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Procedure price report · Radioisotope scan and function studies

Heart blood flow nuclear scan, flat images, multiple studies

CPT 78454the billing code this page is about

More than one set of flat, single-view nuclear images of blood flow to the heart muscle, at rest and with exercise or medication stress.

Hospitals typically charge $2,545 cash for this outpatient procedure — the median across 988 hospitals that filed a usable cash price; the average of the middle 60% is $2,685. Most fall between $1,344 and $5,198 (20th–80th percentile).

Hospitals
988
States
48
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 988 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
$968$1,545$2,545$4,411$6,547

The most expensive tenth of hospitals charges at least 6.8× what the cheapest tenth charges ($968 vs $6,547).

How the prices are spread

$676 – $868: 31 hospitals$676$868 – $1,114: 57 hospitals$1,114 – $1,431: 78 hospitals$1,114$1,431 – $1,837: 135 hospitals$1,837 – $2,358: 115 hospitals$1,837$2,358 – $3,027: 124 hospitals$3,027 – $3,887: 121 hospitals$3,027$3,887 – $4,990: 74 hospitals$4,990 – $6,406: 102 hospitals$4,990$6,406 – $8,225: 54 hospitals$6,406median $2,545price bands are equal on a log scale
Hospitals per price band (891 of 988 — the bands cover the 5th to 95th percentile)
FromToHospitals
$676$86831
$868$1,11457
$1,114$1,43178
$1,431$1,837135
$1,837$2,358115
$2,358$3,027124
$3,027$3,887121
$3,887$4,99074
$4,990$6,406102
$6,406$8,22554

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,323
Median cash price$2,545
Cash as a multiple of Medicare1.92×

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 $2,545.

Alaska: 2 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 6 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 5 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $2,526 across 23 hospitalsWA$2,526Idaho: 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 $2,622 across 14 hospitalsMN$2,622Illinois: median $3,557 across 41 hospitalsIL$3,557Wisconsin: median $2,881 across 36 hospitalsWI$2,881Michigan: median $1,807 across 33 hospitalsMI$1,807New York: median $1,545 across 44 hospitalsNY$1,545Massachusetts: median $3,700 across 20 hospitalsMA$3,700Oregon: 9 hospitals filed a usable price — fewer than 10, so no figureORNevada: 3 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 3 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: median $1,606 across 24 hospitalsIA$1,606Indiana: median $1,105 across 19 hospitalsIN$1,105Ohio: median $2,920 across 78 hospitalsOH$2,920Pennsylvania: median $1,699 across 36 hospitalsPA$1,699New Jersey: median $1,537 across 31 hospitalsNJ$1,537Connecticut: 4 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 4 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $3,370 across 114 hospitalsCA$3,370Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: 7 hospitals filed a usable price — fewer than 10, so no figureCONebraska: median $1,780 across 12 hospitalsNE$1,780Missouri: median $2,048 across 24 hospitalsMO$2,048Kentucky: median $1,406 across 24 hospitalsKY$1,406West Virginia: 4 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $1,693 across 23 hospitalsVA$1,693Maryland: median $1,726 across 19 hospitalsMD$1,726Delaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: median $4,411 across 22 hospitalsAZ$4,411New Mexico: 4 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 8 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 9 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $1,260 across 18 hospitalsTN$1,260North Carolina: median $2,259 across 15 hospitalsNC$2,259South Carolina: median $1,788 across 13 hospitalsSC$1,788Oklahoma: 6 hospitals filed a usable price — fewer than 10, so no figureOKLouisiana: median $915 across 13 hospitalsLA$915Mississippi: 3 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 5 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $3,563 across 19 hospitalsGA$3,563Hawaii: 4 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $3,231 across 109 hospitalsTX$3,231Florida: median $3,240 across 72 hospitalsFL$3,240
Cash price by state, most expensive first. National median $2,545. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Arizona AZ22$4,411+73%$1,155 – $4,411
Massachusetts MA20$3,700+45%$2,130 – $5,220
Georgia GA19$3,563+40%$2,748 – $7,231
Illinois IL41$3,557+40%$1,520 – $5,175
California CA114$3,370+32%$1,755 – $6,563
Florida FL72$3,240+27%$2,157 – $7,777
Texas TX109$3,231+27%$1,595 – $6,017
Ohio OH78$2,920+15%$2,309 – $5,795
Wisconsin WI36$2,881+13%$2,559 – $3,050
Minnesota MN14$2,622+3%$1,653 – $2,696
Washington WA23$2,526−1%$1,319 – $3,586
North Carolina NC15$2,259−11%$1,059 – $3,676
Missouri MO24$2,048−20%$1,777 – $5,718
Michigan MI33$1,807−29%$1,057 – $6,755
South Carolina SC13$1,788−30%$1,310 – $5,554
Nebraska NE12$1,780−30%$943 – $2,431
Maryland MD19$1,726−32%$1,129 – $2,492
Pennsylvania PA36$1,699−33%$1,323 – $2,606
Virginia VA23$1,693−33%$1,284 – $2,968
Iowa IA24$1,606−37%$176 – $2,090
New York NY44$1,545−39%$1,323 – $3,279
New Jersey NJ31$1,537−40%$972 – $4,165
Kentucky KY24$1,406−45%$1,023 – $5,242
Tennessee TN18$1,260−50%$482 – $1,789
Indiana IN19$1,105−57%$818 – $2,149
Louisiana LA13$915−64%$467 – $1,117
Arkansas AR9not enough hospitals filed a usable price
Oregon OR9not enough hospitals filed a usable price
Kansas KS8not enough hospitals filed a usable price
Colorado CO7not enough hospitals filed a usable price
Maine ME6not enough hospitals filed a usable price
Oklahoma OK6not enough hospitals filed a usable price
Alabama AL5not enough hospitals filed a usable price
New Hampshire NH5not enough hospitals filed a usable price
Connecticut CT4not enough hospitals filed a usable price
Hawaii HI4not enough hospitals filed a usable price
New Mexico NM4not enough hospitals filed a usable price
Rhode Island RI4not enough hospitals filed a usable price
West Virginia WV4not enough hospitals filed a usable price
Mississippi MS3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Idaho ID1not enough hospitals filed a usable price
South Dakota SD1not enough hospitals filed a usable price
Utah UT1not 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 $2,545.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care866$2,559$1,423 – $5,278
Children’s16fewer than 20 hospitals
Critical access102$2,157$1,139 – $2,937
Ownership
For-profit163$4,200$1,656 – $11,084
Government92$1,862$1,058 – $3,182
Non-profit729$2,498$1,323 – $4,720
System affiliation
Part of a system884$2,590$1,427 – $5,321
Independent104$1,980$1,082 – $3,735

Cash price vs list price

Median list price (chargemaster)$4,238
Median cash price$2,545
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

729 hospitals filed a usable inpatient cash price for this code. The median is $2,696 and the average of the middle 60% is $2,831; most fall between $1,464 and $5,220.

Cash price percentiles, inpatient, across 729 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
$1,063$1,639$2,696$4,440$5,855

The most expensive tenth of hospitals charges at least 5.5× what the cheapest tenth charges ($1,063 vs $5,855).

Of the 841 hospitals that filed this code inpatient, 729 gave a usable cash price; 68 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 44 a list price only.

How complete is this

988 of the 3,956 hospitals with a price file in our corpus (25%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,144 hospitals that filed this code at all gave us
Usable cash price — counted988
Cash price carrying a plausibility flag — shown on the compare tool, excluded here106
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 — excluded50
Hospitals that filed this code1,144

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 Multiple Studies|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, multiple studies (CPT 78454) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-78454-heart-blood-flow-nuclear-scan-flat-images-multiple-studies