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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
Akron, OH $411.77 $29.97 – $467.26 1,493 7
Brockton, MA $346.50 $28.20 – $554.24 1,493 8
Glendale, AZ $457.54 $189.48 – $776.40 1,481 9
Willimantic, CT $424.51 $26.63 – $457.55 1,474 2
Flushing, MI $166.43 $166.43 – $166.43 1,462 1
Hemet, CA $145.85 $20.00 – $245.25 1,458 7
Winchester, KY $239.83 $112.86 – $520.44 1,451 2
Astoria, NY $214.40 $195.40 – $272.25 1,439 3
Woodland Hills, CA $595.76 $0.00 – $1,132 1,433 4
Apple Valley, CA $153.33 $51.53 – $412.17 1,388 5
Melbourne, FL $29.01 $14.47 – $29.34 1,380 2
South Charleston, WV $120.50 $30.26 – $270.69 1,374 7
Greenwood, SC $177.16 $177.16 – $177.16 1,367 1
Burr Ridge, IL $41.61 $41.61 – $41.61 1,359 1
Fall River, MA $97.36 $94.50 – $101.18 1,357 4
Wichita, KS $59.05 $0.49 – $113.24 1,355 7
Staten Island, NY $421.59 $23.70 – $606.13 1,337 6
Janesville, WI $143.54 $22.77 – $145.84 1,334 3
Harrisonburg, VA $533.34 $533.34 – $533.34 1,333 1
Richmond Hill, NY $339.21 $265.61 – $361.73 1,328 3
West Hollywood, CA $21.03 $17.31 – $70.10 1,323 5
Eureka, CA $127.27 $73.16 – $598.36 1,313 4
North Arlington, NJ $356.17 $309.68 – $383.93 1,313 2
Harlingen, TX $29.76 $3.53 – $32.02 1,306 4
Metuchen, NJ $100.23 $100.23 – $100.23 1,304 1
Gurnee, IL $28.30 $24.01 – $34.15 1,286 3
Dover, DE $92.62 $19.38 – $195.59 1,285 4
Pennington, NJ $613.08 $30.97 – $618.59 1,281 2
Spartanburg, SC $64.96 $64.96 – $64.96 1,278 1
Monroe, LA $111.31 $0.00 – $1,152 1,273 9
Perth Amboy, NJ $195.38 $193.24 – $211.89 1,272 2
Waterloo, IA $105.96 $48.63 – $223.09 1,262 4
Salt Lake City, UT $76.17 $7.53 – $209.32 1,260 6
Nashville, TN $41.18 $19.47 – $273.05 1,259 21
Scottsdale, AZ $418.25 $31.47 – $1,671 1,258 8
Greenville, KY $260.77 $44.60 – $364.78 1,256 2
Suffolk, VA $392.85 $18.09 – $557.06 1,254 7
Voorhees, NJ $270.28 $43.15 – $320.00 1,253 3
Cynthiana, KY $612.54 $43.94 – $745.83 1,248 2
Grand Blanc, MI $150.29 $34.37 – $239.69 1,247 4
Lynchburg, VA $505.36 $36.57 – $852.09 1,231 3
Auburn, WA $37.37 $29.07 – $452.84 1,223 5
Yakima, WA $252.48 $190.11 – $253.42 1,215 2
Colonial Heights, VA $196.23 $180.21 – $271.68 1,215 4
Marrero, LA $87.77 $55.18 – $96.67 1,207 6
Manati, PR $173.00 $159.15 – $351.30 1,207 2
Renton, WA $305.47 $305.47 – $305.47 1,191 1
Opelousas, LA $169.78 $140.03 – $175.09 1,190 3
Hollywood, MD $105.09 $85.50 – $343.36 1,185 2
Oakland, CA $423.32 $40.84 – $966.12 1,164 10

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.