":691.2,"p80":1451.25},{"state":"HI","n":7,"p20":null,"p50":null,"p80":null},{"state":"IA","n":16,"p20":66.4,"p50":480.06,"p80":1081.28},{"state":"ID","n":9,"p20":null,"p50":null,"p80":null},{"state":"IL","n":24,"p20":735.26,"p50":987.25,"p80":1464.8},{"state":"IN","n":22,"p20":555.5,"p50":726.6,"p80":1177.6},{"state":"KS","n":3,"p20":null,"p50":null,"p80":null},{"state":"KY","n":13,"p20":352.2,"p50":749.29,"p80":1377.0},{"state":"LA","n":13,"p20":174.44,"p50":340.2,"p80":795.3},{"state":"MA","n":15,"p20":549.9,"p50":1187.97,"p80":1372.0},{"state":"MD","n":18,"p20":424.03,"p50":571.19,"p80":1051.49},{"state":"ME","n":8,"p20":null,"p50":null,"p80":null},{"state":"MI","n":10,"p20":429.05,"p50":498.6,"p80":642.88},{"state":"MN","n":14,"p20":746.88,"p50":1259.55,"p80":1341.32},{"state":"MO","n":14,"p20":546.5,"p50":892.65,"p80":1158.0},{"state":"MS","n":4,"p20":null,"p50":null,"p80":null},{"state":"MT","n":2,"p20":null,"p50":null,"p80":null},{"state":"NC","n":7,"p20":null,"p50":null,"p80":null},{"state":"ND","n":1,"p20":null,"p50":null,"p80":null},{"state":"NE","n":12,"p20":437.03,"p50":480.06,"p80":783.29},{"state":"NH","n":2,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":12,"p20":548.5,"p50":1210.06,"p80":1630.0},{"state":"NM","n":3,"p20":null,"p50":null,"p80":null},{"state":"NV","n":3,"p20":null,"p50":null,"p80":null},{"state":"NY","n":17,"p20":966.58,"p50":1315.0,"p80":1651.0},{"state":"OH","n":21,"p20":525.3,"p50":1287.6,"p80":1966.95},{"state":"OK","n":17,"p20":371.0,"p50":429.48,"p80":588.62},{"state":"OR","n":6,"p20":null,"p50":null,"p80":null},{"state":"PA","n":43,"p20":518.4,"p50":920.5,"p80":1557.0},{"state":"RI","n":5,"p20":null,"p50":null,"p80":null},{"state":"SC","n":5,"p20":null,"p50":null,"p80":null},{"state":"SD","n":4,"p20":null,"p50":null,"p80":null},{"state":"TN","n":23,"p20":196.16,"p50":498.6,"p80":498.6},{"state":"TX","n":107,"p20":568.5,"p50":1069.2,"p80":1491.75},{"state":"UT","n":22,"p20":3564.16,"p50":3564.16,"p80":4193.12},{"state":"VA","n":21,"p20":568.2,"p50":1208.0,"p80":1320.5},{"state":"VT","n":1,"p20":null,"p50":null,"p80":null},{"state":"WA","n":22,"p20":806.82,"p50":952.8,"p80":1382.4},{"state":"WI","n":12,"p20":880.8,"p50":1243.44,"p80":1936.0},{"state":"WY","n":3,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":690,"p20":498.6,"p50":1003.2,"p80":1612.2},{"key":"childrens","n":18,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":94,"p20":593.04,"p50":1122.8,"p80":1936.0}],"ownership":[{"key":"for_profit","n":100,"p20":618.99,"p50":1069.2,"p80":2028.0},{"key":"government","n":82,"p20":388.66,"p50":780.6,"p80":1231.1},{"key":"nonprofit","n":620,"p20":498.6,"p50":1069.2,"p80":1651.0}],"affiliation":[{"key":"affiliated","n":710,"p20":504.82,"p50":1061.44,"p80":1651.0},{"key":"independent","n":97,"p20":479.52,"p50":920.5,"p80":1632.75}]},"histogram":[{"lo":230.75,"hi":303.41,"n":26},{"lo":303.41,"hi":398.94,"n":37},{"lo":398.94,"hi":524.55,"n":89},{"lo":524.55,"hi":689.71,"n":66},{"lo":689.71,"hi":906.88,"n":88},{"lo":906.88,"hi":1192.42,"n":121},{"lo":1192.42,"hi":1567.88,"n":165},{"lo":1567.88,"hi":2061.55,"n":70},{"lo":2061.55,"hi":2710.66,"n":42},{"lo":2710.66,"hi":3564.16,"n":29}],"previous":null}},"related":[{"code_type":"CPT","code":"78227","lay_name":"Gallbladder and bile duct nuclear scan with medication","slug":"cpt-78227-gallbladder-and-bile-duct-nuclear-scan-with-medication"},{"code_type":"CPT","code":"78452","lay_name":"Nuclear heart stress test, multiple images","slug":"cpt-78452-nuclear-heart-stress-test-multiple-images"},{"code_type":"CPT","code":"78264","lay_name":"Stomach emptying nuclear scan","slug":"cpt-78264-stomach-emptying-nuclear-scan"},{"code_type":"CPT","code":"78226","lay_name":"Nuclear scan of the liver, bile ducts and gallbladder","slug":"cpt-78226-nuclear-scan-of-the-liver-bile-ducts-and-gallbladder"},{"code_type":"CPT","code":"78708","lay_name":"Nuclear kidney scan with blood flow, function and medication","slug":"cpt-78708-nuclear-kidney-scan-with-blood-flow-function-and-medication"},{"code_type":"CPT","code":"78014","lay_name":"Thyroid scan with uptake measurement","slug":"cpt-78014-thyroid-scan-with-uptake-measurement"},{"code_type":"CPT","code":"78451","lay_name":"Heart blood flow SPECT scan, single rest or stress study","slug":"cpt-78451-heart-blood-flow-spect-scan-single-rest-or-stress-study"},{"code_type":"CPT","code":"78070","lay_name":"Parathyroid gland scan, standard images","slug":"cpt-78070-parathyroid-gland-scan-standard-images"},{"code_type":"CPT","code":"78803","lay_name":"Nuclear tracer tumor scan with 3-D imaging of one area","slug":"cpt-78803-nuclear-tracer-tumor-scan-with-3-d-imaging-of-one-area"},{"code_type":"CPT","code":"78472","lay_name":"Nuclear heart pumping scan (blood pool), single study","slug":"cpt-78472-nuclear-heart-pumping-scan-blood-pool-single-study"},{"code_type":"CPT","code":"78707","lay_name":"Nuclear kidney scan with blood flow and function","slug":"cpt-78707-nuclear-kidney-scan-with-blood-flow-and-function"},{"code_type":"CPT","code":"78195","lay_name":"Nuclear scan of the lymph vessels and lymph nodes","slug":"cpt-78195-nuclear-scan-of-the-lymph-vessels-and-lymph-nodes"}]}