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#329 of 11K

78452

Myocardial perfusion imaging, SPECT, multiple studies

Myocardial perfusion imaging, SPECT, multiple studies is the #329 most-billed Medicaid procedure code, with $415.1M in payments across 2.0M claims from 2018–2024. The national median cost per claim is $106.14. Costs vary widely — the 90th percentile is $416.61 per claim, 3.9× the median.

Total Paid

$415.1M

0.04% of all spending

Total Claims

2.0M

Providers

3K

Avg Cost/Claim

$209

National Cost Distribution

How much do providers bill per claim for 78452? Based on 3K providers billing this code nationally.

Median

$106.14

Average

$179.62

Std Dev

$205.58

Max

$2,479.34

Percentile Distribution (Cost per Claim)

p10
$23.97
p25
$38.14
Median
$106.14
p75
$265.39
p90
$416.61
p95
$537.83
p99
$988.50

50% of providers bill between $38.14 and $265.39 per claim for this code.

90% bill between $23.97 and $416.61.

Top 1% bill above $988.50.

About This Procedure

HCPCS code 78452 (Myocardial perfusion imaging, SPECT, multiple studies) was billed by 3K providers across 2.0M claims, totaling $415.1M in Medicaid payments from 2018–2024. This code was used for 1.7M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$106.14

Providers Billing

3K

National Spending

$415.1M

Avg/Median Ratio

1.69×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 78452

#ProviderTotal Paid
1Baptist Healthcare System Inc

Corbin, KY · General Acute Care Hospital

$7.7M
2Cardiovascular Institute Of San Diego Inc

Chula Vista, CA · Internal Medicine, Advanced Heart Failure and Transplant Cardiology

$6.5M
3Ashland Hospital Corporation

Ashland, KY · Clinic/Center, Rural Health

$4.0M
41659387975$3.5M
5Hmh Hospitals Corporation

Edison, NJ · General Acute Care Hospital

$3.4M
6Norton Hospitals Inc

Louisville, KY · General Acute Care Hospital

$3.0M
7Uofl Health-louisville Inc

Louisville, KY · Psychiatric Hospital

$2.9M
8Svmc Holdings, Inc

Bridgeport, CT · General Acute Care Hospital

$2.9M
9Englewood Hospital And Medical Center

Englewood, NJ · General Acute Care Hospital

$2.8M
10Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$2.8M
111265423917$2.6M
121477902641$2.6M
13Virginia Commonwealth University Health System Authority

Richmond, VA · General Acute Care Hospital

$2.6M
141811214489$2.4M
151184654923$2.4M
161770581894$2.1M
17Nyu Langone Hospitals

New York, NY · Clinic/Center, Oncology

$2.1M
181538244918$2.1M
19Mount Sinai Hospital

New York, NY · Ambulance

$2.0M
20Optum Medical Care Of New Jersey Pc

Secaucus, NJ · Durable Medical Equipment & Medical Supplies

$2.0M

Showing top 20 of 3K providers billing this code