Scans and imaging CPT 78452 Outpatient

Nuclear stress test cost in Nashville, TN

In Nashville-Davidson--Murfreesboro--Franklin, TN, 19 hospitals list a cash price for nuclear stress test imaging (SPECT), rest and stress studies: from $1,179.32 to $15,510.51, with a median of $3,578.42. The lowest listed price is at Stones River Hospital — $2,399.10 less than the median here. Across Tennessee, the median is $1,933.80 at 81 hospitals.

  • The median here, $3,578.42, is 9% above the US median of $3,277.78.
  • That is 2.7× Medicare's 2026 national rate for the same service ($1,322.69).
  • Nashville, TN ranks 2nd of 2 metro areas in Tennessee by median, cheapest first.
  • 8 of 19 hospitals list a cash price equal to their full list price, with no self-pay discount.

Cash prices at 19 facilities across 16 cities for code 78452, as an outpatient — the setting a self-pay patient normally buys. Collected Oct 31, 2026; the hospital files themselves were last updated between Jan 1, 2026 and Oct 1, 2026.

Lowest$1,179.32Stones River Hospital
Median$3,578.42half of hospitals charge less
Highest$15,510.51in this market
Difference13.2×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 Nashville-Davidson--Murfreesboro--Franklin, TN.

median
Lowest $1,179.32Highest $15,510.51

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Stones River Hospital lowest Woodbury, TN · (615) 563-4001 NM MYOCRD SPECT R/S MULT+1 more line at this price File of Jul 1, 2026 · source file $1,179.32 $3,931.05 $217.02–$2,035.50 70%
Saint Thomas Hospital for Specialty Surgery Nashville, TN HT MUSCLE IMAGE SPECT MULT File of Apr 14, 2026 · source file $1,618.70 — $462.39–$584.01 —
Vanderbilt Wilson County Hospital Lebanon, TN · (615) 444-2250 HC NM MYOCARD PERF MULTI SPECT File of Oct 1, 2026 · source file $1,992.01 $6,869.00 — 71%
Williamson Medical Center Franklin, TN · (615) 435-5000 MYOCARDIAL IMAGING STRESS/REST+2 more lines at this price File of Aug 1, 2026 · source file $2,237.33 $3,968.10 $1,599.14–$3,769.70 44%
Saint Thomas Rutherford Hospital Murfreesboro, TN · (615) 396-4100 NM REST & STRESS W/WM W/EF+1 more line at this price File of Jan 1, 2026 · source file $2,450.19 $8,167.30 $217.02–$2,035.50 70%
Saint Thomas West Hospital Harding Pk Nashville, TN · (615) 222-2111 NM REST & STRESS W/WM W/EF+1 more line at this price File of Jan 1, 2026 · source file $2,450.22 $8,167.40 $217.02–$2,035.50 70%
Sumner Regional Medical Center Gallatin, TN · (615) 328-8888 Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or red File of Jul 10, 2026 · source file $3,070.50 $13,178.11 $2,938.37 77%
Metro Nashville General Hospital Nashville, TN · (615) 341-4000 NM Myocardial SPECT Rest and Stress+1 more line at this price File of Sep 1, 2026 · source file $3,118.80 $5,198.00 — 40%
Macon Community Hospital Lafayette, TN · (615) 666-2147 NM REST/ STRESS MULTIPLE STUDIES CHARGE File of Mar 21, 2026 · source file $3,133.14 $5,221.90 $217.02–$4,699.71 40%
Riverview Regional Medical Center Carthage, TN · (615) 735-9815 Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or red File of Jul 10, 2026 · source file $3,578.42 $10,976.74 $1,176.35 67%
Trousdale Medical Center Hartsville, TN · (615) 374-2221 Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or red File of Jul 10, 2026 · source file $5,569.68 $10,985.56 $790.36 49%
Tristar Horizon Medical Center Dickson, TN · (615) 446-0446 Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantificat +1 more line at this price File of Sep 1, 2026 · source file $5,612.91 $5,612.91 $1,033.34–$5,163.88 —
Tristar Northcrest Medical Center Springfield, TN · (615) 384-2411 NM MYOCRD SPECT R/S MULT+1 more line at this price File of Sep 1, 2026 · source file $7,614.16 $7,614.16 $532.99–$6,243.61 —
Tristar Skyline Medical Center Nashville, TN · (615) 769-2000 Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantificat +1 more line at this price File of Sep 1, 2026 · source file $10,109.00 $10,109.00 $1,140.45–$9,906.82 —
Tristar Stonecrest Medical Center Smyrna, TN · (615) 768-2000 Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantificat +1 more line at this price File of Sep 1, 2026 · source file $10,329.69 $10,329.69 $1,140.45–$9,503.31 —
Tristar Summit Medical Center Mt Juliet, TN · (615) 316-3000 Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantificat +1 more line at this price File of Sep 1, 2026 · source file $10,874.41 $10,874.41 $1,140.45–$9,569.48 —
Tristar Hendersonville Medical Center Hendersonville, TN · (615) 338-1000 Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantificat +1 more line at this price File of Sep 1, 2026 · source file $11,475.73 $11,475.73 $340.72–$10,557.67 —
Tristar Centennial Medical Center Nashville, TN · (615) 342-1000 Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantificat +1 more line at this price File of Sep 1, 2026 · source file $14,453.78 $14,453.78 $299.49–$9,684.03 —
Tristar Southern Hills Medical Center Antioch, TN · (615) 781-4000 NM MYOCRD SPECT R/S MULT+1 more line at this price File of Sep 1, 2026 · source file $15,510.51 $15,510.51 $1,140.45–$13,649.25 —
Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Off list How much lower the cash price is than the list price.
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

Outpatient: lowest $1,179.32, median $3,578.42, highest $15,510.51 — a 13.2× difference within the same market.

As an inpatient, the same code is billed by 6 facilities here, median $2,343.76. 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 17 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 nuclear stress test is, what the price covers and why prices differ: Nuclear stress test explained.