Procedure price report · Radioisotope pulmonary scan

Nuclear lung scan of blood flow (perfusion)

CPT code CPT 78580the billing code this page is about

A nuclear medicine scan using injected radioactive particles to show how blood is distributed through the lungs.

Hospitals typically charge $936 cash for this outpatient procedure — the median across 2,752 hospitals that filed a usable cash price; the average of the middle 60% is $986. Most fall between $508 and $1,709 (20th–80th percentile).

Hospitals
2,752
States
50
Filings dated
Aug 2022 – 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 2,752 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
$401$571$936$1,510$2,530

The most expensive tenth of hospitals charges at least 6.3× what the cheapest tenth charges ($401 vs $2,530).

How the prices are spread

$303 – $390: 106 hospitals$303$390 – $503: 303 hospitals$503 – $648: 287 hospitals$503$648 – $835: 372 hospitals$835 – $1,075: 373 hospitals$835$1,075 – $1,386: 399 hospitals$1,386 – $1,785: 264 hospitals$1,386$1,785 – $2,300: 198 hospitals$2,300 – $2,962: 89 hospitals$2,300$2,962 – $3,817: 88 hospitals$2,962median $936price bands are equal on a log scale
Hospitals per price band (2,479 of 2,752 — the bands cover the 5th to 95th percentile)
FromToHospitals
$303$390106
$390$503303
$503$648287
$648$835372
$835$1,075373
$1,075$1,386399
$1,386$1,785264
$1,785$2,300198
$2,300$2,96289
$2,962$3,81788

Against Medicare

Medicare pays (OPPS 2026, national rate)$408
Median cash price$936
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 $936.

Alaska: 5 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $651 across 21 hospitalsME$651Vermont: 7 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $1,097 across 16 hospitalsNH$1,097Washington: median $842 across 51 hospitalsWA$842Idaho: median $1,071 across 16 hospitalsID$1,071Montana: 4 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: median $936 across 16 hospitalsND$936Minnesota: median $703 across 69 hospitalsMN$703Illinois: median $1,105 across 113 hospitalsIL$1,105Wisconsin: median $1,095 across 98 hospitalsWI$1,095Michigan: median $690 across 78 hospitalsMI$690New York: median $811 across 91 hospitalsNY$811Massachusetts: median $1,222 across 43 hospitalsMA$1,222Oregon: median $1,144 across 35 hospitalsOR$1,144Nevada: median $1,479 across 14 hospitalsNV$1,479Wyoming: median $876 across 12 hospitalsWY$876South Dakota: median $1,354 across 18 hospitalsSD$1,354Iowa: median $920 across 60 hospitalsIA$920Indiana: median $877 across 85 hospitalsIN$877Ohio: median $1,071 across 139 hospitalsOH$1,071Pennsylvania: median $700 across 109 hospitalsPA$700New Jersey: median $494 across 57 hospitalsNJ$494Connecticut: median $723 across 16 hospitalsCT$723Rhode Island: median $762 across 10 hospitalsRI$762California: median $1,503 across 197 hospitalsCA$1,503Utah: median $1,107 across 37 hospitalsUT$1,107Colorado: median $1,253 across 55 hospitalsCO$1,253Nebraska: median $1,092 across 50 hospitalsNE$1,092Missouri: median $742 across 69 hospitalsMO$742Kentucky: median $905 across 56 hospitalsKY$905West Virginia: median $937 across 26 hospitalsWV$937Virginia: median $750 across 67 hospitalsVA$750Maryland: median $1,226 across 38 hospitalsMD$1,226Delaware: 6 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $633 across 43 hospitalsAZ$633New Mexico: median $730 across 18 hospitalsNM$730Kansas: median $729 across 48 hospitalsKS$729Arkansas: median $420 across 21 hospitalsAR$420Tennessee: median $562 across 74 hospitalsTN$562North Carolina: median $669 across 81 hospitalsNC$669South Carolina: median $935 across 50 hospitalsSC$935Oklahoma: median $685 across 43 hospitalsOK$685Louisiana: median $427 across 46 hospitalsLA$427Mississippi: median $458 across 41 hospitalsMS$458Alabama: median $719 across 34 hospitalsAL$719Georgia: median $714 across 89 hospitalsGA$714Hawaii: median $755 across 10 hospitalsHI$755Texas: median $1,257 across 204 hospitalsTX$1,257Florida: median $1,855 across 166 hospitalsFL$1,855
Cash price by state, most expensive first. National median $936. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Florida FL166$1,855+98%$790 – $5,806
California CA197$1,503+61%$757 – $2,549
Nevada NV14$1,479+58%$609 – $4,763
South Dakota SD18$1,354+45%$1,290 – $1,503
Texas TX204$1,257+34%$546 – $2,782
Colorado CO55$1,253+34%$838 – $2,012
Maryland MD38$1,226+31%$637 – $1,716
Massachusetts MA43$1,222+31%$752 – $1,459
Oregon OR35$1,144+22%$802 – $1,339
Utah UT37$1,107+18%$941 – $1,203
Illinois IL113$1,105+18%$602 – $1,829
New Hampshire NH16$1,097+17%$876 – $2,252
Wisconsin WI98$1,095+17%$414 – $1,315
Nebraska NE50$1,092+17%$734 – $1,557
Ohio OH139$1,071+14%$775 – $1,771
Idaho ID16$1,071+14%$710 – $1,425
West Virginia WV26$9370%$629 – $1,521
North Dakota ND16$9360%$676 – $1,217
South Carolina SC50$9350%$756 – $1,843
Iowa IA60$920−2%$601 – $1,190
Kentucky KY56$905−3%$551 – $1,764
Indiana IN85$877−6%$530 – $1,252
Wyoming WY12$876−6%$731 – $1,612
Washington WA51$842−10%$642 – $1,250
New York NY91$811−13%$476 – $1,671
Rhode Island RI10$762−19%$447 – $991
Hawaii HI10$755−19%$743 – $1,148
Virginia VA67$750−20%$494 – $1,385
Missouri MO69$742−21%$543 – $1,219
New Mexico NM18$730−22%$517 – $1,300
Kansas KS48$729−22%$495 – $1,219
Connecticut CT16$723−23%$576 – $1,248
Alabama AL34$719−23%$387 – $1,407
Georgia GA89$714−24%$508 – $1,654
Minnesota MN69$703−25%$446 – $1,277
Pennsylvania PA109$700−25%$457 – $1,850
Michigan MI78$690−26%$483 – $1,241
Oklahoma OK43$685−27%$373 – $1,086
North Carolina NC81$669−28%$527 – $992
Maine ME21$651−30%$379 – $1,441
Arizona AZ43$633−32%$381 – $2,975
Tennessee TN74$562−40%$319 – $1,194
New Jersey NJ57$494−47%$387 – $1,210
Mississippi MS41$458−51%$357 – $843
Louisiana LA46$427−54%$282 – $724
Arkansas AR21$420−55%$189 – $756
Vermont VT7not enough hospitals filed a usable price
Delaware DE6not enough hospitals filed a usable price
Alaska AK5not enough hospitals filed a usable price
Montana MT4not 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 $936.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care2,191$926$496 – $1,802
Children’s42$1,367$749 – $2,585
Critical access509$941$539 – $1,425
Ownership
For-profit419$1,414$580 – $4,224
Government414$784$476 – $1,268
Non-profit1,909$935$498 – $1,614
System affiliation
Part of a system2,318$952$514 – $1,749
Independent434$855$467 – $1,514

Cash price vs list price

Median list price (chargemaster)$1,676
Median cash price$936
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

1,953 hospitals filed a usable inpatient cash price for this code. The median is $987 and the average of the middle 60% is $1,010; most fall between $536 and $1,651.

Cash price percentiles, inpatient, across 1,953 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
$420$600$987$1,482$2,127

The most expensive tenth of hospitals charges at least 5.1× what the cheapest tenth charges ($420 vs $2,127).

Of the 2,140 hospitals that filed this code inpatient, 1,953 gave a usable cash price; 97 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 90 a list price only.

How complete is this

2,752 of the 3,956 hospitals with a price file in our corpus (70%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 3,022 hospitals that filed this code at all gave us
Usable cash price — counted2,752
Cash price carrying a plausibility flag — shown on the compare tool, excluded here171
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded98
Hospitals that filed this code3,022

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 Pulmonary Perfusion Imaging Particulate|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 lung scan of blood flow (perfusion) (CPT 78580) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-78580-nuclear-lung-scan-of-blood-flow-perfusion