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Procedure price report · Radioisotope scan and function studies

Heart blood flow SPECT scan, single rest or stress study

CPT 78451the billing code this page is about

One cross-sectional nuclear scan of blood flow to the heart muscle, taken either at rest or with stress, after a radioactive tracer is injected.

Hospitals typically charge $2,233 cash for this outpatient procedure — the median across 2,706 hospitals that filed a usable cash price; the average of the middle 60% is $2,374. Most fall between $1,273 and $3,946 (20th–80th percentile).

Hospitals
2,706
States
50
Filings dated
Feb 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 2,706 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
$762$1,431$2,233$3,623$5,514

The most expensive tenth of hospitals charges at least 7.2× what the cheapest tenth charges ($762 vs $5,514).

How the prices are spread

$535 – $695: 69 hospitals$535$695 – $902: 129 hospitals$902 – $1,172: 162 hospitals$902$1,172 – $1,523: 262 hospitals$1,523 – $1,978: 397 hospitals$1,523$1,978 – $2,570: 390 hospitals$2,570 – $3,338: 402 hospitals$2,570$3,338 – $4,337: 305 hospitals$4,337 – $5,634: 192 hospitals$4,337$5,634 – $7,319: 129 hospitals$5,634median $2,233price bands are equal on a log scale
Hospitals per price band (2,437 of 2,706 — the bands cover the 5th to 95th percentile)
FromToHospitals
$535$69569
$695$902129
$902$1,172162
$1,172$1,523262
$1,523$1,978397
$1,978$2,570390
$2,570$3,338402
$3,338$4,337305
$4,337$5,634192
$5,634$7,319129

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,323
Median cash price$2,233
Cash as a multiple of Medicare1.69×

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 $2,233.

Alaska: 7 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $1,543 across 22 hospitalsME$1,543Vermont: 8 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $2,494 across 17 hospitalsNH$2,494Washington: median $2,600 across 54 hospitalsWA$2,600Idaho: median $3,293 across 14 hospitalsID$3,293Montana: median $932 across 10 hospitalsMT$932North Dakota: median $1,950 across 16 hospitalsND$1,950Minnesota: median $1,630 across 75 hospitalsMN$1,630Illinois: median $2,014 across 108 hospitalsIL$2,014Wisconsin: median $1,815 across 97 hospitalsWI$1,815Michigan: median $1,655 across 76 hospitalsMI$1,655New York: median $1,896 across 105 hospitalsNY$1,896Massachusetts: median $3,803 across 47 hospitalsMA$3,803Oregon: median $2,120 across 37 hospitalsOR$2,120Nevada: median $3,623 across 15 hospitalsNV$3,623Wyoming: median $2,619 across 11 hospitalsWY$2,619South Dakota: median $3,286 across 22 hospitalsSD$3,286Iowa: median $2,120 across 49 hospitalsIA$2,120Indiana: median $2,295 across 80 hospitalsIN$2,295Ohio: median $2,780 across 132 hospitalsOH$2,780Pennsylvania: median $2,258 across 104 hospitalsPA$2,258New Jersey: median $1,537 across 57 hospitalsNJ$1,537Connecticut: median $2,178 across 20 hospitalsCT$2,178Rhode Island: 9 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $2,928 across 189 hospitalsCA$2,928Utah: median $3,293 across 33 hospitalsUT$3,293Colorado: median $2,965 across 52 hospitalsCO$2,965Nebraska: median $2,707 across 64 hospitalsNE$2,707Missouri: median $1,924 across 65 hospitalsMO$1,924Kentucky: median $2,005 across 56 hospitalsKY$2,005West Virginia: median $2,152 across 26 hospitalsWV$2,152Virginia: median $2,152 across 64 hospitalsVA$2,152Maryland: median $1,662 across 36 hospitalsMD$1,662Delaware: 6 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $1,702 across 40 hospitalsAZ$1,702New Mexico: median $1,481 across 14 hospitalsNM$1,481Kansas: median $1,659 across 51 hospitalsKS$1,659Arkansas: median $1,383 across 21 hospitalsAR$1,383Tennessee: median $1,553 across 75 hospitalsTN$1,553North Carolina: median $2,055 across 80 hospitalsNC$2,055South Carolina: median $2,187 across 48 hospitalsSC$2,187Oklahoma: median $1,825 across 40 hospitalsOK$1,825Louisiana: median $1,055 across 37 hospitalsLA$1,055Mississippi: median $1,140 across 37 hospitalsMS$1,140Alabama: median $1,535 across 33 hospitalsAL$1,535Georgia: median $2,060 across 82 hospitalsGA$2,060Hawaii: median $2,576 across 11 hospitalsHI$2,576Texas: median $3,105 across 201 hospitalsTX$3,105Florida: median $3,912 across 153 hospitalsFL$3,912
Cash price by state, most expensive first. National median $2,233. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Florida FL153$3,912+75%$1,669 – $8,560
Massachusetts MA47$3,803+70%$2,412 – $4,570
Nevada NV15$3,623+62%$1,408 – $5,250
Idaho ID14$3,293+47%$2,136 – $4,271
Utah UT33$3,293+47%$2,767 – $3,874
South Dakota SD22$3,286+47%$2,895 – $3,769
Texas TX201$3,105+39%$1,574 – $5,341
Colorado CO52$2,965+33%$2,119 – $6,956
California CA189$2,928+31%$1,614 – $5,357
Ohio OH132$2,780+24%$1,652 – $4,367
Nebraska NE64$2,707+21%$1,026 – $4,114
Wyoming WY11$2,619+17%$1,006 – $3,687
Washington WA54$2,600+16%$1,976 – $3,301
Hawaii HI11$2,576+15%$1,781 – $3,278
New Hampshire NH17$2,494+12%$1,565 – $5,399
Indiana IN80$2,295+3%$997 – $3,396
Pennsylvania PA104$2,258+1%$1,529 – $4,300
South Carolina SC48$2,187−2%$1,659 – $2,820
Connecticut CT20$2,178−2%$620 – $3,330
Virginia VA64$2,152−4%$1,567 – $4,153
West Virginia WV26$2,152−4%$1,718 – $3,242
Oregon OR37$2,120−5%$1,103 – $3,166
Iowa IA49$2,120−5%$1,436 – $2,934
Georgia GA82$2,060−8%$1,072 – $3,820
North Carolina NC80$2,055−8%$1,783 – $3,200
Illinois IL108$2,014−10%$1,001 – $3,474
Kentucky KY56$2,005−10%$1,336 – $5,242
North Dakota ND16$1,950−13%$1,405 – $2,778
Missouri MO65$1,924−14%$1,290 – $3,500
New York NY105$1,896−15%$1,012 – $3,434
Oklahoma OK40$1,825−18%$798 – $2,449
Wisconsin WI97$1,815−19%$710 – $2,805
Arizona AZ40$1,702−24%$872 – $4,791
Maryland MD36$1,662−26%$1,117 – $2,327
Kansas KS51$1,659−26%$910 – $3,877
Michigan MI76$1,655−26%$1,126 – $3,098
Minnesota MN75$1,630−27%$593 – $2,692
Tennessee TN75$1,553−30%$589 – $3,207
Maine ME22$1,543−31%$948 – $2,663
New Jersey NJ57$1,537−31%$778 – $2,715
Alabama AL33$1,535−31%$1,155 – $4,066
New Mexico NM14$1,481−34%$853 – $2,909
Arkansas AR21$1,383−38%$608 – $1,884
Mississippi MS37$1,140−49%$1,040 – $1,515
Louisiana LA37$1,055−53%$530 – $2,245
Montana MT10$932−58%$456 – $2,453
Rhode Island RI9not enough hospitals filed a usable price
Vermont VT8not enough hospitals filed a usable price
Alaska AK7not enough hospitals filed a usable price
Delaware DE6not 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 $2,233.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care2,140$2,299$1,303 – $4,243
Children’s34$2,220$1,505 – $3,946
Critical access523$2,038$1,026 – $3,293
Ownership
For-profit392$3,133$1,481 – $7,176
Government416$1,900$1,143 – $3,078
Non-profit1,889$2,202$1,234 – $3,878
System affiliation
Part of a system2,306$2,285$1,296 – $4,063
Independent400$1,989$1,093 – $3,401

Cash price vs list price

Median list price (chargemaster)$3,967
Median cash price$2,233
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

1,916 hospitals filed a usable inpatient cash price for this code. The median is $2,366 and the average of the middle 60% is $2,490; most fall between $1,366 and $3,926.

Cash price percentiles, inpatient, across 1,916 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
$843$1,530$2,366$3,692$5,077

The most expensive tenth of hospitals charges at least 6.0× what the cheapest tenth charges ($843 vs $5,077).

Of the 2,138 hospitals that filed this code inpatient, 1,916 gave a usable cash price; 137 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 85 a list price only.

How complete is this

2,706 of the 3,956 hospitals with a price file in our corpus (68%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 3,002 hospitals that filed this code at all gave us
Usable cash price — counted2,706
Cash price carrying a plausibility flag — shown on the compare tool, excluded here205
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded90
Hospitals that filed this code3,002

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 Myocardial Spect Single Study at Rest or Stress|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, “Heart blood flow SPECT scan, single rest or stress study (CPT 78451) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-78451-heart-blood-flow-spect-scan-single-rest-or-stress-study