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
Great Neck, NY	$73.74	$73.74 – $73.74	38	1
Plattsburgh, NY	$421.16	$421.16 – $421.16	38	1
Lewiston, ID	$159.24	$159.24 – $159.24	38	1
Saint Paul, MN	$43.47	$39.38 – $52.33	38	2
Taos, NM	$414.09	$33.23 – $636.26	38	2
Monroe, MI	$434.30	$174.64 – $585.77	38	2
Coldwater, MI	$446.22	$446.22 – $446.22	38	1
York, ME	$168.93	$168.93 – $168.93	38	1
Stafford Springs, CT	$447.72	$447.72 – $447.72	38	1
Grenada, MS	$10.38	$10.38 – $10.38	38	1
Elkhart, IN	$83.24	$50.42 – $105.61	37	2
Montrose, CO	$30.19	$14.50 – $50.80	37	2
Boca Raton, FL	$36.89	$36.89 – $36.89	37	1
Sonora, CA	$181.84	$181.84 – $181.84	37	1
Santa Monica, CA	$33.68	$33.68 – $33.68	37	1
Statesville, NC	$31.96	$30.24 – $34.78	37	2
Owosso, MI	$386.31	$386.31 – $386.31	37	1
Edgewater, NJ	$0.94	$0.94 – $0.94	37	1
Amherst, NY	$295.53	$230.65 – $331.66	36	3
Bloomington, IN	$46.61	$43.59 – $48.77	36	2
Beltsville, MD	$231.87	$231.87 – $231.87	36	1
Bellflower, CA	$38.67	$38.67 – $38.67	36	1
Evergreen, IL	$36.67	$22.49 – $43.76	36	2
Winter Park, FL	$64.46	$11.02 – $109.46	35	2
Champaign, IL	$34.72	$34.72 – $34.72	35	1
Bear, DE	$19.37	$19.37 – $19.37	35	1
Lake Worth, FL	$22.40	$22.40 – $22.40	34	1
Marion, IL	$23.99	$23.99 – $23.99	33	1
Milford, DE	$60.43	$60.43 – $60.43	33	1
Hazlet, NJ	$51.92	$51.92 – $51.92	33	1
Low Moor, VA	$385.35	$385.35 – $385.35	33	1
Plant City, FL	$14.71	$14.71 – $14.71	33	1
Chardon, OH	$313.45	$96.27 – $505.08	32	2
Concord, NC	$15.45	$15.45 – $15.45	32	1
Mchenry, IL	$36.55	$33.82 – $38.19	32	2
Hinsdale, IL	$47.19	$35.96 – $57.10	32	2
Folsom, CA	$381.08	$381.08 – $381.08	32	1
Temecula, CA	$98.35	$41.32 – $134.37	31	2
Glendale, WI	$48.18	$48.18 – $48.18	31	1
Tappahannock, VA	$556.28	$556.28 – $556.28	31	1
Dodge City, KS	$0.00	$0.00 – $0.00	31	1
Andalusia, AL	$4.94	$4.94 – $4.94	31	1
Flower Mound, TX	$35.64	$35.64 – $35.64	31	1
Carrollton, GA	$13.75	$9.93 – $17.83	31	2
Elgin, IL	$37.63	$37.63 – $37.63	31	1
Minot, ND	$52.92	$35.54 – $63.89	31	2
Hyannis, MA	$172.97	$172.97 – $172.97	30	1
Pittsburg, KS	$7.41	$7.41 – $7.41	30	1
St Petersburg, FL	$15.44	$15.44 – $15.44	30	1
Catonsville, MD	$-1.05	$-1.05 – $-1.05	30	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.