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