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Procedure price report · Radioisotope pulmonary scan

Nuclear lung scan of air and blood flow

CPT 78582the billing code this page is about

A combined nuclear medicine study showing both how air moves into the lungs and how blood flows through them, commonly used to look for a clot in the lung.

Hospitals typically charge $1,436 cash for this outpatient procedure — the median across 2,775 hospitals that filed a usable cash price; the average of the middle 60% is $1,483. Most fall between $745 and $2,478 (20th–80th percentile).

Hospitals
2,775
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 2,775 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
$547$854$1,436$2,199$3,607

The most expensive tenth of hospitals charges at least 6.6× what the cheapest tenth charges ($547 vs $3,607).

How the prices are spread

$439 – $566: 168 hospitals$439$566 – $729: 230 hospitals$729 – $938: 255 hospitals$729$938 – $1,209: 313 hospitals$1,209 – $1,557: 425 hospitals$1,209$1,557 – $2,006: 415 hospitals$2,006 – $2,585: 324 hospitals$2,006$2,585 – $3,329: 189 hospitals$3,329 – $4,289: 112 hospitals$3,329$4,289 – $5,525: 68 hospitals$4,289median $1,436price bands are equal on a log scale
Hospitals per price band (2,499 of 2,775 — the bands cover the 5th to 95th percentile)
FromToHospitals
$439$566168
$566$729230
$729$938255
$938$1,209313
$1,209$1,557425
$1,557$2,006415
$2,006$2,585324
$2,585$3,329189
$3,329$4,289112
$4,289$5,52568

Against Medicare

Medicare pays (OPPS 2026, national rate)$555
Median cash price$1,436
Cash as a multiple of Medicare2.6×

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 $1,436.

Alaska: 7 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $780 across 23 hospitalsME$780Vermont: median $1,824 across 10 hospitalsVT$1,824New Hampshire: median $1,961 across 15 hospitalsNH$1,961Washington: median $1,379 across 54 hospitalsWA$1,379Idaho: median $1,686 across 14 hospitalsID$1,686Montana: 6 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: median $1,384 across 14 hospitalsND$1,384Minnesota: median $1,035 across 80 hospitalsMN$1,035Illinois: median $1,666 across 102 hospitalsIL$1,666Wisconsin: median $1,590 across 99 hospitalsWI$1,590Michigan: median $966 across 76 hospitalsMI$966New York: median $1,130 across 89 hospitalsNY$1,130Massachusetts: median $1,617 across 45 hospitalsMA$1,617Oregon: median $1,509 across 38 hospitalsOR$1,509Nevada: median $1,400 across 16 hospitalsNV$1,400Wyoming: median $1,306 across 12 hospitalsWY$1,306South Dakota: median $1,988 across 22 hospitalsSD$1,988Iowa: median $1,286 across 64 hospitalsIA$1,286Indiana: median $1,735 across 85 hospitalsIN$1,735Ohio: median $1,765 across 137 hospitalsOH$1,765Pennsylvania: median $1,267 across 108 hospitalsPA$1,267New Jersey: median $634 across 55 hospitalsNJ$634Connecticut: median $1,057 across 18 hospitalsCT$1,057Rhode Island: median $1,092 across 10 hospitalsRI$1,092California: median $2,200 across 203 hospitalsCA$2,200Utah: median $1,618 across 34 hospitalsUT$1,618Colorado: median $2,315 across 55 hospitalsCO$2,315Nebraska: median $1,931 across 54 hospitalsNE$1,931Missouri: median $1,140 across 68 hospitalsMO$1,140Kentucky: median $1,309 across 58 hospitalsKY$1,309West Virginia: median $1,253 across 29 hospitalsWV$1,253Virginia: median $1,333 across 66 hospitalsVA$1,333Maryland: median $1,707 across 37 hospitalsMD$1,707Delaware: 5 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $1,220 across 44 hospitalsAZ$1,220New Mexico: median $1,060 across 21 hospitalsNM$1,060Kansas: median $1,288 across 46 hospitalsKS$1,288Arkansas: median $547 across 25 hospitalsAR$547Tennessee: median $745 across 73 hospitalsTN$745North Carolina: median $1,277 across 81 hospitalsNC$1,277South Carolina: median $1,351 across 50 hospitalsSC$1,351Oklahoma: median $899 across 40 hospitalsOK$899Louisiana: median $688 across 46 hospitalsLA$688Mississippi: median $768 across 40 hospitalsMS$768Alabama: median $931 across 33 hospitalsAL$931Georgia: median $1,166 across 86 hospitalsGA$1,166Hawaii: median $1,196 across 11 hospitalsHI$1,196Texas: median $1,998 across 205 hospitalsTX$1,998Florida: median $2,313 across 166 hospitalsFL$2,313
Cash price by state, most expensive first. National median $1,436. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Colorado CO55$2,315+61%$1,308 – $4,250
Florida FL166$2,313+61%$1,013 – $8,358
California CA203$2,200+53%$1,018 – $3,675
Texas TX205$1,998+39%$1,028 – $4,069
South Dakota SD22$1,988+38%$1,959 – $2,564
New Hampshire NH15$1,961+37%$1,268 – $2,752
Nebraska NE54$1,931+35%$1,106 – $2,725
Vermont VT10$1,824+27%$1,337 – $2,799
Ohio OH137$1,765+23%$1,062 – $2,467
Indiana IN85$1,735+21%$1,010 – $2,542
Maryland MD37$1,707+19%$1,145 – $2,251
Idaho ID14$1,686+17%$1,493 – $1,761
Illinois IL102$1,666+16%$730 – $2,410
Utah UT34$1,618+13%$1,538 – $1,904
Massachusetts MA45$1,617+13%$1,144 – $1,945
Wisconsin WI99$1,590+11%$581 – $2,100
Oregon OR38$1,509+5%$1,044 – $2,100
Nevada NV16$1,400−2%$590 – $3,688
North Dakota ND14$1,384−4%$866 – $1,788
Washington WA54$1,379−4%$1,102 – $1,976
South Carolina SC50$1,351−6%$1,084 – $1,750
Virginia VA66$1,333−7%$912 – $1,873
Kentucky KY58$1,309−9%$791 – $2,161
Wyoming WY12$1,306−9%$981 – $2,227
Kansas KS46$1,288−10%$732 – $1,977
Iowa IA64$1,286−10%$1,043 – $1,886
North Carolina NC81$1,277−11%$668 – $1,580
Pennsylvania PA108$1,267−12%$617 – $2,314
West Virginia WV29$1,253−13%$719 – $2,052
Arizona AZ44$1,220−15%$475 – $3,188
Hawaii HI11$1,196−17%$969 – $1,600
Georgia GA86$1,166−19%$846 – $2,365
Missouri MO68$1,140−21%$739 – $2,089
New York NY89$1,130−21%$645 – $2,127
Rhode Island RI10$1,092−24%$595 – $1,337
New Mexico NM21$1,060−26%$921 – $1,798
Connecticut CT18$1,057−26%$849 – $2,194
Minnesota MN80$1,035−28%$589 – $1,522
Michigan MI76$966−33%$717 – $1,806
Alabama AL33$931−35%$547 – $1,699
Oklahoma OK40$899−37%$374 – $1,491
Maine ME23$780−46%$535 – $1,806
Mississippi MS40$768−47%$536 – $1,273
Tennessee TN73$745−48%$507 – $1,548
Louisiana LA46$688−52%$455 – $1,260
New Jersey NJ55$634−56%$474 – $1,049
Arkansas AR25$547−62%$448 – $1,333
Alaska AK7not enough hospitals filed a usable price
Montana MT6not enough hospitals filed a usable price
Delaware DE5not 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 $1,436.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care2,194$1,427$725 – $2,584
Children’s32$1,717$952 – $3,508
Critical access540$1,503$823 – $2,182
Ownership
For-profit423$2,016$850 – $6,395
Government425$1,215$677 – $2,020
Non-profit1,918$1,434$733 – $2,260
System affiliation
Part of a system2,341$1,472$745 – $2,542
Independent434$1,307$735 – $2,208

Cash price vs list price

Median list price (chargemaster)$2,454
Median cash price$1,436
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

1,965 hospitals filed a usable inpatient cash price for this code. The median is $1,498 and the average of the middle 60% is $1,527; most fall between $791 and $2,411.

Cash price percentiles, inpatient, across 1,965 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
$580$920$1,498$2,199$3,264

The most expensive tenth of hospitals charges at least 5.6× what the cheapest tenth charges ($580 vs $3,264).

Of the 2,158 hospitals that filed this code inpatient, 1,965 gave a usable cash price; 102 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 91 a list price only.

How complete is this

2,775 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 3,056 hospitals that filed this code at all gave us
Usable cash price — counted2,775
Cash price carrying a plausibility flag — shown on the compare tool, excluded here182
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 code3,056

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 pulmonary scan family.

Hospitals file this code under descriptions such as Pulmonary Ventilation & Perfusion Imaging|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 air and blood flow (CPT 78582) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-78582-nuclear-lung-scan-of-air-and-blood-flow