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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
Lodi, CA $339.71 $339.71 – $339.71 25 1
Paoli, PA $20.57 $20.57 – $20.57 25 1
Butler, MO $190.34 $190.34 – $190.34 25 1
White Hall, AR $106.24 $106.24 – $106.24 25 1
Springville, NY $52.69 $52.69 – $52.69 25 1
Clare, MI $569.54 $569.54 – $569.54 25 1
Kealakekua, HI $1,156 $1,156 – $1,156 25 1
Kingston, NY $60.92 $60.92 – $60.92 24 1
Hudson, NY $258.42 $258.42 – $258.42 24 1
Monroeville, PA $56.04 $56.04 – $56.04 24 1
Tracy, CA $182.12 $16.13 – $348.12 24 2
Glens Falls, NY $562.16 $562.16 – $562.16 24 1
Essexville, MI $38.95 $38.95 – $38.95 24 1
Norwood, NJ $18.95 $18.95 – $18.95 24 1
Templeton, CA $163.08 $163.08 – $163.08 24 1
Rock Hill, NY $128.95 $128.95 – $128.95 24 1
Labadieville, LA $126.42 $126.42 – $126.42 24 1
Crestview, FL $48.99 $48.99 – $48.99 23 1
Conway, AR $66.75 $66.75 – $66.75 22 1
Brooksville, FL $7.06 $7.06 – $7.06 20 1
Roseburg, OR $458.09 $458.09 – $458.09 20 1
Oxford, NC $9.35 $9.35 – $9.35 19 1
Hinton, WV $655.52 $655.52 – $655.52 19 1
Fall River Mills, CA $27.88 $27.88 – $27.88 19 1
Marlton, NJ $0.00 $0.00 – $0.00 18 1
Newport, KY $54.22 $54.22 – $54.22 18 1
North Richland Hills, TX $370.04 $370.04 – $370.04 18 1
Toldeo, OH $28.20 $28.20 – $28.20 18 1
Hot Springs, AR $50.33 $50.33 – $50.33 17 1
Defiance, OH $333.54 $333.54 – $333.54 17 1
Palm Coast, FL $30.08 $30.08 – $30.08 17 1
Gettysburg, PA $50.49 $50.49 – $50.49 17 1
Maitland, FL $18.25 $18.25 – $18.25 17 1
Corona, CA $30.41 $30.41 – $30.41 17 1
Ville Platte, LA $23.90 $23.90 – $23.90 17 1
Murrells Inlet, SC $9.46 $9.46 – $9.46 17 1
Prosser, WA $802.60 $802.60 – $802.60 17 1
Quincy, IL $77.45 $77.45 – $77.45 17 1
Avon, OH $182.68 $182.68 – $182.68 17 1
Iselin, NJ $24.09 $24.09 – $24.09 17 1
Honesdale, PA $111.92 $111.92 – $111.92 17 1
New Martinsville, WV $38.77 $38.77 – $38.77 17 1
Columbus, GA $247.86 $247.86 – $247.86 16 1
Arlington, TX $24.50 $24.50 – $24.50 16 1
Mount Carmel, IL $41.47 $41.47 – $41.47 16 1
Daytona Beach, FL $177.51 $177.51 – $177.51 16 1
The Woodlands, TX $251.32 $251.32 – $251.32 16 1
Greenville, OH $29.09 $29.09 – $29.09 16 1
Cortland, OH $15.73 $15.73 – $15.73 16 1
Cape Coral, FL $41.22 $41.22 – $41.22 16 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.