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Procedure price report · Diagnostic ultrasound (echocardiogram) or optical coherence tomography (OCT) of heart

Imaging from inside a heart artery, first vessel

CPT 92978the billing code this page is about

Add-on imaging performed during a coronary procedure using an ultrasound or light-based (optical coherence tomography) catheter inside the artery or bypass graft; covers the first vessel studied.

Hospitals typically charge $2,979 cash for this outpatient procedure — the median across 1,791 hospitals that filed a usable cash price; the average of the middle 60% is $3,013. Most fall between $1,110 and $5,201 (20th–80th percentile).

Hospitals
1,791
States
50
Filings dated
Dec 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 1,791 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
$497$1,435$2,979$4,864$6,953

The most expensive tenth of hospitals charges at least 14× what the cheapest tenth charges ($497 vs $6,953).

How the prices are spread

$286 – $403: 38 hospitals$286$403 – $568: 78 hospitals$568 – $801: 54 hospitals$568$801 – $1,129: 111 hospitals$1,129 – $1,591: 128 hospitals$1,129$1,591 – $2,241: 201 hospitals$2,241 – $3,158: 259 hospitals$2,241$3,158 – $4,451: 321 hospitals$4,451 – $6,271: 268 hospitals$4,451$6,271 – $8,837: 155 hospitals$6,271median $2,979price bands are equal on a log scale
Hospitals per price band (1,613 of 1,791 — the bands cover the 5th to 95th percentile)
FromToHospitals
$286$40338
$403$56878
$568$80154
$801$1,129111
$1,129$1,591128
$1,591$2,241201
$2,241$3,158259
$3,158$4,451321
$4,451$6,271268
$6,271$8,837155

By state

The median cash price in each state, against the national median of $2,979.

Alaska: 5 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 4 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 9 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $2,938 across 40 hospitalsWA$2,938Idaho: median $4,659 across 12 hospitalsID$4,659Montana: 7 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 8 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $2,643 across 39 hospitalsMN$2,643Illinois: median $3,472 across 75 hospitalsIL$3,472Wisconsin: median $1,912 across 50 hospitalsWI$1,912Michigan: median $3,129 across 60 hospitalsMI$3,129New York: median $1,675 across 54 hospitalsNY$1,675Massachusetts: median $1,521 across 25 hospitalsMA$1,521Oregon: median $2,568 across 32 hospitalsOR$2,568Nevada: 9 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 5 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 9 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $1,306 across 23 hospitalsIA$1,306Indiana: median $2,624 across 45 hospitalsIN$2,624Ohio: median $3,290 across 93 hospitalsOH$3,290Pennsylvania: median $2,054 across 70 hospitalsPA$2,054New Jersey: median $2,940 across 35 hospitalsNJ$2,940Connecticut: median $1,600 across 15 hospitalsCT$1,600Rhode Island: 4 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $3,858 across 142 hospitalsCA$3,858Utah: median $1,996 across 25 hospitalsUT$1,996Colorado: median $3,788 across 33 hospitalsCO$3,788Nebraska: median $1,817 across 20 hospitalsNE$1,817Missouri: median $3,384 across 48 hospitalsMO$3,384Kentucky: median $3,047 across 33 hospitalsKY$3,047West Virginia: median $2,090 across 13 hospitalsWV$2,090Virginia: median $2,251 across 43 hospitalsVA$2,251Maryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 6 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $3,160 across 38 hospitalsAZ$3,160New Mexico: median $1,734 across 10 hospitalsNM$1,734Kansas: median $4,287 across 21 hospitalsKS$4,287Arkansas: median $833 across 18 hospitalsAR$833Tennessee: median $1,414 across 51 hospitalsTN$1,414North Carolina: median $3,607 across 55 hospitalsNC$3,607South Carolina: median $5,195 across 36 hospitalsSC$5,195Oklahoma: median $2,189 across 34 hospitalsOK$2,189Louisiana: median $2,643 across 37 hospitalsLA$2,643Mississippi: median $1,914 across 27 hospitalsMS$1,914Alabama: median $1,864 across 25 hospitalsAL$1,864Georgia: median $3,426 across 69 hospitalsGA$3,426Hawaii: 9 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $4,086 across 179 hospitalsTX$4,086Florida: median $4,133 across 87 hospitalsFL$4,133
Cash price by state, most expensive first. National median $2,979. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
South Carolina SC36$5,195+74%$2,133 – $7,205
Idaho ID12$4,659+56%$1,351 – $6,403
Kansas KS21$4,287+44%$2,366 – $5,929
Florida FL87$4,133+39%$2,298 – $6,498
Texas TX179$4,086+37%$2,163 – $6,255
California CA142$3,858+29%$1,651 – $6,793
Colorado CO33$3,788+27%$2,146 – $7,483
North Carolina NC55$3,607+21%$2,492 – $5,175
Illinois IL75$3,472+17%$1,107 – $5,583
Georgia GA69$3,426+15%$2,355 – $5,651
Missouri MO48$3,384+14%$1,202 – $6,172
Ohio OH93$3,290+10%$1,655 – $4,362
Arizona AZ38$3,160+6%$1,180 – $11,359
Michigan MI60$3,129+5%$598 – $3,969
Kentucky KY33$3,047+2%$1,053 – $5,155
New Jersey NJ35$2,940−1%$892 – $8,490
Washington WA40$2,938−1%$2,024 – $3,786
Louisiana LA37$2,643−11%$592 – $4,628
Minnesota MN39$2,643−11%$1,327 – $3,462
Indiana IN45$2,624−12%$1,816 – $4,838
Oregon OR32$2,568−14%$904 – $3,788
Virginia VA43$2,251−24%$1,890 – $3,307
Oklahoma OK34$2,189−27%$860 – $3,645
West Virginia WV13$2,090−30%$1,132 – $5,513
Pennsylvania PA70$2,054−31%$524 – $3,898
Utah UT25$1,996−33%$1,996 – $1,996
Mississippi MS27$1,914−36%$1,116 – $2,312
Wisconsin WI50$1,912−36%$445 – $3,146
Alabama AL25$1,864−37%$538 – $5,636
Nebraska NE20$1,817−39%$424 – $3,911
New Mexico NM10$1,734−42%$1,248 – $2,932
New York NY54$1,675−44%$674 – $4,595
Connecticut CT15$1,600−46%$434 – $4,256
Massachusetts MA25$1,521−49%$295 – $3,801
Tennessee TN51$1,414−53%$372 – $2,111
Iowa IA23$1,306−56%$706 – $2,321
Arkansas AR18$833−72%$799 – $2,013
Hawaii HI9not enough hospitals filed a usable price
New Hampshire NH9not enough hospitals filed a usable price
Nevada NV9not enough hospitals filed a usable price
South Dakota SD9not enough hospitals filed a usable price
North Dakota ND8not enough hospitals filed a usable price
Montana MT7not enough hospitals filed a usable price
Delaware DE6not enough hospitals filed a usable price
Alaska AK5not enough hospitals filed a usable price
Wyoming WY5not enough hospitals filed a usable price
Maine ME4not enough hospitals filed a usable price
Rhode Island RI4not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
Vermont VT2not 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 $2,979.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,621$3,010$1,157 – $5,332
Children’s27$3,232$959 – $5,065
Critical access135$2,300$445 – $4,149
Ownership
For-profit248$3,463$1,414 – $7,152
Government212$2,468$857 – $4,920
Non-profit1,323$2,953$1,096 – $5,155
System affiliation
Part of a system1,560$3,014$1,205 – $5,201
Independent231$2,315$366 – $5,180

Cash price vs list price

Median list price (chargemaster)$5,316
Median cash price$2,979
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

1,386 hospitals filed a usable inpatient cash price for this code. The median is $3,047 and the average of the middle 60% is $3,122; most fall between $1,325 and $5,332.

Cash price percentiles, inpatient, across 1,386 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
$568$1,578$3,047$4,941$6,953

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($568 vs $6,953).

Of the 1,532 hospitals that filed this code inpatient, 1,386 gave a usable cash price; 69 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 76 a list price only.

How complete is this

1,791 of the 3,956 hospitals with a price file in our corpus (45%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,027 hospitals that filed this code at all gave us
Usable cash price — counted1,791
Cash price carrying a plausibility flag — shown on the compare tool, excluded here103
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded6
A list price only, no cash figure — excluded126
Hospitals that filed this code2,027

Sections not shown for this setting

  • Against Medicare: Medicare has no separately payable national outpatient (OPPS) rate for this code, so there is nothing honest to compare against.
  • 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 Diagnostic ultrasound (echocardiogram) or optical coherence tomography (OCT) of heart family.

Hospitals file this code under descriptions such as Endoluminal Coronary Ivus Oct I&R Initial Vessel|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, “Imaging from inside a heart artery, first vessel (CPT 92978) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-92978-imaging-from-inside-a-heart-artery-first-vessel