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
Elyria, OH	$352.93	$24.73 – $368.20	630	2
Greenwood, MS	$247.52	$26.02 – $349.78	630	2
Zachary, LA	$143.90	$130.48 – $145.89	630	2
Mullins, SC	$107.34	$29.60 – $179.74	636	3
Durham, NC	$52.35	$41.39 – $53.99	639	3
Oak Lawn, IL	$41.95	$29.19 – $103.25	639	6
Florissant, MO	$128.98	$128.98 – $128.98	641	1
Evansville, IN	$37.86	$20.15 – $306.44	643	9
Fleming Island, FL	$119.02	$117.46 – $165.10	643	2
Union City, NJ	$28.09	$15.11 – $35.04	644	4
Peoria, IL	$33.46	$28.85 – $40.90	653	9
Aguadilla, PR	$362.25	$362.25 – $362.25	658	1
Silverdale, WA	$254.50	$87.80 – $392.01	658	4
St Clair Shores, MI	$147.82	$147.82 – $147.82	659	1
Pasadena, CA	$41.83	$6.44 – $417.76	665	8
Binghamton, NY	$553.60	$448.83 – $576.62	666	2
Lewiston, ME	$329.14	$28.45 – $336.88	668	3
Old Bridge, NJ	$28.46	$18.15 – $105.69	670	3
Meridian, MS	$302.94	$27.08 – $310.10	672	2
Peoria, AZ	$144.83	$79.51 – $251.02	677	7
San Juan, PR	$421.84	$421.84 – $421.84	679	1
Hazel Crest, IL	$33.03	$24.79 – $41.18	683	5
San Antonio, TX	$107.77	$25.63 – $172.02	692	7
Westminster, CA	$34.20	$7.22 – $95.04	693	3
Pontiac, MI	$210.62	$23.86 – $214.73	696	2
Michigan City, IN	$34.55	$28.65 – $56.63	697	3
Norton, VA	$189.83	$4.32 – $464.08	697	4
Great Falls, MT	$1.71	$1.02 – $38.21	702	2
Weston, WV	$149.53	$50.58 – $319.30	702	3
Elkins, WV	$333.62	$333.62 – $333.62	706	1
Hollywood, CA	$126.91	$126.91 – $126.91	708	1
San Francisco, CA	$445.76	$0.00 – $2,479	709	8
Pittsfield, ME	$71.10	$71.10 – $71.10	709	1
Oak Park, IL	$30.64	$29.66 – $31.03	710	2
Lorain, OH	$308.81	$305.18 – $309.28	710	2
Marquette, MI	$123.37	$42.81 – $449.51	727	2
Mount Vernon, WA	$305.31	$305.31 – $305.31	731	1
Waterford, MI	$179.38	$179.38 – $179.38	732	1
Cleveland, MS	$66.25	$11.43 – $105.25	736	2
Santa Rosa, CA	$171.47	$32.14 – $464.78	740	7
Klamath Falls, OR	$55.16	$53.94 – $55.21	741	2
Portland, ME	$231.89	$51.39 – $277.39	745	3
Park Ridge, IL	$43.65	$27.25 – $77.93	746	6
Florence, KY	$213.30	$33.62 – $424.51	746	4
Santa Ana, CA	$188.33	$23.06 – $321.69	747	7
Pahrump, NV	$116.33	$116.33 – $116.33	747	1
Maywood, IL	$32.92	$11.99 – $61.01	748	4
Clovis, NM	$177.03	$172.62 – $447.13	748	2
South Richmond Hill, NY	$98.38	$88.22 – $404.61	748	2
Newark, OH	$302.69	$37.83 – $423.92	751	3

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.