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 |
|---|---|---|---|---|
| Middleburg, FL | $29.65 | $21.87 – $46.99 | 42 | 2 |
| Port Arthur, TX | $348.03 | $348.03 – $348.03 | 42 | 1 |
| New Bern, NC | $92.73 | $23.98 – $125.92 | 43 | 2 |
| Washington, PA | $54.73 | $49.22 – $57.46 | 43 | 3 |
| Richardson, TX | $4.58 | $4.58 – $4.58 | 43 | 1 |
| Leesburg, VA | $858.34 | $858.34 – $858.34 | 43 | 1 |
| Americus, GA | $360.59 | $360.59 – $360.59 | 43 | 1 |
| Belfast, ME | $77.46 | $77.46 – $77.46 | 43 | 1 |
| Webster, MA | $294.85 | $294.85 – $294.85 | 43 | 1 |
| Athens, AL | $13.73 | $13.73 – $13.73 | 43 | 1 |
| Greenville, MI | $441.17 | $441.17 – $441.17 | 43 | 1 |
| Fort Liberty, NC | $6.74 | $6.74 – $6.74 | 44 | 1 |
| Pryor, OK | $39.11 | $39.11 – $39.11 | 44 | 1 |
| Lincolnton, NC | $24.71 | $22.81 – $25.51 | 44 | 2 |
| Bedford Hills, NY | $50.70 | $50.70 – $50.70 | 44 | 1 |
| Ocoee, FL | $39.61 | $27.30 – $45.77 | 45 | 2 |
| Bayamon, PR | $337.00 | $337.00 – $337.00 | 45 | 1 |
| Fishers, IN | $70.95 | $70.95 – $70.95 | 45 | 1 |
| San Marcos, CA | $503.93 | $318.33 – $587.74 | 45 | 2 |
| Bolivia, NC | $18.19 | $18.19 – $18.19 | 45 | 1 |
| Walnut Creek, CA | $319.61 | $27.22 – $475.55 | 46 | 2 |
| Huntington, NY | $38.57 | $38.57 – $38.57 | 46 | 1 |
| Hobart, IN | $21.35 | $21.35 – $21.35 | 46 | 1 |
| South Bend, IN | $87.55 | $41.42 – $107.12 | 47 | 2 |
| Freehold, NJ | $139.95 | $18.98 – $492.79 | 47 | 2 |
| West Hills, CA | $30.40 | $28.29 – $36.55 | 47 | 2 |
| Schaumburg, IL | $17.33 | $17.33 – $17.33 | 47 | 1 |
| Draper, UT | $126.45 | $126.45 – $126.45 | 48 | 1 |
| Warrensville Heights, OH | $604.80 | $604.80 – $604.80 | 48 | 1 |
| Fort Pierce, FL | $9.62 | $2.14 – $15.94 | 48 | 2 |
| Weeki Wachee, FL | $39.14 | $39.14 – $39.14 | 48 | 1 |
| Palos Park, IL | $24.13 | $19.08 – $35.25 | 48 | 2 |
| Fairview Park, OH | $88.72 | $88.72 – $88.72 | 48 | 1 |
| Chapel Hill, NC | $46.73 | $46.73 – $46.73 | 49 | 1 |
| Muscle Shoals, AL | $101.63 | $101.63 – $101.63 | 49 | 1 |
| Minneapolis, MN | $204.52 | $33.67 – $311.37 | 50 | 3 |
| Providence, RI | $125.54 | $125.54 – $125.54 | 50 | 1 |
| Pleasantville, NJ | $10.20 | $10.20 – $10.20 | 50 | 1 |
| Forrest City, AR | $33.29 | $33.29 – $33.29 | 50 | 1 |
| Jersey Shore, PA | $44.33 | $44.33 – $44.33 | 50 | 1 |
| Galloway, NJ | $117.31 | $50.33 – $291.52 | 51 | 3 |
| Tarzana, CA | $203.20 | $22.49 – $389.86 | 51 | 3 |
| Ridgewood, NY | $282.24 | $282.24 – $282.24 | 51 | 1 |
| Grayling, MI | $300.93 | $300.93 – $300.93 | 51 | 1 |
| Palestine, TX | $24.02 | $24.02 – $24.02 | 52 | 1 |
| Beaumont, TX | $25.44 | $25.44 – $25.44 | 52 | 1 |
| State College, PA | $26.73 | $26.73 – $26.73 | 52 | 1 |
| Wisconsin Rapids, WI | $123.37 | $123.37 – $123.37 | 52 | 1 |
| San Luis Obispo, CA | $362.34 | $362.34 – $362.34 | 53 | 1 |
| Dyer, IN | $26.88 | $26.88 – $26.88 | 53 | 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.