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Reviewed by John Caruso, FSA, MAAA • Data last updated

Nuclear Stress Test Cost in Virginia (2026): Average Prices & What You'll Pay

What does a nuclear stress test cost in Virginia?

The same nuclear stress test in Virginia might cost you $724 at one facility and $2,151 at another - the building you walk into drives the difference. The median cash price across 66 reporting hospitals is $1,288. These figures come straight from hospital price transparency files published under federal law. The sections below break this down by coverage and by insurer.

Three low-priced facilities in Virginia, from hospital price files

  • Smyth County Community Hospital · Marion, VA $430
  • Johnston Memorial Hospital · Abingdon, VA $430
  • Lonesome Pine Hospital · Big Stone Gap, VA $430

All 66 facilities are listed below, free.

Where nuclear stress test costs vary in Virginia

Pins show hospitals with price-transparency data (colored by vs. state average) and nearby outpatient clinics and other facilities (colored by type). Click any pin for facility name and estimated cost range.

Hospital (below avg) Hospital (above avg) Click a pin for details.

26+ people checked prices near them this month.

What you pay for a nuclear stress test depends on where you go and what is billed separately. Most patients find out after.

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  • ✓ Radiotracer: The tracer injected for the images is often billed separately from the scan itself.
  • ✓ Stress method: Exercise and medicine-induced stress are billed differently, and hospitals report the stress and imaging parts as separate lines.
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Cheapest Nuclear Stress Test Providers in Virginia

Based on declared cash/self-pay prices from CMS hospital price transparency files.

# Facility City Price vs median ($1,288)
1 Smyth County Community Hospital Marion, VA $430 $858 below
2 Johnston Memorial Hospital Abingdon, VA $430 $858 below
3 Lonesome Pine Hospital Big Stone Gap, VA $430 $858 below
4 Russell County Hospital Lebanon, VA $430 $858 below
5 Sentara Hospitals Suffolk, VA $546 $742 below
6 SPOTSYLVANIA REGIONAL MEDICAL CENTER Fredericksburg, VA $586 $702 below
7 TRICITIES HOSPITAL Hopewell, VA $631 $657 below
8 Hiram W Davis Medical Center Petersburg, VA $661 $627 below

Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.

Before you book: three questions that change the price

  1. Is this the self-pay price, and does it include the doctor, anesthesia and any lab or pathology? Those are often billed separately.
  2. Can you give me the price in writing, with the billing codes it covers?
  3. What happens to the price if something extra is needed during the procedure?

Estimate your out-of-pocket cost →  ·  When the bills arrive, we check them for errors →

Quick take

  • Smyth County Community Hospital is the lowest-cost option at $430 - $858 below the median posted price ($1,288), just by choosing where you go.
  • Ask for the cash price if your deductible isn't met - the median cash price here is $1,288, and it's often lower than what insurance pays before your deductible is satisfied.
  • Doctor offices and independent clinics may charge differently from hospitals for the same service and may not appear in this hospital-only dataset. Ask your doctor whether another site is an option.
Nuclear stress test prices by coverage in Virginia, October 2026
CoverageHospitals with a rateTypical rangeMedian
Medicare (national rate)—$1,323 to $1,323$1,323
With insurance (commercial, average)39$1,444 to $3,885$2,660
Without insurance (cash price)70$430 to $2,773$1,288
Anthem HealthKeepers39$248 to $5,048$2,989
Cigna24$439 to $4,513$1,378
Aetna16$1,063 to $4,765$3,310
UnitedHealthcare15$1,257 to $4,427$3,371

Rates are negotiated allowed amounts and cash prices from hospital price-transparency files (October 2026), shown at each hospital’s lowest-priced typical billing code for this procedure. Facility fees only. The typical range is the middle 80% of hospitals, not a quote for your visit.

How much does a nuclear stress test cost with Medicare in Virginia?

Medicare's national hospital outpatient payment for nuclear stress test is about $1,323 to $1,323 (typically near $1,323). After the $257 Part B deductible, you generally pay 20% of the Medicare-approved amount, about $265 on a $1,323 payment, with no out-of-pocket cap unless you have supplemental coverage or a Medicare Advantage plan.

Doctor, anesthesia and pathology fees are billed separately. Medicare rates are national CMS amounts, adjusted slightly by local wage levels.

How much does a nuclear stress test cost with insurance in Virginia?

Across 39 Virginia hospitals, the negotiated rates commercial insurers pay for nuclear stress test average $1,444 to $3,885 per hospital, with a median near $2,660. That is the amount your plan and you pay the hospital together; you owe your deductible, then coinsurance, up to your out-of-pocket maximum.

Each hospital’s figure is the average of the commercial insurers it lists. Medicare, Medicare Advantage and Medicaid rates are excluded.

How much does a nuclear stress test cost without insurance in Virginia?

Cash (self-pay) prices for nuclear stress test at 70 Virginia hospitals range from $430 to $2,773, with a median of $1,288. Ask for the cash or self-pay price and for any financial-assistance discount before you book; both can be lower than the posted price.

Cash prices are the hospital’s published discounted rate for patients paying without insurance.

How much does a nuclear stress test cost with Anthem HealthKeepers in Virginia?

Anthem HealthKeepers negotiated rates for nuclear stress test at 39 Virginia hospitals range from $248 to $5,048, with a median near $2,989. Your own cost depends on your plan’s deductible and coinsurance, and on whether the hospital is in your network.

Includes Blue Cross and Blue Shield and Anthem plans listed by each hospital.

How much does a nuclear stress test cost with Cigna in Virginia?

Cigna negotiated rates for nuclear stress test at 24 Virginia hospitals range from $439 to $4,513, with a median near $1,378. If a hospital is out of network for your Cigna plan, you may owe more than the negotiated rate, so check the network first.

How much does a nuclear stress test cost with Aetna in Virginia?

Aetna negotiated rates for nuclear stress test at 16 Virginia hospitals range from $1,063 to $4,765, with a median near $3,310. If a hospital is out of network for your Aetna plan, you may owe more than the negotiated rate, so check the network first.

How much does a nuclear stress test cost with UnitedHealthcare in Virginia?

UnitedHealthcare negotiated rates for nuclear stress test at 15 Virginia hospitals range from $1,257 to $4,427, with a median near $3,371. If a hospital is out of network for your UnitedHealthcare plan, you may owe more than the negotiated rate, so check the network first.

How where you go changes what you pay for nuclear stress test

The same nuclear stress test bundles different services depending on the setting - facility fee, surgeon fee, and anesthesia each arrive as separate bills. Estimated ranges below reflect the typical full bundled cost, including all expected charges.

Hospital Outpatient
$779–$6,507
  • Facility fee $317–$4,811
  • Professional fee $462–$1,696

Estimated from CMS fee schedules + commercial rate multipliers

Hospital Inpatient
$884–$5,954
  • Facility fee $422–$4,258
  • Professional fee $462–$1,696

Estimated from CMS fee schedules + commercial rate multipliers

Inova Health System dominates Northern Virginia with pricing that reflects DC-metro labor costs - among the highest in the Mid-Atlantic. Sentara Healthcare and Carilion Clinic cover the Tidewater and Southwest Virginia markets respectively. Northern Virginia facilities typically price 20–30% above the state average due to proximity to the DC labor market.

Received a bill? Check it for errors → Estimate YOUR cost before you go → Managing more than one bill? See the family tracker →

Why prices vary - and what it means for your coverage

A small number of hospitals (1) report prices above $4,549, including Clinch Valley Health at $4,811, which drives most of the overall spread - excluding them, most facilities cluster in a much tighter band. Setting matters too: the median outpatient price is $1,288 versus $1,630 inpatient (about 1.3× more), so where a procedure happens often matters more than which hospital you pick.

On top of the facility price, your actual bill depends on your deductible, your out-of-pocket maximum, and whether every provider involved - not just the facility - is in-network.

Your situation Estimated out-of-pocket
Deductible not yet met ~$1,288
Deductible met - 20% coinsurance ~$258
Out-of-network provider $2,834+

Frequently asked questions: nuclear stress test costs in Virginia

How much does a nuclear stress test cost in Virginia?

The typical insurer-negotiated rate is $280, with most facilities between $227 and $951 (based on 57 hospitals reporting negotiated rates). Posted cash prices at the middle 80% of Virginia hospitals run $430–$2,773; outlier facilities above and below that range are left out. What you pay depends on the facility, your insurance, and whether you have met your deductible.

Where is the cheapest place to get a nuclear stress test in Virginia?

Based on declared prices, the lowest posted price in our Virginia data is Smyth County Community Hospital in Marion at about $430. By metro, Richmond has the lowest median ($724).

Why is a nuclear stress test so much cheaper at some Virginia hospitals?

Typical prices vary about 4.2× (25th to 70th percentile of negotiated rates) because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Virginia, the median cash (self-pay) price is $1,288 versus a median negotiated rate of $2,660 - cash is the lower number at many hospitals. Asking for the cash price as well as your insurer's negotiated rate is often the single biggest lever on what you pay.

How much will I actually pay out of pocket for a nuclear stress test in Virginia?

Your out-of-pocket cost depends on your deductible, coinsurance, out-of-pocket maximum, and whether the facility is in-network - not just the sticker price. If you have not met your deductible, you will typically pay the negotiated rate in full until you do. Use the CostKits cost forecaster to estimate your specific out-of-pocket amount before you go.

Before you book

Other procedures in Virginia

Nuclear Stress Test, elsewhere

CostKits compiles hospital price transparency data to help families make informed decisions. Track and manage your healthcare costs (free account).

Other Procedure Costs in Virginia

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Emergency care

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About the Author

John Caruso, FSA, MAAA

Healthcare actuary with 20+ years of experience in insurance pricing, medical billing systems, and healthcare cost analytics.

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Published October 29, 2026 · Updated October 29, 2026

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