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 β $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 |
|---|---|---|---|---|
| Des Plaines, IL | $21.24 | $21.24 β $21.24 | 153 | 1 |
| Winston Salem, NC | $10.07 | $3.58 β $28.98 | 152 | 3 |
| Wilmington, OH | $165.21 | $38.77 β $309.45 | 152 | 2 |
| Rolla, MO | $121.89 | $54.73 β $198.63 | 152 | 3 |
| Mansfield, OH | $288.75 | $30.04 β $319.19 | 152 | 2 |
| Reseda, CA | $201.33 | $201.33 β $201.33 | 151 | 1 |
| Springdale, AR | $28.31 | $28.31 β $28.31 | 151 | 1 |
| Bartlesville, OK | $22.81 | $22.81 β $22.81 | 151 | 1 |
| Albert Lea, MN | $42.99 | $42.99 β $42.99 | 151 | 1 |
| Taunton, MA | $33.48 | $33.48 β $33.48 | 150 | 1 |
| Livonia, MI | $137.06 | $133.44 β $143.89 | 150 | 2 |
| Paintsville, KY | $316.47 | $281.15 β $592.76 | 150 | 2 |
| Oregon, OH | $362.16 | $362.16 β $362.16 | 149 | 1 |
| Sandusky, OH | $60.74 | $21.99 β $491.55 | 149 | 3 |
| Glenwood Springs, CO | $31.72 | $22.59 β $34.11 | 149 | 2 |
| Fairfax, VA | $391.35 | $33.54 β $484.65 | 148 | 3 |
| Glenn Dale, MD | $176.37 | $176.37 β $176.37 | 148 | 1 |
| Southbury, CT | $29.05 | $28.98 β $29.83 | 148 | 2 |
| Garden City, MI | $204.85 | $204.85 β $204.85 | 148 | 1 |
| Mission Hills, CA | $155.34 | $40.15 β $230.41 | 147 | 2 |
| Saint Cloud, FL | $62.08 | $28.32 β $73.43 | 147 | 2 |
| Johnson City, NY | $72.36 | $35.30 β $76.89 | 147 | 2 |
| Walla Walla, WA | $105.53 | $20.03 β $258.20 | 146 | 3 |
| Fairbanks, AK | $455.76 | $43.76 β $492.93 | 145 | 2 |
| Newburyport, MA | $49.95 | $37.00 β $99.58 | 145 | 2 |
| Russell, KY | $31.02 | $31.02 β $31.02 | 143 | 1 |
| Asheboro, NC | $24.76 | $24.76 β $24.76 | 142 | 1 |
| Dade City, FL | $57.97 | $57.97 β $57.97 | 142 | 1 |
| Prescott Valley, AZ | $221.50 | $198.53 β $235.49 | 140 | 2 |
| Montclair, CA | $135.26 | $135.26 β $135.26 | 138 | 1 |
| Portage, IN | $34.56 | $34.10 β $36.22 | 137 | 2 |
| Beachwood, OH | $170.76 | $30.59 β $339.08 | 137 | 3 |
| Somers Point, NJ | $316.95 | $316.95 β $316.95 | 137 | 1 |
| Laurel, MD | $274.70 | $274.70 β $274.70 | 137 | 1 |
| North Miami Beach, FL | $64.70 | $64.70 β $64.70 | 136 | 1 |
| Clermont, FL | $230.89 | $4.41 β $297.00 | 136 | 3 |
| Centennial, CO | $32.76 | $32.76 β $32.76 | 134 | 1 |
| Yulee, FL | $78.05 | $78.05 β $78.05 | 134 | 1 |
| Boardman, OH | $33.43 | $33.43 β $33.43 | 133 | 1 |
| Bullhead City, AZ | $55.22 | $31.61 β $227.89 | 133 | 2 |
| Niagara Falls, NY | $121.24 | $32.27 β $141.84 | 133 | 2 |
| Sidney, OH | $421.50 | $421.50 β $421.50 | 133 | 1 |
| Long Beach, CA | $141.61 | $38.76 β $360.85 | 132 | 4 |
| Oxnard, CA | $238.67 | $74.60 β $316.99 | 131 | 3 |
| Wauwatosa, WI | $36.39 | $27.37 β $44.02 | 131 | 2 |
| Aventura, FL | $160.75 | $160.75 β $160.75 | 130 | 1 |
| Ukiah, CA | $447.63 | $447.63 β $447.63 | 130 | 1 |
| Casa Grande, AZ | $120.32 | $99.99 β $193.66 | 129 | 2 |
| Middletown, CT | $86.26 | $62.00 β $125.40 | 129 | 4 |
| San Leandro, CA | $184.49 | $163.20 β $187.07 | 129 | 3 |
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.