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Procedure price report · Radioisotope scan and function studies

Heart blood flow PET scan with CT, rest and stress studies

CPT 78431the billing code this page is about

PET imaging of blood flow to the heart muscle both at rest and under stress, with a CT scan performed at the same time for image correction.

Hospitals typically charge $4,390 cash for this outpatient procedure — the median across 682 hospitals that filed a usable cash price; the average of the middle 60% is $4,374. Most fall between $2,292 and $7,238 (20th–80th percentile).

Hospitals
682
States
49
Filings dated
Sep 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 682 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
$1,703$2,663$4,390$6,261$9,470

The most expensive tenth of hospitals charges at least 5.6× what the cheapest tenth charges ($1,703 vs $9,470).

How the prices are spread

$1,203 – $1,504: 23 hospitals$1,203$1,504 – $1,881: 29 hospitals$1,881 – $2,352: 58 hospitals$1,881$2,352 – $2,942: 81 hospitals$2,942 – $3,679: 54 hospitals$2,942$3,679 – $4,601: 93 hospitals$4,601 – $5,753: 89 hospitals$4,601$5,753 – $7,195: 72 hospitals$7,195 – $8,998: 58 hospitals$7,195$8,998 – $11,252: 57 hospitals$8,998median $4,390price bands are equal on a log scale
Hospitals per price band (614 of 682 — the bands cover the 5th to 95th percentile)
FromToHospitals
$1,203$1,50423
$1,504$1,88129
$1,881$2,35258
$2,352$2,94281
$2,942$3,67954
$3,679$4,60193
$4,601$5,75389
$5,753$7,19572
$7,195$8,99858
$8,998$11,25257

Against Medicare

Medicare pays (OPPS 2026, national rate)$2,251
Median cash price$4,390
Cash as a multiple of Medicare1.95×

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 $4,390.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: 2 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 4 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $5,128 across 25 hospitalsWA$5,128Idaho: 9 hospitals filed a usable price — fewer than 10, so no figureIDMontana: no hospital in the corpus filed a usable priceMTNorth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $215 across 12 hospitalsMN$215Illinois: median $6,054 across 26 hospitalsIL$6,054Wisconsin: median $3,273 across 12 hospitalsWI$3,273Michigan: median $8,965 across 26 hospitalsMI$8,965New York: median $2,663 across 30 hospitalsNY$2,663Massachusetts: 4 hospitals filed a usable price — fewer than 10, so no figureMAOregon: 2 hospitals filed a usable price — fewer than 10, so no figureORNevada: 4 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 1 hospital filed a usable price — fewer than 10, so no figureWYSouth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: 7 hospitals filed a usable price — fewer than 10, so no figureIAIndiana: median $4,153 across 22 hospitalsIN$4,153Ohio: median $4,462 across 43 hospitalsOH$4,462Pennsylvania: median $9,470 across 27 hospitalsPA$9,470New Jersey: median $2,493 across 25 hospitalsNJ$2,493Connecticut: 9 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 2 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $6,001 across 57 hospitalsCA$6,001Utah: median $7,238 across 24 hospitalsUT$7,238Colorado: median $4,436 across 17 hospitalsCO$4,436Nebraska: 2 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $5,944 across 14 hospitalsMO$5,944Kentucky: median $8,468 across 10 hospitalsKY$8,468West Virginia: 4 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $3,159 across 10 hospitalsVA$3,159Maryland: 9 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 3 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 3 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 5 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 9 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $1,588 across 21 hospitalsTN$1,588North Carolina: median $3,374 across 38 hospitalsNC$3,374South Carolina: median $5,559 across 16 hospitalsSC$5,559Oklahoma: 6 hospitals filed a usable price — fewer than 10, so no figureOKLouisiana: median $2,466 across 10 hospitalsLA$2,466Mississippi: 8 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 2 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $2,211 across 37 hospitalsGA$2,211Hawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $2,701 across 51 hospitalsTX$2,701Florida: median $4,390 across 26 hospitalsFL$4,390
Cash price by state, most expensive first. National median $4,390. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Pennsylvania PA27$9,470+116%$3,574 – $26,443
Michigan MI26$8,965+104%$4,359 – $9,109
Kentucky KY10$8,468+93%$2,285 – $8,468
Utah UT24$7,238+65%$7,238 – $8,515
Illinois IL26$6,054+38%$5,178 – $8,663
California CA57$6,001+37%$4,314 – $6,003
Missouri MO14$5,944+35%$4,030 – $7,402
South Carolina SC16$5,559+27%$3,226 – $5,559
Washington WA25$5,128+17%$4,649 – $5,770
Ohio OH43$4,462+2%$2,443 – $9,480
Colorado CO17$4,436+1%$3,945 – $4,847
Florida FL26$4,3900%$3,803 – $6,102
Indiana IN22$4,153−5%$2,006 – $5,612
North Carolina NC38$3,374−23%$2,926 – $4,830
Wisconsin WI12$3,273−25%$576 – $5,861
Virginia VA10$3,159−28%$1,411 – $9,378
Texas TX51$2,701−38%$2,701 – $3,682
New York NY30$2,663−39%$2,150 – $6,690
New Jersey NJ25$2,493−43%$1,105 – $3,003
Louisiana LA10$2,466−44%$1,733 – $4,800
Georgia GA37$2,211−50%$2,010 – $6,658
Tennessee TN21$1,588−64%$1,411 – $2,651
Minnesota MN12$215−95%$215 – $5,257
Arkansas AR9not enough hospitals filed a usable price
Connecticut CT9not enough hospitals filed a usable price
Idaho ID9not enough hospitals filed a usable price
Maryland MD9not enough hospitals filed a usable price
Mississippi MS8not enough hospitals filed a usable price
Iowa IA7not enough hospitals filed a usable price
Oklahoma OK6not enough hospitals filed a usable price
Kansas KS5not enough hospitals filed a usable price
Massachusetts MA4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Nevada NV4not enough hospitals filed a usable price
West Virginia WV4not enough hospitals filed a usable price
Arizona AZ3not enough hospitals filed a usable price
New Mexico NM3not enough hospitals filed a usable price
Alabama AL2not enough hospitals filed a usable price
Maine ME2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
Nebraska NE2not enough hospitals filed a usable price
Oregon OR2not enough hospitals filed a usable price
Rhode Island RI2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
South Dakota SD1not enough hospitals filed a usable price
Wyoming WY1not 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 $4,390.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care620$4,390$2,292 – $7,359
Children’s8fewer than 20 hospitals
Critical access49$5,104$1,740 – $7,238
Ownership
For-profit59$4,140$2,010 – $10,942
Government76$3,374$2,443 – $5,200
Non-profit542$4,561$2,292 – $7,718
System affiliation
Part of a system633$4,390$2,285 – $7,238
Independent49$4,335$2,671 – $7,718

Cash price vs list price

Median list price (chargemaster)$8,194
Median cash price$4,390
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

526 hospitals filed a usable inpatient cash price for this code. The median is $4,642 and the average of the middle 60% is $4,676; most fall between $2,292 and $7,895.

Cash price percentiles, inpatient, across 526 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
$1,739$2,701$4,642$7,161$9,470

The most expensive tenth of hospitals charges at least 5.4× what the cheapest tenth charges ($1,739 vs $9,470).

Of the 582 hospitals that filed this code inpatient, 526 gave a usable cash price; 45 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 11 a list price only.

How complete is this

682 of the 3,956 hospitals with a price file in our corpus (17%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 763 hospitals that filed this code at all gave us
Usable cash price — counted682
Cash price carrying a plausibility flag — shown on the compare tool, excluded here63
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 — excluded18
Hospitals that filed this code763

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 HC Pet/CT Myocardial Imaging Perfusion Stress and Rest.

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, “Heart blood flow PET scan with CT, rest and stress studies (CPT 78431) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-78431-heart-blood-flow-pet-scan-with-ct-rest-and-stress-studies