Procedure price report · Other radioisotope scan

Nuclear vein imaging for blood clot, one leg or arm

CPT code CPT 78457the billing code this page is about

Nuclear imaging of the veins on one side of the body after a radioactive tracer is injected, to look for a blood clot.

Hospitals typically charge $714 cash for this outpatient procedure — the median across 453 hospitals that filed a usable cash price; the average of the middle 60% is $802. Most fall between $387 and $1,564 (20th–80th percentile).

Hospitals
453
States
43
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 453 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
$226$469$714$1,300$3,064

The most expensive tenth of hospitals charges at least 14× what the cheapest tenth charges ($226 vs $3,064).

How the prices are spread

$80 – $119: 16 hospitals$80$119 – $177: 11 hospitals$177 – $263: 15 hospitals$177$263 – $390: 36 hospitals$390 – $580: 70 hospitals$390$580 – $862: 105 hospitals$862 – $1,281: 71 hospitals$862$1,281 – $1,904: 42 hospitals$1,904 – $2,830: 24 hospitals$1,904$2,830 – $4,206: 37 hospitals$2,830median $714price bands are equal on a log scale
Hospitals per price band (427 of 453 — the bands cover the 5th to 95th percentile)
FromToHospitals
$80$11916
$119$17711
$177$26315
$263$39036
$390$58070
$580$862105
$862$1,28171
$1,281$1,90442
$1,904$2,83024
$2,830$4,20637

Against Medicare

Medicare pays (OPPS 2026, national rate)$555
Median cash price$714
Cash as a multiple of Medicare1.29×

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 $714.

Alaska: 1 hospital 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: no hospital in the corpus filed a usable priceNHWashington: 7 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 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: 8 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $539 across 13 hospitalsIL$539Wisconsin: 1 hospital filed a usable price — fewer than 10, so no figureWIMichigan: median $294 across 11 hospitalsMI$294New York: median $637 across 34 hospitalsNY$637Massachusetts: 4 hospitals filed a usable price — fewer than 10, so no figureMAOregon: 2 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: no hospital in the corpus filed a usable priceSDIowa: median $80 across 17 hospitalsIA$80Indiana: 7 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $716 across 21 hospitalsOH$716Pennsylvania: median $919 across 24 hospitalsPA$919New Jersey: median $596 across 19 hospitalsNJ$596Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: 3 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $4,206 across 41 hospitalsCA$4,206Utah: 2 hospitals filed a usable price — fewer than 10, so no figureUTColorado: 6 hospitals filed a usable price — fewer than 10, so no figureCONebraska: median $566 across 12 hospitalsNE$566Missouri: 6 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 8 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 6 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $797 across 17 hospitalsVA$797Maryland: median $788 across 12 hospitalsMD$788Delaware: no hospital in the corpus filed a usable priceDEArizona: 9 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: no hospital in the corpus filed a usable priceNMKansas: 7 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 4 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $597 across 10 hospitalsTN$597North Carolina: 5 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 5 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $534 across 10 hospitalsOK$534Louisiana: median $461 across 10 hospitalsLA$461Mississippi: 4 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 4 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $371 across 15 hospitalsGA$371Hawaii: 4 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $1,245 across 50 hospitalsTX$1,245Florida: median $1,261 across 20 hospitalsFL$1,261
Cash price by state, most expensive first. National median $714. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA41$4,206+489%$1,301 – $4,206
Florida FL20$1,261+77%$916 – $3,018
Texas TX50$1,245+74%$542 – $2,041
Pennsylvania PA24$919+29%$613 – $1,800
Virginia VA17$797+12%$797 – $801
Maryland MD12$788+10%$600 – $897
Ohio OH21$7160%$615 – $929
New York NY34$637−11%$471 – $1,250
Tennessee TN10$597−16%$244 – $691
New Jersey NJ19$596−17%$311 – $703
Nebraska NE12$566−21%$407 – $883
Illinois IL13$539−25%$144 – $1,105
Oklahoma OK10$534−25%$62 – $1,005
Louisiana LA10$461−36%$175 – $928
Georgia GA15$371−48%$371 – $1,312
Michigan MI11$294−59%$67 – $747
Iowa IA17$80−89%$80 – $566
Arizona AZ9not enough hospitals filed a usable price
Kentucky KY8not enough hospitals filed a usable price
Minnesota MN8not enough hospitals filed a usable price
Indiana IN7not enough hospitals filed a usable price
Kansas KS7not enough hospitals filed a usable price
Washington WA7not enough hospitals filed a usable price
Colorado CO6not enough hospitals filed a usable price
Maine ME6not enough hospitals filed a usable price
Missouri MO6not enough hospitals filed a usable price
West Virginia WV6not enough hospitals filed a usable price
North Carolina NC5not enough hospitals filed a usable price
South Carolina SC5not enough hospitals filed a usable price
Alabama AL4not enough hospitals filed a usable price
Arkansas AR4not enough hospitals filed a usable price
Hawaii HI4not enough hospitals filed a usable price
Massachusetts MA4not enough hospitals filed a usable price
Mississippi MS4not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Rhode Island RI3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Oregon OR2not enough hospitals filed a usable price
Utah UT2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Idaho ID1not enough hospitals filed a usable price
Vermont VT1not enough hospitals filed a usable price
Wisconsin WI1not 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 $714.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care400$716$408 – $1,694
Children’s10fewer than 20 hospitals
Critical access42$590$248 – $1,172
Ownership
For-profit75$928$371 – $2,473
Government55$637$387 – $1,085
Non-profit322$716$407 – $1,312
System affiliation
Part of a system381$714$371 – $1,591
Independent72$735$471 – $1,398

Cash price vs list price

Median list price (chargemaster)$1,525
Median cash price$714
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

279 hospitals filed a usable inpatient cash price for this code. The median is $797 and the average of the middle 60% is $871; most fall between $371 and $1,800.

Cash price percentiles, inpatient, across 279 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
$149$435$797$1,335$3,064

The most expensive tenth of hospitals charges at least 21× what the cheapest tenth charges ($149 vs $3,064).

Of the 332 hospitals that filed this code inpatient, 279 gave a usable cash price; 39 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 14 a list price only.

How complete is this

453 of the 3,956 hospitals with a price file in our corpus (11%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 523 hospitals that filed this code at all gave us
Usable cash price — counted453
Cash price carrying a plausibility flag — shown on the compare tool, excluded here55
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 — excluded15
Hospitals that filed this code523

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.

Hospitals file this code under descriptions such as Venous Thrombosis Imaging Venogram Unilateral|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 vein imaging for blood clot, one leg or arm (CPT 78457) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-78457-nuclear-vein-imaging-for-blood-clot-one-leg-or-arm