Average Medicaid Cardiac Catheterization Payments in Manati, PR: $1,053
Avg. Paid
$1,053
Range
$221.81 – $1,363
Total Claims
3,152
Providers
6
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 Manati, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Pci Group Llc
668 Hernandez Carrion |
$1,143 | 2,115 | 2,011 |
|
Hector J Rivera Maldonado
Calle Hernandez Carrion |
$221.81 | 369 | 328 |
|
Julio J Valentin Nieves
668 Hernandez Carrion |
$1,259 | 303 | 241 |
|
Valentin Jose Del Rio Santiago
Manati Medical Center |
$1,126 | 164 | 139 |
|
Ricardo L Santiago
668 Hernandez Carrion Urb Atenas |
$1,363 | 104 | 79 |
|
Nelson Espinell-Gonzalez
668 Hernandez Carrion |
$1,163 | 97 | 81 |
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 Manati, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Cardiac Catheterization in Manati, PR is $1,053 per claim, based on 3,152 claims from 6 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 Manati, PR?
There are 6 Medicaid providers offering Cardiac Catheterization related services in Manati, PR according to public payment data.
What is the price range for Cardiac Catheterization in Manati, PR?
Medicaid reimbursement for Cardiac Catheterization in Manati, PR ranges from $221.81 to $1,363 per claim, with an average of $1,053. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Cardiac Catheterization in Other Cities
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Avg $1,118
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Avg $675.00
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Avg $616.86
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Avg $1,415
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