CPT 78428 Radiology
Cardiac shunt imaging Cost
Body System: Cardiovascular
Medicare Facility Rate
$171
CMS PFS CY2026
Medicare Non-Facility Rate
$171
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
0.76
Work RVU
4.29
Facility PE RVU
0.07
Malpractice RVU
5.12
Total RVU
Frequently Asked Questions
How much does Cardiac shunt imaging cost?
The Medicare facility rate is $171. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Cardiac shunt imaging 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 $171.