CPT 78216 Radiology
Lvr&spleen img w/vasc flow Cost
Body System: General
Medicare Facility Rate
$132
CMS PFS CY2026
Medicare Non-Facility Rate
$132
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
0.56
Work RVU
3.32
Facility PE RVU
0.07
Malpractice RVU
3.95
Total RVU
Frequently Asked Questions
How much does Lvr&spleen img w/vasc flow cost?
The Medicare facility rate is $132. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Lvr&spleen img w/vasc flow cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $132.