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 |
|---|---|---|---|---|
| South Hill, VA | $813.28 | $813.28 – $813.28 | 288 | 1 |
| Ewa Beach, HI | $29.26 | $28.39 – $30.72 | 288 | 2 |
| Cooperstown, NY | $694.43 | $694.43 – $694.43 | 287 | 1 |
| Georgetown, KY | $259.06 | $44.85 – $376.01 | 286 | 2 |
| Kent, OH | $39.34 | $36.06 – $46.37 | 285 | 4 |
| Alma, MI | $120.76 | $101.56 – $489.74 | 283 | 2 |
| Newport Beach, CA | $199.84 | $16.05 – $244.85 | 282 | 3 |
| Roselle, NJ | $33.58 | $33.58 – $33.58 | 279 | 1 |
| Syracuse, NY | $486.15 | $38.08 – $548.87 | 278 | 5 |
| Wilson, NC | $21.49 | $16.55 – $22.45 | 278 | 2 |
| Eau Claire, WI | $84.94 | $22.70 – $94.26 | 278 | 4 |
| Columbia, MO | $94.62 | $28.00 – $102.17 | 275 | 2 |
| Englewood, CO | $33.49 | $29.16 – $43.93 | 275 | 5 |
| Camden, SC | $150.19 | $112.14 – $277.68 | 272 | 3 |
| Newburgh, IN | $32.43 | $29.96 – $34.06 | 271 | 2 |
| Myrlte Beach, SC | $319.73 | $319.73 – $319.73 | 271 | 1 |
| Brandon, FL | $117.65 | $93.34 – $134.63 | 269 | 3 |
| Burbank, CA | $39.74 | $37.97 – $74.66 | 269 | 2 |
| Pocatello, ID | $67.13 | $47.98 – $114.02 | 269 | 2 |
| Sebring, FL | $36.63 | $0.00 – $38.65 | 268 | 2 |
| Rosemead, CA | $198.33 | $198.33 – $198.33 | 268 | 1 |
| Luling, LA | $146.65 | $120.68 – $148.29 | 268 | 2 |
| Centralia, WA | $396.25 | $396.25 – $396.25 | 263 | 1 |
| Grosse Pointe, MI | $298.02 | $298.02 – $298.02 | 263 | 1 |
| Midlothian, VA | $162.33 | $162.33 – $162.33 | 262 | 1 |
| Ashtabula, OH | $380.77 | $380.77 – $380.77 | 262 | 1 |
| Amarillo, TX | $23.00 | $2.90 – $91.63 | 261 | 7 |
| Port Saint Lucie, FL | $227.52 | $227.52 – $227.52 | 261 | 1 |
| Hawthorne, NY | $80.12 | $35.30 – $94.15 | 260 | 2 |
| Fort Lauderdale, FL | $19.38 | $19.38 – $19.38 | 260 | 1 |
| Harbor City, CA | $1,066 | $117.07 – $1,281 | 260 | 2 |
| Gastonia, NC | $38.58 | $24.80 – $50.07 | 260 | 5 |
| Dartmouth, MA | $85.84 | $56.10 – $87.79 | 259 | 2 |
| Naples, FL | $19.77 | $8.71 – $20.40 | 258 | 2 |
| Leominster, MA | $28.28 | $23.87 – $30.68 | 258 | 2 |
| Douglas, GA | $36.00 | $36.00 – $36.00 | 258 | 1 |
| Harrisburg, IL | $31.60 | $31.60 – $31.60 | 257 | 1 |
| Redwood City, CA | $195.98 | $195.98 – $195.98 | 255 | 1 |
| Alpena, MI | $269.43 | $39.70 – $403.47 | 255 | 3 |
| Norwalk, CT | $211.37 | $21.57 – $414.04 | 253 | 3 |
| Warner Robins, GA | $50.46 | $50.46 – $50.46 | 253 | 1 |
| Methuen, MA | $52.40 | $20.22 – $144.09 | 252 | 3 |
| Williamsville, NY | $34.92 | $20.62 – $40.65 | 250 | 4 |
| Saint Cloud, MN | $42.91 | $42.91 – $42.91 | 244 | 1 |
| Big Stone Gap, VA | $462.49 | $462.49 – $462.49 | 244 | 1 |
| Tiffin, OH | $203.07 | $48.37 – $253.79 | 243 | 2 |
| Pampa, TX | $75.34 | $75.34 – $75.34 | 239 | 1 |
| Muskogee, OK | $89.07 | $57.09 – $90.77 | 237 | 2 |
| Bartlett, TN | $43.13 | $41.44 – $59.31 | 232 | 2 |
| Beaufort, SC | $238.51 | $238.51 – $238.51 | 231 | 1 |
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.