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 |
|---|---|---|---|---|
| Scranton, PA | $149.41 | $119.80 – $200.22 | 175 | 4 |
| Winter Haven, FL | $174.08 | $174.08 – $174.08 | 176 | 1 |
| Tuscaloosa, AL | $31.23 | $19.19 – $60.28 | 176 | 3 |
| Lake Success, NY | $350.38 | $350.38 – $350.38 | 177 | 1 |
| Johnstown, PA | $59.20 | $53.91 – $60.02 | 177 | 2 |
| Seneca, SC | $149.62 | $25.24 – $169.95 | 178 | 2 |
| Lincoln, NE | $313.50 | $27.43 – $513.47 | 179 | 5 |
| Lanham, MD | $104.03 | $1.15 – $396.42 | 179 | 5 |
| Annandale, VA | $55.98 | $55.98 – $55.98 | 179 | 1 |
| Mattoon, IL | $32.40 | $24.08 – $85.19 | 180 | 5 |
| Ogden, UT | $336.86 | $336.86 – $336.86 | 180 | 1 |
| Gresham, OR | $37.71 | $37.71 – $37.71 | 182 | 1 |
| Bayside, NY | $116.21 | $102.25 – $131.80 | 183 | 3 |
| Murrieta, CA | $34.25 | $17.40 – $277.18 | 185 | 2 |
| Trumbull, CT | $107.57 | $69.86 – $142.44 | 185 | 4 |
| The Villages, FL | $51.56 | $51.56 – $51.56 | 185 | 1 |
| Cherry Hill, NJ | $282.06 | $21.28 – $468.99 | 186 | 3 |
| Castro Valley, CA | $156.82 | $135.18 – $310.19 | 186 | 2 |
| Powell, TN | $28.09 | $19.37 – $54.81 | 186 | 6 |
| Twin Falls, ID | $145.78 | $145.78 – $145.78 | 187 | 1 |
| Kings Mountain, NC | $226.97 | $226.97 – $226.97 | 187 | 1 |
| Pine Bluff, AR | $97.83 | $29.05 – $122.33 | 188 | 3 |
| Guilford, CT | $33.31 | $33.31 – $33.31 | 189 | 1 |
| Skokie, IL | $18.18 | $15.70 – $20.96 | 191 | 2 |
| North Las Vegas, NV | $47.88 | $34.99 – $159.39 | 193 | 2 |
| Frankfort, KY | $271.51 | $42.57 – $315.33 | 193 | 2 |
| So Charleston, WV | $164.75 | $164.75 – $164.75 | 195 | 1 |
| Bradenton, FL | $422.50 | $415.33 – $467.34 | 196 | 2 |
| Fort Thomas, KY | $516.17 | $516.17 – $516.17 | 197 | 1 |
| Pittsburgh, PA | $51.69 | $30.50 – $175.15 | 198 | 9 |
| Metairie, LA | $61.53 | $43.33 – $96.23 | 198 | 3 |
| Lovington, NM | $675.88 | $675.88 – $675.88 | 198 | 1 |
| Tullahoma, TN | $52.76 | $52.76 – $52.76 | 199 | 1 |
| Lakewood, CO | $66.12 | $19.89 – $253.96 | 199 | 5 |
| Queens Village, NY | $226.61 | $143.20 – $329.71 | 199 | 2 |
| Potsdam, NY | $168.70 | $135.43 – $171.60 | 200 | 2 |
| West Paterson, NJ | $49.39 | $49.39 – $49.39 | 200 | 1 |
| Bluffton, IN | $59.16 | $59.16 – $59.16 | 200 | 1 |
| West Columbia, SC | $114.02 | $29.20 – $215.60 | 201 | 4 |
| Mount Vernon, OH | $307.85 | $29.35 – $325.44 | 202 | 2 |
| Somerville, NJ | $205.03 | $205.03 – $205.03 | 202 | 1 |
| Pembroke Pines, FL | $117.53 | $88.79 – $210.33 | 203 | 2 |
| Northampton, MA | $88.02 | $88.02 – $88.02 | 203 | 1 |
| Lenoir City, TN | $23.44 | $13.62 – $25.34 | 204 | 2 |
| Homestead, FL | $172.55 | $145.97 – $235.32 | 205 | 2 |
| Mullica Hill, NJ | $231.82 | $231.82 – $231.82 | 207 | 1 |
| Nampa, ID | $112.99 | $10.71 – $151.60 | 209 | 3 |
| Fort Myers, FL | $44.85 | $15.25 – $55.63 | 211 | 3 |
| Arlington, VA | $174.74 | $95.58 – $485.84 | 212 | 2 |
| Lynwood, CA | $57.26 | $52.80 – $131.71 | 212 | 2 |
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.