Average Medicaid Cardiac Stress Test Payments in Sterling Heights, MI: $161.66
Avg. Paid
$161.66
Range
$86.56 – $170.64
Total Claims
451
Providers
3
Typical Payment Range
Typical Medicaid Cardiac Stress Test payments fall between $33.80 and $201.33 per claim (median: $59.15). The top 10% of payments exceed $368.19.
Based on per-provider averages across all Medicaid claims in this category.
A stress test evaluates how the heart performs under physical stress. May include exercise on a treadmill or stationary bike, or medication-induced stress with imaging.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Cardiac Stress Test in Sterling Heights, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
K Heart & Vascular Institute, Pllc
33376 Dequindre Road |
$170.64 | 384 | 382 |
|
Doctors Diagnostic Center Pc
2405 E 14 Mile Rd |
$86.56 | 42 | 25 |
|
Cardiovascular Consultants Pc
37771 Schoenherr Rd |
$149.97 | 25 | 25 |
What to Expect: Cardiac Stress Test
A standard exercise stress test takes about 30-60 minutes. You'll walk/jog on a treadmill while your heart rate, blood pressure, and EKG are monitored. The intensity gradually increases. Nuclear stress tests take 3-4 hours and include radioactive tracer injection and imaging. You should avoid caffeine for 24 hours and may need to skip certain medications beforehand.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 78452 | Myocardial perfusion SPECT multi | $209.41 | 1,982,012 | 4,979 |
| 78451 | Myocardial perfusion SPECT | $235.22 | 18,149 | 100 |
| 78454 | Myocardial perfusion planar multi | $59.92 | 7,277 | 58 |
| 78453 | Myocardial perfusion planar | $38.36 | 829 | 2 |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Cardiac Stress Test cost in Sterling Heights, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Cardiac Stress Test in Sterling Heights, MI is $161.66 per claim, based on 451 claims from 3 providers. Typical payments fall between $33.80 and $201.33. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Cardiac Stress Test in Sterling Heights, MI?
There are 3 Medicaid providers offering Cardiac Stress Test related services in Sterling Heights, MI according to public payment data.
What is the price range for Cardiac Stress Test in Sterling Heights, MI?
Medicaid reimbursement for Cardiac Stress Test in Sterling Heights, MI ranges from $86.56 to $170.64 per claim, with an average of $161.66. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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