Skip to content
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
New York, NY $235.10 $0.00 – $751.86 56,129 66
Brooklyn, NY $192.83 $0.00 – $578.44 32,099 61
Louisville, KY $315.19 $21.24 – $500.13 31,470 42
Corbin, KY $282.18 $31.49 – $317.27 27,781 5
Milwaukee, WI $130.26 $22.49 – $168.82 22,987 33
Los Angeles, CA $269.77 $0.00 – $1,387 21,940 60
Phoenix, AZ $343.67 $39.08 – $1,686 21,016 56
Detroit, MI $173.77 $42.05 – $540.45 20,717 12
Fresno, CA $16.54 $0.00 – $1,671 18,525 32
Dearborn, MI $150.20 $44.17 – $349.50 18,434 8
Sacramento, CA $137.94 $0.00 – $728.50 18,156 29
Flushing, NY $239.53 $32.68 – $496.13 17,932 10
Cleveland, OH $141.91 $1.48 – $486.39 17,681 33
Bronx, NY $171.35 $28.65 – $620.49 17,480 25
Chula Vista, CA $387.49 $40.32 – $486.60 16,674 10
Modesto, CA $226.62 $42.99 – $579.91 16,167 20
Las Vegas, NV $161.97 $16.48 – $917.24 15,709 62
Ashland, KY $282.57 $33.07 – $404.78 15,266 10
Memphis, TN $55.59 $10.97 – $222.30 14,691 23
Kew Gardens, NY $235.56 $80.65 – $379.12 13,209 4
Englewood, NJ $211.59 $211.59 – $211.59 13,143 1
Edison, NJ $561.11 $17.40 – $684.96 12,602 8
National City, CA $246.61 $173.19 – $428.82 12,522 6
Jackson, TN $82.64 $26.57 – $96.73 12,000 13
Grand Rapids, MI $102.12 $28.44 – $401.41 11,518 9
Tucson, AZ $517.66 $27.45 – $1,140 11,219 27
Lancaster, CA $82.75 $25.09 – $358.11 11,099 8
Boston, MA $198.80 $17.45 – $607.55 11,055 37
Flint, MI $159.91 $37.51 – $230.10 10,907 14
Chicago, IL $69.05 $0.80 – $371.20 10,663 61
San Jose, CA $34.36 $1.38 – $98.44 10,190 15
London, KY $179.51 $14.09 – $216.05 10,022 8
Glasgow, KY $223.55 $32.78 – $252.85 9,796 5
Kalamazoo, MI $172.69 $43.81 – $503.89 9,469 4
Jersey City, NJ $203.07 $15.16 – $369.35 9,265 10
Charleston, WV $145.45 $29.57 – $206.79 9,204 12
Elizabeth, NJ $146.06 $32.05 – $279.41 9,169 5
Lexington, KY $380.32 $21.14 – $684.91 9,129 17
Bridgeport, CT $486.74 $23.15 – $614.42 9,019 8
Dayton, OH $138.72 $36.97 – $491.13 8,985 13
Somerset, KY $73.32 $21.56 – $244.64 8,945 6
Royal Oak, MI $172.25 $15.55 – $473.73 8,778 4
Turlock, CA $267.88 $42.33 – $312.77 8,457 11
Hartford, CT $278.85 $22.36 – $543.97 8,414 15
Glendale, CA $66.61 $3.26 – $311.45 8,367 15
Waterbury, CT $547.07 $13.84 – $657.05 8,302 12
Bakersfield, CA $207.04 $35.24 – $508.90 8,097 23
Germantown, TN $23.65 $1.60 – $78.48 8,081 16
Manchester, CT $225.15 $159.33 – $474.03 7,886 4
Toledo, OH $227.86 $31.49 – $460.60 7,806 18

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.