Table 1

CPT codeChargeTotal charge

U/S, renal bladder $651$832
$181
VCUG74455$779$852
74455.26$73
DMSA78700$781$968
78700.26$187

Assumptions used in calculations:
Positive DMSA renal scans among children with febrile UTI50–80%
Presence of VUR among children with febrile UTI25–50%
Presence of VUR among children with positive DMSA scan66%

Charge per case of VUR diagnosed
Bottom-up$3368–$8420
Top-down$2630–$3033

*The first CPT code and charge relates to the technical fee for performing the examination, while the second code (.26 modified) relates to the professional component.