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Procedure price report · Radioisotope scan and function studies

3-D nuclear heart pumping scan (blood pool SPECT)

CPT 78494the billing code this page is about

A gated nuclear blood pool study of the heart producing cross-sectional (SPECT) images at rest to show wall motion and the fraction of blood pumped out.

Hospitals typically charge $849 cash for this outpatient procedure — the median across 591 hospitals that filed a usable cash price; the average of the middle 60% is $912. Most fall between $393 and $1,711 (20th–80th percentile).

Hospitals
591
States
45
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 591 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
$141$434$849$1,576$2,304

The most expensive tenth of hospitals charges at least 16× what the cheapest tenth charges ($141 vs $2,304).

How the prices are spread

$104 – $148: 36 hospitals$104$148 – $209: 14 hospitals$209 – $295: 17 hospitals$209$295 – $417: 50 hospitals$417 – $590: 101 hospitals$417$590 – $834: 44 hospitals$834 – $1,179: 72 hospitals$834$1,179 – $1,667: 104 hospitals$1,667 – $2,356: 74 hospitals$1,667$2,356 – $3,331: 28 hospitals$2,356median $849price bands are equal on a log scale
Hospitals per price band (540 of 591 — the bands cover the 5th to 95th percentile)
FromToHospitals
$104$14836
$148$20914
$209$29517
$295$41750
$417$590101
$590$83444
$834$1,17972
$1,179$1,667104
$1,667$2,35674
$2,356$3,33128

Against Medicare

Medicare pays (OPPS 2026, national rate)$408
Median cash price$849
Cash as a multiple of Medicare2.1×

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 $849.

Alaska: 3 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 3 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 $1,191 across 21 hospitalsWA$1,191Idaho: 2 hospitals 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: 9 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $940 across 16 hospitalsIL$940Wisconsin: median $1,590 across 16 hospitalsWI$1,590Michigan: median $550 across 13 hospitalsMI$550New York: median $476 across 36 hospitalsNY$476Massachusetts: median $1,389 across 18 hospitalsMA$1,389Oregon: 5 hospitals filed a usable price — fewer than 10, so no figureORNevada: 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 $343 across 22 hospitalsIA$343Indiana: median $1,003 across 10 hospitalsIN$1,003Ohio: median $1,476 across 26 hospitalsOH$1,476Pennsylvania: median $1,023 across 38 hospitalsPA$1,023New Jersey: median $445 across 25 hospitalsNJ$445Connecticut: 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 $2,150 across 68 hospitalsCA$2,150Utah: median $104 across 16 hospitalsUT$104Colorado: median $413 across 19 hospitalsCO$413Nebraska: median $512 across 12 hospitalsNE$512Missouri: 6 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: median $2,121 across 13 hospitalsKY$2,121West Virginia: 2 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 1 hospital filed a usable price — fewer than 10, so no figureVAMaryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: median $394 across 11 hospitalsAZ$394New Mexico: 3 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 7 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 5 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: median $924 across 14 hospitalsNC$924South Carolina: 5 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $367 across 17 hospitalsOK$367Louisiana: median $353 across 17 hospitalsLA$353Mississippi: 3 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 9 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $497 across 10 hospitalsGA$497Hawaii: 3 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $1,233 across 41 hospitalsTX$1,233Florida: median $1,287 across 27 hospitalsFL$1,287
Cash price by state, most expensive first. National median $849. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA68$2,150+153%$1,107 – $3,331
Kentucky KY13$2,121+150%$371 – $2,121
Wisconsin WI16$1,590+87%$269 – $1,590
Ohio OH26$1,476+74%$1,000 – $1,550
Massachusetts MA18$1,389+64%$824 – $1,576
Florida FL27$1,287+52%$849 – $2,304
Texas TX41$1,233+45%$567 – $1,233
Washington WA21$1,191+40%$999 – $1,398
Pennsylvania PA38$1,023+20%$408 – $1,720
Indiana IN10$1,003+18%$68 – $1,219
Illinois IL16$940+11%$141 – $1,502
North Carolina NC14$924+9%$770 – $996
Michigan MI13$550−35%$396 – $1,493
Nebraska NE12$512−40%$416 – $608
Georgia GA10$497−41%$497 – $497
New York NY36$476−44%$475 – $1,068
New Jersey NJ25$445−48%$204 – $582
Colorado CO19$413−51%$185 – $1,912
Arizona AZ11$394−54%$307 – $498
Oklahoma OK17$367−57%$95 – $609
Louisiana LA17$353−58%$232 – $453
Iowa IA22$343−60%$141 – $1,672
Utah UT16$104−88%$104 – $116
Alabama AL9not enough hospitals filed a usable price
Minnesota MN9not enough hospitals filed a usable price
Kansas KS7not enough hospitals filed a usable price
Missouri MO6not enough hospitals filed a usable price
Connecticut CT5not enough hospitals filed a usable price
Oregon OR5not enough hospitals filed a usable price
South Carolina SC5not enough hospitals filed a usable price
Tennessee TN5not enough hospitals filed a usable price
Nevada NV4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Hawaii HI3not enough hospitals filed a usable price
Maryland MD3not enough hospitals filed a usable price
Maine ME3not enough hospitals filed a usable price
Mississippi MS3not enough hospitals filed a usable price
New Mexico NM3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Idaho ID2not enough hospitals filed a usable price
West Virginia WV2not enough hospitals filed a usable price
Rhode Island RI1not enough hospitals filed a usable price
Virginia VA1not 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 $849.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care522$869$408 – $1,806
Children’s6fewer than 20 hospitals
Critical access59$608$141 – $1,634
Ownership
For-profit69$588$400 – $2,927
Government56$641$476 – $1,396
Non-profit462$887$362 – $1,722
System affiliation
Part of a system530$849$367 – $1,722
Independent61$839$439 – $1,671

Cash price vs list price

Median list price (chargemaster)$1,625
Median cash price$849
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

426 hospitals filed a usable inpatient cash price for this code. The median is $1,019 and the average of the middle 60% is $1,023; most fall between $351 and $1,912.

Cash price percentiles, inpatient, across 426 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
$116$439$1,019$1,625$2,383

The most expensive tenth of hospitals charges at least 21× what the cheapest tenth charges ($116 vs $2,383).

Of the 467 hospitals that filed this code inpatient, 426 gave a usable cash price; 28 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 13 a list price only.

How complete is this

591 of the 3,956 hospitals with a price file in our corpus (15%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 651 hospitals that filed this code at all gave us
Usable cash price — counted591
Cash price carrying a plausibility flag — shown on the compare tool, excluded here47
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 — excluded13
Hospitals that filed this code651

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 IMAGE SPECT.

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 pumping scan (blood pool SPECT) (CPT 78494) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-78494-3-d-nuclear-heart-pumping-scan-blood-pool-spect