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 |
|---|---|---|---|---|
| Pinehurst, NC | $274.41 | $12.36 – $299.29 | 936 | 4 |
| Fayetteville, GA | $120.70 | $25.45 – $155.04 | 936 | 2 |
| Salem, OR | $256.18 | $173.89 – $276.91 | 935 | 6 |
| Colton, CA | $176.78 | $46.57 – $242.45 | 935 | 3 |
| Marion, OH | $254.29 | $28.51 – $410.23 | 925 | 6 |
| Slidell, LA | $106.00 | $34.68 – $441.42 | 924 | 9 |
| Chattanooga, TN | $43.41 | $14.88 – $70.27 | 920 | 10 |
| Stanford, CA | $157.33 | $11.09 – $364.45 | 920 | 7 |
| Lancaster, OH | $151.21 | $30.59 – $267.66 | 911 | 4 |
| Winnsboro, LA | $66.97 | $66.97 – $66.97 | 909 | 1 |
| Cape Girardeau, MO | $25.20 | $17.98 – $30.02 | 903 | 5 |
| Kirkland, WA | $202.78 | $202.78 – $202.78 | 890 | 1 |
| Jefferson Hills, PA | $172.40 | $172.40 – $172.40 | 890 | 1 |
| Meadowbrook, PA | $58.58 | $58.58 – $58.58 | 888 | 1 |
| Greenville, MS | $186.42 | $19.33 – $255.25 | 887 | 3 |
| Santa Cruz, CA | $69.89 | $23.62 – $240.79 | 885 | 4 |
| Trenton, NJ | $448.46 | $16.26 – $558.54 | 885 | 4 |
| Silver Spring, MD | $126.24 | $126.24 – $126.24 | 883 | 1 |
| Columbus, MS | $296.53 | $37.99 – $305.32 | 882 | 2 |
| Downey, CA | $773.98 | $29.71 – $1,134 | 882 | 6 |
| North Andover, MA | $58.88 | $28.59 – $63.40 | 882 | 3 |
| Manchester, NH | $293.71 | $7.08 – $400.77 | 880 | 5 |
| Bristol, TN | $339.87 | $32.85 – $582.51 | 878 | 6 |
| Springfield, IL | $80.05 | $22.37 – $329.03 | 874 | 13 |
| Poland, OH | $37.54 | $35.14 – $45.58 | 872 | 6 |
| Lufkin, TX | $17.21 | $16.90 – $37.82 | 871 | 2 |
| Middlebury, CT | $98.63 | $98.63 – $98.63 | 871 | 1 |
| Bastrop, LA | $62.73 | $62.73 – $62.73 | 870 | 1 |
| Columbia, MD | $170.17 | $66.06 – $390.12 | 860 | 3 |
| North Bergen, NJ | $234.88 | $158.03 – $241.94 | 856 | 2 |
| Johnson City, TN | $25.07 | $13.70 – $53.17 | 853 | 9 |
| Beloit, WI | $112.68 | $28.71 – $113.99 | 849 | 2 |
| Franklin, OH | $343.04 | $42.52 – $413.92 | 846 | 3 |
| Biddeford, ME | $306.97 | $306.97 – $306.97 | 845 | 1 |
| Woodbridge, VA | $216.69 | $202.26 – $232.87 | 844 | 5 |
| Asheville, NC | $322.89 | $14.54 – $367.65 | 843 | 3 |
| Chesapeake, VA | $244.41 | $31.54 – $507.25 | 842 | 8 |
| Covington, LA | $76.67 | $17.24 – $111.01 | 839 | 10 |
| Fond Du Lac, WI | $104.56 | $29.29 – $112.55 | 834 | 3 |
| Marietta, OH | $307.46 | $27.40 – $324.20 | 832 | 3 |
| Tampa, FL | $34.44 | $18.39 – $161.85 | 824 | 10 |
| Wheeling, WV | $171.82 | $48.87 – $219.22 | 819 | 3 |
| Henderson, KY | $260.82 | $37.35 – $519.96 | 817 | 4 |
| Torrington, CT | $589.51 | $589.51 – $589.51 | 815 | 1 |
| Boise, ID | $164.20 | $44.32 – $193.06 | 813 | 4 |
| Arcadia, CA | $98.25 | $27.09 – $312.62 | 813 | 3 |
| Houma, LA | $158.61 | $56.01 – $179.84 | 808 | 5 |
| Berea, KY | $373.16 | $43.19 – $378.56 | 808 | 2 |
| Presque Isle, ME | $298.46 | $25.68 – $341.05 | 807 | 2 |
| Newark, DE | $146.66 | $4.73 – $226.74 | 805 | 7 |
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.