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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 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
Wethersfield, CT $28.26 $20.91 – $49.07 94 3
Pt Pleasant, WV $288.48 $288.48 – $288.48 94 1
Shelby, NC $209.90 $21.18 – $278.96 95 3
Holmdel, NJ $279.78 $279.78 – $279.78 95 1
Hines, IL $79.85 $79.85 – $79.85 95 1
Fargo, ND $243.19 $243.19 – $243.19 96 1
Plantation, FL $21.72 $21.72 – $21.72 96 1
El Cajon, CA $370.00 $224.68 – $454.94 96 3
Hammond, IN $150.79 $150.79 – $150.79 96 1
Elk Grove Village, IL $31.22 $27.78 – $38.46 97 3
Augusta, GA $35.94 $35.94 – $35.94 98 1
Parma, OH $342.84 $342.84 – $342.84 98 1
Centralia, IL $24.02 $24.02 – $24.02 100 1
Clinton Twp, MI $232.68 $232.68 – $232.68 100 1
Woodland Park, NJ $26.41 $26.41 – $26.41 101 1
Ronceverte, WV $444.46 $59.08 – $496.42 101 2
Findlay, OH $347.83 $347.83 – $347.83 103 1
Glenview, IL $37.06 $35.54 – $37.58 103 2
Kailua, HI $653.23 $42.74 – $838.69 103 2
Panama City, FL $139.51 $0.00 – $168.71 104 2
Cookeville, TN $15.87 $8.44 – $30.99 105 4
Palm Desert, CA $337.42 $337.42 – $337.42 105 1
Smyrna, TN $38.16 $38.16 – $38.16 105 1
Franklin, PA $46.82 $46.82 – $46.82 105 1
Thomasville, NC $44.79 $43.37 – $52.74 106 2
Mayfield Hts, OH $42.11 $38.66 – $44.02 107 2
Fishkill, NY $32.23 $32.23 – $32.23 107 1
Menomonee Falls, WI $124.23 $124.23 – $124.23 108 1
Albertville, AL $73.10 $73.10 – $73.10 108 1
Desoto, TX $53.26 $33.53 – $60.16 108 2
Dunn, NC $58.76 $58.76 – $58.76 109 1
Decatur, AL $49.54 $42.05 – $85.37 110 2
Hickory, NC $21.31 $19.51 – $23.57 110 2
Miami Beach, FL $62.02 $0.00 – $174.50 110 3
Pittsfield, MA $687.55 $22.45 – $784.55 110 2
West Bridgewater, MA $273.75 $273.75 – $273.75 110 1
Benton, AR $116.50 $116.50 – $116.50 110 1
Springfield, VA $226.40 $226.40 – $226.40 111 1
Festus, MO $68.32 $32.46 – $87.63 112 3
Largo, MD $345.42 $345.42 – $345.42 112 1
Idaho Falls, ID $82.29 $57.59 – $292.29 114 2
Spokane Valley, WA $245.08 $245.08 – $245.08 114 1
Gahanna, OH $99.55 $99.55 – $99.55 114 1
Antioch, CA $342.08 $294.47 – $353.22 114 3
Woodbury, NJ $293.93 $293.93 – $293.93 115 1
Leesville, LA $71.61 $71.61 – $71.61 115 1
Pikesville, MD $260.91 $260.91 – $260.91 117 1
Sun City, AZ $301.59 $190.30 – $1,066 118 2
Lebanon, TN $21.07 $14.18 – $23.94 119 2
Lakeland, FL $104.31 $25.72 – $342.01 119 4

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.