Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 78227 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Hepatobil Syst Image W Drug, Hepatobiliary System Imaging Including Gallbladder When Present With Pharmacologic Intervention Including Quantitative Measurement S When Performed
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Nuclear Medicine Procedures |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None 26 - Professional component TC - Technical component |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 78227 |
| Medicaid Fee Schedule | View Medicaid rates for 78227 |
National average reimbursement for CPT 78227 by major payers:
$468.79
$531.27
$529.05
$638.76
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 78227.
CPT 78227
5 of 25 sample ratesHigher to lower in this preview
Ernest Mckenzie
$1,468.41Published rateJudith Wolfstein
$771.72Published rateThomas Griggs
$493.70Published rateRonald Pritchard
$390.33Published rateJeremiah Jansen
$40.34Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 78227 vs. Other Nuclear Medicine Procedures Codes
The CPT 78227 code is part of the Radiology Procedures services used for Nuclear Medicine Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 78227 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 78201-CPT | Moderate | Scan Of Liver, A Radioactive Substance Is Given By Mouth Or Iv. This Highlights Liver Tissue On A Scan So That It May Be Viewed More Easily. Blood Flow Through The Organ May Also Be Viewed. |
| 78202-CPT | Moderate | Scan Of Liver, A Radioactive Substance Is Given By Mouth Or Iv. This Highlights Liver Tissue On A Scan So That It May Be Viewed More Easily. Blood Flow Through The Organ May Also Be Viewed. |
| 78226-CPT | Moderate | Scan Of Bile System, A Scan Of The Bile Ducts Including The Liver And Gall Bladder. Medication May Be Given During The Procedure. |
| 78227-CPT | Moderate | Hepatobil Syst Image W Drug, Hepatobiliary System Imaging Including Gallbladder When Present With Pharmacologic Intervention Including Quantitative Measurement S When Performed |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 78227. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 78227 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 78227) and we'll show you how you compare in 15 minutes or less.