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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
Harlan, KY $138.40 $44.76 – $185.70 438 2
Pleasant Prairie, WI $128.01 $33.87 – $132.30 436 2
Martinsville, VA $258.91 $50.04 – $602.52 436 3
Burgettstown, PA $36.10 $33.89 – $51.36 436 2
Taylor, MI $283.41 $283.41 – $283.41 434 1
Pickerington, OH $28.81 $27.60 – $28.97 433 2
Smithtown, NY $319.01 $0.00 – $377.51 433 4
Hartsville, SC $185.41 $27.28 – $197.64 432 2
Greenwood, IN $58.15 $58.15 – $58.15 430 1
Myrtle Beach, SC $30.11 $12.99 – $33.70 427 2
Campbellsville, KY $193.79 $193.79 – $193.79 427 1
Ravenna, OH $196.27 $34.67 – $323.46 425 3
Spring Valley, NY $312.11 $312.11 – $312.11 425 1
North Haven, CT $33.96 $33.96 – $33.96 425 1
Fullerton, CA $159.26 $32.34 – $176.23 424 2
Westbury, NY $141.05 $141.05 – $141.05 424 1
Clark, NJ $27.50 $26.97 – $31.38 421 3
Mooresville, NC $36.59 $28.41 – $38.51 420 2
Port Angeles, WA $356.75 $24.29 – $454.53 418 2
Long Branch, NJ $424.61 $424.61 – $424.61 418 1
Mount Holly, NJ $190.61 $190.61 – $190.61 415 1
Roswell, NM $213.97 $31.77 – $336.41 413 2
Harvey, LA $139.25 $139.25 – $139.25 413 1
Jonesboro, AR $39.14 $34.89 – $47.96 412 6
Jeffersonville, IN $40.48 $25.38 – $239.68 411 5
Santa Barbara, CA $97.25 $37.39 – $164.32 408 4
Trenton, MI $187.26 $179.20 – $191.73 404 2
Concord, NH $232.79 $232.79 – $232.79 403 1
Terre Haute, IN $210.66 $28.31 – $310.93 402 6
Muncie, IN $46.84 $35.55 – $49.88 395 3
La Porte, IN $323.44 $33.44 – $346.26 395 3
Lake Havasu City, AZ $334.08 $96.50 – $671.39 392 2
El Monte, CA $227.14 $0.00 – $235.58 391 2
Iowa City, IA $33.87 $23.28 – $34.99 386 2
Monrovia, CA $31.59 $31.59 – $31.59 384 1
Bend, OR $136.82 $28.09 – $215.90 383 5
Colorado Springs, CO $193.24 $21.18 – $416.10 382 8
Dexter, MO $34.89 $34.89 – $34.89 382 1
Albany, NY $511.19 $75.73 – $525.36 381 2
Naperville, IL $112.27 $28.37 – $125.77 380 3
Loma Linda, CA $255.47 $49.18 – $291.24 379 2
Middletown, OH $46.94 $38.94 – $67.74 378 2
Jenkintown, PA $202.64 $202.64 – $202.64 378 1
Lake Forest, IL $28.69 $26.66 – $34.37 375 2
Goshen, IN $29.30 $29.30 – $29.30 374 1
Waukesha, WI $129.97 $129.97 – $129.97 373 1
Farmington, MO $99.11 $28.60 – $181.53 373 6
Warren, OH $185.45 $35.90 – $483.31 372 4
Alhambra, CA $63.24 $0.00 – $351.70 372 7
Lubbock, TX $109.08 $11.75 – $306.99 371 9

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.