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 |
|---|---|---|---|---|
| Sebring, FL | $36.63 | $0.00 – $38.65 | 268 | 2 |
| Rosemead, CA | $198.33 | $198.33 – $198.33 | 268 | 1 |
| Luling, LA | $146.65 | $120.68 – $148.29 | 268 | 2 |
| Brandon, FL | $117.65 | $93.34 – $134.63 | 269 | 3 |
| Burbank, CA | $39.74 | $37.97 – $74.66 | 269 | 2 |
| Pocatello, ID | $67.13 | $47.98 – $114.02 | 269 | 2 |
| Newburgh, IN | $32.43 | $29.96 – $34.06 | 271 | 2 |
| Myrlte Beach, SC | $319.73 | $319.73 – $319.73 | 271 | 1 |
| Camden, SC | $150.19 | $112.14 – $277.68 | 272 | 3 |
| Columbia, MO | $94.62 | $28.00 – $102.17 | 275 | 2 |
| Englewood, CO | $33.49 | $29.16 – $43.93 | 275 | 5 |
| Syracuse, NY | $486.15 | $38.08 – $548.87 | 278 | 5 |
| Wilson, NC | $21.49 | $16.55 – $22.45 | 278 | 2 |
| Eau Claire, WI | $84.94 | $22.70 – $94.26 | 278 | 4 |
| Roselle, NJ | $33.58 | $33.58 – $33.58 | 279 | 1 |
| Newport Beach, CA | $199.84 | $16.05 – $244.85 | 282 | 3 |
| Alma, MI | $120.76 | $101.56 – $489.74 | 283 | 2 |
| Kent, OH | $39.34 | $36.06 – $46.37 | 285 | 4 |
| Georgetown, KY | $259.06 | $44.85 – $376.01 | 286 | 2 |
| Cooperstown, NY | $694.43 | $694.43 – $694.43 | 287 | 1 |
| South Hill, VA | $813.28 | $813.28 – $813.28 | 288 | 1 |
| Ewa Beach, HI | $29.26 | $28.39 – $30.72 | 288 | 2 |
| Rice Lake, WI | $104.49 | $34.14 – $112.88 | 291 | 2 |
| Brookhaven, MS | $334.44 | $334.44 – $334.44 | 292 | 1 |
| Bogalusa, LA | $189.84 | $48.78 – $208.28 | 294 | 2 |
| Gallup, NM | $539.39 | $119.29 – $578.29 | 295 | 2 |
| Brunswick, ME | $333.74 | $333.74 – $333.74 | 295 | 1 |
| Putnam, CT | $287.60 | $287.60 – $287.60 | 297 | 1 |
| Jacksonville, FL | $54.50 | $16.71 – $208.09 | 298 | 9 |
| Rocky Mount, NC | $45.47 | $32.52 – $66.58 | 303 | 4 |
| South Weymouth, MA | $511.97 | $34.19 – $554.07 | 305 | 3 |
| Paris, TX | $213.56 | $213.56 – $213.56 | 309 | 1 |
| West Islip, NY | $58.58 | $58.58 – $58.58 | 310 | 1 |
| Wenatchee, WA | $297.29 | $182.90 – $308.49 | 314 | 2 |
| Hamilton, OH | $395.25 | $395.25 – $395.25 | 314 | 1 |
| Tallahassee, FL | $28.53 | $12.63 – $34.12 | 315 | 7 |
| Carson City, NV | $289.55 | $19.94 – $333.75 | 315 | 4 |
| Aberdeen, WA | $340.71 | $340.71 – $340.71 | 315 | 1 |
| Dothan, AL | $87.30 | $45.79 – $117.86 | 316 | 4 |
| Bluefield, VA | $125.79 | $125.79 – $125.79 | 316 | 1 |
| Sugar Land, TX | $43.97 | $43.97 – $43.97 | 317 | 1 |
| Dover, OH | $286.89 | $286.89 – $286.89 | 319 | 1 |
| Kissimmee, FL | $329.80 | $18.71 – $553.55 | 320 | 4 |
| Des Moines, IA | $317.98 | $49.95 – $854.77 | 325 | 5 |
| Woonsocket, RI | $190.02 | $101.83 – $211.85 | 326 | 3 |
| Aiea, HI | $429.93 | $429.93 – $429.93 | 327 | 1 |
| Atlanta, GA | $15.73 | $13.81 – $51.13 | 331 | 2 |
| Fallon, NV | $56.53 | $56.53 – $56.53 | 331 | 1 |
| Manhasset, NY | $50.84 | $25.52 – $309.83 | 331 | 3 |
| Hilo, HI | $594.68 | $41.10 – $639.61 | 333 | 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.