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 |
|---|---|---|---|---|
| Dover, DE | $162.46 | $162.46 – $162.46 | 17 | 1 |
| Brookfield, WI | $162.48 | $162.48 – $162.48 | 18 | 1 |
| Mooresville, NC | $168.58 | $168.58 – $168.58 | 18 | 1 |
| Belleville, IL | $165.50 | $165.50 – $165.50 | 18 | 1 |
| Arlington, TX | $159.96 | $159.96 – $159.96 | 19 | 1 |
| Chattanooga, TN | $32.85 | $32.85 – $32.85 | 19 | 1 |
| Sunnyside, WA | $151.23 | $151.23 – $151.23 | 19 | 1 |
| Powell, TN | $48.07 | $48.07 – $48.07 | 20 | 1 |
| Statesboro, GA | $102.22 | $102.22 – $102.22 | 20 | 1 |
| Bullhead City, AZ | $118.61 | $118.61 – $118.61 | 21 | 1 |
| Youngsville, LA | $57.10 | $57.10 – $57.10 | 23 | 1 |
| Williamsville, NY | $110.59 | $110.59 – $110.59 | 24 | 1 |
| Montclair, NJ | $1,489 | $1,489 – $1,489 | 24 | 1 |
| Schenectady, NY | $1,106 | $1,106 – $1,106 | 24 | 1 |
| Anchorage, AK | $3,051 | $3,051 – $3,051 | 25 | 1 |
| La Jolla, CA | $211.18 | $211.18 – $211.18 | 25 | 1 |
| Hot Springs, AR | $210.74 | $210.74 – $210.74 | 25 | 1 |
| El Cajon, CA | $176.69 | $89.98 – $256.72 | 25 | 2 |
| Burlington, VT | $241.36 | $241.36 – $241.36 | 25 | 1 |
| Avon, IN | $201.96 | $201.96 – $201.96 | 25 | 1 |
| Plattsburgh, NY | $827.74 | $132.22 – $1,470 | 25 | 2 |
| Sewell, NJ | $112.70 | $112.70 – $112.70 | 25 | 1 |
| Omaha, NE | $75.31 | $75.31 – $75.31 | 25 | 1 |
| Fall River, MA | $105.86 | $79.23 – $130.44 | 25 | 2 |
| Glastonbury, CT | $153.85 | $153.85 – $153.85 | 25 | 1 |
| Sebring, FL | $47.68 | $47.68 – $47.68 | 25 | 1 |
| Poland, OH | $63.40 | $63.40 – $63.40 | 26 | 1 |
| Troy, MI | $137.15 | $137.15 – $137.15 | 26 | 1 |
| Mount Clemens, MI | $126.74 | $126.74 – $126.74 | 26 | 1 |
| Farmington, NM | $1,098 | $1,098 – $1,098 | 26 | 1 |
| Sun City, AZ | $1,075 | $1,075 – $1,075 | 26 | 1 |
| El Centro, CA | $35.15 | $35.15 – $35.15 | 26 | 1 |
| Barstow, CA | $132.06 | $132.06 – $132.06 | 26 | 1 |
| Silverdale, WA | $1,010 | $1,010 – $1,010 | 26 | 1 |
| Atlanta, GA | $2,728 | $2,728 – $2,728 | 27 | 1 |
| Newburgh, IN | $140.34 | $118.94 – $160.20 | 27 | 2 |
| Albany, GA | $953.81 | $953.81 – $953.81 | 27 | 1 |
| National City, CA | $272.81 | $272.81 – $272.81 | 27 | 1 |
| Logan, WV | $153.86 | $153.86 – $153.86 | 28 | 1 |
| Valparaiso, IN | $103.39 | $103.39 – $103.39 | 28 | 1 |
| Portland, OR | $99.91 | $95.66 – $103.60 | 28 | 2 |
| Fayetteville, AR | $115.79 | $115.79 – $115.79 | 28 | 1 |
| Mineola, NY | $1,767 | $1,767 – $1,767 | 28 | 1 |
| Bethlehem, PA | $256.50 | $256.50 – $256.50 | 29 | 1 |
| Bedford, TX | $136.58 | $136.58 – $136.58 | 29 | 1 |
| Santa Ana, CA | $668.46 | $668.46 – $668.46 | 29 | 1 |
| Parkersburg, WV | $1,578 | $191.71 – $3,063 | 29 | 2 |
| Fort Smith, AR | $989.50 | $259.72 – $1,671 | 29 | 2 |
| Gresham, OR | $150.58 | $150.58 – $150.58 | 29 | 1 |
| North Arlington, NJ | $252.78 | $252.78 – $252.78 | 29 | 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.