Cardiac imaging efficiency rates, by state

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Vermont had the lowest rate of cardiac stress tests performed before low-risk outpatient procedures between July 1, 2022, and June 30, 2023, according to CMS data released Feb. 19. 

CMS measures the percentage of cardiac stress tests performed for eligible Medicare patients undergoing low-risk outpatient surgical procedures as an indicator of imaging efficiency.

Higher percentages may indicate the imaging department is performing more imaging than necessary. 

The national efficiency rate of cardiac stress tests performed before low-risk outpatient procedures between July 1, 2022, and June 30, 2023, was 3.7.

Here are the imaging efficiency rates for cardiac stress tests by state:

StateRate
Alabama3.4
Alaska4.3
Arizona3.8
Arkansas3
California3.9
Colorado3.8
Connecticut4.4
Delaware3
District of Columbia4.8
Florida4.2
Georgia4.1
Hawaii3.3
Idaho3.3
Illinois3.7
Indiana3.5
Iowa2.9
Kansas3.6
Kentucky3.3
Louisiana3.9
Maine3.4
Maryland4.6
Massachusetts4.1
Michigan3.5
Minnesota4.3
Mississippi3.8
Missouri3.3
Montana3
Nebraska3.1
Nevada2.6
New Hampshire3.3
New Jersey4.4
New Mexico3.2
New York4.8
North Carolina3.2
North Dakota3.2
Ohio3.4
Oklahoma3.1
Oregon2.9
Pennsylvania3.7
Rhode Island3.9
South Carolina3.4
South Dakota3.3
Tennessee3.2
Texas3.7
Utah3.8
Vermont2.5
Virginia3.3
Washington3.4
West Virginia2.8
Wisconsin3.7
Wyoming3.3

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