Nuclear medicine studies of blood flow in heart muscle at rest and with stress
Medicare pricing data for 1,401 providers across 36 states
Prices vary significantly by location — from $80 in Arkansas to $1,636 in New Jersey. 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 studies of blood flow in heart muscle at rest and with stress (HCPCS code 78492) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $1,315, but hospitals typically charge $3,359 — a 2.6x 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 $1,315, your out-of-pocket cost would be approximately $263.06. 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 2.6x more than what Medicare allows for this procedure. Medicare actually pays $1,045 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New Jersey | $1,636 | $2,715 | 34 | 2,877 | +24.4% |
| Alaska | $1,603 | $4,092 | 10 | 755 | +21.8% |
| Maryland | $1,590 | $3,324 | 41 | 4,409 | +20.9% |
| New York | $1,539 | $3,279 | 48 | 5,127 | +17.0% |
| Pennsylvania | $1,501 | $2,751 | 24 | 1,005 | +14.1% |
| North Carolina | $1,491 | $1,995 | 1 | 992 | +13.3% |
| California | $1,481 | $3,999 | 175 | 25,998 | +12.6% |
| Florida | $1,440 | $3,218 | 147 | 8,167 | +9.5% |
| Washington | $1,430 | $3,113 | 15 | 700 | +8.7% |
| Oregon | $1,377 | $2,200 | 7 | 463 | +4.7% |
| Connecticut | $1,371 | $2,599 | 4 | 179 | +4.2% |
| Louisiana | $1,352 | $4,139 | 74 | 5,891 | +2.8% |
| Massachusetts | $1,351 | $3,534 | 3 | 12 | +2.7% |
| Virginia | $1,349 | $3,039 | 42 | 1,603 | +2.5% |
| Wisconsin | $1,321 | $7,045 | 11 | 583 | +0.5% |
| Mississippi | $1,302 | $2,988 | 33 | 2,461 | -1.0% |
| Oklahoma | $1,271 | $4,801 | 5 | 889 | -3.3% |
| Arizona | $1,258 | $2,791 | 60 | 4,120 | -4.4% |
| Nevada | $1,232 | $4,504 | 40 | 2,735 | -6.3% |
| Georgia | $1,225 | $4,872 | 102 | 3,561 | -6.9% |
| Illinois | $1,222 | $3,142 | 39 | 2,800 | -7.1% |
| Michigan | $1,208 | $3,565 | 8 | 137 | -8.1% |
| Texas | $1,164 | $2,912 | 257 | 16,861 | -11.5% |
| District of Columbia | $1,155 | $2,390 | 3 | 143 | -12.2% |
| Delaware | $984 | $1,600 | 5 | 16 | -25.2% |
| Kansas | $943 | $1,483 | 21 | 916 | -28.3% |
| Iowa | $892 | $2,667 | 9 | 1,109 | -32.2% |
| Kentucky | $606 | $1,729 | 14 | 756 | -53.9% |
| Alabama | $587 | $1,335 | 49 | 2,632 | -55.4% |
| Missouri | $554 | $1,307 | 11 | 644 | -57.9% |
| Ohio | $194 | $692 | 27 | 515 | -85.2% |
| Tennessee | $144 | $616 | 39 | 976 | -89.1% |
| Colorado | $85 | $280 | 17 | 195 | -93.5% |
| Utah | $84 | $264 | 2 | 53 | -93.6% |
| Indiana | $80 | $130 | 4 | 11 | -93.9% |
| Arkansas | $80 | $1,703 | 1 | 17 | -94.0% |
⚠️ 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