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Procedure price report · Radioisotope scan and function studies

Nuclear scan to detect an abnormal heart shunt

CPT 78428the billing code this page is about

Imaging after injection of a radioactive tracer to look for blood passing abnormally between the chambers or vessels of the heart.

Hospitals typically charge $809 cash for this outpatient procedure — the median across 798 hospitals that filed a usable cash price; the average of the middle 60% is $883. Most fall between $401 and $1,533 (20th–80th percentile).

Hospitals
798
States
48
Filings dated
Jun 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 798 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$280$463$809$1,363$2,193

The most expensive tenth of hospitals charges at least 7.8× what the cheapest tenth charges ($280 vs $2,193).

How the prices are spread

$146 – $200: 25 hospitals$146$200 – $272: 12 hospitals$272 – $371: 64 hospitals$272$371 – $506: 100 hospitals$506 – $691: 88 hospitals$506$691 – $942: 127 hospitals$942 – $1,285: 105 hospitals$942$1,285 – $1,752: 107 hospitals$1,752 – $2,390: 58 hospitals$1,752$2,390 – $3,259: 34 hospitals$2,390median $809price bands are equal on a log scale
Hospitals per price band (720 of 798 — the bands cover the 5th to 95th percentile)
FromToHospitals
$146$20025
$200$27212
$272$37164
$371$506100
$506$69188
$691$942127
$942$1,285105
$1,285$1,752107
$1,752$2,39058
$2,390$3,25934

Against Medicare

Medicare pays (OPPS 2026, national rate)$408
Median cash price$809
Cash as a multiple of Medicare1.98×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $809.

Alaska: 4 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 1 hospital filed a usable price — fewer than 10, so no figureMEVermont: 1 hospital filed a usable price — fewer than 10, so no figureVTNew Hampshire: 1 hospital filed a usable price — fewer than 10, so no figureNHWashington: median $813 across 21 hospitalsWA$813Idaho: 5 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: 5 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $158 across 10 hospitalsMN$158Illinois: median $890 across 27 hospitalsIL$890Wisconsin: median $728 across 40 hospitalsWI$728Michigan: median $550 across 13 hospitalsMI$550New York: median $476 across 29 hospitalsNY$476Massachusetts: median $1,164 across 14 hospitalsMA$1,164Oregon: median $676 across 16 hospitalsOR$676Nevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 3 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $89 across 21 hospitalsIA$89Indiana: median $535 across 36 hospitalsIN$535Ohio: median $1,266 across 46 hospitalsOH$1,266Pennsylvania: median $991 across 42 hospitalsPA$991New Jersey: median $473 across 19 hospitalsNJ$473Connecticut: 1 hospital filed a usable price — fewer than 10, so no figureCTRhode Island: 1 hospital filed a usable price — fewer than 10, so no figureRICalifornia: median $1,335 across 95 hospitalsCA$1,335Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: median $1,107 across 21 hospitalsCO$1,107Nebraska: median $412 across 12 hospitalsNE$412Missouri: 9 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: median $1,614 across 16 hospitalsKY$1,614West Virginia: 4 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $708 across 24 hospitalsVA$708Maryland: median $873 across 13 hospitalsMD$873Delaware: 3 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $752 across 25 hospitalsAZ$752New Mexico: 3 hospitals filed a usable price — fewer than 10, so no figureNMKansas: no hospital in the corpus filed a usable priceKSArkansas: 3 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $589 across 14 hospitalsTN$589North Carolina: median $861 across 25 hospitalsNC$861South Carolina: 8 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $333 across 17 hospitalsOK$333Louisiana: median $357 across 10 hospitalsLA$357Mississippi: 4 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 2 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $696 across 12 hospitalsGA$696Hawaii: 6 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $1,352 across 57 hospitalsTX$1,352Florida: median $943 across 55 hospitalsFL$943
Cash price by state, most expensive first. National median $809. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Kentucky KY16$1,614+99%$362 – $2,193
Texas TX57$1,352+67%$845 – $1,533
California CA95$1,335+65%$794 – $3,259
Ohio OH46$1,266+56%$636 – $1,802
Massachusetts MA14$1,164+44%$588 – $1,439
Colorado CO21$1,107+37%$764 – $1,275
Pennsylvania PA42$991+23%$408 – $4,584
Florida FL55$943+17%$403 – $1,978
Illinois IL27$890+10%$228 – $2,125
Maryland MD13$873+8%$454 – $1,042
North Carolina NC25$861+6%$817 – $874
Washington WA21$813+1%$747 – $1,175
Arizona AZ25$752−7%$337 – $1,510
Wisconsin WI40$728−10%$342 – $1,321
Virginia VA24$708−13%$670 – $1,490
Georgia GA12$696−14%$696 – $863
Oregon OR16$676−16%$87 – $1,237
Tennessee TN14$589−27%$243 – $849
Michigan MI13$550−32%$396 – $728
Indiana IN36$535−34%$392 – $798
New York NY29$476−41%$297 – $648
New Jersey NJ19$473−42%$445 – $3,133
Nebraska NE12$412−49%$344 – $570
Louisiana LA10$357−56%$219 – $453
Oklahoma OK17$333−59%$56 – $505
Minnesota MN10$158−80%$135 – $158
Iowa IA21$89−89%$89 – $621
Missouri MO9not enough hospitals filed a usable price
South Carolina SC8not enough hospitals filed a usable price
Hawaii HI6not enough hospitals filed a usable price
Idaho ID5not enough hospitals filed a usable price
North Dakota ND5not enough hospitals filed a usable price
Alaska AK4not enough hospitals filed a usable price
Mississippi MS4not enough hospitals filed a usable price
West Virginia WV4not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
Delaware DE3not enough hospitals filed a usable price
New Mexico NM3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Alabama AL2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Connecticut CT1not enough hospitals filed a usable price
Maine ME1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
New Hampshire NH1not enough hospitals filed a usable price
Rhode Island RI1not enough hospitals filed a usable price
Utah UT1not enough hospitals filed a usable price
Vermont VT1not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $809.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care696$844$403 – $1,550
Children’s15fewer than 20 hospitals
Critical access84$696$322 – $1,305
Ownership
For-profit89$910$471 – $2,226
Government91$696$458 – $1,181
Non-profit615$816$391 – $1,568
System affiliation
Part of a system731$816$401 – $1,533
Independent67$803$357 – $1,776

Cash price vs list price

Median list price (chargemaster)$1,633
Median cash price$809
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

579 hospitals filed a usable inpatient cash price for this code. The median is $925 and the average of the middle 60% is $992; most fall between $458 and $1,568.

Cash price percentiles, inpatient, across 579 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$288$566$925$1,425$2,682

The most expensive tenth of hospitals charges at least 9.3× what the cheapest tenth charges ($288 vs $2,682).

Of the 631 hospitals that filed this code inpatient, 579 gave a usable cash price; 36 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 16 a list price only.

How complete is this

798 of the 3,956 hospitals with a price file in our corpus (20%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 865 hospitals that filed this code at all gave us
Usable cash price — counted798
Cash price carrying a plausibility flag — shown on the compare tool, excluded here51
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded16
Hospitals that filed this code865

Sections not shown for this setting

  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Radioisotope scan and function studies family.

Hospitals file this code under descriptions such as Cardiac Shunt Detection|PROFESSIONAL COMPONENT.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Nuclear scan to detect an abnormal heart shunt (CPT 78428) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-78428-nuclear-scan-to-detect-an-abnormal-heart-shunt