CPT78452

Nuclear Stress Test Cost in Colorado

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$1,751Hospital outpatient total2026 Medicare, physician + facility
Hospital payments are wage-adjusted by locality, so the ZIP changes the numbers.
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Colorado Medicare physician rate (2026)

+5.5% vs national

Single statewide locality.

Colorado (Hospital)
$451.28
Facility physician fee
Private plan est.
$587–$903
~130–200% of Medicare
Cash / self-pay est.
$361–$677
~80–150% of Medicare

What the whole procedure costs

The rate above is the physician’s fee on its own. The facility bills separately, and for most procedures the facility is the larger half of the bill. These are 2026 national Medicare amounts.

Surgery centre, total
$1,147
$428 physician + $719 facility
Physician fee alone
$428
Only 24% of the hospital total

Choosing a surgery centre over a hospital saves about $603 on the Medicare allowed amount for nuclear stress test. Ask whether your procedure can be done at an ambulatory surgery centre.

This is Medicare's separate payment to the facility on top of the physician's fee. Medicare allowed amounts are not what an uninsured patient is charged, and not a quote. Private plans typically allow more.

Your ZIP in Colorado

Enter a ZIP code to compare your area of Colorado, from Denver, Boulder, Fort Collins, and Colorado Springs to Grand Junction, the mountain resort counties, and the Eastern Plains.

What nuclear stress test costs at hospitals near you

Everything above is a national average. The hospital you pick in Colorado moves the bill more than anything else you control.

Locked

Rates for your ZIP, 5 named hospitals with CMS ratings, the add-on codes, and the scheduler script.

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What these numbers are

Every figure on this page is a 2026 Medicare allowed amount: the physician line comes from the Physician Fee Schedule adjusted by geographic practice-cost indices, and the facility totals come from the CMS hospital outpatient (OPPS) and ambulatory surgery centre rates. None of them is a hospital chargemaster price, your insurer's contracted rate, or a quote. Anesthesia, pathology, imaging reads and follow-up care are billed under their own codes when they apply, and an inpatient stay is paid a different way again.

National vs Colorado

National office$427.87
National hospital (physician)$427.87
Colorado vs national5% above the national office rate of $427.87

Where Colorado ranks for this CPT

Rank (lowest physician fee first)#43 of 51
Lowest stateArkansas ($373.48)
Highest stateDistrict of Columbia ($497.20)

Nuclear Stress Test and how Colorado is priced

Colorado's physician fees are set through a single statewide locality, so the Front Range and the Western Slope share one set of geographic adjustments despite very different local economies. The state's indices run modestly above the national midpoint, reflecting Denver-area wages and rents averaged against lower-cost rural areas. Because the locality is unified, mountain resort towns do not carry a higher Medicare fee schedule even though their private-market prices are famously steep. That gap between Medicare's uniform pricing and wide private-price variation is a defining feature of the Colorado market.

Care is concentrated along the Front Range from Fort Collins through Denver to Colorado Springs and Pueblo, where several large systems and an academic medical center compete. Mountain and plains communities depend on smaller hospitals, and residents there commonly drive to Denver or Grand Junction for specialty procedures. Resort-area facilities can bill far above what the corridor cities charge, so location shopping pays off in this state.

This procedure: A nuclear stress test (SPECT myocardial perfusion imaging) shows how well blood reaches your heart muscle at rest versus under stress, revealing blocked arteries. A small amount of radioactive tracer is injected, a special camera images the heart at rest, then you exercise on a treadmill or receive a medication that mimics exercise, and imaging repeats. Plan for a half day; the multiple imaging sessions and waiting periods make it one of the longest routine cardiac tests.

What Is Nuclear Stress Test?

A nuclear stress test (SPECT myocardial perfusion imaging) shows how well blood reaches your heart muscle at rest versus under stress, revealing blocked arteries. A small amount of radioactive tracer is injected, a special camera images the heart at rest, then you exercise on a treadmill or receive a medication that mimics exercise, and imaging repeats. Plan for a half day; the multiple imaging sessions and waiting periods make it one of the longest routine cardiac tests.

What Affects the Cost

  • The radioactive tracer is a significant supply cost billed alongside the imaging, and tracer prices fluctuate with supply shortages.
  • Pharmacologic stress agents, used for patients who cannot exercise, are expensive drugs billed as additional lines.
  • Hospital outpatient cardiology departments charge substantially more than office-based nuclear labs.
  • Abnormal results commonly lead to cardiac catheterization, a much larger downstream expense.
  • The supervising cardiologist's stress supervision fee and the imaging interpretation fee are separate professional charges.

Questions to Ask Before Booking

  • 1.Has prior authorization been approved, and did my insurer suggest a cheaper test first?
  • 2.Would a stress echocardiogram or exercise ECG answer the question for me at lower cost?
  • 3.What do the tracer and any stress medication add to the bill?
  • 4.Is this being done in an office-based lab or a hospital department, and what is the price at each?
  • 5.If the result is abnormal, what is the next test and its typical cost?

Nuclear Stress Test in Colorado: questions

Colorado is a single Medicare locality for this fee schedule. The 2026 physician rate for CPT 78452 is $451.28 in an office and $451.28 in a hospital, statewide. A ZIP lookup still confirms the locality mapping.

Not on the physician fee schedule. Colorado uses one locality, so the Medicare physician rate is the same from one end of the state to the other. What still changes is site of service (office vs hospital) and any facility fee the hospital bills on its own claim.

After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $90 for the office physician line or $90 for the hospital physician line in Colorado. Medigap may cover that 20%. This is not the hospital facility fee.

No. $451.28 is only the physician's share. Adding Medicare's facility payment brings the total to about $1,751 in a hospital outpatient department, or about $1,147 at an ambulatory surgery centre. Anesthesia, pathology and other codes billed the same day are extra. Colorado ranks #43 of 51 states on the physician line (5% above the national office rate of $427.87).

Data source: 2026 Medicare Physician Fee Schedule (CMS PPRRVU26B, released March 2026). Conversion factor: $33.4009. Prices shown are Medicare allowed amounts for the physician service and may not match what you are billed. Private insurance and self-pay ranges, when shown, are labeled estimates (typical multiples of Medicare), not quotes. This site is an independent cost tool, not medical advice.