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 |
|---|---|---|---|---|
| West Orange, NJ | $75.02 | $71.21 – $77.35 | 250 | 2 |
| Sun City, CA | $192.39 | $192.39 – $192.39 | 252 | 1 |
| Newark, DE | $110.84 | $110.84 – $110.84 | 259 | 1 |
| Falls Church, VA | $1,547 | $1,547 – $1,547 | 264 | 1 |
| Decatur, GA | $407.88 | $407.88 – $407.88 | 269 | 1 |
| Richmond, IN | $238.60 | $120.40 – $388.57 | 271 | 4 |
| Saint Joseph, MI | $550.87 | $550.87 – $550.87 | 272 | 1 |
| New Hyde Park, NY | $147.73 | $133.22 – $163.32 | 278 | 2 |
| Southgate, MI | $133.45 | $133.45 – $133.45 | 288 | 1 |
| Ventura, CA | $608.20 | $236.58 – $766.42 | 288 | 2 |
| Loma Linda, CA | $501.54 | $203.05 – $865.62 | 291 | 5 |
| Cynthiana, KY | $1,410 | $1,410 – $1,410 | 292 | 1 |
| Dayton, OH | $560.82 | $96.57 – $765.23 | 292 | 4 |
| Columbus, IN | $114.55 | $114.55 – $114.55 | 296 | 1 |
| Kingman, AZ | $1,721 | $1,721 – $1,721 | 299 | 1 |
| Jackson, MI | $137.07 | $136.14 – $144.28 | 302 | 3 |
| Caguas, PR | $446.40 | $358.28 – $997.34 | 306 | 4 |
| Las Cruces, NM | $1,280 | $162.02 – $1,503 | 308 | 6 |
| Laredo, TX | $17.31 | $17.31 – $17.31 | 317 | 1 |
| Kansas City, MO | $432.51 | $316.63 – $462.28 | 318 | 2 |
| Norfolk, VA | $1,299 | $153.99 – $1,409 | 320 | 2 |
| Chandler, AZ | $1,215 | $1,215 – $1,215 | 324 | 1 |
| Brownsville, TX | $37.93 | $36.85 – $46.14 | 328 | 2 |
| Fair Lawn, NJ | $90.20 | $90.20 – $90.20 | 328 | 1 |
| Novi, MI | $1,431 | $1,431 – $1,431 | 329 | 1 |
| Livingston, NJ | $1,267 | $1,267 – $1,267 | 337 | 1 |
| Des Moines, IA | $154.10 | $146.83 – $225.51 | 339 | 3 |
| Glendale, AZ | $2,120 | $874.88 – $2,230 | 345 | 2 |
| Passaic, NJ | $532.69 | $60.56 – $1,464 | 348 | 4 |
| Morristown, NJ | $2,382 | $81.63 – $2,683 | 354 | 2 |
| Washington, DC | $281.16 | $9.49 – $755.29 | 354 | 6 |
| West Columbia, SC | $27.06 | $0.00 – $37.19 | 356 | 2 |
| Charleston, SC | $13.46 | $0.00 – $184.87 | 357 | 2 |
| San Diego, CA | $545.41 | $115.42 – $833.51 | 357 | 4 |
| Weirton, WV | $148.67 | $136.26 – $398.32 | 359 | 2 |
| Peoria, AZ | $122.93 | $71.20 – $180.85 | 364 | 3 |
| Roswell, NM | $899.74 | $194.74 – $1,567 | 368 | 2 |
| South Charleston, WV | $580.21 | $187.00 – $1,264 | 370 | 3 |
| Bridgeport, WV | $1,031 | $74.97 – $1,063 | 371 | 2 |
| Paducah, KY | $997.89 | $96.51 – $1,030 | 378 | 2 |
| Columbus, MS | $873.34 | $873.34 – $873.34 | 384 | 1 |
| Greenville, MS | $562.22 | $55.61 – $583.55 | 396 | 2 |
| Baltimore, MD | $65.84 | $0.00 – $225.12 | 401 | 8 |
| Morristown, TN | $125.04 | $125.04 – $125.04 | 406 | 1 |
| Muskegon, MI | $123.35 | $123.35 – $123.35 | 407 | 1 |
| Waterbury, CT | $835.40 | $81.38 – $1,208 | 412 | 5 |
| Elizabeth, NJ | $1,006 | $60.43 – $1,133 | 440 | 2 |
| Appleton, WI | $122.09 | $98.57 – $484.78 | 457 | 3 |
| Anderson, SC | $104.48 | $104.48 – $104.48 | 464 | 1 |
| Hammond, LA | $98.00 | $81.53 – $101.22 | 471 | 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.