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 |
|---|---|---|---|---|
| Huntington, WV | $185.70 | $32.98 – $352.66 | 4,431 | 9 |
| Bridgeport, WV | $230.33 | $45.12 – $293.04 | 4,384 | 4 |
| Teaneck, NJ | $257.76 | $12.13 – $258.43 | 4,375 | 2 |
| Florence, SC | $108.79 | $12.73 – $208.96 | 4,375 | 14 |
| Gulfport, MS | $262.39 | $4.23 – $306.75 | 4,317 | 6 |
| Ocala, FL | $182.02 | $0.00 – $186.78 | 4,281 | 5 |
| White Plains, NY | $50.78 | $50.23 – $215.47 | 4,247 | 2 |
| Seattle, WA | $232.86 | $17.48 – $265.39 | 4,144 | 11 |
| Camden, NJ | $325.35 | $85.62 – $583.80 | 4,142 | 6 |
| Laredo, TX | $25.60 | $6.16 – $38.46 | 4,076 | 3 |
| Ypsilanti, MI | $122.99 | $35.78 – $378.00 | 4,008 | 5 |
| Wellington, FL | $188.35 | $95.41 – $400.67 | 3,933 | 5 |
| Merrillville, IN | $116.50 | $38.39 – $691.33 | 3,928 | 6 |
| Miami, FL | $91.00 | $10.53 – $495.99 | 3,896 | 20 |
| Saint Joseph, MI | $239.84 | $166.60 – $249.08 | 3,803 | 2 |
| Tucker, GA | $28.55 | $0.00 – $56.48 | 3,789 | 6 |
| Indianapolis, IN | $57.32 | $5.98 – $88.35 | 3,770 | 27 |
| Paducah, KY | $302.06 | $27.16 – $333.46 | 3,754 | 5 |
| Morehead, KY | $252.01 | $36.68 – $360.72 | 3,730 | 3 |
| Bangor, ME | $272.56 | $19.08 – $330.72 | 3,726 | 11 |
| Redding, CA | $188.35 | $16.54 – $1,060 | 3,715 | 14 |
| Southaven, MS | $311.23 | $13.86 – $340.92 | 3,700 | 3 |
| Fort Wayne, IN | $165.18 | $23.39 – $275.99 | 3,689 | 19 |
| Hamden, CT | $89.69 | $83.23 – $100.13 | 3,676 | 4 |
| Baltimore, MD | $64.97 | $0.43 – $376.95 | 3,639 | 22 |
| Van Nuys, CA | $123.10 | $17.76 – $156.33 | 3,637 | 6 |
| Carmichael, CA | $44.51 | $18.75 – $540.46 | 3,611 | 6 |
| Alexandria, LA | $112.82 | $2.56 – $139.80 | 3,527 | 11 |
| Columbia, SC | $281.28 | $142.16 – $644.84 | 3,414 | 4 |
| Danville, KY | $378.88 | $27.21 – $399.18 | 3,412 | 3 |
| Muskegon, MI | $196.70 | $43.93 – $415.46 | 3,412 | 2 |
| Upland, CA | $172.83 | $8.97 – $276.60 | 3,376 | 6 |
| Norfolk, VA | $410.69 | $27.58 – $575.97 | 3,369 | 9 |
| Livingston, NJ | $233.85 | $14.84 – $335.55 | 3,364 | 6 |
| Morristown, NJ | $253.23 | $53.71 – $256.36 | 3,359 | 2 |
| Hammond, LA | $104.49 | $48.97 – $112.71 | 3,350 | 3 |
| Springfield, MA | $420.34 | $15.30 – $491.99 | 3,342 | 12 |
| Parkersburg, WV | $278.50 | $11.43 – $359.12 | 3,340 | 6 |
| Riverside, CA | $215.03 | $30.16 – $486.19 | 3,279 | 16 |
| Hazard, KY | $110.14 | $38.69 – $146.10 | 3,270 | 5 |
| Hackensack, NJ | $99.20 | $9.62 – $213.44 | 3,254 | 4 |
| Rego Park, NY | $16.95 | $16.95 – $16.95 | 3,240 | 1 |
| Hialeah, FL | $140.22 | $0.00 – $296.29 | 3,238 | 8 |
| Belleville, NJ | $137.62 | $24.74 – $158.35 | 3,228 | 2 |
| Long Island City, NY | $453.44 | $61.70 – $801.56 | 3,222 | 2 |
| Southfield, MI | $50.77 | $44.00 – $241.25 | 3,214 | 7 |
| Norwich, CT | $358.76 | $21.55 – $399.74 | 3,210 | 6 |
| Green Bay, WI | $121.80 | $39.45 – $145.23 | 3,207 | 8 |
| Gainesville, GA | $379.73 | $26.44 – $386.95 | 3,192 | 2 |
| Linden, NJ | $140.76 | $140.76 – $140.76 | 3,171 | 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.