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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
Marinette, WI $184.33 $184.33 – $184.33 53 1
Ann Arbor, MI $26.82 $4.91 – $40.32 53 3
Gig Harbor, WA $132.91 $25.21 – $472.59 54 2
Mineola, NY $320.52 $320.52 – $320.52 54 1
Glen Burnie, MD $95.22 $1.33 – $318.19 54 2
Skowhegan, ME $146.99 $146.99 – $146.99 54 1
Woodland, CA $159.15 $159.15 – $159.15 54 1
Gilbert, AZ $300.05 $149.31 – $367.49 55 2
Omaha, NE $206.72 $206.72 – $206.72 55 1
Bay Shore, NY $51.37 $37.22 – $65.00 55 2
Jamestown, NY $462.05 $462.05 – $462.05 55 1
West Palm Beach, FL $120.90 $120.90 – $120.90 55 1
Odessa, TX $17.85 $4.71 – $56.34 55 2
Lawrence, KS $32.37 $32.37 – $32.37 55 1
Culpeper, VA $1,196 $1,196 – $1,196 55 1
Hoffman Estates, IL $28.57 $28.03 – $28.92 55 3
Lawrenceburg, IN $6.64 $6.64 – $6.64 55 1
Vallejo, CA $272.30 $17.59 – $702.06 56 3
Marion, IN $139.93 $120.40 – $181.18 56 2
Joliet, IL $22.58 $6.92 – $48.66 56 3
Springboro, OH $315.95 $315.95 – $315.95 56 1
Van Wert, OH $374.21 $374.21 – $374.21 56 1
New Port Richey, FL $14.89 $14.89 – $14.89 56 1
Milford, CT $77.08 $77.08 – $77.08 56 1
Orange, NJ $120.77 $120.77 – $120.77 56 1
Athens, OH $324.64 $29.64 – $420.68 57 2
Huntsville, AL $89.87 $89.87 – $89.87 57 1
Burlington, VT $17.08 $16.47 – $17.36 57 2
Tempe, AZ $193.56 $89.73 – $234.68 57 3
Mission Viejo, CA $22.41 $12.27 – $56.74 57 2
Carolina, PR $105.14 $105.14 – $105.14 58 1
New Rochelle, NY $34.64 $34.64 – $34.64 58 1
Sparks, NV $316.49 $316.49 – $316.49 58 1
Willoughby, OH $303.28 $31.52 – $372.67 59 2
Cranberry Twp, PA $99.80 $99.80 – $99.80 59 1
Athens, GA $28.63 $24.44 – $31.93 59 2
Wesley Chapel, FL $150.63 $150.63 – $150.63 60 1
Bridgeton, MO $62.59 $25.89 – $92.61 60 2
Mauston, WI $112.22 $112.22 – $112.22 60 1
Council Bluffs, IA $44.49 $44.49 – $44.49 60 1
Palos Heights, IL $32.72 $26.24 – $34.31 61 2
Maywood, NJ $26.61 $26.61 – $26.61 61 1
Wailuku, HI $347.95 $17.49 – $435.62 62 2
El Dorado, AR $147.03 $147.03 – $147.03 62 1
Elmhurst, IL $21.73 $21.73 – $21.73 63 1
Ridgecrest, CA $187.35 $133.75 – $393.52 63 2
Buckhannon, WV $382.65 $382.65 – $382.65 63 1
Mishawaka, IN $33.70 $28.07 – $35.90 64 2
Vienna, WV $39.26 $39.26 – $39.26 64 1
San Andreas, CA $30.77 $30.77 – $30.77 64 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.