Average Medicaid Cardiac Catheterization Payments
Typical Medicaid Cardiac Catheterization reimbursement across 524 cities
Avg. Medicaid Paid
$762.37
Price Range
$0.00 – $3,819
Total Claims
247.4K
Cities
524
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.
About This Procedure
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.
Why do these costs look low?
These figures represent Medicaid reimbursement rates — the amounts that state Medicaid programs actually paid providers. Medicaid typically reimburses significantly less than private insurance or out-of-pocket prices. If you have private insurance or are paying cash, expect higher costs. See the cost components below for per-code averages.
Costs by City
| City | Avg. Paid | Min / Max | Claims | Providers |
|---|---|---|---|---|
| Springfield, MA | $837.16 | $83.15 – $1,294 | 894 | 6 |
| Hattiesburg, MS | $883.50 | $11.21 – $925.31 | 906 | 4 |
| Moreno Valley, CA | $435.37 | $153.82 – $647.48 | 910 | 3 |
| Spokane, WA | $831.06 | $703.79 – $876.78 | 912 | 2 |
| Hackensack, NJ | $3,074 | $28.12 – $3,113 | 945 | 2 |
| Roslyn, NY | $1,624 | $233.04 – $1,665 | 956 | 2 |
| Jersey City, NJ | $1,764 | $105.76 – $1,838 | 963 | 2 |
| Farmington Hills, MI | $121.70 | $121.70 – $121.70 | 973 | 1 |
| Flushing, NY | $1,592 | $136.90 – $1,790 | 980 | 3 |
| Cleveland, OH | $867.95 | $48.36 – $1,173 | 992 | 9 |
| Toledo, OH | $750.37 | $124.04 – $1,306 | 998 | 6 |
| Syracuse, NY | $1,322 | $231.18 – $1,410 | 1,058 | 2 |
| Albuquerque, NM | $897.11 | $169.76 – $1,714 | 1,079 | 9 |
| Owensboro, KY | $715.36 | $170.13 – $839.05 | 1,092 | 3 |
| Traverse City, MI | $159.49 | $131.10 – $1,437 | 1,104 | 2 |
| Bridgeport, CT | $1,339 | $1,173 – $1,372 | 1,138 | 2 |
| Northridge, CA | $128.65 | $39.72 – $239.97 | 1,200 | 5 |
| Morgantown, WV | $182.51 | $146.48 – $249.17 | 1,215 | 4 |
| Chicago, IL | $714.50 | $65.31 – $1,483 | 1,215 | 8 |
| Tucson, AZ | $1,640 | $134.90 – $2,020 | 1,215 | 6 |
| Huntington, WV | $658.39 | $115.24 – $1,338 | 1,262 | 6 |
| Tupelo, MS | $850.57 | $70.75 – $899.82 | 1,361 | 4 |
| Ypsilanti, MI | $143.83 | $128.91 – $1,594 | 1,375 | 2 |
| Mesa, AZ | $1,070 | $148.53 – $1,518 | 1,376 | 5 |
| Paterson, NJ | $1,490 | $150.66 – $1,704 | 1,387 | 2 |
| Morehead, KY | $726.74 | $157.80 – $840.73 | 1,399 | 3 |
| Bayamon, PR | $284.45 | $177.06 – $498.23 | 1,423 | 4 |
| San German, PR | $1,090 | $1,088 – $1,235 | 1,434 | 2 |
| Bastrop, LA | $192.17 | $192.17 – $192.17 | 1,446 | 1 |
| Teaneck, NJ | $1,026 | $1,026 – $1,026 | 1,449 | 1 |
| San Bernardino, CA | $489.43 | $172.08 – $749.59 | 1,554 | 5 |
| Richmond, VA | $1,782 | $66.47 – $2,267 | 1,557 | 7 |
| Mayaguez, PR | $900.57 | $145.14 – $1,364 | 1,583 | 7 |
| Camden, NJ | $1,724 | $264.01 – $2,316 | 1,638 | 4 |
| Edgewood, KY | $1,392 | $153.57 – $1,414 | 1,653 | 3 |
| Yuma, AZ | $1,390 | $39.23 – $1,571 | 1,684 | 5 |
| Bay City, MI | $510.81 | $137.31 – $1,045 | 1,699 | 2 |
| Columbus, OH | $734.64 | $70.83 – $1,154 | 1,723 | 11 |
| Jackson, MS | $643.29 | $71.50 – $905.51 | 1,828 | 4 |
| Columbia, SC | $41.68 | $0.00 – $69.12 | 1,904 | 4 |
| Newark, NJ | $1,084 | $206.78 – $1,294 | 1,920 | 3 |
| Riverside, CA | $353.77 | $140.05 – $892.77 | 1,989 | 6 |
| New Haven, CT | $1,291 | $81.26 – $1,326 | 2,029 | 3 |
| Bronx, NY | $1,331 | $166.01 – $1,748 | 2,055 | 4 |
| Saginaw, MI | $220.47 | $127.79 – $846.00 | 2,080 | 4 |
| Turlock, CA | $251.58 | $143.22 – $607.89 | 2,158 | 4 |
| Seattle, WA | $941.14 | $65.81 – $987.20 | 2,309 | 3 |
| Kalamazoo, MI | $263.32 | $132.38 – $991.46 | 2,325 | 3 |
| Edison, NJ | $1,355 | $1,186 – $1,553 | 2,337 | 2 |
| Gulfport, MS | $594.18 | $5.01 – $632.77 | 2,404 | 3 |
Cost Components
National averages for each billing code in this procedure category. Sorted by claim volume.
| 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 averages group common billing codes used when providers bill Medicaid for this procedure. Individual costs will vary.