Cardiac Testing Price List
At Trinity Heart and Vascular Group, we provide a wide range of cardiovascular testing in Johnson City, TN and Greeneville, TN, including stress tests, EKGs, extended-wear cardiac monitors, and cardiovascular ultrasounds.
Since we are a cash-based cardiology practice, we offer competitive, fully transparent prices for all in-office cardiac testing.* These prices are applicable to everyone — whether you live in the Tri-Cities area, other Tennessee locations, or even out of state. These prices are also the same regardless of whether you have health insurance or not.
You do not have to be an established patient at our practice to take advantage of our in-office testing services. We simply need a written test order from your referring medical provider.
We conduct non-emergency appointments, and offer these tests during our normal business hours.
*Fees are subject to change.
Please click on any of the test names below to see the correlating descriptions.
EKG and Cardiac Risk Assessment
This test records the electrical signals from your heart through the use of electrodes (small patches that adhere to the skin). You lie on an exam table, where electrodes are attached to your chest, legs, and arms. These electrodes measure and record your heart rate, rhythm, and other electrical signals from the heart. Typically, this test takes 5 to 10 minutes.
This service is for healthy, competitive young athletes who may have a family history of, or a concern about the possible presence of, undiagnosed heart disease that could manifest itself in a dangerous way during athletic competition.
A cardiac risk assessment is especially recommended for athletes who have a family history of hypertrophic cardiomyopathy, long QT syndrome, Marfan’s syndrome, Wolf-Parkinson-White syndrome, or sudden cardiac arrest, particularly associated with younger age and physical exertion.
This assessment includes a provider evaluation, EKG, and screening echocardiogram.
EKG and Cardiac Risk Assessment
This test records the electrical signals from your heart through the use of electrodes (small patches that adhere to the skin). You lie on an exam table, where electrodes are attached to your chest, legs, and arms. These electrodes measure and record your heart rate, rhythm, and other electrical signals from the heart. Typically, this test takes 5 to 10 minutes.
This service is for healthy, competitive young athletes who may have a family history of, or a concern about the possible presence of, undiagnosed heart disease that could manifest itself in a dangerous way during athletic competition.
A cardiac risk assessment is especially recommended for athletes who have a family history of hypertrophic cardiomyopathy, long QT syndrome, Marfan’s syndrome, Wolf-Parkinson-White syndrome, or sudden cardiac arrest, particularly associated with younger age and physical exertion.
This assessment includes a provider evaluation, EKG, and screening echocardiogram.
Stress Testing
[All tests in this category are only available at our Greeneville location.]
This test is for patients who have a normal or near normal resting ECG/EKG, and who are able to exercise adequately and safely on a treadmill. This test cannot be done if you have a pacemaker, a defibrillator, or an electrical abnormality called Left Bundle Branch Block (LBBB).
The test is used to determine how exercise affects your heart rate and blood pressure, and to see if exercise causes abnormal heart rhythms and/or induces abnormal blood flow to the heart muscle. This test is conducted while you walk on a treadmill.
Before you start, electrodes are attached to your chest and stomach so that an EKG can be performed while you’re exercising, and a blood pressure cuff is placed on either your right or left your arm, and a heart monitor cable is secured around your waist.
After the treadmill starts, the speed and incline are gradually increased to get your heart rate to increase. Once your heart rate is increased to a certain level and you can no longer exercise, the treadmill will slowly be brought to a stop. On average, this test takes about 5 to 15 minutes.
This test is for patients who need a nuclear stress test and are able to exercise adequately and safely on a treadmill. This test cannot be done if you have a pacemaker, a defibrillator or an electrical abnormality called Left Bundle Branch Block (LBBB).
This test is the same as the exercise treadmill test (walking on a treadmill with electrodes attached to your chest and stomach), but with an added component – the administration of a radioisotope (given before and after an exercise treadmill test).
This study involves placing an IV in your arm, which will deliver a radioactive tracer that will be taken up by your heart muscle before and during exercise. After achieving a maximally-tolerated level of exercise, you will sit next to a gamma camera, where images of your heart will be taken to see how well your heart arteries can deliver blood flow to the heart muscle.
On average, the test takes about 3 hours total to complete. Stress testing time is about 10 minutes more or less, and gamma camera time (2 separate imaging sessions) is about 30 minutes. There are also necessary waiting times that allow the isotope time to circulate.
This test is for patients who need a nuclear stress test, but are unable to exercise adequately or walk safely on a treadmill. This test cannot be done if you have a pacemaker, a defibrillator or an electrical abnormality called Left Bundle Branch Block (LBBB).
This test measures how medication-induced cardiac stress affects your heart rate, blood pressure, and blood flow to your heart. First, a radioactive tracer is administered through an IV while you rest comfortably for about 45 minutes (this gives the tracer enough time to circulate). Next, a camera scans your chest to take images of your heart).
After that, a medication (dobutamine) is slowly administered through your IV over 10 minutes or so, (more or less). This process makes your heart beat faster and stronger, which mimics the way that physical exercise would increase the heart rate and blood flow to the heart. Once a peak dose of dobutamine is achieved, a second dose of radioactive tracer will be administered, and another scan will be done (in about 30-45 minutes) to take additional images of your heart.
This test, on average, usually takes approximately 3.5 hours in total time.
This test is for patients who need a nuclear stress test, but are unable to exercise adequately or walk safely on a treadmill. This test is also for patients who have a pacemaker, a defibrillator or an electrical ECG abnormality called Left Bundle Branch Block (LBBB).
This test measures how medication-induced cardiac stress affects your heart rate, blood pressure, and blood flow to your heart.
First, a radioactive tracer is administered through an IV while you rest comfortably for about 45 minutes (this gives the tracer enough time to circulate). Next, a gamma camera scans your chest to take images of your heart).
After that, a medication (Regadenoson) is administered through your IV for less than one minute. This process dilates/opens up your arteries, which mimics the way that physical exercise would increase blood flow to the heart. Very shortly after the administration of regadenoson, a second dose of radioactive tracer will be administered, and another scan will be done in about 30-45 minutes to take additional images of your heart.
This test, on average, usually takes approximately 3.5 hours in total time.
This test is very similar to a dobutamine nuclear stress test, except instead of receiving a radioisotope that is imaged from a gamma camera, cardiac ultrasound images are taken instead. However, test duration is shorter, and is generally concluded in about one hour.
Stress Testing
[All tests in this category are only available at our Greeneville location.]
This test is for patients who have a normal or near normal resting ECG/EKG, and who are able to exercise adequately and safely on a treadmill. This test cannot be done if you have a pacemaker, a defibrillator, or an electrical abnormality called Left Bundle Branch Block (LBBB).
The test is used to determine how exercise affects your heart rate and blood pressure, and to see if exercise causes abnormal heart rhythms and/or induces abnormal blood flow to the heart muscle. This test is conducted while you walk on a treadmill.
Before you start, electrodes are attached to your chest and stomach so that an EKG can be performed while you’re exercising, and a blood pressure cuff is placed on either your right or left your arm, and a heart monitor cable is secured around your waist.
After the treadmill starts, the speed and incline are gradually increased to get your heart rate to increase. Once your heart rate is increased to a certain level and you can no longer exercise, the treadmill will slowly be brought to a stop. On average, this test takes about 5 to 15 minutes.
This test is for patients who need a nuclear stress test and are able to exercise adequately and safely on a treadmill. This test cannot be done if you have a pacemaker, a defibrillator or an electrical abnormality called Left Bundle Branch Block (LBBB).
This test is the same as the exercise treadmill test (walking on a treadmill with electrodes attached to your chest and stomach), but with an added component – the administration of a radioisotope (given before and after an exercise treadmill test).
This study involves placing an IV in your arm, which will deliver a radioactive tracer that will be taken up by your heart muscle before and during exercise. After achieving a maximally-tolerated level of exercise, you will sit next to a gamma camera, where images of your heart will be taken to see how well your heart arteries can deliver blood flow to the heart muscle.
On average, the test takes about 3 hours total to complete. Stress testing time is about 10 minutes more or less, and gamma camera time (2 separate imaging sessions) is about 30 minutes. There are also necessary waiting times that allow the isotope time to circulate.
This test is for patients who need a nuclear stress test, but are unable to exercise adequately or walk safely on a treadmill. This test cannot be done if you have a pacemaker, a defibrillator or an electrical abnormality called Left Bundle Branch Block (LBBB).
This test measures how medication-induced cardiac stress affects your heart rate, blood pressure, and blood flow to your heart. First, a radioactive tracer is administered through an IV while you rest comfortably for about 45 minutes (this gives the tracer enough time to circulate). Next, a camera scans your chest to take images of your heart).
After that, a medication (dobutamine) is slowly administered through your IV over 10 minutes or so, (more or less). This process makes your heart beat faster and stronger, which mimics the way that physical exercise would increase the heart rate and blood flow to the heart. Once a peak dose of dobutamine is achieved, a second dose of radioactive tracer will be administered, and another scan will be done (in about 30-45 minutes) to take additional images of your heart.
This test, on average, usually takes approximately 3.5 hours in total time.
This test is for patients who need a nuclear stress test, but are unable to exercise adequately or walk safely on a treadmill. This test is also for patients who have a pacemaker, a defibrillator or an electrical ECG abnormality called Left Bundle Branch Block (LBBB).
This test measures how medication-induced cardiac stress affects your heart rate, blood pressure, and blood flow to your heart.
First, a radioactive tracer is administered through an IV while you rest comfortably for about 45 minutes (this gives the tracer enough time to circulate). Next, a gamma camera scans your chest to take images of your heart).
After that, a medication (Regadenoson) is administered through your IV for less than one minute. This process dilates/opens up your arteries, which mimics the way that physical exercise would increase blood flow to the heart. Very shortly after the administration of regadenoson, a second dose of radioactive tracer will be administered, and another scan will be done in about 30-45 minutes to take additional images of your heart.
This test, on average, usually takes approximately 3.5 hours in total time.
This test is very similar to a dobutamine nuclear stress test, except instead of receiving a radioisotope that is imaged from a gamma camera, cardiac ultrasound images are taken instead. However, test duration is shorter, and is generally concluded in about one hour.
Cardiac Ultrasound
This test uses ultrasound waves to capture images of every valve and chamber in your heart to see how your heart muscles function in ‘real time.’ Intracardiac pressure and blood flow are measured in each heart chamber in order to create a detailed report on how your heart is working as a whole. Gel is placed on your chest, and the ultrasound transducer captures images of your heart from multiple angles.
On average, this test usually takes about 50 minutes.
This test is a condensed, shorter version of the comprehensive echocardiogram. A limited echocardiogram uses ultrasound waves to view a specific valve in your heart that may be causing issues, instead of viewing every valve in your heart. Gel is placed on your chest, and the ultrasound transducer captures images of the heart from multiple angles.
On average, this test usually takes about 30 minutes.
Echo contrast enhances the image quality of pumping chambers. This is an ‘add-on’ to a comprehensive or limited echocardiogram (the price of the contrast is added to the price of your echocardiogram). Echo contrast is administered through an IV, which provides a clearer picture of the function of the various chambers of your heart.
Agitated IV fluid contrast is used to detect blood flow shunts within the heart. This is an ‘add-on’ to a comprehensive or limited echocardiogram (the price of the contrast is added to the price of your echocardiogram). Agitated IV fluid (typically saline) solution is administered rapidly through an IV line. It is aimed to detect the presence of certain intracardiac communications between heart chambers (‘holes in the heart’).
Cardiac Ultrasound
This test uses ultrasound waves to capture images of every valve and chamber in your heart to see how your heart muscles function in ‘real time.’ Intracardiac pressure and blood flow are measured in each heart chamber in order to create a detailed report on how your heart is working as a whole.
Gel is placed on your chest, and the ultrasound transducer captures images of your heart from multiple angles.
On average, this test usually takes about 50 minutes.
This test is a condensed, shorter version of the comprehensive echocardiogram. A limited echocardiogram uses ultrasound waves to view a specific valve in your heart that may be causing issues, instead of viewing every valve in your heart.
Gel is placed on your chest, and the ultrasound transducer captures images of the heart from multiple angles.
On average, this test usually takes about 30 minutes.
Echo contrast enhances the image quality of pumping chambers. This is an ‘add-on’ to a comprehensive or limited echocardiogram (the price of the contrast is added to the price of your echocardiogram).
Echo contrast is administered through an IV, which provides a clearer picture of the function of the various chambers of your heart.
Agitated IV fluid contrast is used to detect blood flow shunts within the heart. This is an ‘add-on’ to a comprehensive or limited echocardiogram (the price of the contrast is added to the price of your echocardiogram).
Agitated IV fluid (typically saline) solution is administered rapidly through an IV line. It is aimed to detect the presence of certain intracardiac communications between heart chambers (‘holes in the heart’).
Vascular Testing
[This test is only available at our Greeneville location.]
This test is used to determine the adequacy of blood flow to your lower limbs. You will lie down an exam table, and rest for a short period of time.
Afterwards, while still lying on the exam table, blood pressure cuffs are placed on both arms and both ankles, and your systolic pressure in each arm and each ankle is measured and recorded. A report is then generated.
[This test is only available at our Greeneville location.]
This test is the same as the Rest ABI (as seen immediately above) but has an added exercise component.
It is used to determine the adequacy of blood flow to your lower limbs, especially if exercise-induced leg symptoms are present.
First, you will lie down on an exam table, and rest for a short period of time.
Afterwards, while still lying on the exam table, blood pressure cuffs are placed on both arms and both ankles, and your systolic pressure in each arm and each ankle is measured and recorded.
Next, you will walk on a treadmill at a gradually increased speed and incline until your symptoms appear (i.e., pain and/or pressure in your extremities) or for a predetermined period of time. You will then lie back down on the exam table, and blood pressure cuffs will be placed on both arms and both ankles again to measure your arm and leg blood pressure readings. A report is then generated.
This ultrasound test is used to detect an aneurysm in the portion of your aorta that runs through your abdominal area. In addition to being used for screening, it can also be used for follow-up after an abdominal aortic aneurysm.
Ultrasound gel and a transducer are placed on your abdomen to your aorta, and sounds waves from the ultrasound produce pictures of how your blood flows through that area.
This ultrasound test is used to capture images of how blood flows through your carotid arteries, which are located in the neck region. Ultrasound gel and a transducer are placed on your neck, which produces images that show the width or narrowness of your carotid arteries due to the presence or absence of atherosclerotic plaque.
Vascular Testing
[This test is only available at our Greeneville location.]
This test is used to determine the adequacy of blood flow to your lower limbs. You will lie down an exam table, and rest for a short period of time.
Afterwards, while still lying on the exam table, blood pressure cuffs are placed on both arms and both ankles, and your systolic pressure in each arm and each ankle is measured and recorded. A report is then generated.
[This test is only available at our Greeneville location.]
This test is the same as the Rest ABI (as seen immediately above) but has an added exercise component.
It is used to determine the adequacy of blood flow to your lower limbs, especially if exercise-induced leg symptoms are present.
First, you will lie down on an exam table, and rest for a short period of time.
Afterwards, while still lying on the exam table, blood pressure cuffs are placed on both arms and both ankles, and your systolic pressure in each arm and each ankle is measured and recorded.
Next, you will walk on a treadmill at a gradually increased speed and incline until your symptoms appear (i.e., pain and/or pressure in your extremities) or for a predetermined period of time. You will then lie back down on the exam table, and blood pressure cuffs will be placed on both arms and both ankles again to measure your arm and leg blood pressure readings. A report is then generated.
This ultrasound test is used to detect an aneurysm in the portion of your aorta that runs through your abdominal area. In addition to being used for screening, it can also be used for follow-up after an abdominal aortic aneurysm.
Ultrasound gel and a transducer are placed on your abdomen to your aorta, and sounds waves from the ultrasound produce pictures of how your blood flows through that area.
This ultrasound test is used to capture images of how blood flows through your carotid arteries, which are located in the neck region. Ultrasound gel and a transducer are placed on your neck, which produces images that show the width or narrowness of your carotid arteries due to the presence or absence of atherosclerotic plaque.
Heart Monitors
This price is for device registration, hook up, and test interpretation only. Fees related to the device itself and data extraction are billed by the manufacturer, iRhythm Technologies.)**
The Zio XT is a convenient heart monitor that adheres to your skin, and provides more detailed information than a traditional 1- or 2-day Holter monitor. Patients may shower when wearing the device.
The ‘XT’ monitor is for lower-risk cardiac patients, and provides a detailed report at the end of the prescribed time of use (7 days).
This 2-inch monitor is placed on your chest with an adhesive patch and monitors your heart rate and rhythm for 1 week.
Patients should log their symptoms in a Zio paper log book (or through the MyZio app) while wearing the monitor, then mail the device to iRhythm Technologies in the box that is provided. The extracted data is then sent to us for interpretation, and a report will be generated for your medical provider(s).
** iRhythm Technologies (iRT) will bill the patient directly for costs regarding the test’s “technical component.” We will provide a good faith estimate of iRhythm charges prior to office hookup. This monitor type has lower technical component fees. If the patient is insured, iRhythm may bill insurance upon patient request.
All patients, irrespective of insurance status, are strongly urged to contact the iRT CC department at 888-693-2401. A company representative will gather insurance information for those wishing to submit an insurance claim for iRT technical component services. iRT will provide a complimentary good faith estimate of out-of-pocket expenses related to the insurance submission process.
iRT is contracted with most major insurance plans. For self-pay patients, iRT offers very reasonable cash pay options which can be coupled with a generous financial assistance program to further reduce costs, and is available to all who qualify.
This price is for device registration, hook up, and test interpretation only. Fees related to the device itself and data extraction are billed by the manufacturer, iRhythm Technologies.)**
The Zio AT is a convenient heart monitor that adheres to your skin, and provides more detailed information than a traditional 1- or 2-day Holter monitor. Patients may shower when wearing the device.
The ‘AT’ monitor is for higher-risk cardiac patients, and provides a detailed report at the end of the prescribed time of use (14 days).
This 2-inch monitor is placed on your chest with an adhesive patch and monitors your heart rate and rhythm for 2 weeks.
Patients should log their symptoms in a Zio paper log book (or through the MyZio app) while wearing the monitor, then mail the device to iRhythm Technologies in the box that is provided. The extracted data is then sent to us for interpretation and a report will be generated for your medical provider(s).
** iRhythm Technologies (iRT) will bill the patient directly for costs regarding the test’s “technical component.” We will provide a good faith estimate of iRhythm charges prior to office hookup. This monitor type has higher technical component fees given real-time monitoring. If the patient is insured, iRhythm may bill insurance upon patient request.
All patients, irrespective of insurance status, are strongly urged to contact the iRT CC department at 888-693-2401. A company representative will gather insurance information for those wishing to submit an insurance claim for iRT technical component services. iRT will provide a complimentary good faith estimate of out-of-pocket expenses related to the insurance submission process.
iRT is contracted with most major insurance plans. For self-pay patients, iRT offers very reasonable cash pay options which can be coupled with a generous financial assistance program to further reduce costs, and is available to all who qualify.
Heart Monitors
This price is for device registration, hook up, and test interpretation only. Fees related to the device itself and data extraction are billed by the manufacturer, iRhythm Technologies.)**
The Zio XT is a convenient heart monitor that adheres to your skin, and provides more detailed information than a traditional 1- or 2-day Holter monitor. Patients may shower when wearing the device.
The ‘XT’ monitor is for lower-risk cardiac patients, and provides a detailed report at the end of the prescribed time of use (7 days).
This 2-inch monitor is placed on your chest with an adhesive patch and monitors your heart rate and rhythm for 1 week.
Patients should log their symptoms in a Zio paper log book (or through the MyZio app) while wearing the monitor, then mail the device to iRhythm Technologies in the box that is provided. The extracted data is then sent to us for interpretation, and a report will be generated for your medical provider(s).
** iRhythm Technologies (iRT) will bill the patient directly for costs regarding the test’s “technical component.” We will provide a good faith estimate of iRhythm charges prior to office hookup. This monitor type has lower technical component fees. If the patient is insured, iRhythm may bill insurance upon patient request.
All patients, irrespective of insurance status, are strongly urged to contact the iRT CC department at 888-693-2401. A company representative will gather insurance information for those wishing to submit an insurance claim for iRT technical component services. iRT will provide a complimentary good faith estimate of out-of-pocket expenses related to the insurance submission process. iRT is contracted with most major insurance plans. For self-pay patients, iRT offers very reasonable cash pay options which can be coupled with a generous financial assistance program to further reduce costs, and is available to all who qualify.
This price is for device registration, hook up, and test interpretation only. Fees related to the device itself and data extraction are billed by the manufacturer, iRhythm Technologies.)**
The Zio AT is a convenient heart monitor that adheres to your skin, and provides more detailed information than a traditional 1- or 2-day Holter monitor. Patients may shower when wearing the device.
The ‘AT’ monitor is for higher-risk cardiac patients, and provides a detailed report at the end of the prescribed time of use (14 days).
This 2-inch monitor is placed on your chest with an adhesive patch and monitors your heart rate and rhythm for 2 weeks.
Patients should log their symptoms in a Zio paper log book (or through the MyZio app) while wearing the monitor, then mail the device to iRhythm Technologies in the box that is provided. The extracted data is then sent to us for interpretation and a report will be generated for your medical provider(s).
** iRhythm Technologies (iRT) will bill the patient directly for costs regarding the test’s “technical component.” We will provide a good faith estimate of iRhythm charges prior to office hookup. This monitor type has higher technical component fees given real-time monitoring. If the patient is insured, iRhythm may bill insurance upon patient request.
All patients, irrespective of insurance status, are strongly urged to contact the iRT CC department at 888-693-2401. A company representative will gather insurance information for those wishing to submit an insurance claim for iRT technical component services. iRT will provide a complimentary good faith estimate of out-of-pocket expenses related to the insurance submission process. iRT is contracted with most major insurance plans. For self-pay patients, iRT offers very reasonable cash pay options which can be coupled with a generous financial assistance program to further reduce costs, and is available to all who qualify.
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