Scans and imaging CPT 78452 Inpatient — admitted to hospital

Nuclear stress test cost in Nashville, TN — inpatient

In Nashville-Davidson--Murfreesboro--Franklin, TN, 4 hospitals list a cash price for nuclear stress test imaging (SPECT), rest and stress studies as an inpatient: from $500.25 to $2,450.22, with a median of $1,690.85. The lowest listed price is at Vanderbilt Wilson County Hospital — $1,190.60 less than the median here. Across Tennessee, the median is $744.81 at 42 hospitals.

Cash prices at 4 facilities across 4 cities for code 78452, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Oct 1, 2025 and Oct 1, 2025.

Lowest$500.25Vanderbilt Wilson County Hospital
Median$1,690.85half pay less
Highest$2,450.22in this market
Difference4.9×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 $500.25Highest $3,709.26

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Vanderbilt Wilson County Hospital lowest Lebanon, TN · (615) 444-2250 MYOCARDIAL SPECT MULTIPLE STUDIES $500.25 $1,725.00 $285.23–$1,725.00 71% Oct 1, 2025
source file
Vanderbilt University Medical Center Nashville, TN · (615) 322-3454 MYOCARDIAL SPECT MULTIPLE STUDIES $931.50 $1,725.00 $285.23–$1,725.00 46% Oct 1, 2025
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Vanderbilt Wilson County Hospital Lebanon, TN · (615) 444-2250 HC NM MYOCARD PERF MULTI SPECT $1,992.01 $6,869.00 $635.40–$5,495.20 71% Oct 1, 2025
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Saint Thomas Rutherford Hospital Murfreesboro, TN · (615) 396-4100 NM REST & STRESS W/WM W/EF $2,450.19 $8,167.30 $217.02–$2,035.50 70% —
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Saint Thomas West Hospital Harding Pk Nashville, TN · (615) 222-2111 NM REST & STRESS W/WM W/EF $2,450.22 $8,167.40 $217.02–$2,035.50 70% —
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Vanderbilt University Medical Center Nashville, TN · (615) 322-3454 HC NM MYOCARD PERF MULTI SPECT $3,709.26 $6,869.00 $630.49–$5,495.20 46% Oct 1, 2025
source file

Inpatient: lowest $500.25, median $1,690.85, highest $2,450.22 — a 4.9× difference within the same market.

As an outpatient, the same code is billed by 4 facilities here, median $1,690.85 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 2 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.