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CPT 78433Medical Service

Nuclear Medicine Study of Heart Muscle with Metabolic and Blood Flow Evaluation Requiring 2 Injections and Concurrent Ct Scan

Nuclear medicine study of heart muscle with metabolic and blood flow evaluation requiring 2 injections and concurrent ct scan. Clinical pricing breakdown and utilization metrics across 47 practicing doctors nationwide.

$369.00
Peer Median Charge
Gross billed rate
$101.08
Standard Baseline
Customary allowable
3.7x
National Markup
Charge vs baseline
47
Active Physicians
Billing this code
Planning care or already received a bill for CPT 78433?Calculate total facility bundle costs or generate an assertive dispute settlement offer.

Understanding This Medical Fee

Gross Charge vs Negotiated Payment: The median physician charge for this service is $369.00. However, insured patients almost never pay this full amount directly. Insurers negotiate rates down toward the $101.08 baseline.

Self-Pay & Uninsured Guidance: If you are paying without insurance or out-of-network, request a prompt-pay cash discount. Most medical practices are willing to settle self-pay bills near the customary baseline rate rather than the full gross charge.

Key Questions for Your Doctor's Billing Office:
  • "Does Dr. [Name] participate in my specific insurance plan network?"
  • "What is the total self-pay or cash rate for code 78433 if paid upfront?"
  • "Are there separate facility, anesthesia, or pathology fees associated with this procedure?"