Skip to content
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 β€” 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
Newport, AR $37.78 $37.78 – $37.78 77 1
Shinnston, WV $48.03 $48.03 – $48.03 77 1
Greenfield, WI $96.27 $96.27 – $96.27 78 1
Orange City, FL $1.74 $1.74 – $1.74 78 1
Grundy, VA $226.46 $226.46 – $226.46 79 1
Mechanicsville, VA $241.73 $133.43 – $386.39 79 3
Waycross, GA $27.81 $27.81 – $27.81 79 1
Sunnyside, WA $32.85 $27.43 – $53.11 80 3
Sanford, NC $29.69 $29.69 – $29.69 80 1
Tustin, CA $61.65 $45.85 – $96.41 80 2
Port Charlotte, FL $20.66 $0.00 – $31.79 80 2
Jackson, KY $148.25 $77.06 – $298.84 81 2
Davenport, FL $32.46 $32.46 – $32.46 82 1
Biloxi, MS $65.96 $34.54 – $129.55 82 3
Patchogue, NY $254.13 $49.86 – $473.93 82 3
Phillipsburg, NJ $140.74 $140.74 – $140.74 82 1
Loudon, TN $20.26 $20.26 – $20.26 82 1
Placerville, CA $303.99 $303.99 – $303.99 83 1
Glen Ellyn, IL $17.95 $17.95 – $17.95 83 1
Mequon, WI $39.05 $39.05 – $39.05 85 1
Montrose, CA $105.93 $66.55 – $140.92 85 2
Lebanon, NH $24.67 $16.77 – $26.34 86 2
Rockport, ME $356.52 $356.52 – $356.52 86 1
East Greenwich, RI $114.49 $114.49 – $114.49 86 1
Fremont, MI $653.01 $653.01 – $653.01 86 1
Sheboygan, WI $53.48 $43.37 – $106.23 87 2
Soldotna, AK $235.11 $63.46 – $368.23 87 2
Martin, TN $61.87 $61.87 – $61.87 87 1
Wilmington, NC $13.28 $0.00 – $20.38 87 5
Olympia Fields, IL $40.90 $33.04 – $90.06 87 2
West Branch, MI $379.81 $44.92 – $433.40 87 2
Cleveland, TN $42.83 $25.23 – $45.61 88 2
Brawley, CA $51.89 $51.89 – $51.89 88 1
Holiday, FL $93.72 $93.72 – $93.72 89 1
Walterboro, SC $142.45 $0.00 – $218.59 89 2
Jacksonville, NC $57.78 $57.78 – $57.78 90 1
Goodyear, AZ $270.79 $48.44 – $826.66 91 2
Frederick, MD $291.52 $0.00 – $374.52 91 4
San Angelo, TX $10.01 $10.01 – $10.01 91 1
Lehigh Acres, FL $127.30 $127.30 – $127.30 91 1
Davenport, IA $83.32 $19.91 – $198.33 92 3
Willingboro, NJ $345.81 $345.81 – $345.81 92 1
Circleville, OH $274.95 $29.87 – $326.55 92 2
Seaman, OH $6.81 $6.81 – $6.81 92 1
Benson, NC $23.31 $23.31 – $23.31 92 1
Montgomery, AL $71.43 $27.75 – $101.61 93 2
Powell, OH $36.04 $36.04 – $36.04 93 1
Farmington, ME $221.75 $22.13 – $283.60 93 2
Abilene, TX $11.62 $2.50 – $31.95 94 4
Bellevue, WA $218.62 $218.62 – $218.62 94 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.