CPT 78579 Radiology
Lung ventilation imaging Cost
Body System: Respiratory
Medicare Facility Rate
$166
CMS PFS CY2026
Medicare Non-Facility Rate
$166
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
0.48
Work RVU
4.44
Facility PE RVU
0.06
Malpractice RVU
4.98
Total RVU
Frequently Asked Questions
How much does Lung ventilation imaging cost?
The Medicare facility rate is $166. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Lung ventilation 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 $166.