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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
Bristol, CT $439.15 $439.15 – $439.15 1,645 1
Conway, SC $64.63 $22.09 – $66.72 1,656 4
Utica, NY $195.14 $44.06 – $409.48 1,665 11
Kingsport, TN $228.31 $19.28 – $440.22 1,677 9
Altoona, PA $116.31 $46.53 – $227.40 1,678 5
Maplewood, NJ $166.41 $110.29 – $173.83 1,678 2
Racine, WI $131.08 $47.45 – $132.98 1,682 3
Olympia, WA $337.74 $25.63 – $399.15 1,688 6
Fairfield, OH $154.68 $26.64 – $368.48 1,699 8
Flagstaff, AZ $139.35 $84.16 – $215.15 1,712 6
Danbury, CT $561.20 $28.28 – $564.96 1,715 2
New Britain, CT $454.16 $11.78 – $695.19 1,720 5
Princeton, WV $240.15 $51.16 – $350.21 1,720 2
Orangeburg, SC $171.84 $23.77 – $212.97 1,730 3
Hamtramck, MI $188.59 $188.59 – $188.59 1,737 1
Fredericksburg, VA $633.01 $22.86 – $722.73 1,745 6
Bayonne, NJ $128.66 $128.66 – $128.66 1,749 1
Christiansburg, VA $410.15 $35.41 – $468.61 1,783 4
Danville, PA $32.73 $20.10 – $32.81 1,784 2
Marshfield, WI $60.36 $30.28 – $105.63 1,799 4
Alamogordo, NM $418.61 $165.74 – $571.06 1,800 2
Madison, WI $121.06 $29.28 – $131.66 1,815 7
Manchester, KY $315.62 $315.62 – $315.62 1,816 1
Toms River, NJ $504.63 $47.05 – $557.49 1,819 4
Huntington Beach, CA $112.87 $95.04 – $279.03 1,837 2
New Iberia, LA $117.28 $117.28 – $117.28 1,846 1
Appleton, WI $138.98 $25.36 – $161.40 1,848 6
Morgan City, LA $113.46 $113.46 – $113.46 1,850 1
Augusta, ME $405.13 $36.46 – $410.10 1,878 2
South Boston, VA $322.33 $27.70 – $357.39 1,881 2
Richlands, VA $465.91 $42.88 – $539.61 1,894 2
Beavercreek, OH $195.26 $39.96 – $382.41 1,902 4
Munster, IN $42.75 $17.98 – $151.79 1,904 9
Greenville, NC $53.42 $18.21 – $56.78 1,905 6
Troy, MI $441.35 $37.32 – $455.87 1,909 4
Novi, MI $404.38 $404.38 – $404.38 1,910 1
Buffalo, NY $117.52 $36.51 – $207.14 1,916 12
Wyoming, MI $243.59 $243.59 – $243.59 1,920 1
Costa Mesa, CA $240.58 $68.17 – $661.90 1,925 2
Abingdon, VA $298.43 $32.68 – $567.47 1,933 3
Corinth, MS $285.94 $12.22 – $334.19 1,933 5
Kettering, OH $93.89 $25.22 – $387.75 1,935 3
Howard Beach, NY $292.60 $292.60 – $292.60 2,014 1
Kenosha, WI $119.41 $28.41 – $121.05 2,021 3
Merced, CA $388.66 $332.70 – $395.05 2,030 2
Rochester, NY $403.31 $35.58 – $641.98 2,038 5
Cambridge, MA $299.44 $25.41 – $303.07 2,066 2
French Camp, CA $91.84 $62.99 – $123.79 2,066 3
Boynton Beach, FL $290.59 $9.55 – $294.45 2,068 2
New Bedford, MA $322.02 $107.61 – $532.33 2,076 2

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.