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