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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
Edison, NJ $561.11 $17.40 – $684.96 12,602 8
Englewood, NJ $211.59 $211.59 – $211.59 13,143 1
Kew Gardens, NY $235.56 $80.65 – $379.12 13,209 4
Memphis, TN $55.59 $10.97 – $222.30 14,691 23
Ashland, KY $282.57 $33.07 – $404.78 15,266 10
Las Vegas, NV $161.97 $16.48 – $917.24 15,709 62
Modesto, CA $226.62 $42.99 – $579.91 16,167 20
Chula Vista, CA $387.49 $40.32 – $486.60 16,674 10
Bronx, NY $171.35 $28.65 – $620.49 17,480 25
Cleveland, OH $141.91 $1.48 – $486.39 17,681 33
Flushing, NY $239.53 $32.68 – $496.13 17,932 10
Sacramento, CA $137.94 $0.00 – $728.50 18,156 29
Dearborn, MI $150.20 $44.17 – $349.50 18,434 8
Fresno, CA $16.54 $0.00 – $1,671 18,525 32
Detroit, MI $173.77 $42.05 – $540.45 20,717 12
Phoenix, AZ $343.67 $39.08 – $1,686 21,016 56
Los Angeles, CA $269.77 $0.00 – $1,387 21,940 60
Milwaukee, WI $130.26 $22.49 – $168.82 22,987 33
Corbin, KY $282.18 $31.49 – $317.27 27,781 5
Louisville, KY $315.19 $21.24 – $500.13 31,470 42
Brooklyn, NY $192.83 $0.00 – $578.44 32,099 61
New York, NY $235.10 $0.00 – $751.86 56,129 66

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.