{"procedure":{"code_type":"CPT","code":"78430","lay_name":"PET heart blood flow scan with CT, single study","blurb":"Positron emission tomography imaging of blood flow to the heart muscle combined with a CT scan, covering one study taken either at rest or with stress.","slug":"cpt-78430-pet-heart-blood-flow-scan-with-ct-single-study","description":"Myocrd Img Pet Prfuj 1std Rest/Stress Cncrnt CT|PROFESSIONAL COMPONENT","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":{"code":"210","label":"Other radioisotope scan","surgery_flag":"neither"}},"settings":{"outpatient":{"setting":"outpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T01:10:45.071082Z","filing_date_min":"2025-07-01","filing_date_max":"2026-09-18","checked_from":"2026-09-05T02:22:45.006185Z","checked_through":"2026-09-25T01:10:45.071082Z","n_priced_setters":3956,"n_filed":677,"n_usable":609,"n_not_usable":0,"n_labelled":58,"n_no_cash":10,"n_estimated":0,"n_states":48,"cash_p10":1334.52,"cash_p20":1726.04,"cash_p25":1731.6,"cash_p50":2958.61,"cash_p75":5095.0,"cash_p80":5748.0,"cash_p90":8087.69,"cash_mean_trimmed":3131.47,"gross_p50":5620.0,"cash_to_gross_p50":0.6,"medicare_rate":1460.92,"medicare_schedule":"opps","medicare_year":2026,"cash_to_medicare_p50":2.0252,"by_state":[{"state":"AK","n":1,"p20":null,"p50":null,"p80":null},{"state":"AL","n":1,"p20":null,"p50":null,"p80":null},{"state":"AR","n":5,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":3,"p20":null,"p50":null,"p80":null},{"state":"CA","n":55,"p20":1683.69,"p50":6223.0,"p80":9861.6},{"state":"CO","n":16,"p20":3599.4,"p50":4135.5,"p80":4435.55},{"state":"CT","n":7,"p20":null,"p50":null,"p80":null},{"state":"DE","n":1,"p20":null,"p50":null,"p80":null},{"state":"FL","n":24,"p20":2814.6,"p50":2814.6,"p80":4322.8},{"state":"GA","n":35,"p20":1986.27,"p50":2414.54,"p80":4267.5},{"state":"HI","n":1,"p20":null,"p50":null,"p80":null},{"state":"IA","n":7,"p20":null,"p50":null,"p80":null},{"state":"ID","n":6,"p20":null,"p50":null,"p80":null},{"state":"IL","n":27,"p20":3542.0,"p50":3881.5,"p80":5586.0},{"state":"IN","n":20,"p20":1334.52,"p50":2662.13,"p80":3531.38},{"state":"KS","n":5,"p20":null,"p50":null,"p80":null},{"state":"KY","n":10,"p20":2132.0,"p50":8087.69,"p80":8087.69},{"state":"LA","n":11,"p20":995.67,"p50":1206.72,"p80":1847.04},{"state":"MA","n":4,"p20":null,"p50":null,"p80":null},{"state":"MD","n":10,"p20":330.27,"p50":507.6,"p80":2593.87},{"state":"ME","n":2,"p20":null,"p50":null,"p80":null},{"state":"MI","n":26,"p20":2136.8,"p50":5672.0,"p80":5748.0},{"state":"MN","n":14,"p20":2086.5,"p50":2448.16,"p80":2830.51},{"state":"MO","n":14,"p20":2354.4,"p50":3803.8,"p80":5651.75},{"state":"MS","n":8,"p20":null,"p50":null,"p80":null},{"state":"NC","n":25,"p20":1896.5,"p50":2976.0,"p80":3311.85},{"state":"ND","n":1,"p20":null,"p50":null,"p80":null},{"state":"NE","n":2,"p20":null,"p50":null,"p80":null},{"state":"NH","n":3,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":19,"p20":1614.45,"p50":1717.72,"p80":1946.3},{"state":"NM","n":2,"p20":null,"p50":null,"p80":null},{"state":"NV","n":1,"p20":null,"p50":null,"p80":null},{"state":"NY","n":27,"p20":1697.33,"p50":1726.04,"p80":2214.0},{"state":"OH","n":35,"p20":1651.65,"p50":2019.55,"p80":2841.0},{"state":"OK","n":2,"p20":null,"p50":null,"p80":null},{"state":"OR","n":2,"p20":null,"p50":null,"p80":null},{"state":"PA","n":34,"p20":1689.43,"p50":4775.0,"p80":17141.99},{"state":"RI","n":2,"p20":null,"p50":null,"p80":null},{"state":"SC","n":9,"p20":null,"p50":null,"p80":null},{"state":"SD","n":1,"p20":null,"p50":null,"p80":null},{"state":"TN","n":12,"p20":664.5,"p50":1017.66,"p80":2459.75},{"state":"TX","n":48,"p20":1731.6,"p50":1731.6,"p80":3167.15},{"state":"UT","n":23,"p20":5946.83,"p50":5946.83,"p80":5946.83},{"state":"VA","n":6,"p20":null,"p50":null,"p80":null},{"state":"VT","n":2,"p20":null,"p50":null,"p80":null},{"state":"WA","n":17,"p20":2980.8,"p50":3283.57,"p80":4780.3},{"state":"WI","n":19,"p20":396.0,"p50":4475.35,"p80":4520.0},{"state":"WV","n":4,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":552,"p20":1726.04,"p50":2958.61,"p80":5672.0},{"key":"childrens","n":8,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":46,"p20":1651.65,"p50":3402.0,"p80":5946.83}],"ownership":[{"key":"for_profit","n":46,"p20":1731.6,"p50":2662.13,"p80":7197.46},{"key":"government","n":65,"p20":1726.04,"p50":2564.4,"p80":3794.5},{"key":"nonprofit","n":495,"p20":1717.72,"p50":3008.35,"p80":5748.0}],"affiliation":[{"key":"affiliated","n":569,"p20":1726.04,"p50":2976.0,"p80":5748.0},{"key":"independent","n":40,"p20":1464.1,"p50":2354.4,"p80":4641.0}]},"histogram":[{"lo":730.1,"hi":947.19,"n":6},{"lo":947.19,"hi":1228.84,"n":21},{"lo":1228.84,"hi":1594.23,"n":25},{"lo":1594.23,"hi":2068.28,"n":134},{"lo":2068.28,"hi":2683.27,"n":52},{"lo":2683.27,"hi":3481.14,"n":108},{"lo":3481.14,"hi":4516.25,"n":64},{"lo":4516.25,"hi":5859.15,"n":53},{"lo":5859.15,"hi":7601.35,"n":53},{"lo":7601.35,"hi":9861.6,"n":40}],"previous":null},"inpatient":{"setting":"inpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T01:10:45.071082Z","filing_date_min":"2025-09-26","filing_date_max":"2026-09-16","checked_from":"2026-09-05T10:40:30.300935Z","checked_through":"2026-09-25T01:10:45.071082Z","n_priced_setters":3956,"n_filed":511,"n_usable":465,"n_not_usable":0,"n_labelled":43,"n_no_cash":3,"n_estimated":0,"n_states":44,"cash_p10":1370.7,"cash_p20":1731.6,"cash_p25":1784.12,"cash_p50":3303.62,"cash_p75":5586.0,"cash_p80":5890.0,"cash_p90":7818.6,"cash_mean_trimmed":3363.18,"gross_p50":5748.0,"cash_to_gross_p50":0.56,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AK","n":1,"p20":null,"p50":null,"p80":null},{"state":"AL","n":1,"p20":null,"p50":null,"p80":null},{"state":"AR","n":2,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":1,"p20":null,"p50":null,"p80":null},{"state":"CA","n":55,"p20":1683.69,"p50":6223.0,"p80":9861.6},{"state":"CO","n":14,"p20":3085.2,"p50":4135.5,"p80":4435.55},{"state":"CT","n":1,"p20":null,"p50":null,"p80":null},{"state":"DE","n":1,"p20":null,"p50":null,"p80":null},{"state":"FL","n":16,"p20":2814.6,"p50":2814.6,"p80":3135.0},{"state":"GA","n":32,"p20":1986.27,"p50":2019.06,"p80":6427.0},{"state":"HI","n":1,"p20":null,"p50":null,"p80":null},{"state":"IA","n":7,"p20":null,"p50":null,"p80":null},{"state":"ID","n":6,"p20":null,"p50":null,"p80":null},{"state":"IL","n":19,"p20":3542.0,"p50":5095.0,"p80":8789.6},{"state":"IN","n":18,"p20":1334.52,"p50":3213.64,"p80":4591.13},{"state":"KS","n":3,"p20":null,"p50":null,"p80":null},{"state":"KY","n":3,"p20":null,"p50":null,"p80":null},{"state":"LA","n":9,"p20":null,"p50":null,"p80":null},{"state":"MA","n":4,"p20":null,"p50":null,"p80":null},{"state":"MD","n":4,"p20":null,"p50":null,"p80":null},{"state":"ME","n":2,"p20":null,"p50":null,"p80":null},{"state":"MI","n":22,"p20":2136.8,"p50":5672.0,"p80":5748.0},{"state":"MN","n":4,"p20":null,"p50":null,"p80":null},{"state":"MO","n":10,"p20":2232.0,"p50":3616.8,"p80":4218.0},{"state":"MS","n":7,"p20":null,"p50":null,"p80":null},{"state":"NC","n":13,"p20":3311.85,"p50":3311.85,"p80":3311.85},{"state":"ND","n":1,"p20":null,"p50":null,"p80":null},{"state":"NH","n":2,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":3,"p20":null,"p50":null,"p80":null},{"state":"NV","n":1,"p20":null,"p50":null,"p80":null},{"state":"NY","n":8,"p20":null,"p50":null,"p80":null},{"state":"OH","n":30,"p20":1878.5,"p50":2262.0,"p80":2841.0},{"state":"OR","n":1,"p20":null,"p50":null,"p80":null},{"state":"PA","n":40,"p20":973.08,"p50":3141.06,"p80":5890.0},{"state":"RI","n":1,"p20":null,"p50":null,"p80":null},{"state":"SC","n":6,"p20":null,"p50":null,"p80":null},{"state":"SD","n":1,"p20":null,"p50":null,"p80":null},{"state":"TN","n":10,"p20":664.5,"p50":788.76,"p80":1404.54},{"state":"TX","n":45,"p20":1649.52,"p50":1731.6,"p80":1731.6},{"state":"UT","n":22,"p20":5946.83,"p50":5946.83,"p80":5946.83},{"state":"VA","n":5,"p20":null,"p50":null,"p80":null},{"state":"VT","n":2,"p20":null,"p50":null,"p80":null},{"state":"WA","n":17,"p20":3182.35,"p50":3697.3,"p80":4780.3},{"state":"WI","n":14,"p20":2797.85,"p50":4520.0,"p80":4520.0}],"by_segment":{"hospital_type":[{"key":"acute","n":420,"p20":1731.6,"p50":3167.15,"p80":5672.0},{"key":"childrens","n":7,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":35,"p20":1731.6,"p50":5454.25,"p80":5946.83}],"ownership":[{"key":"for_profit","n":30,"p20":1731.6,"p50":1986.27,"p80":4435.55},{"key":"government","n":46,"p20":1649.52,"p50":3200.0,"p80":4135.5},{"key":"nonprofit","n":386,"p20":1731.6,"p50":3465.36,"p80":5946.83}],"affiliation":[{"key":"affiliated","n":439,"p20":1731.6,"p50":3311.85,"p80":5946.83},{"key":"independent","n":26,"p20":1595.1,"p50":3086.54,"p80":5233.2}]},"histogram":[{"lo":1002.25,"hi":1259.72,"n":21},{"lo":1259.72,"hi":1583.33,"n":14},{"lo":1583.33,"hi":1990.07,"n":86},{"lo":1990.07,"hi":2501.29,"n":23},{"lo":2501.29,"hi":3143.85,"n":52},{"lo":3143.85,"hi":3951.47,"n":65},{"lo":3951.47,"hi":4966.56,"n":49},{"lo":4966.56,"hi":6242.42,"n":64},{"lo":6242.42,"hi":7846.04,"n":22},{"lo":7846.04,"hi":9861.6,"n":26}],"previous":null}},"related":[{"code_type":"CPT","code":"78278","lay_name":"Nuclear scan to find active bleeding in the digestive tract","slug":"cpt-78278-nuclear-scan-to-find-active-bleeding-in-the-digestive-tract"},{"code_type":"CPT","code":"78290","lay_name":"Nuclear bowel scan to look for a Meckel's pouch","slug":"cpt-78290-nuclear-bowel-scan-to-look-for-a-meckel-s-pouch"},{"code_type":"CPT","code":"78215","lay_name":"Nuclear medicine liver and spleen scan, images only","slug":"cpt-78215-nuclear-medicine-liver-and-spleen-scan-images-only"},{"code_type":"CPT","code":"78201","lay_name":"Nuclear medicine liver scan, images only","slug":"cpt-78201-nuclear-medicine-liver-scan-images-only"},{"code_type":"CPT","code":"78466","lay_name":"Nuclear heart scan for damaged muscle, flat images","slug":"cpt-78466-nuclear-heart-scan-for-damaged-muscle-flat-images"},{"code_type":"CPT","code":"78445","lay_name":"Nuclear blood flow scan of vessels outside the heart","slug":"cpt-78445-nuclear-blood-flow-scan-of-vessels-outside-the-heart"},{"code_type":"CPT","code":"78459","lay_name":"Heart PET scan of muscle metabolism, one study","slug":"cpt-78459-heart-pet-scan-of-muscle-metabolism-one-study"},{"code_type":"CPT","code":"78605","lay_name":"Nuclear brain scan, four or more views","slug":"cpt-78605-nuclear-brain-scan-four-or-more-views"},{"code_type":"CPT","code":"78458","lay_name":"Nuclear scan for blood clots in both legs' veins","slug":"cpt-78458-nuclear-scan-for-blood-clots-in-both-legs-veins"},{"code_type":"CPT","code":"78429","lay_name":"Heart metabolism PET scan with CT for correction, one study","slug":"cpt-78429-heart-metabolism-pet-scan-with-ct-for-correction-one-study"},{"code_type":"CPT","code":"78185","lay_name":"Nuclear medicine spleen scan","slug":"cpt-78185-nuclear-medicine-spleen-scan"},{"code_type":"CPT","code":"78433","lay_name":"Heart PET scan with two tracers plus CT correction","slug":"cpt-78433-heart-pet-scan-with-two-tracers-plus-ct-correction"}]}