Average Medicaid Cardiac Catheterization Payments in Pleasanton, CA: $1,300
Avg. Paid
$1,300
Range
$1,300 – $1,300
Total Claims
13
Providers
1
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 Pleasanton, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Stanford Health Care Tri-Valley
5555 W Las Positas Blvd |
$1,300 | 13 | 13 |
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 Pleasanton, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Cardiac Catheterization in Pleasanton, CA is $1,300 per claim, based on 13 claims from 1 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 Pleasanton, CA?
There are 1 Medicaid providers offering Cardiac Catheterization related services in Pleasanton, CA according to public payment data.
What is the price range for Cardiac Catheterization in Pleasanton, CA?
Medicaid reimbursement for Cardiac Catheterization in Pleasanton, CA ranges from $1,300 to $1,300 per claim, with an average of $1,300. 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
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
Other Procedures in Pleasanton, CA
Office Visit
Avg $33.17
388,049 claims
Emergency Room Visit
Avg $59.54
111,107 claims
Blood Work & Lab Tests
Avg $11.30
88,625 claims
Physical Therapy
Avg $34.23
73,530 claims
Dental Cleaning & Exam
Avg $55.53
70,875 claims
Behavioral & Mental Health Therapy
Avg $163.21
59,315 claims
Home Health Visit
Avg $170.03
56,001 claims
EKG / ECG (Electrocardiogram)
Avg $12.58
47,696 claims