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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
Jackson, MS $372.18 $11.10 – $608.39 3,168 7
Cotto Laurel, PR $146.10 $146.10 – $146.10 3,020 1
Las Cruces, NM $223.42 $54.42 – $515.16 3,000 6
East Orange, NJ $117.35 $117.35 – $117.35 2,988 1
Anderson, SC $264.03 $22.12 – $305.82 2,980 6
Tacoma, WA $244.79 $18.43 – $316.57 2,976 16
Charlottesville, VA $669.72 $16.93 – $883.29 2,905 6
Fort Smith, AR $103.38 $30.26 – $132.01 2,884 7
Oxford, MS $267.03 $35.78 – $325.35 2,884 4
Newport News, VA $524.08 $35.39 – $572.87 2,873 3
Logan, WV $243.38 $42.56 – $419.41 2,859 3
Kingman, AZ $919.14 $26.08 – $1,000 2,844 5
Hewlett, NY $231.64 $231.64 – $231.64 2,773 1
New Albany, IN $59.57 $32.69 – $93.34 2,769 7
Clifton, NJ $28.98 $17.96 – $30.37 2,682 5
Steubenville, OH $170.14 $49.67 – $402.73 2,662 4
Caguas, PR $359.20 $55.01 – $387.64 2,661 4
Travis Afb, CA $45.18 $45.17 – $46.68 2,654 2
Natchez, MS $74.92 $8.58 – $76.54 2,618 3
Albany, GA $376.55 $11.91 – $396.85 2,585 3
Farmington, CT $380.83 $18.81 – $527.74 2,582 5
Albuquerque, NM $421.75 $35.09 – $515.33 2,578 12
Torrance, CA $84.74 $23.15 – $304.98 2,556 7
Winchester, TN $90.46 $39.01 – $97.51 2,549 2
Whitesburg, KY $127.22 $33.38 – $176.67 2,541 3
Forest Hills, NY $113.26 $32.62 – $259.78 2,533 4
Elmhurst, NY $137.88 $46.51 – $169.94 2,532 3
Springfield, OH $110.28 $35.35 – $307.09 2,522 8
Holyoke, MA $192.41 $91.60 – $344.48 2,518 3
Statesboro, GA $57.22 $53.73 – $58.74 2,514 3
Coto Laurel, PR $127.22 $127.22 – $127.22 2,494 1
Chandler, AZ $173.79 $123.21 – $228.71 2,462 7
Greenville, SC $185.41 $29.17 – $354.58 2,445 6
Oklahoma City, OK $95.48 $44.35 – $303.83 2,429 14
Youngstown, OH $261.91 $32.97 – $405.65 2,405 8
Orange, CA $106.14 $10.50 – $192.58 2,397 6
Morgantown, WV $141.80 $31.70 – $263.60 2,374 8
Aibonito, PR $414.28 $414.28 – $414.28 2,370 1
S. Richmond Hill, NY $317.29 $317.29 – $317.29 2,360 1
Houston, TX $63.62 $0.00 – $283.08 2,359 15
Imperial, CA $134.27 $134.27 – $134.27 2,355 1
Bellingham, WA $285.33 $33.32 – $375.89 2,351 4
Panorama City, CA $825.44 $0.00 – $1,211 2,350 4
Traverse City, MI $83.65 $37.68 – $418.39 2,338 3
Inglewood, CA $250.66 $29.53 – $387.99 2,334 8
Tulsa, OK $50.20 $25.45 – $193.59 2,327 8
Guttenberg, NJ $233.41 $161.90 – $251.92 2,320 2
Summit, NJ $274.50 $274.50 – $274.50 2,309 1
Richland, WA $309.43 $22.54 – $338.41 2,298 6
Prescott, AZ $767.30 $49.40 – $925.46 2,283 3

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.