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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
Springboro, OH $315.95 $315.95 – $315.95 56 1
Van Wert, OH $374.21 $374.21 – $374.21 56 1
New Port Richey, FL $14.89 $14.89 – $14.89 56 1
Milford, CT $77.08 $77.08 – $77.08 56 1
Orange, NJ $120.77 $120.77 – $120.77 56 1
Gilbert, AZ $300.05 $149.31 – $367.49 55 2
Omaha, NE $206.72 $206.72 – $206.72 55 1
Bay Shore, NY $51.37 $37.22 – $65.00 55 2
Jamestown, NY $462.05 $462.05 – $462.05 55 1
West Palm Beach, FL $120.90 $120.90 – $120.90 55 1
Odessa, TX $17.85 $4.71 – $56.34 55 2
Lawrence, KS $32.37 $32.37 – $32.37 55 1
Culpeper, VA $1,196 $1,196 – $1,196 55 1
Hoffman Estates, IL $28.57 $28.03 – $28.92 55 3
Lawrenceburg, IN $6.64 $6.64 – $6.64 55 1
Gig Harbor, WA $132.91 $25.21 – $472.59 54 2
Mineola, NY $320.52 $320.52 – $320.52 54 1
Glen Burnie, MD $95.22 $1.33 – $318.19 54 2
Skowhegan, ME $146.99 $146.99 – $146.99 54 1
Woodland, CA $159.15 $159.15 – $159.15 54 1
San Luis Obispo, CA $362.34 $362.34 – $362.34 53 1
Dyer, IN $26.88 $26.88 – $26.88 53 1
Marinette, WI $184.33 $184.33 – $184.33 53 1
Ann Arbor, MI $26.82 $4.91 – $40.32 53 3
Palestine, TX $24.02 $24.02 – $24.02 52 1
Beaumont, TX $25.44 $25.44 – $25.44 52 1
State College, PA $26.73 $26.73 – $26.73 52 1
Wisconsin Rapids, WI $123.37 $123.37 – $123.37 52 1
Galloway, NJ $117.31 $50.33 – $291.52 51 3
Tarzana, CA $203.20 $22.49 – $389.86 51 3
Ridgewood, NY $282.24 $282.24 – $282.24 51 1
Grayling, MI $300.93 $300.93 – $300.93 51 1
Minneapolis, MN $204.52 $33.67 – $311.37 50 3
Providence, RI $125.54 $125.54 – $125.54 50 1
Pleasantville, NJ $10.20 $10.20 – $10.20 50 1
Forrest City, AR $33.29 $33.29 – $33.29 50 1
Jersey Shore, PA $44.33 $44.33 – $44.33 50 1
Chapel Hill, NC $46.73 $46.73 – $46.73 49 1
Muscle Shoals, AL $101.63 $101.63 – $101.63 49 1
Draper, UT $126.45 $126.45 – $126.45 48 1
Warrensville Heights, OH $604.80 $604.80 – $604.80 48 1
Fort Pierce, FL $9.62 $2.14 – $15.94 48 2
Weeki Wachee, FL $39.14 $39.14 – $39.14 48 1
Palos Park, IL $24.13 $19.08 – $35.25 48 2
Fairview Park, OH $88.72 $88.72 – $88.72 48 1
South Bend, IN $87.55 $41.42 – $107.12 47 2
Freehold, NJ $139.95 $18.98 – $492.79 47 2
West Hills, CA $30.40 $28.29 – $36.55 47 2
Schaumburg, IL $17.33 $17.33 – $17.33 47 1
Walnut Creek, CA $319.61 $27.22 – $475.55 46 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.