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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 — 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
Manchester, NH $293.71 $7.08 – $400.77 880 5
Columbus, MS $296.53 $37.99 – $305.32 882 2
Downey, CA $773.98 $29.71 – $1,134 882 6
North Andover, MA $58.88 $28.59 – $63.40 882 3
Silver Spring, MD $126.24 $126.24 – $126.24 883 1
Santa Cruz, CA $69.89 $23.62 – $240.79 885 4
Trenton, NJ $448.46 $16.26 – $558.54 885 4
Greenville, MS $186.42 $19.33 – $255.25 887 3
Meadowbrook, PA $58.58 $58.58 – $58.58 888 1
Kirkland, WA $202.78 $202.78 – $202.78 890 1
Jefferson Hills, PA $172.40 $172.40 – $172.40 890 1
Cape Girardeau, MO $25.20 $17.98 – $30.02 903 5
Winnsboro, LA $66.97 $66.97 – $66.97 909 1
Lancaster, OH $151.21 $30.59 – $267.66 911 4
Chattanooga, TN $43.41 $14.88 – $70.27 920 10
Stanford, CA $157.33 $11.09 – $364.45 920 7
Slidell, LA $106.00 $34.68 – $441.42 924 9
Marion, OH $254.29 $28.51 – $410.23 925 6
Salem, OR $256.18 $173.89 – $276.91 935 6
Colton, CA $176.78 $46.57 – $242.45 935 3
Pinehurst, NC $274.41 $12.36 – $299.29 936 4
Fayetteville, GA $120.70 $25.45 – $155.04 936 2
Elizabeth City, NC $44.46 $43.12 – $52.26 947 2
Lawrence, MA $157.21 $157.21 – $157.21 950 1
Natchitoches, LA $186.30 $186.30 – $186.30 954 1
Edinburg, TX $61.99 $0.00 – $80.37 959 5
Randallstown, MD $81.71 $81.71 – $81.71 964 1
Chico, CA $212.57 $20.89 – $262.62 965 5
Plainfield, NJ $26.32 $26.32 – $26.32 965 1
Poughkeepsie, NY $578.54 $40.00 – $597.46 972 2
La Crosse, WI $147.76 $127.53 – $157.49 976 2
Orlando, FL $130.32 $6.76 – $350.35 982 12
Chino, CA $303.05 $303.05 – $303.05 983 1
Berwyn, IL $22.89 $20.96 – $25.66 990 2
Brownsville, TX $12.58 $0.00 – $15.26 993 3
South Williamson, KY $295.95 $44.16 – $314.46 993 2
Osage Beach, MO $184.69 $68.37 – $205.97 996 2
Carbondale, IL $26.73 $15.91 – $31.42 999 7
Vancouver, WA $247.35 $26.89 – $251.62 1,001 2
Lapeer, MI $144.17 $45.40 – $170.16 1,003 2
Whittier, CA $38.27 $31.99 – $93.26 1,006 5
Short Hills, NJ $118.52 $118.52 – $118.52 1,018 1
Yonkers, NY $321.74 $21.81 – $631.10 1,024 3
Dallas, TX $163.76 $0.00 – $325.13 1,025 7
Kansas City, MO $82.80 $27.60 – $100.81 1,035 4
Durant, OK $165.35 $165.35 – $165.35 1,035 1
Belleville, IL $34.52 $32.01 – $147.22 1,040 3
Williamson, WV $46.89 $46.89 – $46.89 1,040 1
Erie, PA $154.60 $0.00 – $200.31 1,059 8
Laurel, MS $248.06 $64.12 – $314.91 1,059 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.