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Procedure price report · Other radioisotope scan

Nuclear medicine spleen scan

CPT 78185the billing code this page is about

A nuclear medicine scan of the spleen using an injected radioactive tracer, with or without imaging of blood flow to the organ.

Hospitals typically charge $743 cash for this outpatient procedure — the median across 649 hospitals that filed a usable cash price; the average of the middle 60% is $827. Most fall between $417 and $1,638 (20th–80th percentile).

Hospitals
649
States
49
Filings dated
Jun 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 649 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$304$455$743$1,363$2,472

The most expensive tenth of hospitals charges at least 8.1× what the cheapest tenth charges ($304 vs $2,472).

How the prices are spread

$222 – $293: 27 hospitals$222$293 – $386: 51 hospitals$386 – $510: 106 hospitals$386$510 – $673: 86 hospitals$673 – $888: 66 hospitals$673$888 – $1,172: 68 hospitals$1,172 – $1,546: 78 hospitals$1,172$1,546 – $2,040: 36 hospitals$2,040 – $2,692: 62 hospitals$2,040$2,692 – $3,553: 5 hospitals$2,692median $743price bands are equal on a log scale
Hospitals per price band (585 of 649 — the bands cover the 5th to 95th percentile)
FromToHospitals
$222$29327
$293$38651
$386$510106
$510$67386
$673$88866
$888$1,17268
$1,172$1,54678
$1,546$2,04036
$2,040$2,69262
$2,692$3,5535

Against Medicare

Medicare pays (OPPS 2026, national rate)$408
Median cash price$743
Cash as a multiple of Medicare1.82×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $743.

Alaska: 2 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 8 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: no hospital in the corpus filed a usable priceNHWashington: median $1,056 across 13 hospitalsWA$1,056Idaho: 5 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: median $538 across 20 hospitalsMN$538Illinois: median $867 across 32 hospitalsIL$867Wisconsin: median $1,786 across 14 hospitalsWI$1,786Michigan: median $358 across 12 hospitalsMI$358New York: median $499 across 41 hospitalsNY$499Massachusetts: median $1,158 across 14 hospitalsMA$1,158Oregon: 9 hospitals filed a usable price — fewer than 10, so no figureORNevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 3 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $470 across 16 hospitalsIA$470Indiana: median $379 across 15 hospitalsIN$379Ohio: median $625 across 38 hospitalsOH$625Pennsylvania: median $589 across 40 hospitalsPA$589New Jersey: median $463 across 25 hospitalsNJ$463Connecticut: 2 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 2 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $2,621 across 57 hospitalsCA$2,621Utah: 2 hospitals filed a usable price — fewer than 10, so no figureUTColorado: 4 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 2 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $542 across 15 hospitalsMO$542Kentucky: median $660 across 18 hospitalsKY$660West Virginia: 1 hospital filed a usable price — fewer than 10, so no figureWVVirginia: median $679 across 17 hospitalsVA$679Maryland: median $1,224 across 13 hospitalsMD$1,224Delaware: 2 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $797 across 19 hospitalsAZ$797New Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: median $841 across 11 hospitalsKS$841Arkansas: 3 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 4 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: median $746 across 12 hospitalsNC$746South Carolina: 4 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: 4 hospitals filed a usable price — fewer than 10, so no figureOKLouisiana: median $318 across 10 hospitalsLA$318Mississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: 9 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $550 across 16 hospitalsGA$550Hawaii: 6 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $962 across 55 hospitalsTX$962Florida: median $904 across 43 hospitalsFL$904
Cash price by state, most expensive first. National median $743. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA57$2,621+253%$657 – $2,621
Wisconsin WI14$1,786+140%$1,260 – $2,194
Maryland MD13$1,224+65%$502 – $1,722
Massachusetts MA14$1,158+56%$535 – $1,537
Washington WA13$1,056+42%$586 – $1,422
Texas TX55$962+29%$367 – $1,140
Florida FL43$904+22%$634 – $2,218
Illinois IL32$867+17%$429 – $1,210
Kansas KS11$841+13%$827 – $1,202
Arizona AZ19$797+7%$285 – $2,155
North Carolina NC12$7460%$727 – $895
Virginia VA17$679−9%$679 – $1,288
Kentucky KY18$660−11%$318 – $2,472
Ohio OH38$625−16%$470 – $890
Pennsylvania PA40$589−21%$429 – $4,025
Georgia GA16$550−26%$550 – $1,377
Missouri MO15$542−27%$496 – $1,515
Minnesota MN20$538−28%$449 – $877
New York NY41$499−33%$475 – $1,535
Iowa IA16$470−37%$42 – $1,170
New Jersey NJ25$463−38%$204 – $598
Indiana IN15$379−49%$304 – $544
Michigan MI12$358−52%$294 – $550
Louisiana LA10$318−57%$224 – $410
Alabama AL9not enough hospitals filed a usable price
Oregon OR9not enough hospitals filed a usable price
Maine ME8not enough hospitals filed a usable price
Hawaii HI6not enough hospitals filed a usable price
Idaho ID5not enough hospitals filed a usable price
Colorado CO4not enough hospitals filed a usable price
Oklahoma OK4not enough hospitals filed a usable price
South Carolina SC4not enough hospitals filed a usable price
Tennessee TN4not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
South Dakota SD3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
Connecticut CT2not enough hospitals filed a usable price
Delaware DE2not enough hospitals filed a usable price
Nebraska NE2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Rhode Island RI2not enough hospitals filed a usable price
Utah UT2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Mississippi MS1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
New Mexico NM1not enough hospitals filed a usable price
West Virginia WV1not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $743.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care562$691$414 – $1,680
Children’s16fewer than 20 hospitals
Critical access71$839$417 – $1,204
Ownership
For-profit98$997$370 – $2,274
Government63$537$403 – $1,073
Non-profit488$746$429 – $1,535
System affiliation
Part of a system555$730$410 – $1,649
Independent94$827$447 – $1,449

Cash price vs list price

Median list price (chargemaster)$1,294
Median cash price$743
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

452 hospitals filed a usable inpatient cash price for this code. The median is $839 and the average of the middle 60% is $881; most fall between $442 and $1,638.

Cash price percentiles, inpatient, across 452 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$339$472$839$1,377$2,621

The most expensive tenth of hospitals charges at least 7.7× what the cheapest tenth charges ($339 vs $2,621).

Of the 513 hospitals that filed this code inpatient, 452 gave a usable cash price; 43 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 18 a list price only.

How complete is this

649 of the 3,956 hospitals with a price file in our corpus (16%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 751 hospitals that filed this code at all gave us
Usable cash price — counted649
Cash price carrying a plausibility flag — shown on the compare tool, excluded here77
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded25
Hospitals that filed this code751

Sections not shown for this setting

  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 5, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Other radioisotope scan family.

Hospitals file this code under descriptions such as Spleen Imaging Only W/WO Vascular Flow.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Nuclear medicine spleen scan (CPT 78185) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-78185-nuclear-medicine-spleen-scan