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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
Chestnut Hill, MA $39.57 $39.57 – $39.57 129 1
Gainesville, FL $139.03 $47.72 – $235.93 128 4
Manassas, VA $154.11 $79.24 – $250.01 128 3
Rockingham, NC $20.79 $8.66 – $24.04 128 2
Flemington, NJ $983.73 $983.73 – $983.73 127 1
Porterville, CA $0.11 $0.11 – $0.11 127 1
Big Rapids, MI $544.98 $544.98 – $544.98 127 1
New Lenox, IL $44.88 $37.26 – $48.42 126 2
Grafton, WI $169.37 $104.60 – $176.19 126 2
Savannah, TN $83.29 $83.29 – $83.29 125 1
Murray, KY $519.73 $519.73 – $519.73 124 1
Miamisburg, OH $180.44 $169.88 – $232.27 124 2
Haddon Heights, NJ $125.59 $119.22 – $137.46 123 3
West Reading, PA $79.51 $79.51 – $79.51 122 1
Libertyville, IL $31.23 $30.82 – $31.79 122 2
Sevierville, TN $28.96 $15.92 – $30.53 121 2
Covington, KY $40.26 $40.26 – $40.26 121 1
Cadillac, MI $313.74 $313.74 – $313.74 121 1
Lone Tree, CO $37.60 $37.60 – $37.60 121 1
Mesquite, TX $18.79 $18.79 – $18.79 120 1
Lebanon, TN $21.07 $14.18 – $23.94 119 2
Lakeland, FL $104.31 $25.72 – $342.01 119 4
Bedford, TX $32.83 $32.83 – $32.83 119 1
Sierra, AZ $191.11 $191.11 – $191.11 119 1
Sun City, AZ $301.59 $190.30 – $1,066 118 2
Pikesville, MD $260.91 $260.91 – $260.91 117 1
Woodbury, NJ $293.93 $293.93 – $293.93 115 1
Leesville, LA $71.61 $71.61 – $71.61 115 1
Idaho Falls, ID $82.29 $57.59 – $292.29 114 2
Spokane Valley, WA $245.08 $245.08 – $245.08 114 1
Gahanna, OH $99.55 $99.55 – $99.55 114 1
Antioch, CA $342.08 $294.47 – $353.22 114 3
Festus, MO $68.32 $32.46 – $87.63 112 3
Largo, MD $345.42 $345.42 – $345.42 112 1
Springfield, VA $226.40 $226.40 – $226.40 111 1
Decatur, AL $49.54 $42.05 – $85.37 110 2
Hickory, NC $21.31 $19.51 – $23.57 110 2
Miami Beach, FL $62.02 $0.00 – $174.50 110 3
Pittsfield, MA $687.55 $22.45 – $784.55 110 2
West Bridgewater, MA $273.75 $273.75 – $273.75 110 1
Benton, AR $116.50 $116.50 – $116.50 110 1
Dunn, NC $58.76 $58.76 – $58.76 109 1
Menomonee Falls, WI $124.23 $124.23 – $124.23 108 1
Albertville, AL $73.10 $73.10 – $73.10 108 1
Desoto, TX $53.26 $33.53 – $60.16 108 2
Mayfield Hts, OH $42.11 $38.66 – $44.02 107 2
Fishkill, NY $32.23 $32.23 – $32.23 107 1
Thomasville, NC $44.79 $43.37 – $52.74 106 2
Cookeville, TN $15.87 $8.44 – $30.99 105 4
Palm Desert, CA $337.42 $337.42 – $337.42 105 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.