Skip to content
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
Kokomo, IN $218.96 $29.09 – $267.29 751 3
Wyandotte, MI $138.47 $45.14 – $509.42 755 4
Hershey, PA $79.45 $39.26 – $95.63 756 3
Federal Way, WA $306.14 $46.43 – $330.53 757 2
Ponce, PR $120.11 $120.11 – $120.11 761 1
Raleigh, NC $143.90 $22.39 – $576.73 764 5
Lewes, DE $119.52 $108.30 – $199.08 769 2
Decatur, GA $137.21 $137.21 – $137.21 773 1
Thibodaux, LA $141.21 $101.49 – $160.31 774 4
Laguna Hills, CA $24.82 $24.82 – $24.82 777 1
Elkin, NC $53.37 $53.37 – $53.37 777 1
Allentown, PA $45.88 $44.09 – $46.51 783 2
Gallipolis, OH $407.09 $44.48 – $738.22 784 3
Tamuning, GU $310.06 $308.42 – $332.37 787 2
Longview, WA $133.49 $23.23 – $280.28 788 2
Radford, VA $159.53 $159.53 – $159.53 790 1
Clarksville, TN $43.74 $39.91 – $59.49 793 3
Murfreesboro, TN $58.78 $15.50 – $86.10 793 8
Yuba City, CA $58.49 $0.00 – $81.29 793 5
Madisonville, KY $839.87 $45.95 – $851.94 801 2
Edmonds, WA $282.86 $14.94 – $286.93 802 2
Wayne, NJ $35.85 $35.85 – $35.85 802 1
Newark, DE $146.66 $4.73 – $226.74 805 7
Presque Isle, ME $298.46 $25.68 – $341.05 807 2
Houma, LA $158.61 $56.01 – $179.84 808 5
Berea, KY $373.16 $43.19 – $378.56 808 2
Boise, ID $164.20 $44.32 – $193.06 813 4
Arcadia, CA $98.25 $27.09 – $312.62 813 3
Torrington, CT $589.51 $589.51 – $589.51 815 1
Henderson, KY $260.82 $37.35 – $519.96 817 4
Wheeling, WV $171.82 $48.87 – $219.22 819 3
Tampa, FL $34.44 $18.39 – $161.85 824 10
Marietta, OH $307.46 $27.40 – $324.20 832 3
Fond Du Lac, WI $104.56 $29.29 – $112.55 834 3
Covington, LA $76.67 $17.24 – $111.01 839 10
Chesapeake, VA $244.41 $31.54 – $507.25 842 8
Asheville, NC $322.89 $14.54 – $367.65 843 3
Woodbridge, VA $216.69 $202.26 – $232.87 844 5
Biddeford, ME $306.97 $306.97 – $306.97 845 1
Franklin, OH $343.04 $42.52 – $413.92 846 3
Beloit, WI $112.68 $28.71 – $113.99 849 2
Johnson City, TN $25.07 $13.70 – $53.17 853 9
North Bergen, NJ $234.88 $158.03 – $241.94 856 2
Columbia, MD $170.17 $66.06 – $390.12 860 3
Bastrop, LA $62.73 $62.73 – $62.73 870 1
Lufkin, TX $17.21 $16.90 – $37.82 871 2
Middlebury, CT $98.63 $98.63 – $98.63 871 1
Poland, OH $37.54 $35.14 – $45.58 872 6
Springfield, IL $80.05 $22.37 – $329.03 874 13
Bristol, TN $339.87 $32.85 – $582.51 878 6

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.