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
Monterey Park, CA	$50.42	$7.75 – $70.66	522	5
Burlington, MA	$138.77	$21.64 – $680.65	520	6
Oakland Gardens, NY	$71.62	$71.62 – $71.62	516	1
Beverly Hills, CA	$53.96	$51.02 – $85.09	511	2
Monroe, NC	$35.16	$21.37 – $38.52	511	2
Lafayette, IN	$56.34	$25.63 – $88.51	510	7
Roanoke Rapids, NC	$34.67	$34.67 – $34.67	510	1
Birmingham, AL	$72.59	$9.95 – $79.84	499	3
Jamaica, NY	$224.32	$40.79 – $368.64	497	3
Martinez, CA	$37.76	$37.76 – $37.76	493	1
Oceanside, CA	$224.19	$34.25 – $245.87	492	3
Selma, CA	$30.58	$10.63 – $37.88	489	2
Daly City, CA	$29.51	$14.53 – $33.96	489	2
Raceland, LA	$116.44	$116.44 – $116.44	488	1
Hollywood, FL	$211.58	$211.58 – $211.58	487	1
Saint Augustine, FL	$148.57	$148.57 – $148.57	487	1
Vineland, NJ	$181.80	$80.34 – $242.91	486	5
West Allis, WI	$157.55	$157.55 – $157.55	485	1
Woodbridge, NJ	$19.36	$19.36 – $19.36	485	1
Calverton, MD	$32.36	$32.36 – $32.36	483	1
Neptune, NJ	$210.35	$164.57 – $218.65	476	2
Zephyrhills, FL	$139.79	$0.00 – $206.40	476	7
West Des Moines, IA	$78.31	$53.78 – $104.03	473	4
Mcallen, TX	$32.33	$0.00 – $41.22	472	6
Coeur D Alene, ID	$180.98	$180.98 – $180.98	471	1
Santa Maria, CA	$168.40	$12.87 – $187.89	467	2
Waukegan, IL	$31.31	$31.31 – $31.31	466	1
Kalispell, MT	$1.77	$1.77 – $1.77	464	1
Dalton, GA	$18.31	$14.28 – $27.61	464	5
Middlesboro, KY	$76.59	$76.59 – $76.59	464	1
Missoula, MT	$7.90	$0.91 – $36.88	463	2
Gadsden, AL	$126.88	$122.57 – $130.19	463	2
Evanston, IL	$28.92	$25.67 – $31.83	462	3
Watsonville, CA	$240.46	$179.19 – $305.63	460	3
Battle Creek, MI	$346.11	$346.11 – $346.11	460	1
Rahway, NJ	$198.79	$198.79 – $198.79	459	1
Scarborough, ME	$430.70	$430.70 – $430.70	457	1
Summersville, WV	$402.04	$32.46 – $492.89	457	3
Alice, TX	$8.34	$8.34 – $8.34	451	1
Sterling Heights, MI	$161.66	$86.56 – $170.64	451	3
Anderson, IN	$49.97	$32.92 – $78.99	449	4
Mt Sterling, KY	$571.21	$571.21 – $571.21	446	1
Shelby Township, MI	$133.65	$80.09 – $147.19	446	2
Wayne, MI	$252.94	$229.21 – $253.65	445	2
Mount Vernon, IL	$32.35	$31.26 – $38.03	444	3
Burien, WA	$270.69	$25.62 – $288.49	443	2
Hoboken, NJ	$145.68	$35.94 – $151.97	443	2
Stratford, NJ	$302.75	$302.75 – $302.75	442	1
West Plains, MO	$118.73	$98.25 – $139.35	439	3
Fairmont, WV	$471.89	$31.98 – $805.33	439	3

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.