HRHospitalRates.comCompare prices

Procedure price report · Other radioisotope scan

Nuclear blood flow scan of vessels outside the heart

CPT 78445the billing code this page is about

Imaging of blood flow through arteries or veins in a part of the body other than the heart after a radioactive tracer is injected.

Hospitals typically charge $617 cash for this outpatient procedure — the median across 954 hospitals that filed a usable cash price; the average of the middle 60% is $723. Most fall between $373 and $1,366 (20th–80th percentile).

Hospitals
954
States
50
Filings dated
Aug 2022 – 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 954 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
$276$410$617$1,217$2,367

The most expensive tenth of hospitals charges at least 8.6× what the cheapest tenth charges ($276 vs $2,367).

How the prices are spread

$182 – $244: 34 hospitals$182$244 – $327: 64 hospitals$327 – $438: 133 hospitals$327$438 – $587: 174 hospitals$587 – $786: 91 hospitals$587$786 – $1,054: 115 hospitals$1,054 – $1,412: 121 hospitals$1,054$1,412 – $1,892: 50 hospitals$1,892 – $2,535: 34 hospitals$1,892$2,535 – $3,397: 44 hospitals$2,535median $617price bands are equal on a log scale
Hospitals per price band (860 of 954 — the bands cover the 5th to 95th percentile)
FromToHospitals
$182$24434
$244$32764
$327$438133
$438$587174
$587$78691
$786$1,054115
$1,054$1,412121
$1,412$1,89250
$1,892$2,53534
$2,535$3,39744

Against Medicare

Medicare pays (OPPS 2026, national rate)$408
Median cash price$617
Cash as a multiple of Medicare1.51×

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 $617.

Alaska: 3 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 6 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 1 hospital filed a usable price — fewer than 10, so no figureVTNew Hampshire: 2 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $523 across 22 hospitalsWA$523Idaho: 1 hospital filed a usable price — fewer than 10, so no figureIDMontana: 2 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 4 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $552 across 13 hospitalsMN$552Illinois: median $660 across 40 hospitalsIL$660Wisconsin: median $515 across 20 hospitalsWI$515Michigan: median $535 across 17 hospitalsMI$535New York: median $476 across 43 hospitalsNY$476Massachusetts: median $1,065 across 16 hospitalsMA$1,065Oregon: median $548 across 12 hospitalsOR$548Nevada: 5 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 3 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $391 across 31 hospitalsIA$391Indiana: median $501 across 25 hospitalsIN$501Ohio: median $845 across 50 hospitalsOH$845Pennsylvania: median $658 across 65 hospitalsPA$658New Jersey: median $463 across 20 hospitalsNJ$463Connecticut: 2 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 6 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $1,217 across 106 hospitalsCA$1,217Utah: median $1,191 across 25 hospitalsUT$1,191Colorado: median $939 across 12 hospitalsCO$939Nebraska: median $488 across 12 hospitalsNE$488Missouri: median $554 across 21 hospitalsMO$554Kentucky: median $1,008 across 17 hospitalsKY$1,008West Virginia: 5 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $438 across 25 hospitalsVA$438Maryland: median $956 across 18 hospitalsMD$956Delaware: 3 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $284 across 16 hospitalsAZ$284New Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 7 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 8 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $419 across 15 hospitalsTN$419North Carolina: median $514 across 16 hospitalsNC$514South Carolina: 9 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $347 across 14 hospitalsOK$347Louisiana: median $295 across 13 hospitalsLA$295Mississippi: 5 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 7 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $384 across 18 hospitalsGA$384Hawaii: 7 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $609 across 101 hospitalsTX$609Florida: median $1,739 across 60 hospitalsFL$1,739
Cash price by state, most expensive first. National median $617. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Florida FL60$1,739+182%$425 – $3,952
California CA106$1,217+97%$511 – $3,259
Utah UT25$1,191+93%$1,191 – $1,401
Massachusetts MA16$1,065+73%$634 – $1,505
Kentucky KY17$1,008+63%$398 – $1,929
Maryland MD18$956+55%$412 – $1,159
Colorado CO12$939+52%$939 – $4,454
Ohio OH50$845+37%$575 – $1,123
Illinois IL40$660+7%$437 – $1,147
Pennsylvania PA65$658+7%$418 – $2,919
Texas TX101$609−1%$322 – $1,575
Missouri MO21$554−10%$332 – $3,193
Minnesota MN13$552−10%$299 – $806
Oregon OR12$548−11%$58 – $834
Michigan MI17$535−13%$304 – $550
Washington WA22$523−15%$349 – $761
Wisconsin WI20$515−17%$457 – $626
North Carolina NC16$514−17%$280 – $645
Indiana IN25$501−19%$318 – $799
Nebraska NE12$488−21%$338 – $516
New York NY43$476−23%$440 – $1,068
New Jersey NJ20$463−25%$439 – $879
Virginia VA25$438−29%$394 – $799
Tennessee TN15$419−32%$196 – $500
Iowa IA31$391−37%$51 – $891
Georgia GA18$384−38%$384 – $1,366
Oklahoma OK14$347−44%$42 – $819
Louisiana LA13$295−52%$184 – $486
Arizona AZ16$284−54%$195 – $797
South Carolina SC9not enough hospitals filed a usable price
Arkansas AR8not enough hospitals filed a usable price
Alabama AL7not enough hospitals filed a usable price
Hawaii HI7not enough hospitals filed a usable price
Kansas KS7not enough hospitals filed a usable price
Maine ME6not enough hospitals filed a usable price
Rhode Island RI6not enough hospitals filed a usable price
Mississippi MS5not enough hospitals filed a usable price
Nevada NV5not enough hospitals filed a usable price
West Virginia WV5not enough hospitals filed a usable price
North Dakota ND4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Delaware DE3not enough hospitals filed a usable price
South Dakota SD3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Connecticut CT2not enough hospitals filed a usable price
Montana MT2not enough hospitals filed a usable price
New Hampshire NH2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Idaho ID1not 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 $617.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care816$626$384 – $1,401
Children’s20$740$448 – $1,476
Critical access115$542$315 – $1,117
Ownership
For-profit153$914$393 – $2,541
Government111$535$367 – $1,068
Non-profit687$609$367 – $1,245
System affiliation
Part of a system832$626$367 – $1,401
Independent122$584$389 – $1,032

Cash price vs list price

Median list price (chargemaster)$1,100
Median cash price$617
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

691 hospitals filed a usable inpatient cash price for this code. The median is $667 and the average of the middle 60% is $741; most fall between $384 and $1,331.

Cash price percentiles, inpatient, across 691 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
$299$419$667$1,217$2,022

The most expensive tenth of hospitals charges at least 6.8× what the cheapest tenth charges ($299 vs $2,022).

Of the 764 hospitals that filed this code inpatient, 691 gave a usable cash price; 43 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 30 a list price only.

How complete is this

954 of the 3,956 hospitals with a price file in our corpus (24%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,075 hospitals that filed this code at all gave us
Usable cash price — counted954
Cash price carrying a plausibility flag — shown on the compare tool, excluded here84
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 — excluded37
Hospitals that filed this code1,075

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 July 20, 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 Other radioisotope scan family.

Hospitals file this code under descriptions such as Noncardiac Vascular Flow Imaging|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 blood flow scan of vessels outside the heart (CPT 78445) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-78445-nuclear-blood-flow-scan-of-vessels-outside-the-heart