Average Medicaid Cardiac Catheterization Payments in Detroit, MI: $362.50
Avg. Paid
$362.50
Range
$106.93 – $1,419
Total Claims
5,005
Providers
8
Typical Payment Range
Typical Medicaid Cardiac Catheterization payments fall between $114.92 and $632.77 per claim (median: $164.30). The top 10% of payments exceed $1,312.
Based on per-provider averages across all Medicaid claims in this category.
Cardiac catheterization is a procedure to diagnose and treat cardiovascular conditions. A thin tube is inserted into a blood vessel and guided to the heart.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Cardiac Catheterization in Detroit, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Vhs Sinai-Grace Hospital Inc
6071 W Outer Dr |
$1,348 | 25 | 24 |
|
Ascension St John Hospital
22101 Moross Rd |
$154.84 | 28 | 26 |
|
Narsimha Gottam M.D. P C
7633 E Jefferson Ave. |
$106.93 | 42 | 37 |
|
Magdy Hanna
22201 Moross Rd Ste 50 |
$129.73 | 44 | 41 |
|
Do Gardi Md Pc
4160 John R St |
$138.69 | 612 | 589 |
|
Vhs Harper-Hutzel Hospital Inc
3990 John R St |
$1,419 | 891 | 881 |
|
Halo Medical Group Pllc
4160 John R St Ste 510 |
$140.54 | 1,513 | 1,468 |
|
Henry Ford Health System
2799 W Grand Blvd |
$110.18 | 1,850 | 1,780 |
What to Expect: Cardiac Catheterization
The procedure takes 30-60 minutes but you'll spend several hours in the hospital for preparation and recovery. A thin catheter is inserted through a blood vessel (usually in the wrist or groin) and guided to the heart. Contrast dye is injected to visualize the coronary arteries on X-ray. You'll be awake but sedated. Most patients go home the same day or the next day.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 93458 | L heart cath w/coronary angio | $740.07 | 239,095 | 1,116 |
| 93454 | Coronary angiography w/o LV | $599.68 | 14,066 | 113 |
| 93451 | Right heart catheterization | $680.57 | 7,808 | 43 |
| 93460 | R&L heart cath w/coronary | $930.75 | 1,017 | 17 |
| 93452 | Left heart catheterization | $787.30 | 323 | 3 |
| 93456 | R heart cath w/coronary angio | $1,388 | 66 | 3 |
| 93459 | L heart cath w/coronary & LV | $33.84 | 28 | 1 |
| 93453 | Right & left heart cath | — | — | — |
| 93455 | Coronary angiography w/LV | — | — | — |
| 93457 | R heart cath w/coronary & LV | — | — | — |
| 93461 | R&L heart cath w/coronary&LV | — | — | — |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Cardiac Catheterization cost in Detroit, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Cardiac Catheterization in Detroit, MI is $362.50 per claim, based on 5,005 claims from 8 providers. Typical payments fall between $114.92 and $632.77. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Cardiac Catheterization in Detroit, MI?
There are 8 Medicaid providers offering Cardiac Catheterization related services in Detroit, MI according to public payment data.
What is the price range for Cardiac Catheterization in Detroit, MI?
Medicaid reimbursement for Cardiac Catheterization in Detroit, MI ranges from $106.93 to $1,419 per claim, with an average of $362.50. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Cardiac Catheterization in Other Cities
New York, NY
Avg $1,276
14,014 claims · 23 providers
Louisville, KY
Avg $1,118
5,800 claims · 12 providers
Lexington, KY
Avg $854.92
5,766 claims · 13 providers
Ponce, PR
Avg $661.90
5,020 claims · 13 providers
Somerset, KY
Avg $675.00
4,569 claims · 5 providers
Ashland, KY
Avg $616.86
4,434 claims · 6 providers
Hartford, CT
Avg $1,415
4,146 claims · 5 providers
Portsmouth, OH
Avg $291.56
4,111 claims · 4 providers
Other Procedures in Detroit, MI
Emergency Room Visit
Avg $110.55
4,694,783 claims
Office Visit
Avg $56.69
4,680,416 claims
Blood Work & Lab Tests
Avg $3.68
4,416,700 claims
Substance Abuse Treatment
Avg $28.79
3,445,158 claims
Home Health Visit
Avg $57.99
2,886,533 claims
X-Ray
Avg $10.17
1,790,332 claims
Psychiatric Evaluation
Avg $99.11
1,494,151 claims
Behavioral & Mental Health Therapy
Avg $129.03
1,324,733 claims