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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
Rancho Mirage, CA $100.00 $35.14 – $166.86 2,076 4
Port Huron, MI $145.13 $41.30 – $311.65 2,084 3
Jefferson City, TN $71.58 $71.58 – $71.58 2,092 1
New London, CT $413.02 $125.73 – $433.90 2,096 2
Mount Clemens, MI $175.85 $42.98 – $286.71 2,107 3
San Mateo, CA $24.93 $24.60 – $45.99 2,117 2
Indio, CA $341.63 $32.52 – $343.96 2,143 2
Anaheim, CA $223.06 $0.56 – $670.77 2,146 8
Morristown, TN $98.87 $63.65 – $266.65 2,152 3
Stamford, CT $434.85 $14.92 – $488.19 2,153 5
El Centro, CA $47.18 $47.18 – $47.18 2,157 1
Hurricane, WV $147.33 $96.22 – $197.84 2,159 2
Rapid City, SD $112.62 $112.62 – $112.62 2,160 1
Rockford, IL $37.16 $20.76 – $42.23 2,161 9
Mccomb, MS $279.14 $36.83 – $411.34 2,165 3
Ozone Park, NY $234.68 $232.12 – $379.32 2,181 2
Coral Gables, FL $169.58 $153.14 – $189.13 2,187 2
Midland, MI $127.39 $42.85 – $343.47 2,190 4
La Mesa, CA $284.71 $35.61 – $341.60 2,206 4
Owings Mills, MD $153.52 $26.34 – $207.66 2,258 3
Falls Church, VA $556.31 $38.79 – $562.13 2,265 3
Everett, WA $417.03 $35.04 – $435.60 2,274 6
Prescott, AZ $767.30 $49.40 – $925.46 2,283 3
Richland, WA $309.43 $22.54 – $338.41 2,298 6
Summit, NJ $274.50 $274.50 – $274.50 2,309 1
Guttenberg, NJ $233.41 $161.90 – $251.92 2,320 2
Tulsa, OK $50.20 $25.45 – $193.59 2,327 8
Inglewood, CA $250.66 $29.53 – $387.99 2,334 8
Traverse City, MI $83.65 $37.68 – $418.39 2,338 3
Panorama City, CA $825.44 $0.00 – $1,211 2,350 4
Bellingham, WA $285.33 $33.32 – $375.89 2,351 4
Imperial, CA $134.27 $134.27 – $134.27 2,355 1
Houston, TX $63.62 $0.00 – $283.08 2,359 15
S. Richmond Hill, NY $317.29 $317.29 – $317.29 2,360 1
Aibonito, PR $414.28 $414.28 – $414.28 2,370 1
Morgantown, WV $141.80 $31.70 – $263.60 2,374 8
Orange, CA $106.14 $10.50 – $192.58 2,397 6
Youngstown, OH $261.91 $32.97 – $405.65 2,405 8
Oklahoma City, OK $95.48 $44.35 – $303.83 2,429 14
Greenville, SC $185.41 $29.17 – $354.58 2,445 6
Chandler, AZ $173.79 $123.21 – $228.71 2,462 7
Coto Laurel, PR $127.22 $127.22 – $127.22 2,494 1
Statesboro, GA $57.22 $53.73 – $58.74 2,514 3
Holyoke, MA $192.41 $91.60 – $344.48 2,518 3
Springfield, OH $110.28 $35.35 – $307.09 2,522 8
Elmhurst, NY $137.88 $46.51 – $169.94 2,532 3
Forest Hills, NY $113.26 $32.62 – $259.78 2,533 4
Whitesburg, KY $127.22 $33.38 – $176.67 2,541 3
Winchester, TN $90.46 $39.01 – $97.51 2,549 2
Torrance, CA $84.74 $23.15 – $304.98 2,556 7

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.