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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
Farmville, VA $422.84 $27.48 – $514.62 69 2
Concord, CA $301.50 $301.50 – $301.50 69 1
Clyde, NC $36.88 $29.65 – $39.89 68 2
Brookfield, WI $48.43 $48.43 – $48.43 68 1
Phila, PA $337.43 $277.70 – $351.55 68 2
Burlington, NC $65.71 $65.71 – $65.71 67 1
Carlsbad, NM $179.59 $48.75 – $385.91 67 2
Margate, FL $46.01 $46.01 – $46.01 67 1
Cottonwood, AZ $777.00 $777.00 – $777.00 67 1
Shawnee, OK $120.77 $120.77 – $120.77 67 1
Hazleton, PA $50.00 $50.00 – $50.00 67 1
Williamsburg, VA $99.51 $8.88 – $388.36 67 2
Hillsboro, OH $502.70 $502.70 – $502.70 67 1
Evergreen Park, IL $25.72 $24.07 – $26.86 66 2
Crown Point, IN $23.46 $23.46 – $23.46 66 1
Lewiston, NY $141.20 $52.21 – $160.98 66 2
Mcalester, OK $261.10 $261.10 – $261.10 66 1
Dover, NH $488.66 $488.66 – $488.66 66 1
Garden City, KS $87.53 $55.38 – $105.89 66 2
Fairhaven, MA $38.22 $34.24 – $40.81 66 2
Medina, OH $244.89 $244.89 – $244.89 65 1
Mishawaka, IN $33.70 $28.07 – $35.90 64 2
Vienna, WV $39.26 $39.26 – $39.26 64 1
San Andreas, CA $30.77 $30.77 – $30.77 64 1
Ruleville, MS $421.59 $421.59 – $421.59 64 1
Elmhurst, IL $21.73 $21.73 – $21.73 63 1
Ridgecrest, CA $187.35 $133.75 – $393.52 63 2
Buckhannon, WV $382.65 $382.65 – $382.65 63 1
Wailuku, HI $347.95 $17.49 – $435.62 62 2
El Dorado, AR $147.03 $147.03 – $147.03 62 1
Palos Heights, IL $32.72 $26.24 – $34.31 61 2
Maywood, NJ $26.61 $26.61 – $26.61 61 1
Wesley Chapel, FL $150.63 $150.63 – $150.63 60 1
Bridgeton, MO $62.59 $25.89 – $92.61 60 2
Mauston, WI $112.22 $112.22 – $112.22 60 1
Council Bluffs, IA $44.49 $44.49 – $44.49 60 1
Willoughby, OH $303.28 $31.52 – $372.67 59 2
Cranberry Twp, PA $99.80 $99.80 – $99.80 59 1
Athens, GA $28.63 $24.44 – $31.93 59 2
Carolina, PR $105.14 $105.14 – $105.14 58 1
New Rochelle, NY $34.64 $34.64 – $34.64 58 1
Sparks, NV $316.49 $316.49 – $316.49 58 1
Athens, OH $324.64 $29.64 – $420.68 57 2
Huntsville, AL $89.87 $89.87 – $89.87 57 1
Burlington, VT $17.08 $16.47 – $17.36 57 2
Tempe, AZ $193.56 $89.73 – $234.68 57 3
Mission Viejo, CA $22.41 $12.27 – $56.74 57 2
Vallejo, CA $272.30 $17.59 – $702.06 56 3
Marion, IN $139.93 $120.40 – $181.18 56 2
Joliet, IL $22.58 $6.92 – $48.66 56 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.