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 β $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 |
|---|---|---|---|---|
| Everett, WA | $417.03 | $35.04 β $435.60 | 2,274 | 6 |
| Falls Church, VA | $556.31 | $38.79 β $562.13 | 2,265 | 3 |
| Owings Mills, MD | $153.52 | $26.34 β $207.66 | 2,258 | 3 |
| La Mesa, CA | $284.71 | $35.61 β $341.60 | 2,206 | 4 |
| Midland, MI | $127.39 | $42.85 β $343.47 | 2,190 | 4 |
| Coral Gables, FL | $169.58 | $153.14 β $189.13 | 2,187 | 2 |
| Ozone Park, NY | $234.68 | $232.12 β $379.32 | 2,181 | 2 |
| Mccomb, MS | $279.14 | $36.83 β $411.34 | 2,165 | 3 |
| Rockford, IL | $37.16 | $20.76 β $42.23 | 2,161 | 9 |
| Rapid City, SD | $112.62 | $112.62 β $112.62 | 2,160 | 1 |
| Hurricane, WV | $147.33 | $96.22 β $197.84 | 2,159 | 2 |
| El Centro, CA | $47.18 | $47.18 β $47.18 | 2,157 | 1 |
| Stamford, CT | $434.85 | $14.92 β $488.19 | 2,153 | 5 |
| Morristown, TN | $98.87 | $63.65 β $266.65 | 2,152 | 3 |
| Anaheim, CA | $223.06 | $0.56 β $670.77 | 2,146 | 8 |
| Indio, CA | $341.63 | $32.52 β $343.96 | 2,143 | 2 |
| San Mateo, CA | $24.93 | $24.60 β $45.99 | 2,117 | 2 |
| Mount Clemens, MI | $175.85 | $42.98 β $286.71 | 2,107 | 3 |
| New London, CT | $413.02 | $125.73 β $433.90 | 2,096 | 2 |
| Jefferson City, TN | $71.58 | $71.58 β $71.58 | 2,092 | 1 |
| Port Huron, MI | $145.13 | $41.30 β $311.65 | 2,084 | 3 |
| New Bedford, MA | $322.02 | $107.61 β $532.33 | 2,076 | 2 |
| Rancho Mirage, CA | $100.00 | $35.14 β $166.86 | 2,076 | 4 |
| Boynton Beach, FL | $290.59 | $9.55 β $294.45 | 2,068 | 2 |
| Cambridge, MA | $299.44 | $25.41 β $303.07 | 2,066 | 2 |
| French Camp, CA | $91.84 | $62.99 β $123.79 | 2,066 | 3 |
| Rochester, NY | $403.31 | $35.58 β $641.98 | 2,038 | 5 |
| Merced, CA | $388.66 | $332.70 β $395.05 | 2,030 | 2 |
| Kenosha, WI | $119.41 | $28.41 β $121.05 | 2,021 | 3 |
| Howard Beach, NY | $292.60 | $292.60 β $292.60 | 2,014 | 1 |
| Kettering, OH | $93.89 | $25.22 β $387.75 | 1,935 | 3 |
| Abingdon, VA | $298.43 | $32.68 β $567.47 | 1,933 | 3 |
| Corinth, MS | $285.94 | $12.22 β $334.19 | 1,933 | 5 |
| Costa Mesa, CA | $240.58 | $68.17 β $661.90 | 1,925 | 2 |
| Wyoming, MI | $243.59 | $243.59 β $243.59 | 1,920 | 1 |
| Buffalo, NY | $117.52 | $36.51 β $207.14 | 1,916 | 12 |
| Novi, MI | $404.38 | $404.38 β $404.38 | 1,910 | 1 |
| Troy, MI | $441.35 | $37.32 β $455.87 | 1,909 | 4 |
| Greenville, NC | $53.42 | $18.21 β $56.78 | 1,905 | 6 |
| Munster, IN | $42.75 | $17.98 β $151.79 | 1,904 | 9 |
| Beavercreek, OH | $195.26 | $39.96 β $382.41 | 1,902 | 4 |
| Richlands, VA | $465.91 | $42.88 β $539.61 | 1,894 | 2 |
| South Boston, VA | $322.33 | $27.70 β $357.39 | 1,881 | 2 |
| Augusta, ME | $405.13 | $36.46 β $410.10 | 1,878 | 2 |
| Morgan City, LA | $113.46 | $113.46 β $113.46 | 1,850 | 1 |
| Appleton, WI | $138.98 | $25.36 β $161.40 | 1,848 | 6 |
| New Iberia, LA | $117.28 | $117.28 β $117.28 | 1,846 | 1 |
| Huntington Beach, CA | $112.87 | $95.04 β $279.03 | 1,837 | 2 |
| Toms River, NJ | $504.63 | $47.05 β $557.49 | 1,819 | 4 |
| Manchester, KY | $315.62 | $315.62 β $315.62 | 1,816 | 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.