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
Puyallup, WA	$420.47	$420.47 – $420.47	333	1
Richmond, KY	$239.84	$48.62 – $327.56	336	3
Caldwell, WV	$174.65	$174.65 – $174.65	336	1
Red Bluff, CA	$210.57	$21.50 – $217.55	337	2
Napa, CA	$123.89	$44.81 – $137.72	338	3
Venice, FL	$295.76	$295.76 – $295.76	338	1
Mount Pleasant, MI	$38.97	$38.97 – $38.97	339	1
Rock Hill, SC	$95.77	$37.50 – $147.85	340	5
Springfield, MO	$70.62	$27.90 – $315.73	340	10
Portsmouth, VA	$444.05	$109.39 – $479.91	341	2
Point Pleasant, WV	$38.61	$38.61 – $38.61	341	1
Reno, NV	$293.98	$33.12 – $343.13	343	4
Oroville, CA	$251.68	$251.68 – $251.68	345	1
Sun City, CA	$246.16	$246.16 – $246.16	349	1
Hagerstown, MD	$52.77	$0.00 – $225.02	354	3
Hermitage, TN	$26.91	$19.23 – $95.08	354	3
Poplar Bluff, MO	$74.33	$44.62 – $84.01	354	2
Aliso Viejo, CA	$10.82	$10.82 – $10.82	355	1
North Dartmouth, MA	$29.73	$22.82 – $34.76	364	3
El Paso, TX	$141.45	$6.32 – $243.12	366	4
Russellville, AR	$30.01	$28.43 – $31.88	367	2
West Chester, OH	$363.22	$31.70 – $392.56	369	2
Lubbock, TX	$109.08	$11.75 – $306.99	371	9
Warren, OH	$185.45	$35.90 – $483.31	372	4
Alhambra, CA	$63.24	$0.00 – $351.70	372	7
Waukesha, WI	$129.97	$129.97 – $129.97	373	1
Farmington, MO	$99.11	$28.60 – $181.53	373	6
Goshen, IN	$29.30	$29.30 – $29.30	374	1
Lake Forest, IL	$28.69	$26.66 – $34.37	375	2
Middletown, OH	$46.94	$38.94 – $67.74	378	2
Jenkintown, PA	$202.64	$202.64 – $202.64	378	1
Loma Linda, CA	$255.47	$49.18 – $291.24	379	2
Naperville, IL	$112.27	$28.37 – $125.77	380	3
Albany, NY	$511.19	$75.73 – $525.36	381	2
Colorado Springs, CO	$193.24	$21.18 – $416.10	382	8
Dexter, MO	$34.89	$34.89 – $34.89	382	1
Bend, OR	$136.82	$28.09 – $215.90	383	5
Monrovia, CA	$31.59	$31.59 – $31.59	384	1
Iowa City, IA	$33.87	$23.28 – $34.99	386	2
El Monte, CA	$227.14	$0.00 – $235.58	391	2
Lake Havasu City, AZ	$334.08	$96.50 – $671.39	392	2
Muncie, IN	$46.84	$35.55 – $49.88	395	3
La Porte, IN	$323.44	$33.44 – $346.26	395	3
Terre Haute, IN	$210.66	$28.31 – $310.93	402	6
Concord, NH	$232.79	$232.79 – $232.79	403	1
Trenton, MI	$187.26	$179.20 – $191.73	404	2
Santa Barbara, CA	$97.25	$37.39 – $164.32	408	4
Jeffersonville, IN	$40.48	$25.38 – $239.68	411	5
Jonesboro, AR	$39.14	$34.89 – $47.96	412	6
Roswell, NM	$213.97	$31.77 – $336.41	413	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.