CPT 78815: what Medicare pays in 2026
Nuclear medicine
78815 is a hospital outpatient code. Medicare's July 2026 national rate for it is $1,460.92.
CPT descriptions are copyrighted by the American Medical Association, so this page shows the code number only. The description printed on your bill, or the provider, will tell you what the code covers.
Medicare amounts for 78815 in 2026
- Hospital outpatient rate, national (APC 5594)
- $1,460.92
- Hospital outpatient status S
- separately paid procedure
Hospital outpatient rates are national figures before Medicare's wage adjustment, which moves about 60% of the rate up or down with local hospital wages.
What providers charged Medicare for 78815 in 2024
From CMS's national utilization file (the most recent full year published). The charge is the provider's list price, the same kind of figure an uninsured patient is usually billed.
| Setting | Services | Average charge | Medicare allowed | Charge vs allowed |
|---|---|---|---|---|
| In an office or other non-facility setting | 418,082 | $3,610.82 | $1,109.43 | 3.3× |
| In a facility setting | 412,959 | $621.80 | $109.96 | 5.7× |