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 |
|---|---|---|---|---|
| Baton Rouge, LA | $110.35 | $96.18 – $160.99 | 150 | 4 |
| Jonesboro, AR | $183.11 | $152.71 – $209.51 | 152 | 5 |
| Kew Gardens, NY | $156.41 | $100.46 – $212.72 | 152 | 3 |
| Gallipolis, OH | $258.98 | $112.62 – $1,654 | 158 | 2 |
| Middletown, NY | $1,906 | $1,906 – $1,906 | 159 | 1 |
| St Clair Shores, MI | $130.43 | $130.43 – $130.43 | 161 | 1 |
| Visalia, CA | $367.30 | $26.55 – $539.26 | 161 | 2 |
| Bluefield, WV | $527.02 | $182.78 – $697.56 | 163 | 2 |
| Fountain Valley, CA | $171.49 | $171.49 – $171.49 | 167 | 1 |
| Roanoke, VA | $762.52 | $175.72 – $1,062 | 168 | 3 |
| New Albany, IN | $127.43 | $61.04 – $144.49 | 168 | 3 |
| Monroe, LA | $96.70 | $90.08 – $119.71 | 170 | 2 |
| Batesville, AR | $115.90 | $115.90 – $115.90 | 171 | 1 |
| Belleville, NJ | $878.39 | $878.39 – $878.39 | 175 | 1 |
| Stamford, CT | $1,372 | $1,372 – $1,372 | 175 | 1 |
| Secaucus, NJ | $1,183 | $168.06 – $1,271 | 177 | 2 |
| Apple Valley, CA | $1,296 | $182.70 – $1,571 | 177 | 2 |
| Youngstown, OH | $704.08 | $91.60 – $818.41 | 178 | 2 |
| Chula Vista, CA | $477.08 | $175.85 – $1,056 | 180 | 4 |
| Hot Springs National Park, AR | $160.39 | $160.39 – $160.39 | 180 | 1 |
| Gadsden, AL | $292.83 | $283.88 – $300.50 | 182 | 2 |
| Prestonsburg, KY | $171.12 | $171.12 – $171.12 | 182 | 1 |
| San Francisco, CA | $83.12 | $16.87 – $112.62 | 190 | 3 |
| Pickerington, OH | $138.11 | $138.11 – $138.11 | 192 | 1 |
| Salem, OR | $711.96 | $711.96 – $711.96 | 192 | 1 |
| Oceanside, NY | $1,513 | $1,513 – $1,513 | 193 | 1 |
| Colonial Heights, VA | $143.67 | $130.03 – $169.91 | 193 | 3 |
| Monterey Park, CA | $961.64 | $961.64 – $961.64 | 194 | 1 |
| Pomona, NJ | $1,187 | $154.95 – $1,455 | 194 | 2 |
| Okemos, MI | $133.48 | $133.48 – $133.48 | 195 | 1 |
| Sacramento, CA | $204.92 | $31.82 – $909.22 | 199 | 5 |
| Mission Hills, CA | $521.73 | $521.73 – $521.73 | 200 | 1 |
| London, KY | $151.54 | $125.20 – $160.03 | 203 | 3 |
| Jefferson Hills, PA | $109.35 | $109.35 – $109.35 | 206 | 1 |
| Cotto Laurel, PR | $827.36 | $827.36 – $827.36 | 206 | 1 |
| Honolulu, HI | $655.19 | $132.24 – $1,329 | 208 | 3 |
| Olympia, WA | $735.83 | $196.54 – $777.53 | 209 | 2 |
| Pascagoula, MS | $895.05 | $895.05 – $895.05 | 210 | 1 |
| Upland, CA | $793.54 | $158.72 – $835.22 | 211 | 2 |
| Worcester, MA | $539.61 | $108.38 – $848.40 | 212 | 4 |
| Imperial, CA | $90.87 | $90.87 – $90.87 | 216 | 1 |
| Garden City, KS | $66.17 | $66.17 – $66.17 | 216 | 1 |
| Mccomb, MS | $825.54 | $130.17 – $1,049 | 218 | 3 |
| New Brunswick, NJ | $1,218 | $1,218 – $1,218 | 232 | 1 |
| Flushing, MI | $142.12 | $142.12 – $142.12 | 235 | 1 |
| Evansville, IN | $115.17 | $82.65 – $182.03 | 239 | 8 |
| Raleigh, NC | $119.00 | $85.27 – $121.58 | 239 | 2 |
| Springfield, OH | $759.87 | $759.87 – $759.87 | 241 | 1 |
| Bangor, ME | $892.15 | $892.15 – $892.15 | 243 | 1 |
| Salem, VA | $1,657 | $1,657 – $1,657 | 243 | 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.