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 |
|---|---|---|---|---|
| Little Rock, AR | $230.49 | $230.49 – $230.49 | 50 | 1 |
| Newport News, VA | $930.96 | $119.26 – $1,247 | 50 | 2 |
| Madisonville, KY | $1,946 | $1,946 – $1,946 | 51 | 1 |
| Fairfield, CA | $349.04 | $61.68 – $1,283 | 51 | 2 |
| Anniston, AL | $204.22 | $204.22 – $204.22 | 51 | 1 |
| Colorado Springs, CO | $102.41 | $102.41 – $102.41 | 52 | 1 |
| San Jose, CA | $157.45 | $106.08 – $174.14 | 53 | 2 |
| Lafayette, IN | $125.90 | $97.12 – $173.38 | 53 | 2 |
| Staten Island, NY | $2,160 | $2,160 – $2,160 | 53 | 1 |
| Altoona, PA | $187.77 | $187.77 – $187.77 | 54 | 1 |
| Skokie, IL | $127.36 | $127.36 – $127.36 | 56 | 1 |
| Tampa, FL | $58.01 | $7.50 – $177.41 | 56 | 3 |
| Rock Hill, SC | $241.19 | $0.00 – $306.97 | 56 | 2 |
| Fontana, CA | $2,742 | $2,742 – $2,742 | 56 | 1 |
| Waterloo, IA | $140.72 | $121.21 – $146.49 | 57 | 2 |
| Lynchburg, VA | $711.01 | $158.62 – $1,240 | 57 | 3 |
| New Orleans, LA | $107.29 | $88.61 – $121.13 | 58 | 4 |
| Southaven, MS | $1,131 | $1,131 – $1,131 | 58 | 1 |
| Mattoon, IL | $107.90 | $107.90 – $107.90 | 61 | 1 |
| Portsmouth, VA | $1,044 | $1,044 – $1,044 | 62 | 1 |
| Orlando, FL | $111.73 | $111.73 – $111.73 | 63 | 1 |
| Warren, MI | $1,205 | $130.84 – $1,468 | 66 | 2 |
| Murfreesboro, TN | $89.02 | $89.02 – $89.02 | 66 | 1 |
| Haddon Heights, NJ | $96.29 | $91.43 – $97.44 | 68 | 2 |
| Tempe, AZ | $842.95 | $842.95 – $842.95 | 68 | 1 |
| Voorhees, NJ | $294.85 | $254.22 – $345.97 | 70 | 2 |
| Perrysburg, OH | $228.78 | $90.89 – $323.98 | 71 | 2 |
| Surprise, AZ | $173.38 | $173.38 – $173.38 | 71 | 1 |
| Guttenberg, NJ | $213.62 | $195.41 – $218.49 | 71 | 2 |
| Tarzana, CA | $263.15 | $263.15 – $263.15 | 72 | 1 |
| Hurricane, WV | $183.21 | $182.40 – $187.00 | 74 | 2 |
| Madison, WI | $293.06 | $126.64 – $327.95 | 75 | 2 |
| Green Bay, WI | $167.86 | $114.88 – $445.98 | 75 | 2 |
| Akron, OH | $1,129 | $1,129 – $1,129 | 75 | 1 |
| Mechanicsville, VA | $1,268 | $1,268 – $1,268 | 75 | 1 |
| Sabana Grande, PR | $995.28 | $995.28 – $995.28 | 76 | 1 |
| Poplar Bluff, MO | $133.60 | $131.87 – $135.97 | 76 | 2 |
| Durant, OK | $174.90 | $174.90 – $174.90 | 77 | 1 |
| Mount Pleasant, MI | $149.97 | $149.97 – $149.97 | 77 | 1 |
| Lansing, MI | $131.65 | $110.32 – $142.53 | 77 | 2 |
| Prescott, AZ | $111.31 | $111.31 – $111.31 | 77 | 1 |
| Fort Myers, FL | $173.42 | $173.42 – $173.42 | 79 | 1 |
| Coto Laurel, PR | $615.09 | $403.00 – $1,073 | 79 | 2 |
| West Chester, OH | $108.09 | $95.96 – $134.30 | 79 | 2 |
| Harlingen, TX | $65.87 | $65.87 – $65.87 | 80 | 1 |
| Philadelphia, PA | $147.04 | $147.04 – $147.04 | 81 | 1 |
| Concord, CA | $594.11 | $207.51 – $990.38 | 81 | 2 |
| Carlsbad, NM | $392.98 | $392.98 – $392.98 | 81 | 1 |
| Pearland, TX | $108.94 | $108.94 – $108.94 | 84 | 1 |
| Orchard Park, NY | $182.56 | $122.78 – $196.42 | 85 | 2 |
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.