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
Mission Hills, CA	$155.34	$40.15 – $230.41	147	2
Saint Cloud, FL	$62.08	$28.32 – $73.43	147	2
Johnson City, NY	$72.36	$35.30 – $76.89	147	2
Fairfax, VA	$391.35	$33.54 – $484.65	148	3
Glenn Dale, MD	$176.37	$176.37 – $176.37	148	1
Southbury, CT	$29.05	$28.98 – $29.83	148	2
Garden City, MI	$204.85	$204.85 – $204.85	148	1
Oregon, OH	$362.16	$362.16 – $362.16	149	1
Sandusky, OH	$60.74	$21.99 – $491.55	149	3
Glenwood Springs, CO	$31.72	$22.59 – $34.11	149	2
Taunton, MA	$33.48	$33.48 – $33.48	150	1
Livonia, MI	$137.06	$133.44 – $143.89	150	2
Paintsville, KY	$316.47	$281.15 – $592.76	150	2
Reseda, CA	$201.33	$201.33 – $201.33	151	1
Springdale, AR	$28.31	$28.31 – $28.31	151	1
Bartlesville, OK	$22.81	$22.81 – $22.81	151	1
Albert Lea, MN	$42.99	$42.99 – $42.99	151	1
Winston Salem, NC	$10.07	$3.58 – $28.98	152	3
Wilmington, OH	$165.21	$38.77 – $309.45	152	2
Rolla, MO	$121.89	$54.73 – $198.63	152	3
Mansfield, OH	$288.75	$30.04 – $319.19	152	2
Duluth, MN	$149.13	$44.65 – $163.06	153	2
Des Plaines, IL	$21.24	$21.24 – $21.24	153	1
Oak Ridge, TN	$69.06	$43.28 – $115.10	154	4
Humble, TX	$283.78	$283.78 – $283.78	155	1
Pomona, CA	$70.44	$4.18 – $188.65	156	3
Cumberland, MD	$31.95	$1.47 – $35.15	158	2
Denville, NJ	$365.63	$365.63 – $365.63	159	1
Montebello, CA	$27.44	$9.36 – $49.08	159	3
Onancock, VA	$444.99	$444.99 – $444.99	159	1
Stony Brook, NY	$197.30	$49.08 – $639.45	161	4
Middletown, NY	$375.34	$56.69 – $833.85	161	4
Wallingford, CT	$123.85	$100.54 – $138.39	161	4
Noblesville, IN	$27.38	$27.38 – $27.38	161	1
Sumter, SC	$152.68	$91.47 – $195.40	163	2
Wildomar, CA	$48.88	$48.88 – $48.88	164	1
Waterville, ME	$308.85	$308.85 – $308.85	165	1
Mobile, AL	$37.88	$37.88 – $37.88	166	1
Westerville, OH	$454.26	$454.26 – $454.26	166	1
Sierra Vista, AZ	$311.88	$44.27 – $947.38	166	3
Kansas City, KS	$28.75	$11.37 – $123.31	167	7
Lancaster, SC	$102.37	$94.04 – $139.64	167	3
Waldorf, MD	$326.09	$326.09 – $326.09	169	1
Leitchfield, KY	$186.37	$176.87 – $195.87	170	2
Morganton, NC	$20.06	$18.33 – $20.61	171	2
Spencer, WV	$584.97	$48.40 – $768.92	172	3
Mayfield, KY	$252.78	$252.78 – $252.78	173	1
Sylmar, CA	$16.90	$16.90 – $16.90	173	1
Lakewood, WA	$387.00	$387.00 – $387.00	174	1
Terrytown, LA	$194.65	$194.65 – $194.65	174	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.