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Procedure price report · Radioisotope scan and function studies

Heart blood flow nuclear scan, flat images, single study

CPT 78453the billing code this page is about

One set of flat, single-view nuclear images of blood flow to the heart muscle, taken at rest or with stress.

Hospitals typically charge $2,046 cash for this outpatient procedure — the median across 963 hospitals that filed a usable cash price; the average of the middle 60% is $2,198. Most fall between $1,175 and $4,027 (20th–80th percentile).

Hospitals
963
States
47
Filings dated
Jan 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 963 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
$771$1,336$2,046$3,420$5,394

The most expensive tenth of hospitals charges at least 7.0× what the cheapest tenth charges ($771 vs $5,394).

How the prices are spread

$503 – $662: 34 hospitals$503$662 – $871: 43 hospitals$871 – $1,146: 61 hospitals$871$1,146 – $1,507: 129 hospitals$1,507 – $1,983: 153 hospitals$1,507$1,983 – $2,608: 135 hospitals$2,608 – $3,431: 120 hospitals$2,608$3,431 – $4,513: 103 hospitals$4,513 – $5,937: 58 hospitals$4,513$5,937 – $7,810: 31 hospitals$5,937median $2,046price bands are equal on a log scale
Hospitals per price band (867 of 963 — the bands cover the 5th to 95th percentile)
FromToHospitals
$503$66234
$662$87143
$871$1,14661
$1,146$1,507129
$1,507$1,983153
$1,983$2,608135
$2,608$3,431120
$3,431$4,513103
$4,513$5,93758
$5,937$7,81031

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,323
Median cash price$2,046
Cash as a multiple of Medicare1.55×

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 $2,046.

Alaska: 2 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 5 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 $2,049 across 33 hospitalsWA$2,049Idaho: 1 hospital filed a usable price — fewer than 10, so no figureIDMontana: no hospital in the corpus filed a usable priceMTNorth Dakota: no hospital in the corpus filed a usable priceNDMinnesota: median $2,058 across 13 hospitalsMN$2,058Illinois: median $1,880 across 35 hospitalsIL$1,880Wisconsin: median $2,214 across 36 hospitalsWI$2,214Michigan: median $1,089 across 26 hospitalsMI$1,089New York: median $1,586 across 46 hospitalsNY$1,586Massachusetts: median $3,575 across 22 hospitalsMA$3,575Oregon: 7 hospitals filed a usable price — fewer than 10, so no figureORNevada: 6 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 5 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $1,446 across 17 hospitalsIA$1,446Indiana: median $704 across 22 hospitalsIN$704Ohio: median $2,268 across 64 hospitalsOH$2,268Pennsylvania: median $2,074 across 41 hospitalsPA$2,074New Jersey: median $1,446 across 27 hospitalsNJ$1,446Connecticut: 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 $2,928 across 128 hospitalsCA$2,928Utah: 2 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $1,989 across 16 hospitalsCO$1,989Nebraska: median $614 across 13 hospitalsNE$614Missouri: median $1,528 across 26 hospitalsMO$1,528Kentucky: median $1,990 across 14 hospitalsKY$1,990West Virginia: 3 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $1,354 across 23 hospitalsVA$1,354Maryland: median $1,182 across 22 hospitalsMD$1,182Delaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: median $1,633 across 20 hospitalsAZ$1,633New Mexico: 4 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 9 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 6 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $1,122 across 14 hospitalsTN$1,122North Carolina: median $2,084 across 14 hospitalsNC$2,084South Carolina: median $1,788 across 11 hospitalsSC$1,788Oklahoma: 6 hospitals filed a usable price — fewer than 10, so no figureOKLouisiana: median $915 across 13 hospitalsLA$915Mississippi: 5 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 1 hospital filed a usable price — fewer than 10, so no figureALGeorgia: median $2,624 across 18 hospitalsGA$2,624Hawaii: 6 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $2,451 across 99 hospitalsTX$2,451Florida: median $3,240 across 67 hospitalsFL$3,240
Cash price by state, most expensive first. National median $2,046. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Massachusetts MA22$3,575+75%$2,070 – $4,488
Florida FL67$3,240+58%$1,448 – $7,573
California CA128$2,928+43%$1,595 – $5,483
Georgia GA18$2,624+28%$1,139 – $6,464
Texas TX99$2,451+20%$1,255 – $4,562
Ohio OH64$2,268+11%$1,680 – $3,953
Wisconsin WI36$2,214+8%$1,823 – $2,812
North Carolina NC14$2,084+2%$1,449 – $3,671
Pennsylvania PA41$2,074+1%$1,461 – $3,199
Minnesota MN13$2,058+1%$2,051 – $2,091
Washington WA33$2,0490%$1,094 – $2,645
Kentucky KY14$1,990−3%$1,271 – $5,242
Colorado CO16$1,989−3%$1,513 – $2,918
Illinois IL35$1,880−8%$1,075 – $3,077
South Carolina SC11$1,788−13%$1,536 – $4,365
Arizona AZ20$1,633−20%$959 – $4,228
New York NY46$1,586−22%$1,323 – $2,916
Missouri MO26$1,528−25%$1,354 – $3,622
New Jersey NJ27$1,446−29%$869 – $4,165
Iowa IA17$1,446−29%$714 – $1,734
Virginia VA23$1,354−34%$1,284 – $2,968
Maryland MD22$1,182−42%$774 – $1,707
Tennessee TN14$1,122−45%$438 – $2,345
Michigan MI26$1,089−47%$609 – $1,823
Louisiana LA13$915−55%$524 – $1,428
Indiana IN22$704−66%$521 – $1,363
Nebraska NE13$614−70%$567 – $1,080
Kansas KS9not enough hospitals filed a usable price
Oregon OR7not enough hospitals filed a usable price
Arkansas AR6not enough hospitals filed a usable price
Hawaii HI6not enough hospitals filed a usable price
Nevada NV6not enough hospitals filed a usable price
Oklahoma OK6not enough hospitals filed a usable price
Rhode Island RI6not enough hospitals filed a usable price
Maine ME5not enough hospitals filed a usable price
Mississippi MS5not enough hospitals filed a usable price
Wyoming WY5not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
New Mexico NM4not enough hospitals filed a usable price
West Virginia WV3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
Connecticut CT2not enough hospitals filed a usable price
Utah UT2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Alabama AL1not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Idaho ID1not 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 $2,046.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care834$2,058$1,255 – $4,158
Children’s14fewer than 20 hospitals
Critical access110$1,823$821 – $2,868
Ownership
For-profit153$3,503$1,501 – $6,249
Government93$1,545$872 – $2,580
Non-profit712$1,988$1,158 – $3,671
System affiliation
Part of a system847$2,064$1,255 – $4,069
Independent116$1,615$855 – $3,186

Cash price vs list price

Median list price (chargemaster)$3,561
Median cash price$2,046
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

706 hospitals filed a usable inpatient cash price for this code. The median is $2,064 and the average of the middle 60% is $2,234; most fall between $1,190 and $3,953.

Cash price percentiles, inpatient, across 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
$838$1,310$2,064$3,368$4,892

The most expensive tenth of hospitals charges at least 5.8× what the cheapest tenth charges ($838 vs $4,892).

Of the 805 hospitals that filed this code inpatient, 706 gave a usable cash price; 67 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 32 a list price only.

How complete is this

963 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 1,110 hospitals that filed this code at all gave us
Usable cash price — counted963
Cash price carrying a plausibility flag — shown on the compare tool, excluded here108
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 — excluded39
Hospitals that filed this code1,110

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 Perfusion Planar 1 Study Rest/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 nuclear scan, flat images, single study (CPT 78453) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-78453-heart-blood-flow-nuclear-scan-flat-images-single-study