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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
Valparaiso, IN $38.87 $38.87 – $38.87 13 1
Pueblo, CO $368.19 $368.19 – $368.19 13 1
Garner, NC $50.75 $50.75 – $50.75 13 1
Coon Rapids, MN $29.48 $29.48 – $29.48 13 1
Greensburg, PA $55.24 $55.24 – $55.24 13 1
East Stroudsburg, PA $30.37 $30.37 – $30.37 13 1
Mystic, CT $36.64 $36.64 – $36.64 13 1
Elkton, MD $0.00 $0.00 – $0.00 13 1
Hicksville, NY $372.01 $372.01 – $372.01 13 1
Peru, IN $38.63 $38.63 – $38.63 13 1
Sterling, IL $34.60 $34.60 – $34.60 13 1
East Patchogue, NY $180.04 $180.04 – $180.04 13 1
Lakewood, CA $29.63 $29.63 – $29.63 13 1
College Station, TX $40.74 $40.74 – $40.74 13 1
Elmira, NY $102.02 $102.02 – $102.02 13 1
Watertown, SD $35.99 $35.99 – $35.99 13 1
Madera, CA $0.00 $0.00 – $0.00 13 1
Chesterton, IN $44.84 $44.84 – $44.84 13 1
Troy, NY $258.71 $258.71 – $258.71 13 1
Sahuarita, AZ $51.35 $51.35 – $51.35 13 1
Parker, AZ $1,187 $1,187 – $1,187 13 1
Far Rockaway, NY $311.54 $311.54 – $311.54 13 1
Fergus Falls, MN $120.70 $120.70 – $120.70 13 1
Concord Twp, OH $94.04 $94.04 – $94.04 13 1
Greendale, IN $26.98 $26.98 – $26.98 13 1
Gladwin, MI $465.75 $465.75 – $465.75 13 1
York, PA $0.00 $0.00 – $0.00 12 1
Effingham, IL $28.44 $28.44 – $28.44 12 1
Ames, IA $274.58 $274.58 – $274.58 12 1
Manhattan, KS $10.10 $10.10 – $10.10 12 1
La Grande, OR $55.55 $55.55 – $55.55 12 1
Montgomery, OH $58.24 $58.24 – $58.24 12 1
Weymouth, MA $41.97 $41.97 – $41.97 12 1
Omak, WA $550.48 $550.48 – $550.48 12 1
West Chester, PA $91.98 $91.98 – $91.98 12 1
Easton, MD $390.12 $390.12 – $390.12 12 1
Bethesda, MD $0.00 $0.00 – $0.00 12 1
Tulare, CA $24.24 $24.24 – $24.24 12 1
Greenbrae, CA $18.22 $18.22 – $18.22 12 1
Rogers, AR $2.11 $2.11 – $2.11 12 1
Islandia, NY $74.78 $74.78 – $74.78 12 1
Hermitage, PA $98.08 $98.08 – $98.08 12 1
Florence, AL $119.13 $119.13 – $119.13 12 1
Fairlawn, OH $423.28 $423.28 – $423.28 12 1
Mt Pleasant, MI $467.47 $467.47 – $467.47 12 1
Union, NJ $17.78 $17.78 – $17.78 12 1
Mt Pleasant, PA $49.26 $49.26 – $49.26 12 1
Casper, WY $65.36 $65.36 – $65.36 12 1
Barstow, CA $93.05 $93.05 – $93.05 12 1
Southbridge, MA $41.05 $41.05 – $41.05 12 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.