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, IL | $173.62 | $122.66 – $209.56 | 85 | 3 |
| Wausau, WI | $368.43 | $368.43 – $368.43 | 88 | 1 |
| Edinburg, TX | $331.47 | $331.47 – $331.47 | 89 | 1 |
| Utica, NY | $1,892 | $1,892 – $1,892 | 90 | 1 |
| Wayne, MI | $1,530 | $1,530 – $1,530 | 90 | 1 |
| Stratford, CT | $117.08 | $117.08 – $117.08 | 91 | 1 |
| Davenport, FL | $154.92 | $154.92 – $154.92 | 92 | 1 |
| Stanford, CA | $898.79 | $898.79 – $898.79 | 93 | 1 |
| Silver Creek, NY | $182.03 | $182.03 – $182.03 | 94 | 1 |
| Rancho Mirage, CA | $188.73 | $188.73 – $188.73 | 95 | 1 |
| San Pablo, CA | $233.26 | $233.26 – $233.26 | 95 | 1 |
| Decatur, IL | $131.26 | $131.26 – $131.26 | 95 | 1 |
| Niagara Falls, NY | $183.54 | $183.54 – $183.54 | 97 | 1 |
| Yakima, WA | $746.67 | $381.31 – $822.41 | 99 | 2 |
| Lubbock, TX | $1,145 | $93.54 – $1,487 | 100 | 3 |
| Springdale, AR | $144.06 | $144.06 – $144.06 | 100 | 1 |
| Pinehurst, NC | $720.08 | $720.08 – $720.08 | 101 | 1 |
| Lorain, OH | $373.84 | $99.18 – $918.81 | 103 | 3 |
| Whitesburg, KY | $206.64 | $206.64 – $206.64 | 103 | 1 |
| Weston, WV | $403.89 | $403.89 – $403.89 | 103 | 1 |
| Russellville, AR | $130.87 | $123.86 – $181.58 | 107 | 2 |
| Bellingham, WA | $917.19 | $917.19 – $917.19 | 108 | 1 |
| Christiansburg, VA | $184.11 | $72.29 – $714.24 | 111 | 4 |
| Ravenna, OH | $278.30 | $97.53 – $1,101 | 111 | 2 |
| Meridian, MS | $813.53 | $805.02 – $870.31 | 115 | 2 |
| Covington, LA | $117.20 | $114.31 – $142.49 | 117 | 2 |
| Trumbull, CT | $113.11 | $102.10 – $120.24 | 118 | 3 |
| Redding, CA | $648.97 | $177.91 – $1,979 | 119 | 4 |
| Everett, WA | $904.52 | $904.52 – $904.52 | 121 | 1 |
| Trenton, NJ | $779.91 | $57.84 – $1,026 | 122 | 2 |
| Fredericksburg, VA | $1,254 | $107.88 – $1,440 | 122 | 2 |
| Neptune, NJ | $1,547 | $1,510 – $1,841 | 123 | 2 |
| Silver Spring, MD | $35.55 | $35.55 – $35.55 | 125 | 1 |
| Linden, NJ | $95.60 | $95.60 – $95.60 | 125 | 1 |
| Elyria, OH | $259.43 | $75.24 – $903.04 | 125 | 3 |
| Minneapolis, MN | $688.53 | $589.04 – $957.75 | 126 | 2 |
| Germantown, TN | $29.01 | $12.09 – $75.95 | 129 | 4 |
| Oak Lawn, IL | $135.51 | $127.50 – $136.80 | 129 | 2 |
| Lancaster, OH | $524.95 | $74.61 – $579.78 | 129 | 2 |
| Wyoming, MI | $711.67 | $711.67 – $711.67 | 130 | 1 |
| Avondale, AZ | $176.11 | $155.63 – $182.51 | 130 | 3 |
| Orange, CA | $271.18 | $136.20 – $581.63 | 132 | 2 |
| Lapeer, MI | $120.33 | $120.33 – $120.33 | 132 | 1 |
| Portland, ME | $993.76 | $993.76 – $993.76 | 135 | 1 |
| Victorville, CA | $460.72 | $185.75 – $712.10 | 135 | 3 |
| Opelousas, LA | $131.05 | $130.91 – $131.10 | 136 | 2 |
| Spartanburg, SC | $37.47 | $37.47 – $37.47 | 137 | 1 |
| Fayetteville, NC | $106.51 | $51.87 – $152.84 | 142 | 4 |
| West Islip, NY | $1,661 | $1,661 – $1,661 | 145 | 1 |
| Liverpool, NY | $219.50 | $219.50 – $219.50 | 149 | 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.