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HANK Price Transparency. (n.d.).
CHG MYOCARDIAL IMAGE MULTPLE,SPECT (HCPCS 78465) by State .
PPMan price-transparency data, derived from CMS-required hospital MRFs.
Retrieved October 11, 2026 , from http://ppman.hank.ai/transparency/procedure/78465/by-state?code_type=HCPCS
“CHG MYOCARDIAL IMAGE MULTPLE,SPECT (HCPCS 78465) by State.” HANK Price Transparency ,
http://ppman.hank.ai/transparency/procedure/78465/by-state?code_type=HCPCS. Accessed
October 11, 2026 .
“CHG MYOCARDIAL IMAGE MULTPLE,SPECT (HCPCS 78465) by State,” HANK Price Transparency ,
accessed October 11, 2026 ,
http://ppman.hank.ai/transparency/procedure/78465/by-state?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital
machine-readable files (45 CFR 180). See
methodology .
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HCPCS · across United States
78465 — Chg Myocardial Image Multple,spect
State-by-state median negotiated rates. Lower bars are cheaper states; the
range bar shows the IQR (25th to 75th percentile within each state).
$1,516
National median
$441 – $2,100
IQR (p25 – p75)
175
hospitals filing
32
states
Walking in without insurance?
Cash / self-pay price
Cash median
$526
vs. negotiated
-65.3%
Hospitals reporting
30
Cash / self-pay rates apply when you don't run the bill through insurance.
Many hospitals also offer income-based discounts on top of the published
cash price — always ask about a financial-assistance application
before paying.
Median negotiated rate, by state
Ranked by typical (median) negotiated price. Hover for state-level IQR.
Median negotiated rate by state for 78465 (HCPCS), with interquartile range
State Median p25 p75
OH $3,736 $1,851 $4,536
CA $3,583 $2,747 $4,082
FL $2,057 $1,989 $2,155
IL $1,932 $1,776 $3,136
PA $1,697 $1,247 $3,063
CT $1,635 $1,635 $1,635
ME $1,370 $1,344 $2,311
IA $1,327 $1,327 $1,327
AL $1,158 $1,158 $1,158
MI $1,101 $1,101 $1,101
HI $960 $861 $960
MD $786 $786 $786
KY $782 $617 $862
NV $708 $708 $708
LA $695 $695 $695
NY $680 $601 $2,663
NJ $665 $665 $665
AR $658 $658 $889
MS $586 $172 $830
TX $569 $225 $1,019
NC $467 $467 $861
SC $460 $460 $460
OK $442 $97 $539
KS $437 $227 $454
NH $287 $74 $1,762
MO $227 $224 $229
WV $95 $95 $95
TN $90 $90 $90
GA $66 $66 $401
CO $65 $65 $65
MN $64 $61 $64
WI $64 $64 $64