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 |
|---|---|---|---|---|
| Madison, WI | $121.06 | $29.28 – $131.66 | 1,815 | 7 |
| Alamogordo, NM | $418.61 | $165.74 – $571.06 | 1,800 | 2 |
| Marshfield, WI | $60.36 | $30.28 – $105.63 | 1,799 | 4 |
| Danville, PA | $32.73 | $20.10 – $32.81 | 1,784 | 2 |
| Christiansburg, VA | $410.15 | $35.41 – $468.61 | 1,783 | 4 |
| Bayonne, NJ | $128.66 | $128.66 – $128.66 | 1,749 | 1 |
| Fredericksburg, VA | $633.01 | $22.86 – $722.73 | 1,745 | 6 |
| Hamtramck, MI | $188.59 | $188.59 – $188.59 | 1,737 | 1 |
| Orangeburg, SC | $171.84 | $23.77 – $212.97 | 1,730 | 3 |
| New Britain, CT | $454.16 | $11.78 – $695.19 | 1,720 | 5 |
| Princeton, WV | $240.15 | $51.16 – $350.21 | 1,720 | 2 |
| Danbury, CT | $561.20 | $28.28 – $564.96 | 1,715 | 2 |
| Flagstaff, AZ | $139.35 | $84.16 – $215.15 | 1,712 | 6 |
| Fairfield, OH | $154.68 | $26.64 – $368.48 | 1,699 | 8 |
| Olympia, WA | $337.74 | $25.63 – $399.15 | 1,688 | 6 |
| Racine, WI | $131.08 | $47.45 – $132.98 | 1,682 | 3 |
| Altoona, PA | $116.31 | $46.53 – $227.40 | 1,678 | 5 |
| Maplewood, NJ | $166.41 | $110.29 – $173.83 | 1,678 | 2 |
| Kingsport, TN | $228.31 | $19.28 – $440.22 | 1,677 | 9 |
| Utica, NY | $195.14 | $44.06 – $409.48 | 1,665 | 11 |
| Conway, SC | $64.63 | $22.09 – $66.72 | 1,656 | 4 |
| Bristol, CT | $439.15 | $439.15 – $439.15 | 1,645 | 1 |
| Chillicothe, OH | $244.13 | $36.68 – $356.61 | 1,644 | 3 |
| Roslyn, NY | $273.80 | $273.60 – $281.51 | 1,638 | 2 |
| Wilmington, DE | $217.12 | $187.09 – $217.57 | 1,637 | 2 |
| Secaucus, NJ | $310.30 | $288.07 – $339.14 | 1,636 | 2 |
| Jackson, MI | $147.73 | $41.31 – $386.90 | 1,629 | 6 |
| Virginia Beach, VA | $278.67 | $26.41 – $646.27 | 1,607 | 9 |
| Warren, MI | $165.02 | $31.90 – $308.25 | 1,602 | 4 |
| Fair Lawn, NJ | $18.85 | $16.69 – $29.48 | 1,587 | 5 |
| Roanoke, VA | $554.07 | $16.09 – $624.07 | 1,585 | 4 |
| Sioux Falls, SD | $92.46 | $45.11 – $570.36 | 1,584 | 5 |
| Charlotte, NC | $28.69 | $18.84 – $66.84 | 1,576 | 12 |
| Baldwin Park, CA | $561.84 | $81.51 – $792.27 | 1,570 | 2 |
| Potomac, MD | $69.25 | $69.25 – $69.25 | 1,567 | 1 |
| Corona, NY | $306.15 | $306.15 – $306.15 | 1,564 | 1 |
| Aurora, CO | $27.92 | $24.27 – $35.47 | 1,562 | 6 |
| Winchester, VA | $584.79 | $79.11 – $651.18 | 1,552 | 6 |
| Maysville, KY | $207.37 | $28.83 – $310.00 | 1,548 | 4 |
| Danville, VA | $373.24 | $45.47 – $383.16 | 1,541 | 4 |
| Marysville, CA | $218.15 | $55.81 – $225.65 | 1,540 | 2 |
| New Brunswick, NJ | $230.98 | $198.62 – $326.81 | 1,533 | 2 |
| Denver, CO | $136.04 | $24.97 – $287.52 | 1,525 | 6 |
| San Bernardino, CA | $267.44 | $51.70 – $304.85 | 1,519 | 7 |
| Fontana, CA | $408.75 | $3.36 – $424.34 | 1,513 | 3 |
| Anniston, AL | $63.90 | $29.26 – $71.96 | 1,513 | 5 |
| Salem, VA | $546.39 | $35.72 – $590.83 | 1,508 | 3 |
| Charleston, SC | $129.16 | $13.15 – $352.34 | 1,506 | 11 |
| Tupelo, MS | $102.51 | $0.00 – $386.47 | 1,505 | 12 |
| Goldsboro, NC | $32.34 | $10.38 – $41.62 | 1,498 | 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.