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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
Galax, VA $266.08 $266.08 – $266.08 30 1
Kankakee, IL $24.11 $24.11 – $24.11 30 1
North Canton, OH $86.90 $86.90 – $86.90 30 1
Macon, GA $196.02 $196.02 – $196.02 30 1
Hermiston, OR $50.83 $50.83 – $50.83 30 1
Southington, CT $40.76 $40.76 – $40.76 30 1
St George, UT $212.49 $143.45 – $286.47 29 2
Lowell, MA $587.06 $587.06 – $587.06 29 1
Longwood, FL $78.64 $78.64 – $78.64 29 1
Greer, SC $127.35 $127.35 – $127.35 29 1
Harvey, IL $27.92 $27.92 – $27.92 29 1
Ormond Beach, FL $185.96 $185.96 – $185.96 29 1
San Pedro, CA $372.32 $372.32 – $372.32 29 1
North Aurora, IL $36.00 $36.00 – $36.00 29 1
Chambersburg, PA $46.85 $41.62 – $52.08 28 2
Kinston, NC $50.92 $45.64 – $57.96 28 2
Berkeley, CA $6.21 $6.21 – $6.21 28 1
Palo Alto, CA $51.64 $48.90 – $53.70 28 2
South Plainfield, NJ $96.96 $74.33 – $123.08 28 2
Thousand Oaks, CA $322.45 $322.45 – $322.45 28 1
Meadville, PA $39.37 $27.14 – $51.59 28 2
Springfield, PA $170.41 $87.70 – $280.70 28 2
Vincennes, IN $36.19 $36.19 – $36.19 28 1
Gaffney, SC $131.02 $131.02 – $131.02 28 1
Pompton Plains, NJ $24.32 $24.32 – $24.32 28 1
Brea, CA $60.23 $60.23 – $60.23 28 1
Issaquah, WA $363.16 $363.16 – $363.16 28 1
Rancho Cucamongo, CA $36.15 $36.15 – $36.15 28 1
New Hartford, NY $439.29 $439.29 – $439.29 27 1
Sturgis, MI $630.80 $630.80 – $630.80 27 1
Fort Dodge, IA $153.05 $153.05 – $153.05 27 1
Nicholasville, KY $38.32 $38.32 – $38.32 27 1
Media, PA $147.39 $76.91 – $223.30 27 2
Mansfield, TX $73.61 $66.24 – $79.50 27 2
Aiken, SC $301.63 $301.63 – $301.63 27 1
Latrobe, PA $35.89 $35.89 – $35.89 27 1
Show Low, AZ $1,398 $1,398 – $1,398 27 1
Irvine, KY $371.01 $371.01 – $371.01 27 1
Madison, IN $22.71 $22.71 – $22.71 27 1
Iron Mountain, MI $240.00 $240.00 – $240.00 27 1
Fairfield, CT $26.10 $22.38 – $29.83 26 2
Easton, PA $136.29 $136.29 – $136.29 26 1
Keene, NH $26.47 $26.47 – $26.47 26 1
Clanton, AL $114.92 $114.92 – $114.92 26 1
Houlton, ME $34.67 $34.67 – $34.67 26 1
Guaynabo, PR $53.02 $53.02 – $53.02 25 1
Wichita Falls, TX $160.63 $160.63 – $160.63 25 1
Lakewood, NJ $88.17 $88.17 – $88.17 25 1
Olean, NY $173.28 $173.28 – $173.28 25 1
Fort Worth, TX $174.85 $40.32 – $299.03 25 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.