Average Medicaid Cardiac Catheterization Payments in Lexington, KY: $854.92
Avg. Paid
$854.92
Range
$107.30 – $1,659
Total Claims
5,766
Providers
13
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 Lexington, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Baptist Healthcare System, Inc
1740 Nicholasville Rd |
$1,018 | 3,288 | 1,384 |
|
Saint Joseph Health System, Inc
1 Saint Joseph Dr |
$859.80 | 1,426 | 628 |
|
Saint Joseph Health System, Inc
150 N Eagle Creek Dr |
$610.41 | 367 | 120 |
|
Muhammad Ahmad
1720 Nicholasville Rd Ste 400 |
$111.20 | 351 | 283 |
|
Thomas L Goff
1401 Harrodsburg Rd Ste A300 |
$135.85 | 95 | 74 |
|
William Hal Skinner
1760 Nicholasville Rd |
$149.06 | 89 | 79 |
|
Avichai Eres
161 N Eagle Creek Dr |
$146.86 | 54 | 51 |
|
University Of Kentucky
800 Rose St |
$1,659 | 28 | 25 |
|
Adrian Werner Messerli
Gill Heart Institute 800 Rose St |
$136.43 | 16 | 12 |
|
Robert Sawyer
1720 Nicholasville Rd Ste 400 |
$205.31 | 14 | 13 |
|
Mubashir Qazi
161 N Eagle Creek Dr |
$199.87 | 13 | 13 |
|
Azhar Aslam
1720 Nicholasville Rd Ste 400 |
$107.30 | 13 | 13 |
|
Michael G. Rukavina
1760 Nicholasville Rd Ste 402 |
$213.88 | 12 | 12 |
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 Lexington, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Cardiac Catheterization in Lexington, KY is $854.92 per claim, based on 5,766 claims from 13 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 Lexington, KY?
There are 13 Medicaid providers offering Cardiac Catheterization related services in Lexington, KY according to public payment data.
What is the price range for Cardiac Catheterization in Lexington, KY?
Medicaid reimbursement for Cardiac Catheterization in Lexington, KY ranges from $107.30 to $1,659 per claim, with an average of $854.92. 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
Ponce, PR
Avg $661.90
5,020 claims · 13 providers
Detroit, MI
Avg $362.50
5,005 claims · 8 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 Lexington, KY
Blood Work & Lab Tests
Avg $14.22
4,452,973 claims
Office Visit
Avg $40.42
4,343,155 claims
Emergency Room Visit
Avg $156.12
2,128,548 claims
X-Ray
Avg $27.62
1,657,833 claims
Psychiatric Evaluation
Avg $54.73
1,162,452 claims
Physical Therapy
Avg $62.23
1,009,326 claims
Substance Abuse Treatment
Avg $82.19
953,868 claims
Dental Cleaning & Exam
Avg $36.91
818,313 claims