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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
Victorville, CA $162.13 $35.38 – $264.96 5,879 10
Glen Ridge, NJ $97.85 $15.23 – $363.06 5,896 4
Mesa, AZ $137.69 $39.61 – $264.64 6,004 15
Saginaw, MI $106.40 $34.97 – $368.91 6,005 6
Smithfield, NC $52.80 $26.21 – $127.36 6,050 3
Hattiesburg, MS $256.01 $10.88 – $357.09 6,075 5
Fountain Valley, CA $45.18 $2.83 – $64.18 6,113 9
Yuma, AZ $211.75 $44.62 – $877.52 6,176 10
Passaic, NJ $134.43 $19.67 – $359.74 6,358 5
Palm Springs, CA $179.61 $58.69 – $457.15 6,466 4
Washington, DC $257.19 $0.00 – $584.92 6,551 19
Salinas, CA $149.86 $5.91 – $255.56 6,670 9
Shreveport, LA $97.43 $36.46 – $529.24 6,688 16
Paterson, NJ $198.55 $11.45 – $230.81 6,763 4
Avondale, AZ $212.78 $194.63 – $244.42 6,790 5
Philadelphia, PA $122.62 $36.67 – $393.97 6,964 32
Visalia, CA $175.46 $15.90 – $307.64 7,063 7
Columbus, OH $238.87 $24.70 – $503.17 7,163 28
Austin, TX $30.09 $0.00 – $298.45 7,534 7
Cincinnati, OH $162.83 $15.84 – $442.53 7,695 28
New Haven, CT $452.84 $0.00 – $502.59 7,772 14
San Diego, CA $291.54 $35.18 – $562.98 7,784 17
Toledo, OH $227.86 $31.49 – $460.60 7,806 18
Manchester, CT $225.15 $159.33 – $474.03 7,886 4
Germantown, TN $23.65 $1.60 – $78.48 8,081 16
Bakersfield, CA $207.04 $35.24 – $508.90 8,097 23
Waterbury, CT $547.07 $13.84 – $657.05 8,302 12
Glendale, CA $66.61 $3.26 – $311.45 8,367 15
Hartford, CT $278.85 $22.36 – $543.97 8,414 15
Turlock, CA $267.88 $42.33 – $312.77 8,457 11
Royal Oak, MI $172.25 $15.55 – $473.73 8,778 4
Somerset, KY $73.32 $21.56 – $244.64 8,945 6
Dayton, OH $138.72 $36.97 – $491.13 8,985 13
Bridgeport, CT $486.74 $23.15 – $614.42 9,019 8
Lexington, KY $380.32 $21.14 – $684.91 9,129 17
Elizabeth, NJ $146.06 $32.05 – $279.41 9,169 5
Charleston, WV $145.45 $29.57 – $206.79 9,204 12
Jersey City, NJ $203.07 $15.16 – $369.35 9,265 10
Kalamazoo, MI $172.69 $43.81 – $503.89 9,469 4
Glasgow, KY $223.55 $32.78 – $252.85 9,796 5
London, KY $179.51 $14.09 – $216.05 10,022 8
San Jose, CA $34.36 $1.38 – $98.44 10,190 15
Chicago, IL $69.05 $0.80 – $371.20 10,663 61
Flint, MI $159.91 $37.51 – $230.10 10,907 14
Boston, MA $198.80 $17.45 – $607.55 11,055 37
Lancaster, CA $82.75 $25.09 – $358.11 11,099 8
Tucson, AZ $517.66 $27.45 – $1,140 11,219 27
Grand Rapids, MI $102.12 $28.44 – $401.41 11,518 9
Jackson, TN $82.64 $26.57 – $96.73 12,000 13
National City, CA $246.61 $173.19 – $428.82 12,522 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.