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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
Bedford, TX $32.83 $32.83 – $32.83 119 1
Sierra, AZ $191.11 $191.11 – $191.11 119 1
Mesquite, TX $18.79 $18.79 – $18.79 120 1
Sevierville, TN $28.96 $15.92 – $30.53 121 2
Covington, KY $40.26 $40.26 – $40.26 121 1
Cadillac, MI $313.74 $313.74 – $313.74 121 1
Lone Tree, CO $37.60 $37.60 – $37.60 121 1
West Reading, PA $79.51 $79.51 – $79.51 122 1
Libertyville, IL $31.23 $30.82 – $31.79 122 2
Haddon Heights, NJ $125.59 $119.22 – $137.46 123 3
Murray, KY $519.73 $519.73 – $519.73 124 1
Miamisburg, OH $180.44 $169.88 – $232.27 124 2
Savannah, TN $83.29 $83.29 – $83.29 125 1
New Lenox, IL $44.88 $37.26 – $48.42 126 2
Grafton, WI $169.37 $104.60 – $176.19 126 2
Flemington, NJ $983.73 $983.73 – $983.73 127 1
Porterville, CA $0.11 $0.11 – $0.11 127 1
Big Rapids, MI $544.98 $544.98 – $544.98 127 1
Gainesville, FL $139.03 $47.72 – $235.93 128 4
Manassas, VA $154.11 $79.24 – $250.01 128 3
Rockingham, NC $20.79 $8.66 – $24.04 128 2
Casa Grande, AZ $120.32 $99.99 – $193.66 129 2
Middletown, CT $86.26 $62.00 – $125.40 129 4
San Leandro, CA $184.49 $163.20 – $187.07 129 3
Chestnut Hill, MA $39.57 $39.57 – $39.57 129 1
Aventura, FL $160.75 $160.75 – $160.75 130 1
Ukiah, CA $447.63 $447.63 – $447.63 130 1
Oxnard, CA $238.67 $74.60 – $316.99 131 3
Wauwatosa, WI $36.39 $27.37 – $44.02 131 2
Long Beach, CA $141.61 $38.76 – $360.85 132 4
Boardman, OH $33.43 $33.43 – $33.43 133 1
Bullhead City, AZ $55.22 $31.61 – $227.89 133 2
Niagara Falls, NY $121.24 $32.27 – $141.84 133 2
Sidney, OH $421.50 $421.50 – $421.50 133 1
Centennial, CO $32.76 $32.76 – $32.76 134 1
Yulee, FL $78.05 $78.05 – $78.05 134 1
North Miami Beach, FL $64.70 $64.70 – $64.70 136 1
Clermont, FL $230.89 $4.41 – $297.00 136 3
Portage, IN $34.56 $34.10 – $36.22 137 2
Beachwood, OH $170.76 $30.59 – $339.08 137 3
Somers Point, NJ $316.95 $316.95 – $316.95 137 1
Laurel, MD $274.70 $274.70 – $274.70 137 1
Montclair, CA $135.26 $135.26 – $135.26 138 1
Prescott Valley, AZ $221.50 $198.53 – $235.49 140 2
Asheboro, NC $24.76 $24.76 – $24.76 142 1
Dade City, FL $57.97 $57.97 – $57.97 142 1
Russell, KY $31.02 $31.02 – $31.02 143 1
Fairbanks, AK $455.76 $43.76 – $492.93 145 2
Newburyport, MA $49.95 $37.00 – $99.58 145 2
Walla Walla, WA $105.53 $20.03 – $258.20 146 3

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.