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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
Meadville, PA $39.37 $27.14 – $51.59 28 2
Springfield, PA $170.41 $87.70 – $280.70 28 2
Vincennes, IN $36.19 $36.19 – $36.19 28 1
Gaffney, SC $131.02 $131.02 – $131.02 28 1
Pompton Plains, NJ $24.32 $24.32 – $24.32 28 1
Brea, CA $60.23 $60.23 – $60.23 28 1
Issaquah, WA $363.16 $363.16 – $363.16 28 1
Rancho Cucamongo, CA $36.15 $36.15 – $36.15 28 1
St George, UT $212.49 $143.45 – $286.47 29 2
Lowell, MA $587.06 $587.06 – $587.06 29 1
Longwood, FL $78.64 $78.64 – $78.64 29 1
Greer, SC $127.35 $127.35 – $127.35 29 1
Harvey, IL $27.92 $27.92 – $27.92 29 1
Ormond Beach, FL $185.96 $185.96 – $185.96 29 1
San Pedro, CA $372.32 $372.32 – $372.32 29 1
North Aurora, IL $36.00 $36.00 – $36.00 29 1
Hyannis, MA $172.97 $172.97 – $172.97 30 1
Pittsburg, KS $7.41 $7.41 – $7.41 30 1
St Petersburg, FL $15.44 $15.44 – $15.44 30 1
Catonsville, MD $-1.05 $-1.05 – $-1.05 30 1
Galax, VA $266.08 $266.08 – $266.08 30 1
Kankakee, IL $24.11 $24.11 – $24.11 30 1
North Canton, OH $86.90 $86.90 – $86.90 30 1
Macon, GA $196.02 $196.02 – $196.02 30 1
Hermiston, OR $50.83 $50.83 – $50.83 30 1
Southington, CT $40.76 $40.76 – $40.76 30 1
Temecula, CA $98.35 $41.32 – $134.37 31 2
Glendale, WI $48.18 $48.18 – $48.18 31 1
Tappahannock, VA $556.28 $556.28 – $556.28 31 1
Dodge City, KS $0.00 $0.00 – $0.00 31 1
Andalusia, AL $4.94 $4.94 – $4.94 31 1
Flower Mound, TX $35.64 $35.64 – $35.64 31 1
Carrollton, GA $13.75 $9.93 – $17.83 31 2
Elgin, IL $37.63 $37.63 – $37.63 31 1
Minot, ND $52.92 $35.54 – $63.89 31 2
Chardon, OH $313.45 $96.27 – $505.08 32 2
Concord, NC $15.45 $15.45 – $15.45 32 1
Mchenry, IL $36.55 $33.82 – $38.19 32 2
Hinsdale, IL $47.19 $35.96 – $57.10 32 2
Folsom, CA $381.08 $381.08 – $381.08 32 1
Marion, IL $23.99 $23.99 – $23.99 33 1
Milford, DE $60.43 $60.43 – $60.43 33 1
Hazlet, NJ $51.92 $51.92 – $51.92 33 1
Low Moor, VA $385.35 $385.35 – $385.35 33 1
Plant City, FL $14.71 $14.71 – $14.71 33 1
Lake Worth, FL $22.40 $22.40 – $22.40 34 1
Winter Park, FL $64.46 $11.02 – $109.46 35 2
Champaign, IL $34.72 $34.72 – $34.72 35 1
Bear, DE $19.37 $19.37 – $19.37 35 1
Amherst, NY $295.53 $230.65 – $331.66 36 3

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.