Average Medicaid Cardiac Stress Test Payments in Toms River, NJ: $504.63
Avg. Paid
$504.63
Range
$47.05 – $557.49
Total Claims
1,819
Providers
4
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 Toms River, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Community Medical Center Inc
99 Route 37 W |
$557.49 | 1,594 | 1,507 |
|
Rakesh Vardhan Gupta
20 Hospital Dr |
$149.15 | 142 | 142 |
|
Parag Vishnu Patel
20 Hospital Dr Ste 12B |
$126.16 | 53 | 50 |
|
Samir Jain
599 Rte 37 W |
$47.05 | 30 | 24 |
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 Toms River, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Cardiac Stress Test in Toms River, NJ is $504.63 per claim, based on 1,819 claims from 4 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 Toms River, NJ?
There are 4 Medicaid providers offering Cardiac Stress Test related services in Toms River, NJ according to public payment data.
What is the price range for Cardiac Stress Test in Toms River, NJ?
Medicaid reimbursement for Cardiac Stress Test in Toms River, NJ ranges from $47.05 to $557.49 per claim, with an average of $504.63. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Cardiac Stress Test in Other Cities
New York, NY
Avg $235.10
56,129 claims · 66 providers
Brooklyn, NY
Avg $192.83
32,099 claims · 61 providers
Louisville, KY
Avg $315.19
31,470 claims · 42 providers
Corbin, KY
Avg $282.18
27,781 claims · 5 providers
Milwaukee, WI
Avg $130.26
22,987 claims · 33 providers
Los Angeles, CA
Avg $269.77
21,940 claims · 60 providers
Phoenix, AZ
Avg $343.67
21,016 claims · 56 providers
Detroit, MI
Avg $173.77
20,717 claims · 12 providers
Other Procedures in Toms River, NJ
Office Visit
Avg $39.86
767,181 claims
Vaccines & Immunizations
Avg $16.36
424,620 claims
Blood Work & Lab Tests
Avg $10.60
363,597 claims
Home Health Visit
Avg $76.39
321,882 claims
Dental Cleaning & Exam
Avg $29.14
240,398 claims
Non-Emergency Medical Transportation
Avg $63.62
234,777 claims
Emergency Room Visit
Avg $231.01
206,206 claims
X-Ray
Avg $24.90
131,476 claims