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 |
|---|---|---|---|---|
| Fall River Mills, CA | $27.88 | $27.88 – $27.88 | 19 | 1 |
| Brooksville, FL | $7.06 | $7.06 – $7.06 | 20 | 1 |
| Roseburg, OR | $458.09 | $458.09 – $458.09 | 20 | 1 |
| Conway, AR | $66.75 | $66.75 – $66.75 | 22 | 1 |
| Crestview, FL | $48.99 | $48.99 – $48.99 | 23 | 1 |
| Kingston, NY | $60.92 | $60.92 – $60.92 | 24 | 1 |
| Hudson, NY | $258.42 | $258.42 – $258.42 | 24 | 1 |
| Monroeville, PA | $56.04 | $56.04 – $56.04 | 24 | 1 |
| Tracy, CA | $182.12 | $16.13 – $348.12 | 24 | 2 |
| Glens Falls, NY | $562.16 | $562.16 – $562.16 | 24 | 1 |
| Essexville, MI | $38.95 | $38.95 – $38.95 | 24 | 1 |
| Norwood, NJ | $18.95 | $18.95 – $18.95 | 24 | 1 |
| Templeton, CA | $163.08 | $163.08 – $163.08 | 24 | 1 |
| Rock Hill, NY | $128.95 | $128.95 – $128.95 | 24 | 1 |
| Labadieville, LA | $126.42 | $126.42 – $126.42 | 24 | 1 |
| Guaynabo, PR | $53.02 | $53.02 – $53.02 | 25 | 1 |
| Wichita Falls, TX | $160.63 | $160.63 – $160.63 | 25 | 1 |
| Lakewood, NJ | $88.17 | $88.17 – $88.17 | 25 | 1 |
| Olean, NY | $173.28 | $173.28 – $173.28 | 25 | 1 |
| Fort Worth, TX | $174.85 | $40.32 – $299.03 | 25 | 2 |
| Lodi, CA | $339.71 | $339.71 – $339.71 | 25 | 1 |
| Paoli, PA | $20.57 | $20.57 – $20.57 | 25 | 1 |
| Butler, MO | $190.34 | $190.34 – $190.34 | 25 | 1 |
| White Hall, AR | $106.24 | $106.24 – $106.24 | 25 | 1 |
| Springville, NY | $52.69 | $52.69 – $52.69 | 25 | 1 |
| Clare, MI | $569.54 | $569.54 – $569.54 | 25 | 1 |
| Kealakekua, HI | $1,156 | $1,156 – $1,156 | 25 | 1 |
| Fairfield, CT | $26.10 | $22.38 – $29.83 | 26 | 2 |
| Easton, PA | $136.29 | $136.29 – $136.29 | 26 | 1 |
| Keene, NH | $26.47 | $26.47 – $26.47 | 26 | 1 |
| Clanton, AL | $114.92 | $114.92 – $114.92 | 26 | 1 |
| Houlton, ME | $34.67 | $34.67 – $34.67 | 26 | 1 |
| New Hartford, NY | $439.29 | $439.29 – $439.29 | 27 | 1 |
| Sturgis, MI | $630.80 | $630.80 – $630.80 | 27 | 1 |
| Fort Dodge, IA | $153.05 | $153.05 – $153.05 | 27 | 1 |
| Nicholasville, KY | $38.32 | $38.32 – $38.32 | 27 | 1 |
| Media, PA | $147.39 | $76.91 – $223.30 | 27 | 2 |
| Mansfield, TX | $73.61 | $66.24 – $79.50 | 27 | 2 |
| Aiken, SC | $301.63 | $301.63 – $301.63 | 27 | 1 |
| Latrobe, PA | $35.89 | $35.89 – $35.89 | 27 | 1 |
| Show Low, AZ | $1,398 | $1,398 – $1,398 | 27 | 1 |
| Irvine, KY | $371.01 | $371.01 – $371.01 | 27 | 1 |
| Madison, IN | $22.71 | $22.71 – $22.71 | 27 | 1 |
| Iron Mountain, MI | $240.00 | $240.00 – $240.00 | 27 | 1 |
| Chambersburg, PA | $46.85 | $41.62 – $52.08 | 28 | 2 |
| Kinston, NC | $50.92 | $45.64 – $57.96 | 28 | 2 |
| Berkeley, CA | $6.21 | $6.21 – $6.21 | 28 | 1 |
| Palo Alto, CA | $51.64 | $48.90 – $53.70 | 28 | 2 |
| South Plainfield, NJ | $96.96 | $74.33 – $123.08 | 28 | 2 |
| Thousand Oaks, CA | $322.45 | $322.45 – $322.45 | 28 | 1 |
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.