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Procedure price report · Other radioisotope scan

Nuclear scan for blood clots in both legs' veins

CPT 78458the billing code this page is about

A nuclear medicine imaging study of the veins in both limbs using an injected radioactive tracer to look for clots; this code covers the bilateral (both sides) study.

Hospitals typically charge $779 cash for this outpatient procedure — the median across 672 hospitals that filed a usable cash price; the average of the middle 60% is $870. Most fall between $439 and $1,639 (20th–80th percentile).

Hospitals
672
States
46
Filings dated
Mar 2023 – 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 672 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
$257$473$779$1,362$3,136

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($257 vs $3,136).

How the prices are spread

$169 – $232: 27 hospitals$169$232 – $319: 31 hospitals$319 – $438: 41 hospitals$319$438 – $601: 114 hospitals$601 – $825: 117 hospitals$601$825 – $1,133: 59 hospitals$1,133 – $1,555: 104 hospitals$1,133$1,555 – $2,136: 52 hospitals$2,136 – $2,932: 14 hospitals$2,136$2,932 – $4,026: 47 hospitals$2,932median $779price bands are equal on a log scale
Hospitals per price band (606 of 672 — the bands cover the 5th to 95th percentile)
FromToHospitals
$169$23227
$232$31931
$319$43841
$438$601114
$601$825117
$825$1,13359
$1,133$1,555104
$1,555$2,13652
$2,136$2,93214
$2,932$4,02647

Against Medicare

Medicare pays (OPPS 2026, national rate)$408
Median cash price$779
Cash as a multiple of Medicare1.91×

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 $779.

Alaska: 3 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 5 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: median $710 across 22 hospitalsWA$710Idaho: no hospital in the corpus filed a usable priceIDMontana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: 8 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $681 across 27 hospitalsIL$681Wisconsin: no hospital in the corpus filed a usable priceWIMichigan: 7 hospitals filed a usable price — fewer than 10, so no figureMINew York: median $476 across 36 hospitalsNY$476Massachusetts: 2 hospitals filed a usable price — fewer than 10, so no figureMAOregon: 3 hospitals filed a usable price — fewer than 10, so no figureORNevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 3 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 5 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $94 across 20 hospitalsIA$94Indiana: median $526 across 22 hospitalsIN$526Ohio: median $1,103 across 46 hospitalsOH$1,103Pennsylvania: median $1,157 across 26 hospitalsPA$1,157New Jersey: median $445 across 22 hospitalsNJ$445Connecticut: 1 hospital filed a usable price — fewer than 10, so no figureCTRhode Island: 3 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $3,136 across 64 hospitalsCA$3,136Utah: 3 hospitals filed a usable price — fewer than 10, so no figureUTColorado: 7 hospitals filed a usable price — fewer than 10, so no figureCONebraska: median $629 across 16 hospitalsNE$629Missouri: 5 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 6 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 4 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $797 across 22 hospitalsVA$797Maryland: median $926 across 13 hospitalsMD$926Delaware: no hospital in the corpus filed a usable priceDEArizona: median $582 across 11 hospitalsAZ$582New Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: median $559 across 10 hospitalsKS$559Arkansas: 5 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $575 across 11 hospitalsTN$575North Carolina: median $587 across 19 hospitalsNC$587South Carolina: median $252 across 10 hospitalsSC$252Oklahoma: median $617 across 10 hospitalsOK$617Louisiana: median $383 across 19 hospitalsLA$383Mississippi: 8 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: median $659 across 11 hospitalsAL$659Georgia: median $458 across 18 hospitalsGA$458Hawaii: 8 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $1,137 across 80 hospitalsTX$1,137Florida: median $1,760 across 43 hospitalsFL$1,760
Cash price by state, most expensive first. National median $779. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA64$3,136+302%$579 – $3,685
Florida FL43$1,760+126%$807 – $5,559
Pennsylvania PA26$1,157+48%$415 – $1,990
Texas TX80$1,137+46%$610 – $2,928
Ohio OH46$1,103+42%$779 – $1,565
Maryland MD13$926+19%$687 – $1,054
Virginia VA22$797+2%$717 – $928
Washington WA22$710−9%$656 – $1,631
Illinois IL27$681−13%$228 – $1,107
Alabama AL11$659−15%$356 – $1,069
Nebraska NE16$629−19%$604 – $1,741
Oklahoma OK10$617−21%$74 – $1,153
North Carolina NC19$587−25%$450 – $1,340
Arizona AZ11$582−25%$491 – $848
Tennessee TN11$575−26%$507 – $1,281
Kansas KS10$559−28%$376 – $1,236
Indiana IN22$526−33%$420 – $1,207
New York NY36$476−39%$475 – $1,067
Georgia GA18$458−41%$458 – $1,312
New Jersey NJ22$445−43%$295 – $527
Louisiana LA19$383−51%$263 – $735
South Carolina SC10$252−68%$60 – $1,270
Iowa IA20$94−88%$94 – $815
Hawaii HI8not enough hospitals filed a usable price
Minnesota MN8not enough hospitals filed a usable price
Mississippi MS8not enough hospitals filed a usable price
Colorado CO7not enough hospitals filed a usable price
Michigan MI7not enough hospitals filed a usable price
Kentucky KY6not enough hospitals filed a usable price
Arkansas AR5not enough hospitals filed a usable price
Maine ME5not enough hospitals filed a usable price
Missouri MO5not enough hospitals filed a usable price
South Dakota SD5not enough hospitals filed a usable price
West Virginia WV4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
North Dakota ND3not enough hospitals filed a usable price
Oregon OR3not enough hospitals filed a usable price
Rhode Island RI3not enough hospitals filed a usable price
Utah UT3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Massachusetts MA2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Connecticut CT1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
New Mexico NM1not 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 $779.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care583$779$439 – $1,648
Children’s13fewer than 20 hospitals
Critical access73$834$320 – $1,420
Ownership
For-profit114$1,162$462 – $4,508
Government87$644$389 – $1,121
Non-profit468$779$434 – $1,535
System affiliation
Part of a system588$797$450 – $1,719
Independent84$644$372 – $1,356

Cash price vs list price

Median list price (chargemaster)$1,538
Median cash price$779
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

439 hospitals filed a usable inpatient cash price for this code. The median is $906 and the average of the middle 60% is $964; most fall between $493 and $1,639.

Cash price percentiles, inpatient, across 439 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
$270$573$906$1,447$3,136

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($270 vs $3,136).

Of the 503 hospitals that filed this code inpatient, 439 gave a usable cash price; 35 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 29 a list price only.

How complete is this

672 of the 3,956 hospitals with a price file in our corpus (17%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 769 hospitals that filed this code at all gave us
Usable cash price — counted672
Cash price carrying a plausibility flag — shown on the compare tool, excluded here63
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 — excluded34
Hospitals that filed this code769

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 Other radioisotope scan family.

Hospitals file this code under descriptions such as Venous Thrombosis Imaging Venogram Bilateral|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 scan for blood clots in both legs' veins (CPT 78458) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-78458-nuclear-scan-for-blood-clots-in-both-legs-veins