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
Neptune, NJ	$210.35	$164.57 – $218.65	476	2
Zephyrhills, FL	$139.79	$0.00 – $206.40	476	7
Calverton, MD	$32.36	$32.36 – $32.36	483	1
West Allis, WI	$157.55	$157.55 – $157.55	485	1
Woodbridge, NJ	$19.36	$19.36 – $19.36	485	1
Vineland, NJ	$181.80	$80.34 – $242.91	486	5
Hollywood, FL	$211.58	$211.58 – $211.58	487	1
Saint Augustine, FL	$148.57	$148.57 – $148.57	487	1
Raceland, LA	$116.44	$116.44 – $116.44	488	1
Selma, CA	$30.58	$10.63 – $37.88	489	2
Daly City, CA	$29.51	$14.53 – $33.96	489	2
Oceanside, CA	$224.19	$34.25 – $245.87	492	3
Martinez, CA	$37.76	$37.76 – $37.76	493	1
Jamaica, NY	$224.32	$40.79 – $368.64	497	3
Birmingham, AL	$72.59	$9.95 – $79.84	499	3
Lafayette, IN	$56.34	$25.63 – $88.51	510	7
Roanoke Rapids, NC	$34.67	$34.67 – $34.67	510	1
Beverly Hills, CA	$53.96	$51.02 – $85.09	511	2
Monroe, NC	$35.16	$21.37 – $38.52	511	2
Oakland Gardens, NY	$71.62	$71.62 – $71.62	516	1
Burlington, MA	$138.77	$21.64 – $680.65	520	6
Monterey Park, CA	$50.42	$7.75 – $70.66	522	5
Lake Charles, LA	$76.71	$27.51 – $103.28	525	5
Duarte, CA	$75.96	$34.45 – $310.18	527	3
Louisa, KY	$271.55	$271.55 – $271.55	529	1
Alexandria, VA	$665.49	$664.74 – $680.80	537	2
Brick, NJ	$113.98	$109.58 – $148.80	540	4
Hopkinsville, KY	$82.43	$72.86 – $332.10	542	2
Lenoir, NC	$51.09	$41.70 – $80.24	550	2
Fishersville, VA	$492.95	$492.95 – $492.95	557	1
Troy, OH	$254.35	$28.14 – $398.64	566	4
Santa Fe, NM	$321.71	$41.64 – $405.84	572	3
Martinsburg, WV	$291.88	$291.88 – $291.88	573	1
Dickson, TN	$78.96	$74.53 – $85.57	581	2
Cheektowaga, NY	$55.54	$55.54 – $55.54	584	1
Farmington Hills, MI	$159.53	$43.26 – $515.38	584	3
Oshkosh, WI	$153.75	$153.75 – $153.75	585	1
Saint Louis, MO	$42.31	$20.77 – $161.97	587	7
Globe, AZ	$1,785	$219.47 – $2,084	587	2
Derby, CT	$645.48	$123.97 – $662.86	589	2
Weirton, WV	$267.08	$267.08 – $267.08	590	1
Lumberton, NC	$29.13	$9.72 – $44.50	591	6
Cedar Knolls, NJ	$293.92	$129.54 – $297.32	592	2
Rancho Cucamonga, CA	$146.45	$0.00 – $288.29	592	4
Moreno Valley, CA	$264.17	$260.21 – $282.86	594	3
West Hartford, CT	$135.29	$135.29 – $135.29	597	1
Vicksburg, MS	$202.79	$28.35 – $393.54	605	2
Batavia, OH	$258.89	$35.58 – $402.19	614	2
Portland, OR	$33.35	$27.89 – $54.39	624	6
Olive Branch, MS	$183.91	$183.91 – $183.91	626	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.