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 |
|---|---|---|---|---|
| Bismarck, ND | $126.40 | $126.40 – $126.40 | 13 | 1 |
| Apache Junction, AZ | $177.14 | $177.14 – $177.14 | 13 | 1 |
| Wilmington, DE | $188.78 | $188.78 – $188.78 | 13 | 1 |
| Beloit, WI | $235.68 | $235.68 – $235.68 | 13 | 1 |
| Biloxi, MS | $69.61 | $69.61 – $69.61 | 13 | 1 |
| Oklahoma City, OK | $143.52 | $143.52 – $143.52 | 13 | 1 |
| Valdosta, GA | $153.89 | $153.89 – $153.89 | 13 | 1 |
| Park Ridge, IL | $107.42 | $107.42 – $107.42 | 13 | 1 |
| Concord, NC | $157.55 | $157.55 – $157.55 | 13 | 1 |
| Sterling Heights, MI | $155.89 | $155.89 – $155.89 | 13 | 1 |
| Bloomingdale, IL | $156.93 | $156.93 – $156.93 | 13 | 1 |
| Pasadena, CA | $76.63 | $76.63 – $76.63 | 13 | 1 |
| Colton, CA | $674.43 | $674.43 – $674.43 | 13 | 1 |
| Brockton, MA | $157.69 | $157.69 – $157.69 | 13 | 1 |
| Kokomo, IN | $3,819 | $3,819 – $3,819 | 14 | 1 |
| Vincennes, IN | $53.10 | $53.10 – $53.10 | 14 | 1 |
| Mckinney, TX | $93.13 | $93.13 – $93.13 | 14 | 1 |
| Sugar Land, TX | $122.31 | $122.31 – $122.31 | 14 | 1 |
| Santa Rosa, CA | $242.07 | $242.07 – $242.07 | 14 | 1 |
| Birmingham, AL | $306.29 | $306.29 – $306.29 | 14 | 1 |
| Old Bridge, NJ | $140.62 | $140.62 – $140.62 | 14 | 1 |
| Essexville, MI | $175.04 | $175.04 – $175.04 | 14 | 1 |
| Methuen, MA | $90.58 | $90.58 – $90.58 | 14 | 1 |
| Binghamton, NY | $1,716 | $1,716 – $1,716 | 14 | 1 |
| Joplin, MO | $128.21 | $128.21 – $128.21 | 14 | 1 |
| Springboro, OH | $100.69 | $100.69 – $100.69 | 14 | 1 |
| Clark, NJ | $107.23 | $107.23 – $107.23 | 14 | 1 |
| Greenwood, SC | $824.29 | $824.29 – $824.29 | 14 | 1 |
| Saint Augustine, FL | $147.26 | $147.26 – $147.26 | 14 | 1 |
| Billings, MT | $0.00 | $0.00 – $0.00 | 15 | 1 |
| San Antonio, TX | $99.74 | $99.74 – $99.74 | 15 | 1 |
| Astoria, NY | $135.60 | $135.60 – $135.60 | 15 | 1 |
| Newhall, CA | $269.18 | $269.18 – $269.18 | 15 | 1 |
| Saint Louis, MO | $168.81 | $168.81 – $168.81 | 15 | 1 |
| Naperville, IL | $123.19 | $123.19 – $123.19 | 15 | 1 |
| Cape Girardeau, MO | $115.95 | $115.95 – $115.95 | 15 | 1 |
| Eau Claire, WI | $193.77 | $193.77 – $193.77 | 15 | 1 |
| Saint Paul, MN | $146.30 | $146.30 – $146.30 | 15 | 1 |
| Gaithersburg, MD | $30.15 | $30.15 – $30.15 | 15 | 1 |
| Lake Charles, LA | $59.73 | $59.73 – $59.73 | 15 | 1 |
| Asheville, NC | $2,429 | $2,429 – $2,429 | 15 | 1 |
| Mchenry, IL | $117.90 | $117.90 – $117.90 | 15 | 1 |
| Lancaster, SC | $149.22 | $149.22 – $149.22 | 15 | 1 |
| Franklin, OH | $1,273 | $1,273 – $1,273 | 16 | 1 |
| West Plains, MO | $311.16 | $311.16 – $311.16 | 16 | 1 |
| Murray, UT | $213.36 | $213.36 – $213.36 | 16 | 1 |
| Richmond Hill, NY | $135.84 | $135.84 – $135.84 | 16 | 1 |
| Midlothian, VA | $161.31 | $161.31 – $161.31 | 16 | 1 |
| Encinitas, CA | $79.76 | $79.76 – $79.76 | 17 | 1 |
| El Campo, TX | $102.41 | $102.41 – $102.41 | 17 | 1 |
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.