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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 — 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
Kamuela, HI $200.77 $200.77 – $200.77 16 1
Dorchester, MA $18.36 $18.36 – $18.36 16 1
Flossmoor, IL $96.91 $96.91 – $96.91 16 1
Fitchburg, WI $17.21 $17.21 – $17.21 16 1
Temple, TX $205.39 $205.39 – $205.39 15 1
Saint Peters, MO $14.93 $14.93 – $14.93 15 1
Crossville, TN $45.35 $45.35 – $45.35 15 1
Palm Bay, FL $34.25 $34.25 – $34.25 15 1
Cheyenne, WY $364.63 $364.63 – $364.63 15 1
Saratoga Springs, NY $471.45 $471.45 – $471.45 15 1
Wasilla, AK $259.98 $259.98 – $259.98 15 1
North Platte, NE $581.54 $581.54 – $581.54 15 1
Bell, CA $208.87 $208.87 – $208.87 15 1
Norfolk, NE $549.49 $549.49 – $549.49 15 1
Valencia, CA $313.42 $313.42 – $313.42 15 1
Garfield Heights, OH $397.65 $397.65 – $397.65 15 1
San German, PR $55.86 $55.86 – $55.86 15 1
Braselton, GA $32.76 $32.76 – $32.76 15 1
Greenlawn, NY $95.70 $95.70 – $95.70 15 1
Flowood, MS $42.64 $42.64 – $42.64 14 1
Grand Island, NE $222.75 $222.75 – $222.75 14 1
Grove City, OH $29.90 $29.90 – $29.90 14 1
Olney, MD $41.25 $41.25 – $41.25 14 1
Mission, TX $3.91 $3.91 – $3.91 14 1
Enfield, CT $15.11 $15.11 – $15.11 14 1
Covina, CA $21.49 $21.49 – $21.49 14 1
Marion, NC $25.95 $25.95 – $25.95 14 1
St Thomas, VI $315.22 $315.22 – $315.22 14 1
Xenia, OH $28.16 $28.16 – $28.16 14 1
Schenectady, NY $410.86 $410.86 – $410.86 14 1
Waterford, CT $15.03 $15.03 – $15.03 14 1
Manalapan, NJ $24.19 $24.19 – $24.19 14 1
Euclid, OH $406.17 $406.17 – $406.17 14 1
Caldwell, ID $99.41 $99.41 – $99.41 14 1
Urbana, IL $32.41 $32.41 – $32.41 14 1
The Dalles, OR $198.93 $198.93 – $198.93 14 1
Marion, VA $456.61 $456.61 – $456.61 14 1
Blacksburg, VA $382.47 $382.47 – $382.47 14 1
Clarksville, IN $1,833 $1,833 – $1,833 14 1
North Easton, MA $17.84 $17.84 – $17.84 14 1
Blue Hill, ME $27.10 $27.10 – $27.10 14 1
Lebanon, IN $44.38 $44.38 – $44.38 14 1
Live Oak, FL $38.62 $38.62 – $38.62 14 1
Chino Hills, CA $0.00 $0.00 – $0.00 14 1
Lecanto, FL $74.49 $74.49 – $74.49 14 1
Nutley, NJ $46.39 $46.39 – $46.39 14 1
Laurelton, NY $387.59 $387.59 – $387.59 14 1
New Castle, PA $172.17 $172.17 – $172.17 13 1
Massillon, OH $112.16 $112.16 – $112.16 13 1
Mountain Home, AR $30.01 $30.01 – $30.01 13 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.