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Procedure price report · Radioisotope scan and function studies

3-D nuclear heart scan for damaged or infiltrated muscle

CPT 78469the billing code this page is about

A nuclear medicine scan of the heart muscle producing cross-sectional (SPECT) images, with or without measurement; often used to look for heart attack damage or amyloid deposits.

Hospitals typically charge $1,296 cash for this outpatient procedure — the median across 855 hospitals that filed a usable cash price; the average of the middle 60% is $1,373. Most fall between $634 and $2,825 (20th–80th percentile).

Hospitals
855
States
47
Filings dated
Jun 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 855 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
$472$706$1,296$2,414$4,161

The most expensive tenth of hospitals charges at least 8.8× what the cheapest tenth charges ($472 vs $4,161).

How the prices are spread

$285 – $380: 24 hospitals$285$380 – $508: 37 hospitals$508 – $678: 100 hospitals$508$678 – $905: 95 hospitals$905 – $1,208: 111 hospitals$905$1,208 – $1,612: 118 hospitals$1,612 – $2,152: 94 hospitals$1,612$2,152 – $2,873: 70 hospitals$2,873 – $3,836: 61 hospitals$2,873$3,836 – $5,120: 65 hospitals$3,836median $1,296price bands are equal on a log scale
Hospitals per price band (775 of 855 — the bands cover the 5th to 95th percentile)
FromToHospitals
$285$38024
$380$50837
$508$678100
$678$90595
$905$1,208111
$1,208$1,612118
$1,612$2,15294
$2,152$2,87370
$2,873$3,83661
$3,836$5,12065

Against Medicare

Medicare pays (OPPS 2026, national rate)$555
Median cash price$1,296
Cash as a multiple of Medicare2.3×

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 $1,296.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: 8 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 1 hospital filed a usable price — fewer than 10, so no figureNHWashington: median $1,275 across 19 hospitalsWA$1,275Idaho: 1 hospital filed a usable price — fewer than 10, so no figureIDMontana: no hospital in the corpus filed a usable priceMTNorth Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,211 across 12 hospitalsMN$1,211Illinois: median $1,261 across 32 hospitalsIL$1,261Wisconsin: median $1,466 across 28 hospitalsWI$1,466Michigan: median $1,190 across 15 hospitalsMI$1,190New York: median $645 across 36 hospitalsNY$645Massachusetts: median $1,718 across 15 hospitalsMA$1,718Oregon: median $831 across 10 hospitalsOR$831Nevada: 4 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 $829 across 17 hospitalsIA$829Indiana: median $1,087 across 21 hospitalsIN$1,087Ohio: median $1,328 across 69 hospitalsOH$1,328Pennsylvania: median $775 across 47 hospitalsPA$775New Jersey: median $596 across 29 hospitalsNJ$596Connecticut: 5 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 1 hospital filed a usable price — fewer than 10, so no figureRICalifornia: median $3,370 across 89 hospitalsCA$3,370Utah: median $1,749 across 26 hospitalsUT$1,749Colorado: median $1,803 across 20 hospitalsCO$1,803Nebraska: 6 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $844 across 27 hospitalsMO$844Kentucky: median $3,220 across 14 hospitalsKY$3,220West Virginia: 3 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 4 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: median $1,068 across 17 hospitalsMD$1,068Delaware: no hospital in the corpus filed a usable priceDEArizona: median $666 across 22 hospitalsAZ$666New Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: 8 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 3 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 9 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: median $1,181 across 11 hospitalsNC$1,181South Carolina: median $1,876 across 15 hospitalsSC$1,876Oklahoma: median $626 across 15 hospitalsOK$626Louisiana: median $452 across 13 hospitalsLA$452Mississippi: 7 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 4 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $834 across 13 hospitalsGA$834Hawaii: 9 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $1,076 across 92 hospitalsTX$1,076Florida: median $2,482 across 48 hospitalsFL$2,482
Cash price by state, most expensive first. National median $1,296. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA89$3,370+160%$1,586 – $4,161
Kentucky KY14$3,220+148%$689 – $6,019
Florida FL48$2,482+91%$1,683 – $4,717
South Carolina SC15$1,876+45%$93 – $3,668
Colorado CO20$1,803+39%$1,413 – $4,582
Utah UT26$1,749+35%$1,749 – $1,749
Massachusetts MA15$1,718+33%$1,229 – $2,579
Wisconsin WI28$1,466+13%$207 – $1,466
Ohio OH69$1,328+2%$820 – $2,414
Washington WA19$1,275−2%$933 – $2,600
Illinois IL32$1,261−3%$562 – $3,098
Minnesota MN12$1,211−7%$896 – $1,553
Michigan MI15$1,190−8%$714 – $1,466
North Carolina NC11$1,181−9%$782 – $1,387
Indiana IN21$1,087−16%$472 – $1,383
Texas TX92$1,076−17%$931 – $1,916
Maryland MD17$1,068−18%$775 – $1,336
Missouri MO27$844−35%$640 – $2,353
Georgia GA13$834−36%$834 – $834
Oregon OR10$831−36%$749 – $2,195
Iowa IA17$829−36%$108 – $1,760
Pennsylvania PA47$775−40%$601 – $3,423
Arizona AZ22$666−49%$462 – $2,874
New York NY36$645−50%$637 – $2,160
Oklahoma OK15$626−52%$618 – $1,097
New Jersey NJ29$596−54%$489 – $2,371
Louisiana LA13$452−65%$341 – $592
Hawaii HI9not enough hospitals filed a usable price
Tennessee TN9not enough hospitals filed a usable price
Kansas KS8not enough hospitals filed a usable price
Maine ME8not enough hospitals filed a usable price
Mississippi MS7not enough hospitals filed a usable price
Nebraska NE6not enough hospitals filed a usable price
Connecticut CT5not enough hospitals filed a usable price
Alabama AL4not enough hospitals filed a usable price
Nevada NV4not enough hospitals filed a usable price
Virginia VA4not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
North Dakota ND3not enough hospitals filed a usable price
West Virginia WV3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Idaho ID1not enough hospitals filed a usable price
New Hampshire NH1not enough hospitals filed a usable price
New Mexico NM1not enough hospitals filed a usable price
Rhode Island RI1not 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 $1,296.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care765$1,268$637 – $2,900
Children’s10fewer than 20 hospitals
Critical access77$1,387$580 – $1,749
Ownership
For-profit129$1,959$809 – $6,053
Government64$821$491 – $1,718
Non-profit659$1,232$631 – $2,467
System affiliation
Part of a system767$1,328$637 – $2,874
Independent88$1,044$563 – $1,911

Cash price vs list price

Median list price (chargemaster)$2,311
Median cash price$1,296
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

633 hospitals filed a usable inpatient cash price for this code. The median is $1,399 and the average of the middle 60% is $1,418; most fall between $729 and $2,482.

Cash price percentiles, inpatient, across 633 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
$472$831$1,399$2,195$3,370

The most expensive tenth of hospitals charges at least 7.1× what the cheapest tenth charges ($472 vs $3,370).

Of the 711 hospitals that filed this code inpatient, 633 gave a usable cash price; 41 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 37 a list price only.

How complete is this

855 of the 3,956 hospitals with a price file in our corpus (22%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 978 hospitals that filed this code at all gave us
Usable cash price — counted855
Cash price carrying a plausibility flag — shown on the compare tool, excluded here81
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 — excluded42
Hospitals that filed this code978

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 HEART INFARCT IMAGE (3D).

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, “3-D nuclear heart scan for damaged or infiltrated muscle (CPT 78469) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-78469-3-d-nuclear-heart-scan-for-damaged-or-infiltrated-muscle