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 — 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
Huntington, NY	$38.57	$38.57 – $38.57	46	1
Hobart, IN	$21.35	$21.35 – $21.35	46	1
Ocoee, FL	$39.61	$27.30 – $45.77	45	2
Bayamon, PR	$337.00	$337.00 – $337.00	45	1
Fishers, IN	$70.95	$70.95 – $70.95	45	1
San Marcos, CA	$503.93	$318.33 – $587.74	45	2
Bolivia, NC	$18.19	$18.19 – $18.19	45	1
Fort Liberty, NC	$6.74	$6.74 – $6.74	44	1
Pryor, OK	$39.11	$39.11 – $39.11	44	1
Lincolnton, NC	$24.71	$22.81 – $25.51	44	2
Bedford Hills, NY	$50.70	$50.70 – $50.70	44	1
New Bern, NC	$92.73	$23.98 – $125.92	43	2
Washington, PA	$54.73	$49.22 – $57.46	43	3
Richardson, TX	$4.58	$4.58 – $4.58	43	1
Leesburg, VA	$858.34	$858.34 – $858.34	43	1
Americus, GA	$360.59	$360.59 – $360.59	43	1
Belfast, ME	$77.46	$77.46 – $77.46	43	1
Webster, MA	$294.85	$294.85 – $294.85	43	1
Athens, AL	$13.73	$13.73 – $13.73	43	1
Greenville, MI	$441.17	$441.17 – $441.17	43	1
Caribou, ME	$64.30	$64.30 – $64.30	42	1
Tyler, TX	$231.11	$231.11 – $231.11	42	1
Decatur, IL	$22.49	$20.88 – $25.70	42	2
Gloucester, VA	$542.27	$542.27 – $542.27	42	1
Vista, CA	$25.58	$0.00 – $35.82	42	2
Beverly, MA	$343.63	$343.63 – $343.63	42	1
Middleburg, FL	$29.65	$21.87 – $46.99	42	2
Port Arthur, TX	$348.03	$348.03 – $348.03	42	1
Wareham, MA	$51.31	$29.10 – $89.82	41	2
Richmond, IN	$116.17	$19.47 – $302.72	41	3
Hannibal, MO	$37.15	$37.15 – $37.15	41	1
Calhoun, GA	$18.21	$12.78 – $31.33	41	2
West Orange, NJ	$35.76	$25.05 – $40.19	41	2
Leesburg, FL	$43.29	$43.29 – $43.29	41	1
Gardner, MA	$570.01	$570.01 – $570.01	41	1
Ladson, SC	$47.77	$33.13 – $73.80	41	3
Joplin, MO	$26.86	$26.38 – $27.65	40	2
Grand Junction, CO	$24.37	$24.37 – $24.37	40	1
Texarkana, TX	$38.83	$27.69 – $61.96	40	2
Salem, MA	$82.98	$25.16 – $143.30	40	3
Clearlake, CA	$75.80	$75.80 – $75.80	40	1
Wytheville, VA	$695.12	$695.12 – $695.12	40	1
Coconut Creek, FL	$19.77	$19.77 – $19.77	40	1
Norwalk, OH	$354.83	$354.83 – $354.83	40	1
Vero Beach, FL	$36.22	$36.22 – $36.22	39	1
Blue Ash, OH	$33.06	$15.98 – $42.62	39	2
Dekalb, IL	$18.92	$18.92 – $18.92	39	1
Avon, IN	$42.30	$42.30 – $42.30	39	1
Carlsbad, CA	$136.43	$136.43 – $136.43	39	1
Allen Park, MI	$102.19	$102.19 – $102.19	39	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.