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Based on public Medicaid payment data.

Average Medicaid Cardiac Stress Test Payments

Typical Medicaid Cardiac Stress Test reimbursement across 1,472 cities

Avg. Medicaid Paid

$209.51

Price Range

$-1.05 – $1,833

Total Claims

1.9M

Cities

1472

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.

About This Procedure

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.

Why do these costs look low?

These figures represent Medicaid reimbursement rates — the amounts that state Medicaid programs actually paid providers. Medicaid typically reimburses significantly less than private insurance or out-of-pocket prices. If you have private insurance or are paying cash, expect higher costs. See the cost components below for per-code averages.

Costs by City

City Avg. Paid Min / Max Claims Providers
York, PA $0.00 $0.00 – $0.00 12 1
Effingham, IL $28.44 $28.44 – $28.44 12 1
Ames, IA $274.58 $274.58 – $274.58 12 1
Manhattan, KS $10.10 $10.10 – $10.10 12 1
La Grande, OR $55.55 $55.55 – $55.55 12 1
Montgomery, OH $58.24 $58.24 – $58.24 12 1
Weymouth, MA $41.97 $41.97 – $41.97 12 1
Omak, WA $550.48 $550.48 – $550.48 12 1
West Chester, PA $91.98 $91.98 – $91.98 12 1
Easton, MD $390.12 $390.12 – $390.12 12 1
Bethesda, MD $0.00 $0.00 – $0.00 12 1
Tulare, CA $24.24 $24.24 – $24.24 12 1
Greenbrae, CA $18.22 $18.22 – $18.22 12 1
Rogers, AR $2.11 $2.11 – $2.11 12 1
Islandia, NY $74.78 $74.78 – $74.78 12 1
Hermitage, PA $98.08 $98.08 – $98.08 12 1
Florence, AL $119.13 $119.13 – $119.13 12 1
Fairlawn, OH $423.28 $423.28 – $423.28 12 1
Mt Pleasant, MI $467.47 $467.47 – $467.47 12 1
Union, NJ $17.78 $17.78 – $17.78 12 1
Mt Pleasant, PA $49.26 $49.26 – $49.26 12 1
Casper, WY $65.36 $65.36 – $65.36 12 1
Barstow, CA $93.05 $93.05 – $93.05 12 1
Southbridge, MA $41.05 $41.05 – $41.05 12 1
Adrian, MI $475.27 $475.27 – $475.27 12 1
Macomb, IL $18.74 $18.74 – $18.74 12 1
Northport, AL $0.00 $0.00 – $0.00 12 1
Butte, MT $0.00 $0.00 – $0.00 12 1
Pleasanton, CA $478.36 $478.36 – $478.36 12 1
Denison, TX $133.59 $133.59 – $133.59 12 1
East Norriton, PA $455.78 $455.78 – $455.78 12 1
Hayward, CA $70.44 $70.44 – $70.44 12 1
Red Bank, NJ $376.89 $376.89 – $376.89 12 1
Jackson, CA $295.90 $295.90 – $295.90 12 1
Bellefontaine, OH $295.91 $295.91 – $295.91 12 1
Palmer, AK $68.97 $68.97 – $68.97 12 1
Lake St Louis, MO $33.48 $33.48 – $33.48 12 1
Chester, PA $129.74 $129.74 – $129.74 12 1
Berlin, WI $789.06 $789.06 – $789.06 12 1
Sault Sainte Marie, MI $712.28 $712.28 – $712.28 12 1
Carmel, CA $41.52 $41.52 – $41.52 12 1
Three Rivers, MI $453.27 $453.27 – $453.27 12 1
Canton, MI $177.37 $177.37 – $177.37 12 1
Belen, NM $141.94 $141.94 – $141.94 12 1
Manistee, MI $513.33 $513.33 – $513.33 12 1
Okla City, OK $108.17 $108.17 – $108.17 12 1
New Castle, PA $172.17 $172.17 – $172.17 13 1
Massillon, OH $112.16 $112.16 – $112.16 13 1
Mountain Home, AR $30.01 $30.01 – $30.01 13 1
Valparaiso, IN $38.87 $38.87 – $38.87 13 1

Cost Components

National averages for each billing code in this procedure category. Sorted by claim volume.

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 averages group common billing codes used when providers bill Medicaid for this procedure. Individual costs will vary.