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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
Smyrna, TN $38.16 $38.16 – $38.16 105 1
Franklin, PA $46.82 $46.82 – $46.82 105 1
Panama City, FL $139.51 $0.00 – $168.71 104 2
Findlay, OH $347.83 $347.83 – $347.83 103 1
Glenview, IL $37.06 $35.54 – $37.58 103 2
Kailua, HI $653.23 $42.74 – $838.69 103 2
Woodland Park, NJ $26.41 $26.41 – $26.41 101 1
Ronceverte, WV $444.46 $59.08 – $496.42 101 2
Centralia, IL $24.02 $24.02 – $24.02 100 1
Clinton Twp, MI $232.68 $232.68 – $232.68 100 1
Augusta, GA $35.94 $35.94 – $35.94 98 1
Parma, OH $342.84 $342.84 – $342.84 98 1
Elk Grove Village, IL $31.22 $27.78 – $38.46 97 3
Fargo, ND $243.19 $243.19 – $243.19 96 1
Plantation, FL $21.72 $21.72 – $21.72 96 1
El Cajon, CA $370.00 $224.68 – $454.94 96 3
Hammond, IN $150.79 $150.79 – $150.79 96 1
Shelby, NC $209.90 $21.18 – $278.96 95 3
Holmdel, NJ $279.78 $279.78 – $279.78 95 1
Hines, IL $79.85 $79.85 – $79.85 95 1
Abilene, TX $11.62 $2.50 – $31.95 94 4
Bellevue, WA $218.62 $218.62 – $218.62 94 1
Wethersfield, CT $28.26 $20.91 – $49.07 94 3
Pt Pleasant, WV $288.48 $288.48 – $288.48 94 1
Montgomery, AL $71.43 $27.75 – $101.61 93 2
Powell, OH $36.04 $36.04 – $36.04 93 1
Farmington, ME $221.75 $22.13 – $283.60 93 2
Davenport, IA $83.32 $19.91 – $198.33 92 3
Willingboro, NJ $345.81 $345.81 – $345.81 92 1
Circleville, OH $274.95 $29.87 – $326.55 92 2
Seaman, OH $6.81 $6.81 – $6.81 92 1
Benson, NC $23.31 $23.31 – $23.31 92 1
Goodyear, AZ $270.79 $48.44 – $826.66 91 2
Frederick, MD $291.52 $0.00 – $374.52 91 4
San Angelo, TX $10.01 $10.01 – $10.01 91 1
Lehigh Acres, FL $127.30 $127.30 – $127.30 91 1
Jacksonville, NC $57.78 $57.78 – $57.78 90 1
Holiday, FL $93.72 $93.72 – $93.72 89 1
Walterboro, SC $142.45 $0.00 – $218.59 89 2
Cleveland, TN $42.83 $25.23 – $45.61 88 2
Brawley, CA $51.89 $51.89 – $51.89 88 1
Sheboygan, WI $53.48 $43.37 – $106.23 87 2
Soldotna, AK $235.11 $63.46 – $368.23 87 2
Martin, TN $61.87 $61.87 – $61.87 87 1
Wilmington, NC $13.28 $0.00 – $20.38 87 5
Olympia Fields, IL $40.90 $33.04 – $90.06 87 2
West Branch, MI $379.81 $44.92 – $433.40 87 2
Lebanon, NH $24.67 $16.77 – $26.34 86 2
Rockport, ME $356.52 $356.52 – $356.52 86 1
East Greenwich, RI $114.49 $114.49 – $114.49 86 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.