Nuclear stress test cost in San Antonio, TX
In San Antonio-New Braunfels, TX, 2 hospitals list a cash price for Nuclear stress test imaging (SPECT), rest and stress studies: from $1,455.50 to $3,092.43, with a median of $2,273.97. The lowest listed price is at Bexar County Hospital District — $818.47 less than the median here. Across Texas, the median is $4,279.95 at 92 hospitals.
Cash prices at 2 facilities 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 Oct 14, 2025 and Jan 13, 2026.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in San Antonio-New Braunfels, TX.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Bexar County Hospital District lowest San Antonio, TX HC HT MUSCLE IMAGE SPECT MULT - STRESS TEST DOBUTA | $1,455.50 | $5,822.00 | $438.05–$14,555.00 | 75% | Oct 14, 2025 source file |
| Bexar County Hospital District lowest San Antonio, TX HC HT MUSCLE IMAGE SPECT MULT - STRESS TEST REGADE | $1,455.50 | $5,822.00 | $438.05–$14,555.00 | 75% | Oct 14, 2025 source file |
| Bexar County Hospital District lowest San Antonio, TX HC HT MUSCLE IMAGE SPECT MULT - STRESS TEST EXERCI | $1,455.50 | $5,822.00 | $438.05–$14,555.00 | 75% | Oct 14, 2025 source file |
| Bexar County Hospital District lowest San Antonio, TX HC HT MUSCLE IMAGE SPECT MULT - NM HEART PERFUSION | $1,455.50 | $5,822.00 | $438.05–$14,555.00 | 75% | Oct 14, 2025 source file |
| Bexar County Hospital District lowest San Antonio, TX HC HT MUSCLE IMAGE SPECT MULT - STRESS TEST ADENOS | $1,455.50 | $5,822.00 | $438.05–$14,555.00 | 75% | Oct 14, 2025 source file |
| Santa Rosa Hospital - Westover Hills San Antonio, TX HC 78452 MYOCAR PERF IMG TOMO MULTI (SPECT) | $3,092.43 | $9,371.00 | $454.41–$8,902.45 | 67% | Jan 13, 2026 source file |
Outpatient: lowest $1,455.50, median $2,273.97, highest $3,092.43 — a 2.1× difference within the same market.
As an inpatient, the same code is billed by 1 facility here, median $1,455.50. 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 2 of 2 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.