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 |
|---|---|---|---|---|
| Peoria, IL | $162.30 | $156.70 – $166.86 | 29 | 2 |
| Cayey, PR | $1,410 | $1,410 – $1,410 | 29 | 1 |
| Lumberton, NC | $103.02 | $103.02 – $103.02 | 30 | 1 |
| Michigan City, IN | $85.25 | $85.25 – $85.25 | 30 | 1 |
| Kingsport, TN | $160.77 | $124.18 – $199.80 | 31 | 2 |
| Pine Bluff, AR | $212.60 | $125.52 – $311.29 | 32 | 2 |
| Greenville, NC | $122.82 | $122.82 – $122.82 | 33 | 1 |
| Pampa, TX | $67.24 | $67.24 – $67.24 | 33 | 1 |
| Nashville, TN | $76.30 | $61.81 – $93.68 | 33 | 2 |
| Hampton, VA | $1,405 | $1,405 – $1,405 | 33 | 1 |
| Kissimmee, FL | $241.29 | $241.29 – $241.29 | 33 | 1 |
| Countryside, IL | $135.92 | $135.92 – $135.92 | 33 | 1 |
| Rockford, IL | $170.83 | $164.60 – $175.81 | 36 | 2 |
| Johnson City, TN | $61.19 | $15.46 – $118.37 | 36 | 2 |
| Salisbury, MD | $76.11 | $76.11 – $76.11 | 36 | 1 |
| South Richmond Hill, NY | $115.09 | $107.78 – $130.33 | 37 | 2 |
| Mayfield Hts, OH | $1,153 | $1,153 – $1,153 | 37 | 1 |
| Marion, IL | $147.17 | $147.17 – $147.17 | 39 | 1 |
| Merced, CA | $395.49 | $162.78 – $860.91 | 39 | 2 |
| Buena Park, CA | $354.13 | $354.13 – $354.13 | 39 | 1 |
| Merrillville, IN | $113.91 | $84.26 – $180.62 | 39 | 2 |
| Mount Vernon, NY | $232.46 | $232.46 – $232.46 | 39 | 1 |
| Daly City, CA | $54.81 | $54.81 – $54.81 | 40 | 1 |
| Goodyear, AZ | $853.46 | $48.94 – $2,348 | 40 | 2 |
| Fort Wayne, IN | $147.61 | $128.02 – $178.08 | 41 | 3 |
| Carrollton, GA | $165.71 | $165.71 – $165.71 | 41 | 1 |
| Fairview Park, OH | $106.56 | $99.05 – $124.72 | 41 | 2 |
| Bayonne, NJ | $234.99 | $234.99 – $234.99 | 42 | 1 |
| Houston, TX | $169.42 | $146.03 – $221.59 | 42 | 2 |
| La Mesa, CA | $1,161 | $1,161 – $1,161 | 42 | 1 |
| Pennington, NJ | $1,254 | $175.69 – $3,489 | 43 | 2 |
| Sioux Falls, SD | $159.45 | $159.45 – $159.45 | 43 | 1 |
| Margate, FL | $99.91 | $99.91 – $99.91 | 43 | 1 |
| Hazel Crest, IL | $83.78 | $54.53 – $121.11 | 43 | 3 |
| Jacksonville, FL | $112.69 | $66.19 – $150.64 | 43 | 3 |
| Knoxville, TN | $86.78 | $67.30 – $113.84 | 43 | 2 |
| Missoula, MT | $0.00 | $0.00 – $0.00 | 43 | 1 |
| Petoskey, MI | $142.01 | $130.14 – $170.32 | 44 | 2 |
| Mobile, AL | $632.20 | $277.61 – $855.45 | 44 | 2 |
| Sherman Oaks, CA | $132.63 | $132.63 – $132.63 | 44 | 1 |
| North Little Rock, AR | $214.85 | $189.53 – $226.29 | 45 | 2 |
| Plainfield, NJ | $105.82 | $105.82 – $105.82 | 45 | 1 |
| Danville, PA | $90.60 | $75.29 – $132.69 | 45 | 2 |
| Winston Salem, NC | $218.16 | $48.34 – $317.72 | 46 | 2 |
| Flowood, MS | $42.46 | $42.46 – $42.46 | 46 | 1 |
| Kettering, OH | $1,099 | $1,099 – $1,099 | 46 | 1 |
| Russell, KY | $139.99 | $139.99 – $139.99 | 47 | 1 |
| High Point, NC | $199.41 | $199.41 – $199.41 | 49 | 1 |
| Glen Oaks, NY | $50.73 | $50.73 – $50.73 | 50 | 1 |
| Maywood, IL | $148.73 | $148.73 – $148.73 | 50 | 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.