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