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Procedure price report · Radioisotope scan and function studies

Nuclear scan of tear drainage ducts

CPT 78660the billing code this page is about

Imaging with a radioactive tracer placed in the eye to show how tears drain through the tear ducts into the nose.

Hospitals typically charge $559 cash for this outpatient procedure — the median across 446 hospitals that filed a usable cash price; the average of the middle 60% is $629. Most fall between $323 and $1,126 (20th–80th percentile).

Hospitals
446
States
42
Filings dated
Nov 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 446 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
$186$367$559$991$1,675

The most expensive tenth of hospitals charges at least 9.0× what the cheapest tenth charges ($186 vs $1,675).

How the prices are spread

$55 – $80: 14 hospitals$55$80 – $115: 2 hospitals$115 – $166: 7 hospitals$115$166 – $240: 25 hospitals$240 – $347: 36 hospitals$240$347 – $502: 102 hospitals$502 – $725: 75 hospitals$502$725 – $1,047: 70 hospitals$1,047 – $1,512: 50 hospitals$1,047$1,512 – $2,184: 39 hospitals$1,512median $559price bands are equal on a log scale
Hospitals per price band (420 of 446 — the bands cover the 5th to 95th percentile)
FromToHospitals
$55$8014
$80$1152
$115$1667
$166$24025
$240$34736
$347$502102
$502$72575
$725$1,04770
$1,047$1,51250
$1,512$2,18439

Against Medicare

Medicare pays (OPPS 2026, national rate)$408
Median cash price$559
Cash as a multiple of Medicare1.37×

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 $559.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: 4 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 1 hospital filed a usable price — fewer than 10, so no figureVTNew Hampshire: 1 hospital filed a usable price — fewer than 10, so no figureNHWashington: median $703 across 15 hospitalsWA$703Idaho: no hospital in the corpus filed a usable priceIDMontana: no hospital in the corpus filed a usable priceMTNorth Dakota: no hospital in the corpus filed a usable priceNDMinnesota: 9 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $494 across 21 hospitalsIL$494Wisconsin: 5 hospitals filed a usable price — fewer than 10, so no figureWIMichigan: 8 hospitals filed a usable price — fewer than 10, so no figureMINew York: median $476 across 37 hospitalsNY$476Massachusetts: 2 hospitals filed a usable price — fewer than 10, so no figureMAOregon: no hospital in the corpus filed a usable priceORNevada: 1 hospital filed a usable price — fewer than 10, so no figureNVWyoming: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $55 across 13 hospitalsIA$55Indiana: median $828 across 17 hospitalsIN$828Ohio: median $640 across 32 hospitalsOH$640Pennsylvania: median $637 across 30 hospitalsPA$637New Jersey: median $445 across 16 hospitalsNJ$445Connecticut: 3 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 1 hospital filed a usable price — fewer than 10, so no figureRICalifornia: median $1,510 across 42 hospitalsCA$1,510Utah: 2 hospitals filed a usable price — fewer than 10, so no figureUTColorado: 3 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 4 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 3 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: median $991 across 13 hospitalsKY$991West Virginia: no hospital in the corpus filed a usable priceWVVirginia: 1 hospital filed a usable price — fewer than 10, so no figureVAMaryland: 9 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: median $1,319 across 11 hospitalsAZ$1,319New Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: no hospital in the corpus filed a usable priceKSArkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 3 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: median $378 across 15 hospitalsNC$378South Carolina: median $286 across 17 hospitalsSC$286Oklahoma: median $43 across 10 hospitalsOK$43Louisiana: median $386 across 12 hospitalsLA$386Mississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: 2 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $470 across 16 hospitalsGA$470Hawaii: 2 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $556 across 25 hospitalsTX$556Florida: median $681 across 32 hospitalsFL$681
Cash price by state, most expensive first. National median $559. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA42$1,510+170%$511 – $2,184
Arizona AZ11$1,319+136%$491 – $1,319
Kentucky KY13$991+77%$173 – $991
Indiana IN17$828+48%$619 – $1,098
Washington WA15$703+26%$645 – $761
Florida FL32$681+22%$645 – $1,675
Ohio OH32$640+15%$344 – $952
Pennsylvania PA30$637+14%$408 – $1,229
Texas TX25$556−1%$357 – $584
Illinois IL21$494−12%$140 – $1,165
New York NY37$476−15%$381 – $1,458
Georgia GA16$470−16%$470 – $1,126
New Jersey NJ16$445−20%$445 – $527
Louisiana LA12$386−31%$239 – $506
North Carolina NC15$378−32%$186 – $454
South Carolina SC17$286−49%$213 – $286
Iowa IA13$55−90%$55 – $55
Oklahoma OK10$43−92%$43 – $43
Maryland MD9not enough hospitals filed a usable price
Minnesota MN9not enough hospitals filed a usable price
Michigan MI8not enough hospitals filed a usable price
Wisconsin WI5not enough hospitals filed a usable price
Maine ME4not enough hospitals filed a usable price
Nebraska NE4not enough hospitals filed a usable price
Colorado CO3not enough hospitals filed a usable price
Connecticut CT3not enough hospitals filed a usable price
Missouri MO3not enough hospitals filed a usable price
Tennessee TN3not enough hospitals filed a usable price
Alabama AL2not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Hawaii HI2not enough hospitals filed a usable price
Massachusetts MA2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Utah UT2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Mississippi MS1not enough hospitals filed a usable price
New Hampshire NH1not enough hospitals filed a usable price
Nevada NV1not enough hospitals filed a usable price
Rhode Island RI1not enough hospitals filed a usable price
Virginia VA1not enough hospitals filed a usable price
Vermont VT1not 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 $559.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care403$559$344 – $1,126
Children’s12fewer than 20 hospitals
Critical access29$637$173 – $1,118
Ownership
For-profit54$584$242 – $1,319
Government37$476$459 – $1,004
Non-profit353$584$315 – $1,126
System affiliation
Part of a system400$584$286 – $1,126
Independent46$491$363 – $1,066

Cash price vs list price

Median list price (chargemaster)$1,126
Median cash price$559
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

284 hospitals filed a usable inpatient cash price for this code. The median is $637 and the average of the middle 60% is $673; most fall between $286 and $1,229.

Cash price percentiles, inpatient, across 284 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
$147$344$637$1,126$1,860

The most expensive tenth of hospitals charges at least 13× what the cheapest tenth charges ($147 vs $1,860).

Of the 323 hospitals that filed this code inpatient, 284 gave a usable cash price; 32 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 7 a list price only.

How complete is this

446 of the 3,956 hospitals with a price file in our corpus (11%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 496 hospitals that filed this code at all gave us
Usable cash price — counted446
Cash price carrying a plausibility flag — shown on the compare tool, excluded here43
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 — excluded7
Hospitals that filed this code496

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 23, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Radioisotope scan and function studies family.

Hospitals file this code under descriptions such as Radiopharmaceutical Dacryocystography|PROFESSIONAL COMPONENT.

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 scan of tear drainage ducts (CPT 78660) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-78660-nuclear-scan-of-tear-drainage-ducts