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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
Ruleville, MS $421.59 $421.59 – $421.59 64 1
Medina, OH $244.89 $244.89 – $244.89 65 1
Evergreen Park, IL $25.72 $24.07 – $26.86 66 2
Crown Point, IN $23.46 $23.46 – $23.46 66 1
Lewiston, NY $141.20 $52.21 – $160.98 66 2
Mcalester, OK $261.10 $261.10 – $261.10 66 1
Dover, NH $488.66 $488.66 – $488.66 66 1
Garden City, KS $87.53 $55.38 – $105.89 66 2
Fairhaven, MA $38.22 $34.24 – $40.81 66 2
Burlington, NC $65.71 $65.71 – $65.71 67 1
Carlsbad, NM $179.59 $48.75 – $385.91 67 2
Margate, FL $46.01 $46.01 – $46.01 67 1
Cottonwood, AZ $777.00 $777.00 – $777.00 67 1
Shawnee, OK $120.77 $120.77 – $120.77 67 1
Hazleton, PA $50.00 $50.00 – $50.00 67 1
Williamsburg, VA $99.51 $8.88 – $388.36 67 2
Hillsboro, OH $502.70 $502.70 – $502.70 67 1
Clyde, NC $36.88 $29.65 – $39.89 68 2
Brookfield, WI $48.43 $48.43 – $48.43 68 1
Phila, PA $337.43 $277.70 – $351.55 68 2
Huntingdon Valley, PA $32.34 $27.90 – $33.27 69 2
Farmville, VA $422.84 $27.48 – $514.62 69 2
Concord, CA $301.50 $301.50 – $301.50 69 1
Corpus Christi, TX $202.01 $202.01 – $202.01 70 1
Ellsworth, ME $548.24 $548.24 – $548.24 70 1
Petersburg, VA $593.32 $514.49 – $882.39 70 2
Lawton, OK $49.02 $49.02 – $49.02 70 1
Wooster, OH $103.16 $31.09 – $220.60 71 2
La Follette, TN $15.18 $15.18 – $15.18 71 1
High Point, NC $93.27 $93.27 – $93.27 71 1
Jasper, IN $29.54 $25.99 – $35.34 72 3
Cambridge, OH $71.29 $38.11 – $216.60 72 3
Georgetown, SC $76.19 $76.19 – $76.19 72 1
Gonzales, LA $165.68 $165.68 – $165.68 72 1
Bardstown, KY $671.44 $671.44 – $671.44 72 1
St Cloud, MN $47.05 $47.05 – $47.05 72 1
Springfield, OR $25.31 $23.51 – $27.75 73 2
Bloomfield, CT $67.10 $66.33 – $70.64 73 2
Mount Vernon, KY $450.45 $450.45 – $450.45 73 1
Fort Collins, CO $28.36 $18.98 – $44.77 75 5
Eden Prairie, MN $40.54 $30.97 – $59.82 75 4
Eugene, OR $35.62 $35.62 – $35.62 75 1
Greensboro, NC $59.54 $16.48 – $81.23 75 3
St Francis, WI $48.83 $38.38 – $81.92 75 2
Hot Springs National Park, AR $112.94 $112.94 – $112.94 75 1
Panville, KY $37.28 $37.28 – $37.28 75 1
Norman, OK $137.34 $132.45 – $139.74 76 2
La Jolla, CA $48.01 $48.01 – $48.01 76 1
Topeka, KS $19.73 $18.49 – $20.47 77 2
Clinton, MD $294.10 $294.10 – $294.10 77 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.