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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
West Chester, OH $363.22 $31.70 – $392.56 369 2
Russellville, AR $30.01 $28.43 – $31.88 367 2
El Paso, TX $141.45 $6.32 – $243.12 366 4
North Dartmouth, MA $29.73 $22.82 – $34.76 364 3
Aliso Viejo, CA $10.82 $10.82 – $10.82 355 1
Hagerstown, MD $52.77 $0.00 – $225.02 354 3
Hermitage, TN $26.91 $19.23 – $95.08 354 3
Poplar Bluff, MO $74.33 $44.62 – $84.01 354 2
Sun City, CA $246.16 $246.16 – $246.16 349 1
Oroville, CA $251.68 $251.68 – $251.68 345 1
Reno, NV $293.98 $33.12 – $343.13 343 4
Portsmouth, VA $444.05 $109.39 – $479.91 341 2
Point Pleasant, WV $38.61 $38.61 – $38.61 341 1
Rock Hill, SC $95.77 $37.50 – $147.85 340 5
Springfield, MO $70.62 $27.90 – $315.73 340 10
Mount Pleasant, MI $38.97 $38.97 – $38.97 339 1
Napa, CA $123.89 $44.81 – $137.72 338 3
Venice, FL $295.76 $295.76 – $295.76 338 1
Red Bluff, CA $210.57 $21.50 – $217.55 337 2
Richmond, KY $239.84 $48.62 – $327.56 336 3
Caldwell, WV $174.65 $174.65 – $174.65 336 1
Hilo, HI $594.68 $41.10 – $639.61 333 2
Puyallup, WA $420.47 $420.47 – $420.47 333 1
Atlanta, GA $15.73 $13.81 – $51.13 331 2
Fallon, NV $56.53 $56.53 – $56.53 331 1
Manhasset, NY $50.84 $25.52 – $309.83 331 3
Aiea, HI $429.93 $429.93 – $429.93 327 1
Woonsocket, RI $190.02 $101.83 – $211.85 326 3
Des Moines, IA $317.98 $49.95 – $854.77 325 5
Kissimmee, FL $329.80 $18.71 – $553.55 320 4
Dover, OH $286.89 $286.89 – $286.89 319 1
Sugar Land, TX $43.97 $43.97 – $43.97 317 1
Dothan, AL $87.30 $45.79 – $117.86 316 4
Bluefield, VA $125.79 $125.79 – $125.79 316 1
Tallahassee, FL $28.53 $12.63 – $34.12 315 7
Carson City, NV $289.55 $19.94 – $333.75 315 4
Aberdeen, WA $340.71 $340.71 – $340.71 315 1
Wenatchee, WA $297.29 $182.90 – $308.49 314 2
Hamilton, OH $395.25 $395.25 – $395.25 314 1
West Islip, NY $58.58 $58.58 – $58.58 310 1
Paris, TX $213.56 $213.56 – $213.56 309 1
South Weymouth, MA $511.97 $34.19 – $554.07 305 3
Rocky Mount, NC $45.47 $32.52 – $66.58 303 4
Jacksonville, FL $54.50 $16.71 – $208.09 298 9
Putnam, CT $287.60 $287.60 – $287.60 297 1
Gallup, NM $539.39 $119.29 – $578.29 295 2
Brunswick, ME $333.74 $333.74 – $333.74 295 1
Bogalusa, LA $189.84 $48.78 – $208.28 294 2
Brookhaven, MS $334.44 $334.44 – $334.44 292 1
Rice Lake, WI $104.49 $34.14 – $112.88 291 2

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.