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 |
|---|---|---|---|---|
| Pine Bluff, AR | $97.83 | $29.05 – $122.33 | 188 | 3 |
| Twin Falls, ID | $145.78 | $145.78 – $145.78 | 187 | 1 |
| Kings Mountain, NC | $226.97 | $226.97 – $226.97 | 187 | 1 |
| Cherry Hill, NJ | $282.06 | $21.28 – $468.99 | 186 | 3 |
| Castro Valley, CA | $156.82 | $135.18 – $310.19 | 186 | 2 |
| Powell, TN | $28.09 | $19.37 – $54.81 | 186 | 6 |
| Murrieta, CA | $34.25 | $17.40 – $277.18 | 185 | 2 |
| Trumbull, CT | $107.57 | $69.86 – $142.44 | 185 | 4 |
| The Villages, FL | $51.56 | $51.56 – $51.56 | 185 | 1 |
| Bayside, NY | $116.21 | $102.25 – $131.80 | 183 | 3 |
| Gresham, OR | $37.71 | $37.71 – $37.71 | 182 | 1 |
| Mattoon, IL | $32.40 | $24.08 – $85.19 | 180 | 5 |
| Ogden, UT | $336.86 | $336.86 – $336.86 | 180 | 1 |
| Lincoln, NE | $313.50 | $27.43 – $513.47 | 179 | 5 |
| Lanham, MD | $104.03 | $1.15 – $396.42 | 179 | 5 |
| Annandale, VA | $55.98 | $55.98 – $55.98 | 179 | 1 |
| Seneca, SC | $149.62 | $25.24 – $169.95 | 178 | 2 |
| Lake Success, NY | $350.38 | $350.38 – $350.38 | 177 | 1 |
| Johnstown, PA | $59.20 | $53.91 – $60.02 | 177 | 2 |
| Winter Haven, FL | $174.08 | $174.08 – $174.08 | 176 | 1 |
| Tuscaloosa, AL | $31.23 | $19.19 – $60.28 | 176 | 3 |
| Scranton, PA | $149.41 | $119.80 – $200.22 | 175 | 4 |
| Lakewood, WA | $387.00 | $387.00 – $387.00 | 174 | 1 |
| Terrytown, LA | $194.65 | $194.65 – $194.65 | 174 | 1 |
| Mayfield, KY | $252.78 | $252.78 – $252.78 | 173 | 1 |
| Sylmar, CA | $16.90 | $16.90 – $16.90 | 173 | 1 |
| Spencer, WV | $584.97 | $48.40 – $768.92 | 172 | 3 |
| Morganton, NC | $20.06 | $18.33 – $20.61 | 171 | 2 |
| Leitchfield, KY | $186.37 | $176.87 – $195.87 | 170 | 2 |
| Waldorf, MD | $326.09 | $326.09 – $326.09 | 169 | 1 |
| Kansas City, KS | $28.75 | $11.37 – $123.31 | 167 | 7 |
| Lancaster, SC | $102.37 | $94.04 – $139.64 | 167 | 3 |
| Mobile, AL | $37.88 | $37.88 – $37.88 | 166 | 1 |
| Westerville, OH | $454.26 | $454.26 – $454.26 | 166 | 1 |
| Sierra Vista, AZ | $311.88 | $44.27 – $947.38 | 166 | 3 |
| Waterville, ME | $308.85 | $308.85 – $308.85 | 165 | 1 |
| Wildomar, CA | $48.88 | $48.88 – $48.88 | 164 | 1 |
| Sumter, SC | $152.68 | $91.47 – $195.40 | 163 | 2 |
| Stony Brook, NY | $197.30 | $49.08 – $639.45 | 161 | 4 |
| Middletown, NY | $375.34 | $56.69 – $833.85 | 161 | 4 |
| Wallingford, CT | $123.85 | $100.54 – $138.39 | 161 | 4 |
| Noblesville, IN | $27.38 | $27.38 – $27.38 | 161 | 1 |
| Denville, NJ | $365.63 | $365.63 – $365.63 | 159 | 1 |
| Montebello, CA | $27.44 | $9.36 – $49.08 | 159 | 3 |
| Onancock, VA | $444.99 | $444.99 – $444.99 | 159 | 1 |
| Cumberland, MD | $31.95 | $1.47 – $35.15 | 158 | 2 |
| Pomona, CA | $70.44 | $4.18 – $188.65 | 156 | 3 |
| Humble, TX | $283.78 | $283.78 – $283.78 | 155 | 1 |
| Oak Ridge, TN | $69.06 | $43.28 – $115.10 | 154 | 4 |
| Duluth, MN | $149.13 | $44.65 – $163.06 | 153 | 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.