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
Harvey, LA	$139.25	$139.25 – $139.25	413	1
Mount Holly, NJ	$190.61	$190.61 – $190.61	415	1
Port Angeles, WA	$356.75	$24.29 – $454.53	418	2
Long Branch, NJ	$424.61	$424.61 – $424.61	418	1
Mooresville, NC	$36.59	$28.41 – $38.51	420	2
Clark, NJ	$27.50	$26.97 – $31.38	421	3
Fullerton, CA	$159.26	$32.34 – $176.23	424	2
Westbury, NY	$141.05	$141.05 – $141.05	424	1
Ravenna, OH	$196.27	$34.67 – $323.46	425	3
Spring Valley, NY	$312.11	$312.11 – $312.11	425	1
North Haven, CT	$33.96	$33.96 – $33.96	425	1
Myrtle Beach, SC	$30.11	$12.99 – $33.70	427	2
Campbellsville, KY	$193.79	$193.79 – $193.79	427	1
Greenwood, IN	$58.15	$58.15 – $58.15	430	1
Hartsville, SC	$185.41	$27.28 – $197.64	432	2
Pickerington, OH	$28.81	$27.60 – $28.97	433	2
Smithtown, NY	$319.01	$0.00 – $377.51	433	4
Taylor, MI	$283.41	$283.41 – $283.41	434	1
Pleasant Prairie, WI	$128.01	$33.87 – $132.30	436	2
Martinsville, VA	$258.91	$50.04 – $602.52	436	3
Burgettstown, PA	$36.10	$33.89 – $51.36	436	2
Harlan, KY	$138.40	$44.76 – $185.70	438	2
West Plains, MO	$118.73	$98.25 – $139.35	439	3
Fairmont, WV	$471.89	$31.98 – $805.33	439	3
Stratford, NJ	$302.75	$302.75 – $302.75	442	1
Burien, WA	$270.69	$25.62 – $288.49	443	2
Hoboken, NJ	$145.68	$35.94 – $151.97	443	2
Mount Vernon, IL	$32.35	$31.26 – $38.03	444	3
Wayne, MI	$252.94	$229.21 – $253.65	445	2
Mt Sterling, KY	$571.21	$571.21 – $571.21	446	1
Shelby Township, MI	$133.65	$80.09 – $147.19	446	2
Anderson, IN	$49.97	$32.92 – $78.99	449	4
Alice, TX	$8.34	$8.34 – $8.34	451	1
Sterling Heights, MI	$161.66	$86.56 – $170.64	451	3
Scarborough, ME	$430.70	$430.70 – $430.70	457	1
Summersville, WV	$402.04	$32.46 – $492.89	457	3
Rahway, NJ	$198.79	$198.79 – $198.79	459	1
Watsonville, CA	$240.46	$179.19 – $305.63	460	3
Battle Creek, MI	$346.11	$346.11 – $346.11	460	1
Evanston, IL	$28.92	$25.67 – $31.83	462	3
Missoula, MT	$7.90	$0.91 – $36.88	463	2
Gadsden, AL	$126.88	$122.57 – $130.19	463	2
Kalispell, MT	$1.77	$1.77 – $1.77	464	1
Dalton, GA	$18.31	$14.28 – $27.61	464	5
Middlesboro, KY	$76.59	$76.59 – $76.59	464	1
Waukegan, IL	$31.31	$31.31 – $31.31	466	1
Santa Maria, CA	$168.40	$12.87 – $187.89	467	2
Coeur D Alene, ID	$180.98	$180.98 – $180.98	471	1
Mcallen, TX	$32.33	$0.00 – $41.22	472	6
West Des Moines, IA	$78.31	$53.78 – $104.03	473	4

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.