2026 Medicare reimbursement rates for CPT 78813 — hospital outpatient (OPPS) and physician fee schedule (MPFS) rates sourced directly from CMS.
CPT 78813 — PET Image Full Body — is a nuclear medicine & pet procedure billed under the Medicare Physician Fee Schedule (MPFS) and the Outpatient Prospective Payment System (OPPS). The OPPS rate of $1460.92 applies when the procedure is performed in a hospital outpatient department. Independent imaging centers and physician offices bill under MPFS.
Rates shown are the 2026 CMS national unadjusted rates. Actual reimbursement varies by geographic locality (GPCI), payer contract, and site of service. Use the interactive CPT Rate Lookup to apply GPCI adjustments for your specific market.
This procedure is typically performed on a Nuclear Medicine / PET Scanner. Leminal Diagnostics supplies new, refurbished, and redeployed nuclear medicine / pet scanners to imaging centers, hospitals, and ISOs across the country — often at 40–60% below OEM list price.
The Outpatient Prospective Payment System rate applies when a procedure is performed in a hospital outpatient department. CMS pays the hospital a bundled facility rate. The $1460.92 shown here is the APC 5594 payment rate for CY 2026.
The Medicare Physician Fee Schedule rate applies to independent imaging centers, physician offices, and the professional component billed by radiologists. The non-facility rate is typically higher than the facility rate because it includes a practice expense component.
Leminal Diagnostics sources and supplies the imaging systems used to perform CPT 78813. Refurbished and redeployed systems, OEM parts, and full lifecycle support.
Rate data sourced from CMS 2026 OPPS Addendum B and Medicare Physician Fee Schedule. Rates are national unadjusted values and do not reflect geographic GPCI adjustments, payer contracts, or site-of-service differentials. For informational purposes only. CMS Source