Scans and imaging CPT 78452 Virginia Outpatient

Nuclear stress test cost in Virginia

In Virginia, 64 hospitals publish a cash price for nuclear stress test imaging (SPECT), rest and stress studies: from $443.90 to $13,036.00, with a median of $3,168.00. The lowest price is at Dickenson Community Hospital (Clintwood) and 1 other hospital. The highest price is 29.4× the lowest.

  • The median here, $3,168.00, is 3% below the US median of $3,277.78.
  • That is 2.4× Medicare's 2026 national rate for the same service ($1,322.69).
  • Virginia ranks 29th of 51 states by median, cheapest first.
  • 13 of 64 hospitals list a cash price equal to their full list price, with no self-pay discount.

Outpatient cash prices, one line per hospital — its lowest listed price for code 78452. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 1, 2026. See them on a map

Lowest$443.90Dickenson Community Hospital + 1 more
Median$3,168.00half of hospitals charge less
Highest$13,036.00in Virginia
Lowest saves$2,724.10vs the median

Hospitals in Virginia, cheapest first

HospitalCash priceList priceFile date
Dickenson Community Hospital lowest Clintwood · Clintwood, VA HC NM MYOCARD PERF SPECT MULTI $443.90 $1,930.00 Mar 23, 2026
source file
Lee County Community Hospital lowest Pennington Gap · Pennington Gap, VA HC NM MYOCARD PERF SPECT MULTI $443.90 $1,930.00 Mar 23, 2026
source file
Johnston Memorial Hospital Abingdon · Kingsport-Bristol, TN-VA HC NM MYOCARD PERF SPECT MULTI $452.25 $3,015.00 Mar 23, 2026
source file
Lonesome Pine Hospital Big Stone Gap · Big Stone Gap, VA HC NM MYOCARD PERF SPECT MULTI $452.25 $3,015.00 Mar 23, 2026
source file
Russell County Hospital Lebanon · Lebanon, VA HC NM MYOCARD PERF SPECT MULTI $452.25 $3,015.00 Mar 23, 2026
source file
Smyth County Community Hospital Marion · Marion, VA HC NM MYOCARD PERF SPECT MULTI $452.25 $3,015.00 Mar 23, 2026
source file
Sovah Health - Danville Danville · Danville, VA 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 $1,346.00 $3,365.00 Jul 11, 2026
source file
Sovah Health - Martinsville Martinsville · Martinsville, VA 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 $1,346.00 $3,365.00 Jul 10, 2026
source file
Augusta Health Fishersville · Staunton-Stuarts Draft, VA Ht Muscle Image Spect Mult $1,496.50 $2,993.00 Apr 1, 2026
source file
Sentara Martha Jefferson Hospital Charlottesville · Charlottesville, VA Chg - Myocrdial Perfusion Imaging,T $1,908.00 $3,816.00 Apr 1, 2026
source file
Sentara RMH Medical Center Harrisonburg · Harrisonburg, VA Chgr-Myo Rest / Stress Multiple Spect $1,908.00 $3,816.00 Apr 1, 2026
source file
Wythe County Community Hospital Wytheville · Wytheville, VA 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 $1,943.92 $4,859.80 Jul 10, 2026
source file
Sentara Halifax Regional Hospital South Boston · South Boston, VA Chgr-Myo Rest / Stress Multiple Spect $2,002.50 $4,005.00 Apr 1, 2026
source file
Riverside Smithfield Hospital Smithfield · Virginia Beach-Chesapeake-Norfolk, VA-NC Myocardial Perfusion Multi W/Spect $2,043.83 $4,087.65 Mar 11, 2026
source file
Mary Washington Hospital Fredericksburg · Washington-Arlington-Alexandria, DC-VA-MD-WV Ht muscle image spect mult $2,161.00 $4,322.00 Dec 30, 2024
source file
Stafford Hospital Stafford · Washington-Arlington-Alexandria, DC-VA-MD-WV Ht muscle image spect mult $2,161.00 $4,322.00 Dec 30, 2024
source file
Fauquier Health Warrenton · Washington-Arlington-Alexandria, DC-VA-MD-WV 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 $2,257.20 $5,643.00 Jul 14, 2026
source file
Chesapeake General Hospital Chesapeake · Virginia Beach-Chesapeake-Norfolk, VA-NC Hc Nm Sest. Rest Stress Mult $2,311.45 $3,852.41 Jul 1, 2026
source file
Carilion Franklin Memorial Hospital Rocky Mt · Roanoke, VA HB NM CARD DOBUTAMINE $2,354.80 $6,728.00 Dec 15, 2025
source file
Carilion New River Valley Medical Center Christiansburg · Blacksburg-Christiansburg-Radford, VA HB NM CARD MULTI REST OR STRESS $2,354.80 $6,728.00 Dec 15, 2025
source file
Carilion Roanoke Community Hospital Roanoke · Roanoke, VA HB CP NM CARD LEXISCAN $2,354.80 $6,728.00 Dec 15, 2025
source file
Carilion Roanoke Memorial Hospital Roanoke · Roanoke, VA HB NM CARD LEXISCAN $2,354.80 $6,728.00 Apr 17, 2026
source file
Rappahannock General Hospital Kilmarnock · Kilmarnock, VA HC NM Sest. Rest Stress Mult $2,404.20 $4,007.00 Apr 1, 2026
source file
Bon Secours Southampton Memorial Hospital Franklin · Roanoke, VA HC NM Sest. Rest Stress Mult $2,632.20 $8,774.00 Apr 1, 2026
source file
Carilion Giles Community Hospital Roanoke · Roanoke, VA HB CP NM CARD LEXISCAN $2,742.60 $7,836.00 Dec 15, 2025
source file
Carilion Rockbridge Community Hospital Lexington · Lexington, VA HB NM CARD DOBUTAMINE $2,742.60 $7,836.00 Dec 15, 2025
source file
Twin County Regional Healthcare Galax · Galax, VA 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 $2,757.88 $6,894.71 Jul 10, 2026
source file
Hospital for Extended Recovery Norfolk · Virginia Beach-Chesapeake-Norfolk, VA-NC Chg - Myocrdial Perfusion Imaging,T $3,168.00 $6,336.00 Apr 1, 2026
source file
Sentara Careplex Hospital Hampton · Virginia Beach-Chesapeake-Norfolk, VA-NC Chgr-Myo Rest / Stress Multiple Spect $3,168.00 $6,336.00 Apr 1, 2026
source file
Sentara Leigh Hospital Norfolk · Virginia Beach-Chesapeake-Norfolk, VA-NC Chg - Myocrdial Perfusion Imaging,T $3,168.00 $6,336.00 Apr 1, 2026
source file
Sentara Norfolk General Hospital Norfolk · Virginia Beach-Chesapeake-Norfolk, VA-NC Chgr-Myo Rest / Stress Multiple Spect $3,168.00 $6,336.00 Apr 1, 2026
source file
Sentara Northern Virginia Medical Center Woodbridge · Washington-Arlington-Alexandria, DC-VA-MD-WV Chgr-Myo Rest / Stress Multiple Spect $3,168.00 $6,336.00 Apr 1, 2026
source file
Sentara Obici Hospital Suffolk · Suffolk, VA Chg - Myocrdial Perfusion Imaging,T $3,168.00 $6,336.00 Apr 1, 2026
source file
Sentara Princess Anne Hospital Virginia Beach · Virginia Beach-Chesapeake-Norfolk, VA-NC Chg - Myocrdial Perfusion Imaging,T $3,168.00 $6,336.00 Apr 1, 2026
source file
Sentara Virginia Beach General Hospital Virginia Beach · Virginia Beach-Chesapeake-Norfolk, VA-NC Chgr-Myo Rest / Stress Multiple Spect $3,168.00 $6,336.00 Apr 1, 2026
source file
Bon Secours Southern Virginia Medical Center Emporia · Emporia, VA HC NM Sest. Rest Stress Mult $3,625.80 $12,086.00 Apr 1, 2026
source file
Inova Alexandria Hospital Alexandria · Washington-Arlington-Alexandria, DC-VA-MD-WV HC CARDIAC PERF SPECT MULT/EF/WM RST/STRS $3,728.50 $7,457.00 Apr 1, 2026
source file
Inova Fair Oaks Hospital Fairfax · Washington-Arlington-Alexandria, DC-VA-MD-WV HC CARDIAC PERF SPECT MULT/EF/WM RST/STRS $3,728.50 $7,457.00 Apr 1, 2026
source file
Inova Fairfax Hospital Falls Church · Washington-Arlington-Alexandria, DC-VA-MD-WV HC CARDIAC PERF SPECT MULT/EF/WM RST/STRS $3,728.50 $7,457.00 Apr 1, 2026
source file
Inova Loudoun Hospital Leesburg · Washington-Arlington-Alexandria, DC-VA-MD-WV HC CARDIAC PERF SPECT MULT/EF/WM RST/STRS $3,728.50 $7,457.00 Apr 1, 2026
source file
Inova Mount Vernon Hospital Alexandria · Washington-Arlington-Alexandria, DC-VA-MD-WV HC CARDIAC PERF SPECT MULT/EF/WM RST/STRS $3,728.50 $7,457.00 Apr 1, 2026
source file
Bon Secours Maryview Medical Center Portsmouth · Virginia Beach-Chesapeake-Norfolk, VA-NC HC NM Sest. Rest Stress Mult $3,801.60 $6,336.00 Apr 1, 2026
source file
Mary Immaculate Hospital Newport News · Virginia Beach-Chesapeake-Norfolk, VA-NC HC NM Sest. Rest Stress Mult $3,801.60 $6,336.00 Apr 1, 2026
source file
Bath Community Hospital Hot Springs · Hot Springs, VA NM MYOCRD SPECT RS MULTI - PUR,TECHNICAL COMPONENT $4,258.16 $6,083.08 Mar 25, 2026
source file
Spotsylvania Regional Medical Center Fredericksburg · Washington-Arlington-Alexandria, DC-VA-MD-WV NM MYOCRD SPECT R/S MULT $4,597.56 $4,597.56 Sep 1, 2026
source file
Clinch Valley Health Richlands · Bluefield, WV-VA 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 $4,811.94 $12,029.84 Jul 14, 2026
source file
Bon Secours Memorial Regional Medical Center Mechanicsville · Richmond, VA HC NM Sest. Rest Stress Mult $5,660.40 $9,434.00 Apr 1, 2026
source file
Bon Secours Richmond Community Hospital Richmond · Richmond, VA HC NM Sest. Rest Stress Mult $5,660.40 $9,434.00 Apr 1, 2026
source file
Bon Secours St Francis Medical Center Midlothian · Richmond, VA HC NM Sest. Rest Stress Mult $5,660.40 $9,434.00 Apr 1, 2026
source file
Bon Secours St Marys Hospital of Richmond Richmond · Richmond, VA HC NM Sest. Rest Stress Mult $5,660.40 $9,434.00 Apr 1, 2026
source file
Bon Secours Southside Medical Center Petersburg · Richmond, VA HC NM Sest. Rest Stress Mult $5,667.00 $18,890.00 Apr 1, 2026
source file
Children's Hospital of the King's Daughters Norfolk · Virginia Beach-Chesapeake-Norfolk, VA-NC MIBI REST&STRESS C/A MULT $6,481.88 $7,202.09 Mar 17, 2026
source file
Stonesprings Hospital Center Dulles · Washington-Arlington-Alexandria, DC-VA-MD-WV Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantificat $7,136.16 $7,136.16 Sep 1, 2026
source file
Reston Hospital Center Reston · Washington-Arlington-Alexandria, DC-VA-MD-WV NM MYOCRD SPECT R/S MULT $7,629.58 $7,629.58 Sep 1, 2026
source file
Chippenham Hospital Chesterfield · Richmond, VA NM MYOCRD SPECT R/S MULT $11,632.00 $11,632.00 Sep 1, 2026
source file
Henrico Doctors Hospital - Forest Mechanicsville · Richmond, VA NM MYOCRD SPECT R/S MULT $11,632.00 $11,632.00 Sep 1, 2026
source file
Johnston-Willis Hospital Richmond · Richmond, VA Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantificat $11,632.00 $11,632.00 Sep 1, 2026
source file
Parham Doctors Hospital Richmond · Richmond, VA Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantificat $11,632.00 $11,632.00 Sep 1, 2026
source file
Retreat Doctors Hospital Richmond · Richmond, VA Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantificat $11,632.00 $11,632.00 Sep 1, 2026
source file
Tricities Hospital Prince George · Richmond, VA NM MYOCRD SPECT R/S MULT $11,632.00 $11,632.00 Sep 1, 2026
source file
Lewisgale Hospital Montgomery Christiansburg · Blacksburg-Christiansburg-Radford, VA Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantificat $11,893.00 $11,893.00 Sep 1, 2026
source file
Lewisgale Hospital Pulaski Pulaski · Blacksburg-Christiansburg-Radford, VA Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantificat $12,202.00 $12,202.00 Sep 1, 2026
source file
Lewisgale Hospital Alleghany Low Moor · Low Moor, VA NM MYOCRD SPECT R/S MULT $12,867.00 $12,867.00 Sep 1, 2026
source file
Lewisgale Medical Center Roanoke · Roanoke, VA Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantificat $13,036.00 $13,036.00 Sep 1, 2026
source file
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
File date When the hospital last updated its price file, as the file says itself. A dash means the file gives no date.
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

By metro area

Each metro page compares every listing, including prices for both sides of the body.

Metro areaHospitalsLowestMedian
Washington-Arlington-Alexandria, DC-VA-MD-WV 12 $2,161.00 $3,728.50
Richmond, VA 11 $5,660.40 $11,632.00
Virginia Beach-Chesapeake-Norfolk, VA-NC 11 $2,043.83 $3,168.00
Roanoke, VA 6 $2,354.80 $2,493.50
Blacksburg-Christiansburg-Radford, VA 3 $2,354.80 $11,893.00
Big Stone Gap, VA 1 $452.25 $452.25
Bluefield, WV-VA 1 $4,811.94 $4,811.94
Clintwood, VA 1 $443.90 $443.90
Charlottesville, VA 1 $1,908.00 $1,908.00
Danville, VA 1 $1,346.00 $1,346.00
Emporia, VA 1 $3,625.80 $3,625.80
Galax, VA 1 $2,757.88 $2,757.88
Hot Springs, VA 1 $4,258.16 $4,258.16
Harrisonburg, VA 1 $1,908.00 $1,908.00
Kilmarnock, VA 1 $2,404.20 $2,404.20
Kingsport-Bristol, TN-VA 1 $452.25 $452.25
Lebanon, VA 1 $452.25 $452.25
Lexington, VA 1 $2,742.60 $2,742.60
Low Moor, VA 1 $12,867.00 $12,867.00
Marion, VA 1 $452.25 $452.25
Martinsville, VA 1 $1,346.00 $1,346.00
Pennington Gap, VA 1 $443.90 $443.90
South Boston, VA 1 $2,002.50 $2,002.50
Suffolk, VA 1 $3,168.00 $3,168.00
Staunton-Stuarts Draft, VA 1 $1,496.50 $1,496.50
Wytheville, VA 1 $1,943.92 $1,943.92
Market A metro area (as the Census Bureau defines it) or, outside metro areas, a town. Each links to every hospital price there.
Hospitals How many hospitals publish a cash price for this code here. Each hospital counts once, at its lowest outpatient cash price.
Lowest The lowest cash price among those hospitals.
Median The middle cash price: half of the hospitals charge less, half charge more. One price per hospital. More

What nuclear stress test is, what the price covers and why prices differ: Nuclear stress test explained.

Nuclear stress test imaging (SPECT), rest and stress studies in other states

Median cash price across the state's hospitals.