Nuclear stress test cost in Washington
In Washington, 44 hospitals publish a cash price for nuclear stress test imaging (SPECT), rest and stress studies: from $1,157.40 to $6,276.20, with a median of $3,545.50. The lowest price is at Confluence Health Hospital (Wenatchee). The highest price is 5.4× the lowest.
- The median here, $3,545.50, is 8% above the US median of $3,277.78.
- That is 2.7× Medicare's 2026 national rate for the same service ($1,322.69).
- Washington ranks 33rd of 51 states by median, cheapest first.
- 2 of 44 hospitals list a cash price equal to their full list price, with no self-pay discount.
Washington law (RCW 70.170.060) requires hospital charity care: patients with family income up to 300% of the federal poverty level owe nothing at hospitals in large health systems (200% at other hospitals), with 75% and 50% discounts up to 400% (300% at other hospitals). It covers the part of the bill a patient owes, insured or not. Ask the hospital for its charity care application. Other states' laws.
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 11, 2026. See them on a map
Lowest$1,157.40Confluence Health Hospital
Median$3,545.50half of hospitals charge less
Highest$6,276.20in Washington
Lowest saves$2,388.10vs the median
Hospitals in Washington, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Confluence Health Hospital lowest Wenatchee · Wenatchee-East Wenatchee, WA HC Nuc Med Myocardium Spect Multiple--Pbb | $1,157.40 | $1,286.00 | Aug 10, 2026 source file |
| Astria Sunnyside Hospital Sunnyside · Kennewick-Richland, WA NM Myocardial SPECT Rest and Stress | $1,236.33 | $2,169.00 | Apr 1, 2026 source file |
| Samaritan Hospital Moses Lake · Moses Lake, WA Nuclear medicine myocardial perfuse SPECT | $1,524.00 | $1,524.00 | Jan 4, 2026 source file |
| Prov Sacred Hrt Medical Center & Childs Hospital Spokane · Spokane-Spokane Valley, WA HC NM MYCARD PERFUS SPECT MULTIPLE | $1,528.10 | $2,183.00 | Apr 1, 2026 source file |
| Providence Regional Medical Center Everett Everett · Seattle-Tacoma-Bellevue, WA HC NM MYCARD PERFUS SPECT MULTIPLE | $1,741.48 | $3,349.00 | Apr 1, 2026 source file |
| Lourdes Health Pasco · Kennewick-Richland, WA HT MUSCLE IMAGE SPECT MULT | $1,980.70 | $4,951.75 | Jul 10, 2026 source file |
| Overlake Medical Center & Clinics Bellevue · Seattle-Tacoma-Bellevue, WA Hc Myocar Rest/Stress Mult Determ | $2,227.00 | $4,454.00 | Apr 1, 2026 source file |
| Saint Clare Hospital Lakewood · Seattle-Tacoma-Bellevue, WA HC MYOCARDIAL PERF (SPECT) MUL | $2,235.47 | $7,751.26 | Sep 30, 2026 source file |
| St Anthony Hospital Gig Harbor · Seattle-Tacoma-Bellevue, WA HC MYOCARDIAL PERF (SPECT) MUL | $2,357.16 | $7,751.26 | Sep 30, 2026 source file |
| Highline Medical Center Burien · Seattle-Tacoma-Bellevue, WA HC MYOCARDIAL PERF (SPECT) MUL | $2,359.49 | $7,751.26 | Sep 30, 2026 source file |
| St Francis Community Hospital Federal Way · Seattle-Tacoma-Bellevue, WA HC MYOCARDIAL PERF (SPECT) MUL | $2,383.52 | $7,751.26 | Sep 30, 2026 source file |
| Swedish Issaquah Issaquah · Seattle-Tacoma-Bellevue, WA HC NM MYCARD PERFUS SPECT MULTIPLE | $2,599.68 | $5,416.00 | Apr 1, 2026 source file |
| Swedish Medical Center Seattle · Seattle-Tacoma-Bellevue, WA HC NM MYCARD PERFUS SPECT MULTIPLE | $2,599.68 | $5,416.00 | Apr 1, 2026 source file |
| Swedish Medical Center / Cherry Hill Seattle · Seattle-Tacoma-Bellevue, WA HC NM MYCARD PERFUS SPECT MULTIPLE | $2,599.68 | $5,416.00 | Apr 1, 2026 source file |
| St Elizabeth Hospital Enumclaw · Seattle-Tacoma-Bellevue, WA HC MYOCARDIAL PERF (SPECT) MUL | $2,846.27 | $7,751.26 | Sep 30, 2026 source file |
| Legacy Salmon Creek Medical Center Vancouver · Portland-Vancouver-Hillsboro, OR-WA HC NM MYOCARD PERF SPECT MULT W/EF&WM | $2,863.90 | $4,406.00 | Apr 1, 2026 source file |
| Virginia Mason Medical Center Seattle · Seattle-Tacoma-Bellevue, WA HT MUSCLE IMAGE SPECT, MULT - TECH | $2,880.48 | $5,648.00 | Jan 1, 2026 source file |
| St Joseph Medical Center Tacoma · Seattle-Tacoma-Bellevue, WA HC MYOCARDIAL PERF (SPECT) MUL | $2,962.16 | $8,943.76 | Feb 28, 2026 source file |
| PeaceHealth United General Medical Center Sedro Woolley · Mount Vernon-Anacortes, WA NUCLEAR MEDICINE STUDIES OF HEART MUSCLE AT REST AND WITH STRESS AND SPECT | $3,009.50 | $4,630.00 | Mar 21, 2026 source file |
| Pullman Regional Hospital Pullman · Pullman, WA Nuclear medicine studies of heart muscle at rest and with stress and SPECT | $3,267.40 | $3,844.00 | Jun 9, 2026 source file |
| Olympic Medical Center Port Angeles · Port Angeles, WA Nuclear medicine myocardial perfuse SPECT | $3,440.00 | $4,300.00 | Jun 24, 2026 source file |
| Providence Mount Carmel Hospital Colville · Spokane-Spokane Valley, WA HC NM MYCARD PERFUS SPECT MULTIPLE | $3,540.60 | $5,058.00 | Apr 1, 2026 source file |
| Providence St Mary Medical Center Walla Walla · Walla Walla, WA HC NM MYCARD PERFUS SPECT MULTIPLE | $3,550.40 | $5,072.00 | Apr 1, 2026 source file |
| Providence Holy Family Hospital Spokane · Spokane-Spokane Valley, WA HC NM MYCARD PERFUS SPECT MULTIPLE | $3,586.10 | $5,123.00 | Apr 1, 2026 source file |
| Kadlec Regional Medical Center Richland · Kennewick-Richland, WA HC NM MYCARD PERFUS SPECT MULTIPLE | $3,630.20 | $5,186.00 | Apr 1, 2026 source file |
| Providence Centralia Hospital Centralia · Centralia, WA HC NM MYCARD PERFUS SPECT MULTIPLE | $3,787.68 | $7,284.00 | Apr 1, 2026 source file |
| Providence St Peter Hospital Olympia · Olympia-Lacey-Tumwater, WA HC NM MYCARD PERFUS SPECT MULTIPLE | $3,787.68 | $7,284.00 | Apr 1, 2026 source file |
| Cascade Valley Hospital Arlington · Seattle-Tacoma-Bellevue, WA HC MYOCARD PERF SPECT MULTI STUDY | $3,804.00 | $4,755.00 | Mar 26, 2026 source file |
| Astria Toppenish Hospital Toppenish · Yakima, WA NM Myocardial SPECT Rest and Stress | $3,865.55 | $5,947.00 | Apr 1, 2026 source file |
| St. Michael Medical Center Silverdale · Bremerton-Silverdale-Port Orchard, WA HC MYOCARDIAL PERF (SPECT) MUL | $3,947.32 | $8,943.76 | Feb 28, 2026 source file |
| Willapa Harbor Hospital South Bend · South Bend, WA NUCLEAR MEDICINE STUDIES OF HEART MUSCLE AT REST AND WITH STRESS AND SPECT | $3,960.60 | $5,658.00 | Feb 24, 2026 source file |
| PeaceHealth Southwest Medical Center Vancouver · Portland-Vancouver-Hillsboro, OR-WA NUCLEAR MEDICINE STUDIES OF HEART MUSCLE AT REST AND WITH STRESS AND SPECT | $3,976.70 | $6,118.00 | Mar 20, 2026 source file |
| PeaceHealth St Joseph Medical Center Bellingham · Bellingham, WA NUCLEAR MEDICINE STUDIES OF HEART MUSCLE AT REST AND WITH STRESS AND SPECT | $3,976.70 | $6,118.00 | Mar 21, 2026 source file |
| Prosser Memorial Health Hospital Prosser · Kennewick-Richland, WA HC NM MYCARD PERFUS SPECT MULTIPLE | $4,007.85 | $7,287.00 | Jan 1, 2025 source file |
| Arbor Health Morton Hospital Morton · Centralia, WA Nuclear medicine studies of heart muscle at rest and with stress and SPECT | $4,028.14 | $6,497.00 | May 18, 2026 source file |
| Ocean Beach Hospital Ilwaco · Ilwaco, WA HC NM MYCARD PERFUS SPECT MULTIPLE | $4,110.00 | $5,480.00 | Oct 23, 2026 source file |
| Skagit Valley Hospital Mount Vernon · Mount Vernon-Anacortes, WA HC MYOCARD PERF SPECT MULTI STUDY | $4,431.20 | $5,539.00 | Mar 26, 2026 source file |
| Kaiser Permanente Central Hospital Seattle · Seattle-Tacoma-Bellevue, WA "MYOCARD PERF(SPECT)MULTIP W/EF,QUANT/QUAL WALL MOT" | $4,483.20 | $5,604.00 | Apr 1, 2026 source file |
| Jefferson Healthcare Port Townsend · Port Townsend, WA Nuclear medicine studies of heart muscle at rest and with stress and SPECT | $4,693.60 | $5,867.00 | Aug 6, 2026 source file |
| Mason General Hospital & Family of Clinics Shelton · Shelton, WA NM Myocardial SPECT Rest and Stress | $4,729.50 | $6,306.00 | Mar 10, 2026 source file |
| Valley Medical Center Renton · Seattle-Tacoma-Bellevue, WA Myocardial Spect Multiple Studies | $4,801.30 | $6,859.00 | Mar 12, 2026 source file |
| PeaceHealth St John Medical Center Longview · Longview-Kelso, WA NUCLEAR MEDICINE STUDIES OF HEART MUSCLE AT REST AND WITH STRESS AND SPECT | $5,331.95 | $8,203.00 | Mar 21, 2026 source file |
| Forks Community Hospital Forks · Port Townsend, WA Nuclear medicine studies of heart muscle at rest and with stress and SPECT | $5,956.00 | $7,445.00 | Oct 27, 2026 source file |
| Seattle Children's Hospital Seattle · Seattle-Tacoma-Bellevue, WA NM Mibi Scan Multi Rest/Stress | $6,276.20 | $6,276.20 | Mar 31, 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 area | Hospitals | Lowest | Median |
|---|---|---|---|
| Seattle-Tacoma-Bellevue, WA | 16 | $1,741.48 | $2,599.68 |
| Kennewick-Richland, WA | 4 | $1,236.33 | $2,805.45 |
| Spokane-Spokane Valley, WA | 3 | $1,528.10 | $3,540.60 |
| Centralia, WA | 2 | $3,787.68 | $3,907.91 |
| Mount Vernon-Anacortes, WA | 2 | $3,009.50 | $3,720.35 |
| Port Townsend, WA | 2 | $4,693.60 | $5,324.80 |
| Portland-Vancouver-Hillsboro, OR-WA | 2 | $2,863.90 | $3,420.30 |
| Bellingham, WA | 1 | $3,976.70 | $3,976.70 |
| Bremerton-Silverdale-Port Orchard, WA | 1 | $3,947.32 | $3,947.32 |
| Ilwaco, WA | 1 | $4,110.00 | $4,110.00 |
| Longview-Kelso, WA | 1 | $5,331.95 | $5,331.95 |
| Moses Lake, WA | 1 | $1,524.00 | $1,524.00 |
| Olympia-Lacey-Tumwater, WA | 1 | $3,787.68 | $3,787.68 |
| Port Angeles, WA | 1 | $3,440.00 | $3,440.00 |
| Pullman, WA | 1 | $3,267.40 | $3,267.40 |
| South Bend, WA | 1 | $3,960.60 | $3,960.60 |
| Shelton, WA | 1 | $4,729.50 | $4,729.50 |
| Walla Walla, WA | 1 | $3,550.40 | $3,550.40 |
| Wenatchee-East Wenatchee, WA | 1 | $1,157.40 | $1,157.40 |
| Yakima, WA | 1 | $3,865.55 | $3,865.55 |
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
- Alabama$2,087.00
- Alaska$4,179.53
- Arizona$2,663.91
- Arkansas$1,844.90
- California$4,058.80
- Colorado$4,581.63
- Connecticut$3,517.68
- Delaware$5,019.96
- District of Columbia$4,818.38, 2 hospitals
- Florida$5,505.50
- Georgia$2,882.10
- Hawaii$2,589.00
- Idaho$4,160.25
- Illinois$4,014.86
- Indiana$3,846.62
- Iowa$2,802.00
- Kansas$2,340.00
- Kentucky$2,926.28
- Louisiana$1,185.68
- Maine$2,075.25
- Maryland$2,334.29
- Massachusetts$4,159.00
- Michigan$2,879.52
- Minnesota$2,612.59
- Mississippi$1,920.00
- Missouri$3,560.37
- Montana$2,167.20
- Nebraska$4,330.00
- Nevada$4,892.19
- New Hampshire$2,868.32
- New Jersey$1,530.00
- New Mexico$2,301.60
- New York$2,673.60
- North Carolina$3,481.00
- North Dakota$2,192.30
- Ohio$4,011.00
- Oklahoma$2,672.54
- Oregon$3,422.25
- Pennsylvania$3,923.40
- Puerto Rico$840.00
- Rhode Island$2,557.80
- South Carolina$3,814.50
- South Dakota$4,056.00
- Tennessee$1,933.80
- Texas$4,138.95
- Utah$6,476.01
- Vermont$3,029.48
- Virginia$3,168.00
- West Virginia$2,812.00
- Wisconsin$3,089.45
- Wyoming$3,118.47
Median cash price across the state's hospitals.