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
Aurora, IL	$31.97	$29.60 – $36.68	230	3
Dublin, OH	$81.89	$39.38 – $168.21	229	4
Paris, KY	$167.86	$31.96 – $184.51	229	2
Fairlawn, NJ	$22.26	$22.26 – $22.26	229	1
Manteca, CA	$385.25	$90.26 – $939.37	226	3
Knoxville, TN	$75.91	$24.66 – $182.55	225	8
Edina, MN	$39.41	$27.35 – $77.70	225	6
Clinton, IA	$46.98	$37.90 – $67.74	224	3
Bremerton, WA	$49.90	$49.17 – $62.69	224	2
Henderson, NV	$329.04	$63.98 – $486.81	223	5
Baytown, TX	$241.43	$241.43 – $241.43	223	1
Apache Junction, AZ	$206.69	$206.69 – $206.69	223	1
Plano, TX	$128.63	$18.20 – $134.97	221	2
Gretna, LA	$46.51	$44.40 – $49.61	220	4
Atlantis, FL	$123.55	$123.55 – $123.55	219	1
Newton, MA	$98.65	$19.04 – $103.70	218	2
Burlingame, CA	$196.61	$169.61 – $283.98	216	2
Surprise, AZ	$215.06	$215.06 – $215.06	215	1
Haverhill, MA	$71.70	$67.12 – $108.52	214	3
Greeley, CO	$57.60	$40.16 – $64.45	213	2
Billings, MT	$0.00	$0.00 – $0.00	213	2
Hamilton, NJ	$71.09	$60.70 – $137.96	213	3
Arlington, VA	$174.74	$95.58 – $485.84	212	2
Lynwood, CA	$57.26	$52.80 – $131.71	212	2
Fort Myers, FL	$44.85	$15.25 – $55.63	211	3
Nampa, ID	$112.99	$10.71 – $151.60	209	3
Mullica Hill, NJ	$231.82	$231.82 – $231.82	207	1
Homestead, FL	$172.55	$145.97 – $235.32	205	2
Lenoir City, TN	$23.44	$13.62 – $25.34	204	2
Pembroke Pines, FL	$117.53	$88.79 – $210.33	203	2
Northampton, MA	$88.02	$88.02 – $88.02	203	1
Mount Vernon, OH	$307.85	$29.35 – $325.44	202	2
Somerville, NJ	$205.03	$205.03 – $205.03	202	1
West Columbia, SC	$114.02	$29.20 – $215.60	201	4
Potsdam, NY	$168.70	$135.43 – $171.60	200	2
West Paterson, NJ	$49.39	$49.39 – $49.39	200	1
Bluffton, IN	$59.16	$59.16 – $59.16	200	1
Tullahoma, TN	$52.76	$52.76 – $52.76	199	1
Lakewood, CO	$66.12	$19.89 – $253.96	199	5
Queens Village, NY	$226.61	$143.20 – $329.71	199	2
Pittsburgh, PA	$51.69	$30.50 – $175.15	198	9
Metairie, LA	$61.53	$43.33 – $96.23	198	3
Lovington, NM	$675.88	$675.88 – $675.88	198	1
Fort Thomas, KY	$516.17	$516.17 – $516.17	197	1
Bradenton, FL	$422.50	$415.33 – $467.34	196	2
So Charleston, WV	$164.75	$164.75 – $164.75	195	1
North Las Vegas, NV	$47.88	$34.99 – $159.39	193	2
Frankfort, KY	$271.51	$42.57 – $315.33	193	2
Skokie, IL	$18.18	$15.70 – $20.96	191	2
Guilford, CT	$33.31	$33.31 – $33.31	189	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.