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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
Greeley, CO $57.60 $40.16 – $64.45 213 2
Billings, MT $0.00 $0.00 – $0.00 213 2
Hamilton, NJ $71.09 $60.70 – $137.96 213 3
Haverhill, MA $71.70 $67.12 – $108.52 214 3
Surprise, AZ $215.06 $215.06 – $215.06 215 1
Burlingame, CA $196.61 $169.61 – $283.98 216 2
Newton, MA $98.65 $19.04 – $103.70 218 2
Atlantis, FL $123.55 $123.55 – $123.55 219 1
Gretna, LA $46.51 $44.40 – $49.61 220 4
Plano, TX $128.63 $18.20 – $134.97 221 2
Henderson, NV $329.04 $63.98 – $486.81 223 5
Baytown, TX $241.43 $241.43 – $241.43 223 1
Apache Junction, AZ $206.69 $206.69 – $206.69 223 1
Clinton, IA $46.98 $37.90 – $67.74 224 3
Bremerton, WA $49.90 $49.17 – $62.69 224 2
Knoxville, TN $75.91 $24.66 – $182.55 225 8
Edina, MN $39.41 $27.35 – $77.70 225 6
Manteca, CA $385.25 $90.26 – $939.37 226 3
Dublin, OH $81.89 $39.38 – $168.21 229 4
Paris, KY $167.86 $31.96 – $184.51 229 2
Fairlawn, NJ $22.26 $22.26 – $22.26 229 1
Aurora, IL $31.97 $29.60 – $36.68 230 3
Beaufort, SC $238.51 $238.51 – $238.51 231 1
Bartlett, TN $43.13 $41.44 – $59.31 232 2
Muskogee, OK $89.07 $57.09 – $90.77 237 2
Pampa, TX $75.34 $75.34 – $75.34 239 1
Tiffin, OH $203.07 $48.37 – $253.79 243 2
Saint Cloud, MN $42.91 $42.91 – $42.91 244 1
Big Stone Gap, VA $462.49 $462.49 – $462.49 244 1
Williamsville, NY $34.92 $20.62 – $40.65 250 4
Methuen, MA $52.40 $20.22 – $144.09 252 3
Norwalk, CT $211.37 $21.57 – $414.04 253 3
Warner Robins, GA $50.46 $50.46 – $50.46 253 1
Redwood City, CA $195.98 $195.98 – $195.98 255 1
Alpena, MI $269.43 $39.70 – $403.47 255 3
Harrisburg, IL $31.60 $31.60 – $31.60 257 1
Naples, FL $19.77 $8.71 – $20.40 258 2
Leominster, MA $28.28 $23.87 – $30.68 258 2
Douglas, GA $36.00 $36.00 – $36.00 258 1
Dartmouth, MA $85.84 $56.10 – $87.79 259 2
Hawthorne, NY $80.12 $35.30 – $94.15 260 2
Fort Lauderdale, FL $19.38 $19.38 – $19.38 260 1
Harbor City, CA $1,066 $117.07 – $1,281 260 2
Gastonia, NC $38.58 $24.80 – $50.07 260 5
Amarillo, TX $23.00 $2.90 – $91.63 261 7
Port Saint Lucie, FL $227.52 $227.52 – $227.52 261 1
Midlothian, VA $162.33 $162.33 – $162.33 262 1
Ashtabula, OH $380.77 $380.77 – $380.77 262 1
Centralia, WA $396.25 $396.25 – $396.25 263 1
Grosse Pointe, MI $298.02 $298.02 – $298.02 263 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.