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 |
|---|---|---|---|---|
| Greeneville, TN | $21.98 | $19.74 – $28.11 | 1,068 | 2 |
| Browns Mills, NJ | $332.82 | $27.12 – $341.01 | 1,073 | 2 |
| Hampton, VA | $330.98 | $251.97 – $494.20 | 1,076 | 2 |
| Petoskey, MI | $172.21 | $41.87 – $351.08 | 1,079 | 3 |
| Salisbury, MD | $93.63 | $61.74 – $365.18 | 1,098 | 4 |
| Monterey, CA | $216.88 | $18.41 – $228.27 | 1,101 | 4 |
| Ventura, CA | $357.33 | $1.67 – $453.77 | 1,105 | 6 |
| Camarillo, CA | $78.07 | $76.12 – $78.10 | 1,108 | 2 |
| Bay City, MI | $297.52 | $37.17 – $426.90 | 1,114 | 3 |
| Farmington, NM | $469.51 | $21.12 – $528.97 | 1,115 | 5 |
| New Orleans, LA | $131.42 | $40.24 – $153.43 | 1,116 | 8 |
| Oceanside, NY | $262.57 | $254.64 – $994.82 | 1,120 | 2 |
| Okemos, MI | $38.92 | $0.00 – $39.38 | 1,121 | 2 |
| Madison, WV | $406.59 | $44.99 – $507.19 | 1,121 | 2 |
| Zanesville, OH | $309.27 | $22.11 – $382.64 | 1,128 | 4 |
| Southgate, MI | $124.69 | $124.69 – $124.69 | 1,128 | 1 |
| Pomona, NJ | $272.75 | $272.75 – $272.75 | 1,139 | 1 |
| Gaithersburg, MD | $0.06 | $0.06 – $0.06 | 1,142 | 1 |
| Rome, GA | $268.37 | $268.37 – $268.37 | 1,143 | 1 |
| Greenbelt, MD | $278.75 | $0.00 – $343.38 | 1,154 | 6 |
| West Monroe, LA | $56.50 | $47.04 – $70.99 | 1,158 | 5 |
| Fairfield, CA | $175.03 | $17.06 – $544.14 | 1,163 | 4 |
| Oakland, CA | $423.32 | $40.84 – $966.12 | 1,164 | 10 |
| Hollywood, MD | $105.09 | $85.50 – $343.36 | 1,185 | 2 |
| Opelousas, LA | $169.78 | $140.03 – $175.09 | 1,190 | 3 |
| Renton, WA | $305.47 | $305.47 – $305.47 | 1,191 | 1 |
| Marrero, LA | $87.77 | $55.18 – $96.67 | 1,207 | 6 |
| Manati, PR | $173.00 | $159.15 – $351.30 | 1,207 | 2 |
| Yakima, WA | $252.48 | $190.11 – $253.42 | 1,215 | 2 |
| Colonial Heights, VA | $196.23 | $180.21 – $271.68 | 1,215 | 4 |
| Auburn, WA | $37.37 | $29.07 – $452.84 | 1,223 | 5 |
| Lynchburg, VA | $505.36 | $36.57 – $852.09 | 1,231 | 3 |
| Grand Blanc, MI | $150.29 | $34.37 – $239.69 | 1,247 | 4 |
| Cynthiana, KY | $612.54 | $43.94 – $745.83 | 1,248 | 2 |
| Voorhees, NJ | $270.28 | $43.15 – $320.00 | 1,253 | 3 |
| Suffolk, VA | $392.85 | $18.09 – $557.06 | 1,254 | 7 |
| Greenville, KY | $260.77 | $44.60 – $364.78 | 1,256 | 2 |
| Scottsdale, AZ | $418.25 | $31.47 – $1,671 | 1,258 | 8 |
| Nashville, TN | $41.18 | $19.47 – $273.05 | 1,259 | 21 |
| Salt Lake City, UT | $76.17 | $7.53 – $209.32 | 1,260 | 6 |
| Waterloo, IA | $105.96 | $48.63 – $223.09 | 1,262 | 4 |
| Perth Amboy, NJ | $195.38 | $193.24 – $211.89 | 1,272 | 2 |
| Monroe, LA | $111.31 | $0.00 – $1,152 | 1,273 | 9 |
| Spartanburg, SC | $64.96 | $64.96 – $64.96 | 1,278 | 1 |
| Pennington, NJ | $613.08 | $30.97 – $618.59 | 1,281 | 2 |
| Dover, DE | $92.62 | $19.38 – $195.59 | 1,285 | 4 |
| Gurnee, IL | $28.30 | $24.01 – $34.15 | 1,286 | 3 |
| Metuchen, NJ | $100.23 | $100.23 – $100.23 | 1,304 | 1 |
| Harlingen, TX | $29.76 | $3.53 – $32.02 | 1,306 | 4 |
| Eureka, CA | $127.27 | $73.16 – $598.36 | 1,313 | 4 |
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.