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