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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 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
Pueblo, CO $368.19 $368.19 – $368.19 13 1
Garner, NC $50.75 $50.75 – $50.75 13 1
Coon Rapids, MN $29.48 $29.48 – $29.48 13 1
Greensburg, PA $55.24 $55.24 – $55.24 13 1
East Stroudsburg, PA $30.37 $30.37 – $30.37 13 1
Mystic, CT $36.64 $36.64 – $36.64 13 1
Elkton, MD $0.00 $0.00 – $0.00 13 1
Hicksville, NY $372.01 $372.01 – $372.01 13 1
Peru, IN $38.63 $38.63 – $38.63 13 1
Sterling, IL $34.60 $34.60 – $34.60 13 1
East Patchogue, NY $180.04 $180.04 – $180.04 13 1
Lakewood, CA $29.63 $29.63 – $29.63 13 1
College Station, TX $40.74 $40.74 – $40.74 13 1
Elmira, NY $102.02 $102.02 – $102.02 13 1
Watertown, SD $35.99 $35.99 – $35.99 13 1
Madera, CA $0.00 $0.00 – $0.00 13 1
Chesterton, IN $44.84 $44.84 – $44.84 13 1
Troy, NY $258.71 $258.71 – $258.71 13 1
Sahuarita, AZ $51.35 $51.35 – $51.35 13 1
Parker, AZ $1,187 $1,187 – $1,187 13 1
Far Rockaway, NY $311.54 $311.54 – $311.54 13 1
Fergus Falls, MN $120.70 $120.70 – $120.70 13 1
Concord Twp, OH $94.04 $94.04 – $94.04 13 1
Greendale, IN $26.98 $26.98 – $26.98 13 1
Gladwin, MI $465.75 $465.75 – $465.75 13 1
Flowood, MS $42.64 $42.64 – $42.64 14 1
Grand Island, NE $222.75 $222.75 – $222.75 14 1
Grove City, OH $29.90 $29.90 – $29.90 14 1
Olney, MD $41.25 $41.25 – $41.25 14 1
Mission, TX $3.91 $3.91 – $3.91 14 1
Enfield, CT $15.11 $15.11 – $15.11 14 1
Covina, CA $21.49 $21.49 – $21.49 14 1
Marion, NC $25.95 $25.95 – $25.95 14 1
St Thomas, VI $315.22 $315.22 – $315.22 14 1
Xenia, OH $28.16 $28.16 – $28.16 14 1
Schenectady, NY $410.86 $410.86 – $410.86 14 1
Waterford, CT $15.03 $15.03 – $15.03 14 1
Manalapan, NJ $24.19 $24.19 – $24.19 14 1
Euclid, OH $406.17 $406.17 – $406.17 14 1
Caldwell, ID $99.41 $99.41 – $99.41 14 1
Urbana, IL $32.41 $32.41 – $32.41 14 1
The Dalles, OR $198.93 $198.93 – $198.93 14 1
Marion, VA $456.61 $456.61 – $456.61 14 1
Blacksburg, VA $382.47 $382.47 – $382.47 14 1
Clarksville, IN $1,833 $1,833 – $1,833 14 1
North Easton, MA $17.84 $17.84 – $17.84 14 1
Blue Hill, ME $27.10 $27.10 – $27.10 14 1
Lebanon, IN $44.38 $44.38 – $44.38 14 1
Live Oak, FL $38.62 $38.62 – $38.62 14 1
Chino Hills, CA $0.00 $0.00 – $0.00 14 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.