Nuclear medicine study of heart muscle at rest and with stress and spect
Medicare pricing data for 3,985 providers across 48 states
Prices vary significantly by location — from $60 in Arkansas to $219 in Nevada. Where you get this procedure matters more than almost any other factor. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Nuclear medicine study of heart muscle at rest and with stress and spect (HCPCS code 78451) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $124.59, but hospitals typically charge $447.61 — a 3.6x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $124.59, your out-of-pocket cost would be approximately $24.92. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 3.6x more than what Medicare allows for this procedure. Medicare actually pays $95.43 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Nevada | $219 | $829 | 24 | 156 | +75.9% |
| Texas | $203 | $881 | 244 | 1,835 | +62.8% |
| Utah | $181 | $570 | 10 | 72 | +45.3% |
| California | $171 | $456 | 421 | 3,676 | +37.5% |
| New Jersey | $159 | $578 | 95 | 237 | +27.7% |
| Tennessee | $155 | $484 | 81 | 207 | +24.2% |
| Alabama | $147 | $436 | 91 | 2,369 | +18.0% |
| Virginia | $129 | $324 | 154 | 933 | +3.1% |
| North Carolina | $127 | $453 | 135 | 301 | +2.0% |
| Arizona | $126 | $494 | 77 | 301 | +1.1% |
| Florida | $126 | $375 | 308 | 826 | +1.0% |
| South Carolina | $124 | $629 | 71 | 194 | -0.5% |
| Connecticut | $124 | $526 | 90 | 327 | -0.5% |
| New York | $122 | $574 | 237 | 1,099 | -2.3% |
| Maryland | $112 | $283 | 92 | 1,288 | -10.2% |
| Kansas | $112 | $359 | 54 | 281 | -10.5% |
| Pennsylvania | $97 | $468 | 193 | 430 | -22.4% |
| Wisconsin | $94 | $911 | 92 | 251 | -24.7% |
| Georgia | $88 | $332 | 129 | 363 | -29.3% |
| Louisiana | $88 | $371 | 44 | 84 | -29.4% |
| Kentucky | $85 | $251 | 58 | 161 | -31.9% |
| Massachusetts | $80 | $301 | 142 | 2,038 | -35.9% |
| Ohio | $77 | $236 | 123 | 524 | -37.8% |
| Minnesota | $77 | $314 | 72 | 100 | -38.3% |
| Illinois | $77 | $388 | 205 | 744 | -38.6% |
| Michigan | $76 | $506 | 115 | 592 | -38.8% |
| Washington | $76 | $278 | 90 | 214 | -39.2% |
| Colorado | $73 | $181 | 48 | 338 | -41.7% |
| District of Columbia | $69 | $342 | 9 | 56 | -44.9% |
| Hawaii | $65 | $323 | 8 | 20 | -47.8% |
| Iowa | $64 | $457 | 50 | 281 | -48.4% |
| Delaware | $64 | $383 | 6 | 21 | -48.5% |
| New Hampshire | $64 | $327 | 26 | 232 | -48.9% |
| Montana | $64 | $159 | 12 | 46 | -48.9% |
| New Mexico | $63 | $187 | 9 | 12 | -49.2% |
| Wyoming | $63 | $696 | 2 | 101 | -49.6% |
| Vermont | $63 | $628 | 7 | 21 | -49.7% |
| Maine | $63 | $218 | 24 | 42 | -49.7% |
| Oregon | $62 | $257 | 25 | 67 | -49.9% |
| South Dakota | $62 | $245 | 12 | 41 | -50.0% |
| Missouri | $62 | $339 | 64 | 665 | -50.1% |
| Oklahoma | $62 | $202 | 23 | 63 | -50.2% |
| Idaho | $61 | $135 | 11 | 14 | -50.8% |
| Indiana | $61 | $362 | 63 | 216 | -50.8% |
| Nebraska | $61 | $192 | 25 | 38 | -50.9% |
| Mississippi | $61 | $355 | 8 | 19 | -51.1% |
| West Virginia | $60 | $407 | 19 | 28 | -51.9% |
| Arkansas | $60 | $217 | 16 | 158 | -51.9% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber