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 |
|---|---|---|---|---|
| San Diego, CA | $291.54 | $35.18 – $562.98 | 7,784 | 17 |
| New Haven, CT | $452.84 | $0.00 – $502.59 | 7,772 | 14 |
| Cincinnati, OH | $162.83 | $15.84 – $442.53 | 7,695 | 28 |
| Austin, TX | $30.09 | $0.00 – $298.45 | 7,534 | 7 |
| Columbus, OH | $238.87 | $24.70 – $503.17 | 7,163 | 28 |
| Visalia, CA | $175.46 | $15.90 – $307.64 | 7,063 | 7 |
| Philadelphia, PA | $122.62 | $36.67 – $393.97 | 6,964 | 32 |
| Avondale, AZ | $212.78 | $194.63 – $244.42 | 6,790 | 5 |
| Paterson, NJ | $198.55 | $11.45 – $230.81 | 6,763 | 4 |
| Shreveport, LA | $97.43 | $36.46 – $529.24 | 6,688 | 16 |
| Salinas, CA | $149.86 | $5.91 – $255.56 | 6,670 | 9 |
| Washington, DC | $257.19 | $0.00 – $584.92 | 6,551 | 19 |
| Palm Springs, CA | $179.61 | $58.69 – $457.15 | 6,466 | 4 |
| Passaic, NJ | $134.43 | $19.67 – $359.74 | 6,358 | 5 |
| Yuma, AZ | $211.75 | $44.62 – $877.52 | 6,176 | 10 |
| Fountain Valley, CA | $45.18 | $2.83 – $64.18 | 6,113 | 9 |
| Hattiesburg, MS | $256.01 | $10.88 – $357.09 | 6,075 | 5 |
| Smithfield, NC | $52.80 | $26.21 – $127.36 | 6,050 | 3 |
| Saginaw, MI | $106.40 | $34.97 – $368.91 | 6,005 | 6 |
| Mesa, AZ | $137.69 | $39.61 – $264.64 | 6,004 | 15 |
| Glen Ridge, NJ | $97.85 | $15.23 – $363.06 | 5,896 | 4 |
| Victorville, CA | $162.13 | $35.38 – $264.96 | 5,879 | 10 |
| Portsmouth, OH | $144.69 | $22.42 – $502.12 | 5,833 | 15 |
| Baton Rouge, LA | $96.25 | $50.76 – $282.51 | 5,821 | 12 |
| Lansing, MI | $243.90 | $37.34 – $480.66 | 5,798 | 5 |
| Stockton, CA | $225.31 | $70.68 – $472.87 | 5,783 | 15 |
| New Hyde Park, NY | $230.95 | $17.98 – $421.30 | 5,553 | 8 |
| Prestonsburg, KY | $132.59 | $28.62 – $212.78 | 5,484 | 6 |
| Rockville, MD | $191.08 | $36.29 – $313.92 | 5,460 | 7 |
| Beckley, WV | $255.73 | $32.85 – $537.56 | 5,452 | 10 |
| Pikeville, KY | $304.16 | $34.59 – $403.08 | 5,273 | 7 |
| Little Rock, AR | $56.42 | $23.95 – $121.72 | 5,224 | 6 |
| Spokane, WA | $287.59 | $20.29 – $362.95 | 5,175 | 14 |
| Lafayette, LA | $102.71 | $53.47 – $367.20 | 5,097 | 16 |
| Honolulu, HI | $350.43 | $11.74 – $713.85 | 5,083 | 12 |
| Bowling Green, KY | $349.98 | $34.41 – $494.91 | 5,064 | 10 |
| Northridge, CA | $181.35 | $53.38 – $264.06 | 4,949 | 6 |
| Lima, OH | $157.91 | $22.04 – $347.82 | 4,913 | 16 |
| Newark, NJ | $273.57 | $12.17 – $368.35 | 4,881 | 10 |
| Richmond, VA | $647.92 | $33.79 – $953.66 | 4,870 | 18 |
| Owensboro, KY | $255.99 | $12.33 – $307.11 | 4,862 | 8 |
| Fremont, CA | $366.01 | $9.63 – $829.52 | 4,826 | 11 |
| Fayetteville, NC | $71.25 | $28.83 – $517.80 | 4,822 | 21 |
| San Gabriel, CA | $188.81 | $17.09 – $258.64 | 4,659 | 4 |
| Edgewood, KY | $382.12 | $26.04 – $431.26 | 4,617 | 10 |
| Elizabethtown, KY | $481.94 | $113.58 – $540.23 | 4,610 | 5 |
| East Brunswick, NJ | $56.91 | $23.90 – $142.52 | 4,607 | 7 |
| Roseville, CA | $72.89 | $0.00 – $479.83 | 4,509 | 7 |
| Worcester, MA | $157.07 | $15.76 – $496.78 | 4,498 | 13 |
| Canton, OH | $213.55 | $27.80 – $433.68 | 4,441 | 18 |
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.