CPT 78816 Nuclear Medicine
Pet image w/ct full body Cost
Body System: General
Medicare Facility Rate
$178
CMS PFS CY2026
Medicare Non-Facility Rate
$598
Office/clinic setting
Hospital Outpatient
$1
OPPS rate
Surgery Center (ASC)
$785
ASC rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
2.46
Work RVU
2.85
Facility PE RVU
0.18
Malpractice RVU
Cost by Location
| Location | Medicare Rate | Est. Commercial |
|---|---|---|
| US — Carrier 01112 Locality 05 | $128 | $192 — $320 |
| US — Carrier 01112 Locality 09 | $130 | $195 — $324 |
| US — Carrier 01112 Locality 51 | $123 | $185 — $308 |
| US — Carrier 01112 Locality 52 | $128 | $192 — $320 |
| US — Carrier 01112 Locality 53 | $123 | $184 — $307 |
| US — Carrier 01112 Locality 54 | $114 | $171 — $286 |
| US — Carrier 01112 Locality 55 | $114 | $171 — $284 |
| US — Carrier 01112 Locality 56 | $114 | $171 — $284 |
| US — Carrier 01112 Locality 57 | $114 | $171 — $284 |
| US — Carrier 01112 Locality 58 | $114 | $171 — $284 |
| US — Carrier 01112 Locality 59 | $114 | $171 — $284 |
| US — Carrier 01112 Locality 60 | $114 | $171 — $284 |
| US — Carrier 01112 Locality 61 | $114 | $171 — $284 |
| US — Carrier 01112 Locality 62 | $115 | $173 — $288 |
| US — Carrier 01112 Locality 63 | $117 | $176 — $293 |
| US — Carrier 01112 Locality 64 | $117 | $175 — $291 |
| US — Carrier 01112 Locality 65 | $130 | $196 — $326 |
| US — Carrier 01112 Locality 66 | $117 | $176 — $293 |
| US — Carrier 01112 Locality 67 | $118 | $177 — $296 |
| US — Carrier 01112 Locality 68 | $114 | $171 — $284 |
Frequently Asked Questions
How much does Pet image w/ct full body cost?
The Medicare facility rate is $178. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $1. Ambulatory surgery center rate: $785.
How much does Pet image w/ct full body 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 $178.