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
Bloomington, IN	$46.61	$43.59 – $48.77	36	2
Beltsville, MD	$231.87	$231.87 – $231.87	36	1
Bellflower, CA	$38.67	$38.67 – $38.67	36	1
Evergreen, IL	$36.67	$22.49 – $43.76	36	2
Elkhart, IN	$83.24	$50.42 – $105.61	37	2
Montrose, CO	$30.19	$14.50 – $50.80	37	2
Boca Raton, FL	$36.89	$36.89 – $36.89	37	1
Sonora, CA	$181.84	$181.84 – $181.84	37	1
Santa Monica, CA	$33.68	$33.68 – $33.68	37	1
Statesville, NC	$31.96	$30.24 – $34.78	37	2
Owosso, MI	$386.31	$386.31 – $386.31	37	1
Edgewater, NJ	$0.94	$0.94 – $0.94	37	1
Great Neck, NY	$73.74	$73.74 – $73.74	38	1
Plattsburgh, NY	$421.16	$421.16 – $421.16	38	1
Lewiston, ID	$159.24	$159.24 – $159.24	38	1
Saint Paul, MN	$43.47	$39.38 – $52.33	38	2
Taos, NM	$414.09	$33.23 – $636.26	38	2
Monroe, MI	$434.30	$174.64 – $585.77	38	2
Coldwater, MI	$446.22	$446.22 – $446.22	38	1
York, ME	$168.93	$168.93 – $168.93	38	1
Stafford Springs, CT	$447.72	$447.72 – $447.72	38	1
Grenada, MS	$10.38	$10.38 – $10.38	38	1
Vero Beach, FL	$36.22	$36.22 – $36.22	39	1
Blue Ash, OH	$33.06	$15.98 – $42.62	39	2
Dekalb, IL	$18.92	$18.92 – $18.92	39	1
Avon, IN	$42.30	$42.30 – $42.30	39	1
Carlsbad, CA	$136.43	$136.43 – $136.43	39	1
Allen Park, MI	$102.19	$102.19 – $102.19	39	1
Joplin, MO	$26.86	$26.38 – $27.65	40	2
Grand Junction, CO	$24.37	$24.37 – $24.37	40	1
Texarkana, TX	$38.83	$27.69 – $61.96	40	2
Salem, MA	$82.98	$25.16 – $143.30	40	3
Clearlake, CA	$75.80	$75.80 – $75.80	40	1
Wytheville, VA	$695.12	$695.12 – $695.12	40	1
Coconut Creek, FL	$19.77	$19.77 – $19.77	40	1
Norwalk, OH	$354.83	$354.83 – $354.83	40	1
Wareham, MA	$51.31	$29.10 – $89.82	41	2
Richmond, IN	$116.17	$19.47 – $302.72	41	3
Hannibal, MO	$37.15	$37.15 – $37.15	41	1
Calhoun, GA	$18.21	$12.78 – $31.33	41	2
West Orange, NJ	$35.76	$25.05 – $40.19	41	2
Leesburg, FL	$43.29	$43.29 – $43.29	41	1
Gardner, MA	$570.01	$570.01 – $570.01	41	1
Ladson, SC	$47.77	$33.13 – $73.80	41	3
Caribou, ME	$64.30	$64.30 – $64.30	42	1
Tyler, TX	$231.11	$231.11 – $231.11	42	1
Decatur, IL	$22.49	$20.88 – $25.70	42	2
Gloucester, VA	$542.27	$542.27 – $542.27	42	1
Vista, CA	$25.58	$0.00 – $35.82	42	2
Beverly, MA	$343.63	$343.63 – $343.63	42	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.