Average Medicaid Cardiac Catheterization Payments in Ponce, PR: $661.90
Avg. Paid
$661.90
Range
$272.02 – $1,318
Total Claims
5,020
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 Ponce, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Cesar P Cruz-Garcia
909 Ave Tito Castro |
$1,128 | 12 | 12 |
|
Alejandro E Rodriguez-Hernandez
917 Ave Tito Castro |
$437.55 | 13 | 13 |
|
Quintin Gonzalez Keelan
2225 Ponce By Pass |
$325.30 | 17 | 15 |
|
Hilda Nora Lopez Flores
Hospital Damas |
$325.30 | 20 | 20 |
|
Emilette Torres
Hospital Dr Pila |
$331.55 | 54 | 51 |
|
Magaly Medina Colon
2225 Ponce By Pass |
$502.08 | 100 | 100 |
|
Jesus Santa
Hospital Dr Pila |
$735.64 | 214 | 173 |
|
Carlos J Carro Pagan
2225 Ponce By Pass |
$1,161 | 219 | 181 |
|
Pedro M Whatts
Guadalupe Final Street |
$604.05 | 260 | 229 |
|
Edgardo Bermudez Moreno
Saint Lukes Memorial Hospital |
$1,317 | 267 | 192 |
|
Manuel Santiago Cummings
Hospital Damas |
$384.14 | 995 | 739 |
|
Oscar R Quintero Serrano
450 Calle Ferrocarril |
$1,318 | 1,095 | 949 |
|
Ricardo Cruz
609 Ave Tito Castro |
$272.02 | 1,754 | 1,319 |
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 Ponce, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Cardiac Catheterization in Ponce, PR is $661.90 per claim, based on 5,020 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 Ponce, PR?
There are 13 Medicaid providers offering Cardiac Catheterization related services in Ponce, PR according to public payment data.
What is the price range for Cardiac Catheterization in Ponce, PR?
Medicaid reimbursement for Cardiac Catheterization in Ponce, PR ranges from $272.02 to $1,318 per claim, with an average of $661.90. 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
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 Ponce, PR
Office Visit
Avg $21.42
1,360,962 claims
Blood Work & Lab Tests
Avg $9.32
1,169,019 claims
Vaccines & Immunizations
Avg $4.89
299,051 claims
Urinalysis & Urine Tests
Avg $3.76
273,785 claims
Dental Cleaning & Exam
Avg $20.09
231,783 claims
Psychiatric Evaluation
Avg $18.40
217,440 claims
Speech Therapy
Avg $51.49
187,685 claims
Pathology & Lab Services
Avg $89.42
187,636 claims