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
Edmonds, WA	$282.86	$14.94 – $286.93	802	2
Wayne, NJ	$35.85	$35.85 – $35.85	802	1
Madisonville, KY	$839.87	$45.95 – $851.94	801	2
Clarksville, TN	$43.74	$39.91 – $59.49	793	3
Murfreesboro, TN	$58.78	$15.50 – $86.10	793	8
Yuba City, CA	$58.49	$0.00 – $81.29	793	5
Radford, VA	$159.53	$159.53 – $159.53	790	1
Longview, WA	$133.49	$23.23 – $280.28	788	2
Tamuning, GU	$310.06	$308.42 – $332.37	787	2
Gallipolis, OH	$407.09	$44.48 – $738.22	784	3
Allentown, PA	$45.88	$44.09 – $46.51	783	2
Laguna Hills, CA	$24.82	$24.82 – $24.82	777	1
Elkin, NC	$53.37	$53.37 – $53.37	777	1
Thibodaux, LA	$141.21	$101.49 – $160.31	774	4
Decatur, GA	$137.21	$137.21 – $137.21	773	1
Lewes, DE	$119.52	$108.30 – $199.08	769	2
Raleigh, NC	$143.90	$22.39 – $576.73	764	5
Ponce, PR	$120.11	$120.11 – $120.11	761	1
Federal Way, WA	$306.14	$46.43 – $330.53	757	2
Hershey, PA	$79.45	$39.26 – $95.63	756	3
Wyandotte, MI	$138.47	$45.14 – $509.42	755	4
Newark, OH	$302.69	$37.83 – $423.92	751	3
Kokomo, IN	$218.96	$29.09 – $267.29	751	3
Maywood, IL	$32.92	$11.99 – $61.01	748	4
Clovis, NM	$177.03	$172.62 – $447.13	748	2
South Richmond Hill, NY	$98.38	$88.22 – $404.61	748	2
Santa Ana, CA	$188.33	$23.06 – $321.69	747	7
Pahrump, NV	$116.33	$116.33 – $116.33	747	1
Park Ridge, IL	$43.65	$27.25 – $77.93	746	6
Florence, KY	$213.30	$33.62 – $424.51	746	4
Portland, ME	$231.89	$51.39 – $277.39	745	3
Klamath Falls, OR	$55.16	$53.94 – $55.21	741	2
Santa Rosa, CA	$171.47	$32.14 – $464.78	740	7
Cleveland, MS	$66.25	$11.43 – $105.25	736	2
Waterford, MI	$179.38	$179.38 – $179.38	732	1
Mount Vernon, WA	$305.31	$305.31 – $305.31	731	1
Marquette, MI	$123.37	$42.81 – $449.51	727	2
Oak Park, IL	$30.64	$29.66 – $31.03	710	2
Lorain, OH	$308.81	$305.18 – $309.28	710	2
San Francisco, CA	$445.76	$0.00 – $2,479	709	8
Pittsfield, ME	$71.10	$71.10 – $71.10	709	1
Hollywood, CA	$126.91	$126.91 – $126.91	708	1
Elkins, WV	$333.62	$333.62 – $333.62	706	1
Great Falls, MT	$1.71	$1.02 – $38.21	702	2
Weston, WV	$149.53	$50.58 – $319.30	702	3
Michigan City, IN	$34.55	$28.65 – $56.63	697	3
Norton, VA	$189.83	$4.32 – $464.08	697	4
Pontiac, MI	$210.62	$23.86 – $214.73	696	2
Westminster, CA	$34.20	$7.22 – $95.04	693	3
San Antonio, TX	$107.77	$25.63 – $172.02	692	7

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.