Nuclear medicine study of heart muscle blood flow by pet
Medicare pricing data for 1,515 providers across 44 states
Prices vary significantly by location — from $28 in Indiana to $176 in Maryland. 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 blood flow by pet (HCPCS code 78434) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $120.90, but hospitals typically charge $427.20 — a 3.5x 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 $120.90, your out-of-pocket cost would be approximately $24.18. 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 3.5x more than what Medicare allows for this procedure. Medicare actually pays $96.28 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Maryland | $176 | $1,118 | 24 | 2,414 | +45.4% |
| Delaware | $172 | $1,204 | 7 | 1,704 | +42.2% |
| Florida | $170 | $426 | 172 | 11,727 | +40.5% |
| New Jersey | $168 | $369 | 46 | 3,315 | +38.7% |
| Texas | $156 | $458 | 144 | 12,404 | +28.9% |
| Mississippi | $156 | $556 | 13 | 2,293 | +28.8% |
| Louisiana | $147 | $284 | 60 | 5,746 | +21.5% |
| Pennsylvania | $142 | $538 | 124 | 6,531 | +17.3% |
| Kansas | $137 | $325 | 33 | 2,249 | +13.6% |
| California | $133 | $347 | 138 | 18,272 | +10.2% |
| Wisconsin | $124 | $1,375 | 5 | 228 | +2.9% |
| Nevada | $120 | $372 | 62 | 4,163 | -0.3% |
| New York | $118 | $362 | 89 | 9,504 | -2.2% |
| Washington | $115 | $342 | 20 | 612 | -4.9% |
| Illinois | $112 | $668 | 44 | 14,189 | -7.3% |
| Virginia | $112 | $210 | 26 | 743 | -7.6% |
| Oregon | $94 | $433 | 8 | 679 | -22.1% |
| Arkansas | $72 | $153 | 6 | 1,266 | -40.6% |
| Arizona | $71 | $168 | 37 | 2,150 | -41.0% |
| Alabama | $57 | $241 | 10 | 635 | -53.1% |
| Connecticut | $49 | $131 | 25 | 449 | -59.6% |
| Tennessee | $42 | $104 | 35 | 771 | -65.2% |
| Utah | $40 | $531 | 48 | 3,612 | -67.1% |
| Maine | $37 | $111 | 20 | 405 | -69.3% |
| Michigan | $36 | $153 | 18 | 1,034 | -69.9% |
| Massachusetts | $32 | $124 | 22 | 665 | -73.9% |
| Ohio | $29 | $120 | 29 | 963 | -75.7% |
| Colorado | $29 | $98 | 23 | 581 | -75.8% |
| District of Columbia | $29 | $104 | 2 | 52 | -75.9% |
| New Hampshire | $29 | $148 | 7 | 389 | -76.0% |
| North Dakota | $29 | $89 | 6 | 636 | -76.2% |
| South Dakota | $29 | $80 | 7 | 635 | -76.2% |
| Kentucky | $29 | $88 | 4 | 91 | -76.3% |
| Minnesota | $29 | $98 | 45 | 491 | -76.4% |
| Vermont | $28 | $135 | 5 | 226 | -76.5% |
| Missouri | $28 | $143 | 26 | 3,220 | -76.5% |
| Georgia | $28 | $430 | 78 | 2,973 | -76.6% |
| Idaho | $28 | $60 | 1 | 38 | -76.6% |
| New Mexico | $28 | $175 | 4 | 25 | -76.7% |
| West Virginia | $28 | $85 | 6 | 20 | -76.7% |
| Iowa | $28 | $97 | 1 | 19 | -76.8% |
| North Carolina | $28 | $110 | 12 | 295 | -77.0% |
| Oklahoma | $28 | $365 | 2 | 47 | -77.0% |
| Indiana | $28 | $82 | 17 | 711 | -77.2% |
⚠️ 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