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 |
|---|---|---|---|---|
| Adrian, MI | $475.27 | $475.27 – $475.27 | 12 | 1 |
| Macomb, IL | $18.74 | $18.74 – $18.74 | 12 | 1 |
| Northport, AL | $0.00 | $0.00 – $0.00 | 12 | 1 |
| Butte, MT | $0.00 | $0.00 – $0.00 | 12 | 1 |
| Pleasanton, CA | $478.36 | $478.36 – $478.36 | 12 | 1 |
| Denison, TX | $133.59 | $133.59 – $133.59 | 12 | 1 |
| East Norriton, PA | $455.78 | $455.78 – $455.78 | 12 | 1 |
| Hayward, CA | $70.44 | $70.44 – $70.44 | 12 | 1 |
| Red Bank, NJ | $376.89 | $376.89 – $376.89 | 12 | 1 |
| Jackson, CA | $295.90 | $295.90 – $295.90 | 12 | 1 |
| Bellefontaine, OH | $295.91 | $295.91 – $295.91 | 12 | 1 |
| Palmer, AK | $68.97 | $68.97 – $68.97 | 12 | 1 |
| Lake St Louis, MO | $33.48 | $33.48 – $33.48 | 12 | 1 |
| Chester, PA | $129.74 | $129.74 – $129.74 | 12 | 1 |
| Berlin, WI | $789.06 | $789.06 – $789.06 | 12 | 1 |
| Sault Sainte Marie, MI | $712.28 | $712.28 – $712.28 | 12 | 1 |
| Carmel, CA | $41.52 | $41.52 – $41.52 | 12 | 1 |
| Three Rivers, MI | $453.27 | $453.27 – $453.27 | 12 | 1 |
| Canton, MI | $177.37 | $177.37 – $177.37 | 12 | 1 |
| Belen, NM | $141.94 | $141.94 – $141.94 | 12 | 1 |
| Manistee, MI | $513.33 | $513.33 – $513.33 | 12 | 1 |
| Okla City, OK | $108.17 | $108.17 – $108.17 | 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.