# CPT 78452: Myocardial perfusion imaging, SPECT, multiple studies

Medicare CPT 78452 pays $427.87 in a non-facility setting and $427.87 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $373.48 in Arkansas to $497.20 in District of Columbia, a 33% spread.

Web page: https://www.med-reveal.com/rates/78452-cpt-fee-schedule
Section: Diagnostic Imaging and Radiology
Billed by: Cardiovascular Disease

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $427.87 |
| National facility | $427.87 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $497.20 | $497.20 |
| California | $495.72 | $495.72 |
| Washington | $480.52 | $480.52 |
| New Jersey | $477.66 | $477.66 |
| Hawaii | $476.83 | $476.83 |
| Alaska | $476.40 | $476.40 |
| New York | $474.79 | $474.79 |
| Massachusetts | $474.48 | $474.48 |
| Connecticut | $458.38 | $458.38 |
| Colorado | $451.28 | $451.28 |
| Oregon | $446.92 | $446.92 |
| Maryland | $444.65 | $444.65 |
| New Hampshire | $442.52 | $442.52 |
| Rhode Island | $440.63 | $440.63 |
| Minnesota | $435.56 | $435.56 |
| Florida | $433.21 | $433.21 |
| Puerto Rico | $431.88 | $431.88 |
| Virgin Islands | $431.88 | $431.88 |
| Montana | $427.86 | $427.86 |
| Nevada | $427.51 | $427.51 |
| Wyoming | $426.74 | $426.74 |
| North Dakota | $425.29 | $425.29 |
| South Dakota | $424.98 | $424.98 |
| Delaware | $423.24 | $423.24 |
| Texas | $422.10 | $422.10 |
| Vermont | $422.01 | $422.01 |
| Pennsylvania | $421.04 | $421.04 |
| Virginia | $420.29 | $420.29 |
| Illinois | $419.49 | $419.49 |
| Arizona | $415.75 | $415.75 |
| Georgia | $411.75 | $411.75 |
| Maine | $409.75 | $409.75 |
| Wisconsin | $409.29 | $409.29 |
| Michigan | $407.02 | $407.02 |
| Utah | $405.18 | $405.18 |
| North Carolina | $401.46 | $401.46 |
| South Carolina | $399.04 | $399.04 |
| Indiana | $398.57 | $398.57 |
| New Mexico | $397.97 | $397.97 |
| Missouri | $397.27 | $397.27 |
| Nebraska | $396.62 | $396.62 |
| Idaho | $395.92 | $395.92 |
| Louisiana | $395.82 | $395.82 |
| Ohio | $395.65 | $395.65 |
| Iowa | $393.73 | $393.73 |
| Tennessee | $392.12 | $392.12 |
| Kansas | $390.12 | $390.12 |
| Oklahoma | $387.23 | $387.23 |
| Kentucky | $386.34 | $386.34 |
| West Virginia | $381.17 | $381.17 |
| Alabama | $379.64 | $379.64 |
| Mississippi | $375.20 | $375.20 |
| Arkansas | $373.48 | $373.48 |

## Related codes

- 78012: Thyroid uptake, single or multiple quantification — https://www.med-reveal.com/rates/78012-cpt-fee-schedule
- 78013: Thyroid imaging, with or without uptake — https://www.med-reveal.com/rates/78013-cpt-fee-schedule
- 78014: Thyroid imaging, with uptake and stimulation/suppression — https://www.med-reveal.com/rates/78014-cpt-fee-schedule
- 78015: Thyroid carcinoma metastases imaging, limited area — https://www.med-reveal.com/rates/78015-cpt-fee-schedule
- 78070: Parathyroid planar imaging — https://www.med-reveal.com/rates/78070-cpt-fee-schedule
- 78075: Adrenal imaging, cortex and/or medulla — https://www.med-reveal.com/rates/78075-cpt-fee-schedule
- 78102: Bone marrow imaging, limited area — https://www.med-reveal.com/rates/78102-cpt-fee-schedule
- 78185: Spleen imaging — https://www.med-reveal.com/rates/78185-cpt-fee-schedule

Commercial negotiated rates for 78452 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules