Scans and imaging CPT 78452 Outpatient

Nuclear stress test cost in Fresno, CA

In Fresno, CA, 4 hospitals list a cash price for Nuclear stress test imaging (SPECT), rest and stress studies: from $3,993.60 to $6,092.80, with a median of $5,619.60. The lowest listed price is at Madera Community Hospital — $1,626.00 less than the median here. Across California, the median is $3,676.40 at 95 hospitals.

Cash prices at 4 facilities across 3 cities for code 78452, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 24, 2026; the hospital files themselves were last updated between Jun 15, 2026 and Jul 30, 2026.

Lowest$3,993.60Madera Community Hospital
Median$5,619.60half pay less
Highest$6,092.80in this market
Difference1.5×highest vs lowest

Where each hospital's price falls

Each dot is one hospital's cash price on a scale from the lowest to the highest in Fresno, CA.

median
Lowest $3,993.60Highest $6,092.80

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Madera Community Hospital lowest Madera, CA Nuclear medicine studies of heart muscle at rest and with stress and SPECT $3,993.60 $6,656.00 $499.34–$1,831.64 40% Jul 30, 2026
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Kaiser Foundation Hospital - Fresno Fresno, CA MYOCARDIAL SPECT MULTIPLE STUDIES $5,146.40 $9,190.00 $1,742.00–$5,455.00 44% —
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Fresno Community Hospital and Medical Center Clovis, CA NM-CARDIAC SPECT STRESS/REST $6,092.80 $7,616.00 $348.12–$8,377.60 20% Jun 15, 2026
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Fresno Community Hospital and Medical Center Clovis, CA NM-THALL VIABL STUDY SPECT M $6,092.80 $7,616.00 $348.12–$8,377.60 20% Jun 15, 2026
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Fresno Community Hospital and Medical Center Fresno, CA NM-CARDIAC SPECT STRESS/REST $6,092.80 $7,616.00 $348.12–$8,377.60 20% Jun 18, 2026
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Fresno Community Hospital and Medical Center Fresno, CA NM-THALL VIABL STUDY SPECT M $6,092.80 $7,616.00 $348.12–$8,377.60 20% Jun 18, 2026
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Fresno Community Hospital and Medical Center Fresno, CA NM-THALL VIABL STUDY SPECT M $6,092.80 $7,616.00 $348.12–$8,377.60 20% Jun 16, 2026
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Fresno Community Hospital and Medical Center Fresno, CA NM-CARDIAC SPECT STRESS/REST $6,092.80 $7,616.00 $348.12–$8,377.60 20% Jun 16, 2026
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Fresno Community Hospital and Medical Center Fresno, CA NM-CARDIAC SPECT STRESS/REST $6,092.80 $7,616.00 $348.12–$8,377.60 20% Jun 18, 2026
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Fresno Community Hospital and Medical Center Fresno, CA NM-THALL VIABL STUDY SPECT M $6,092.80 $7,616.00 $348.12–$8,377.60 20% Jun 18, 2026
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Outpatient: lowest $3,993.60, median $5,619.60, highest $6,092.80 — a 1.5× difference within the same market.

As an inpatient, the same code is billed by 3 facilities here, median $6,092.80. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

Cash or insurance?

At 3 of 4 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at none is it below every plan's rate. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.

What it is

This is the imaging part of a nuclear stress test. A small amount of radioactive tracer is injected, and a special camera takes pictures of blood flow to the heart muscle at rest and after exercise or a stress medicine. It is used to look for blocked heart arteries.

What the price covers

The code covers the camera images and their processing. The radioactive tracer, the stress test itself (with ECG monitoring), any stress medicine and the physician's interpretation are often billed separately.