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
Fairfield, CA	$175.03	$17.06 – $544.14	1,163	4
West Monroe, LA	$56.50	$47.04 – $70.99	1,158	5
Greenbelt, MD	$278.75	$0.00 – $343.38	1,154	6
Rome, GA	$268.37	$268.37 – $268.37	1,143	1
Gaithersburg, MD	$0.06	$0.06 – $0.06	1,142	1
Pomona, NJ	$272.75	$272.75 – $272.75	1,139	1
Zanesville, OH	$309.27	$22.11 – $382.64	1,128	4
Southgate, MI	$124.69	$124.69 – $124.69	1,128	1
Okemos, MI	$38.92	$0.00 – $39.38	1,121	2
Madison, WV	$406.59	$44.99 – $507.19	1,121	2
Oceanside, NY	$262.57	$254.64 – $994.82	1,120	2
New Orleans, LA	$131.42	$40.24 – $153.43	1,116	8
Farmington, NM	$469.51	$21.12 – $528.97	1,115	5
Bay City, MI	$297.52	$37.17 – $426.90	1,114	3
Camarillo, CA	$78.07	$76.12 – $78.10	1,108	2
Ventura, CA	$357.33	$1.67 – $453.77	1,105	6
Monterey, CA	$216.88	$18.41 – $228.27	1,101	4
Salisbury, MD	$93.63	$61.74 – $365.18	1,098	4
Petoskey, MI	$172.21	$41.87 – $351.08	1,079	3
Hampton, VA	$330.98	$251.97 – $494.20	1,076	2
Browns Mills, NJ	$332.82	$27.12 – $341.01	1,073	2
Greeneville, TN	$21.98	$19.74 – $28.11	1,068	2
Erie, PA	$154.60	$0.00 – $200.31	1,059	8
Laurel, MS	$248.06	$64.12 – $314.91	1,059	3
Belleville, IL	$34.52	$32.01 – $147.22	1,040	3
Williamson, WV	$46.89	$46.89 – $46.89	1,040	1
Kansas City, MO	$82.80	$27.60 – $100.81	1,035	4
Durant, OK	$165.35	$165.35 – $165.35	1,035	1
Dallas, TX	$163.76	$0.00 – $325.13	1,025	7
Yonkers, NY	$321.74	$21.81 – $631.10	1,024	3
Short Hills, NJ	$118.52	$118.52 – $118.52	1,018	1
Whittier, CA	$38.27	$31.99 – $93.26	1,006	5
Lapeer, MI	$144.17	$45.40 – $170.16	1,003	2
Vancouver, WA	$247.35	$26.89 – $251.62	1,001	2
Carbondale, IL	$26.73	$15.91 – $31.42	999	7
Osage Beach, MO	$184.69	$68.37 – $205.97	996	2
Brownsville, TX	$12.58	$0.00 – $15.26	993	3
South Williamson, KY	$295.95	$44.16 – $314.46	993	2
Berwyn, IL	$22.89	$20.96 – $25.66	990	2
Chino, CA	$303.05	$303.05 – $303.05	983	1
Orlando, FL	$130.32	$6.76 – $350.35	982	12
La Crosse, WI	$147.76	$127.53 – $157.49	976	2
Poughkeepsie, NY	$578.54	$40.00 – $597.46	972	2
Chico, CA	$212.57	$20.89 – $262.62	965	5
Plainfield, NJ	$26.32	$26.32 – $26.32	965	1
Randallstown, MD	$81.71	$81.71 – $81.71	964	1
Edinburg, TX	$61.99	$0.00 – $80.37	959	5
Natchitoches, LA	$186.30	$186.30 – $186.30	954	1
Lawrence, MA	$157.21	$157.21 – $157.21	950	1
Elizabeth City, NC	$44.46	$43.12 – $52.26	947	2

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.