Skip to content
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
Fremont, MI $653.01 $653.01 – $653.01 86 1
Mequon, WI $39.05 $39.05 – $39.05 85 1
Montrose, CA $105.93 $66.55 – $140.92 85 2
Placerville, CA $303.99 $303.99 – $303.99 83 1
Glen Ellyn, IL $17.95 $17.95 – $17.95 83 1
Davenport, FL $32.46 $32.46 – $32.46 82 1
Biloxi, MS $65.96 $34.54 – $129.55 82 3
Patchogue, NY $254.13 $49.86 – $473.93 82 3
Phillipsburg, NJ $140.74 $140.74 – $140.74 82 1
Loudon, TN $20.26 $20.26 – $20.26 82 1
Jackson, KY $148.25 $77.06 – $298.84 81 2
Sunnyside, WA $32.85 $27.43 – $53.11 80 3
Sanford, NC $29.69 $29.69 – $29.69 80 1
Tustin, CA $61.65 $45.85 – $96.41 80 2
Port Charlotte, FL $20.66 $0.00 – $31.79 80 2
Grundy, VA $226.46 $226.46 – $226.46 79 1
Mechanicsville, VA $241.73 $133.43 – $386.39 79 3
Waycross, GA $27.81 $27.81 – $27.81 79 1
Greenfield, WI $96.27 $96.27 – $96.27 78 1
Orange City, FL $1.74 $1.74 – $1.74 78 1
Topeka, KS $19.73 $18.49 – $20.47 77 2
Clinton, MD $294.10 $294.10 – $294.10 77 1
Newport, AR $37.78 $37.78 – $37.78 77 1
Shinnston, WV $48.03 $48.03 – $48.03 77 1
Norman, OK $137.34 $132.45 – $139.74 76 2
La Jolla, CA $48.01 $48.01 – $48.01 76 1
Fort Collins, CO $28.36 $18.98 – $44.77 75 5
Eden Prairie, MN $40.54 $30.97 – $59.82 75 4
Eugene, OR $35.62 $35.62 – $35.62 75 1
Greensboro, NC $59.54 $16.48 – $81.23 75 3
St Francis, WI $48.83 $38.38 – $81.92 75 2
Hot Springs National Park, AR $112.94 $112.94 – $112.94 75 1
Panville, KY $37.28 $37.28 – $37.28 75 1
Springfield, OR $25.31 $23.51 – $27.75 73 2
Bloomfield, CT $67.10 $66.33 – $70.64 73 2
Mount Vernon, KY $450.45 $450.45 – $450.45 73 1
Jasper, IN $29.54 $25.99 – $35.34 72 3
Cambridge, OH $71.29 $38.11 – $216.60 72 3
Georgetown, SC $76.19 $76.19 – $76.19 72 1
Gonzales, LA $165.68 $165.68 – $165.68 72 1
Bardstown, KY $671.44 $671.44 – $671.44 72 1
St Cloud, MN $47.05 $47.05 – $47.05 72 1
Wooster, OH $103.16 $31.09 – $220.60 71 2
La Follette, TN $15.18 $15.18 – $15.18 71 1
High Point, NC $93.27 $93.27 – $93.27 71 1
Corpus Christi, TX $202.01 $202.01 – $202.01 70 1
Ellsworth, ME $548.24 $548.24 – $548.24 70 1
Petersburg, VA $593.32 $514.49 – $882.39 70 2
Lawton, OK $49.02 $49.02 – $49.02 70 1
Huntingdon Valley, PA $32.34 $27.90 – $33.27 69 2

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.