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 |
|---|---|---|---|---|
| Chillicothe, OH | $537.12 | $73.58 – $761.74 | 480 | 5 |
| Rancho Cucamonga, CA | $166.04 | $166.04 – $166.04 | 486 | 1 |
| Elmhurst, NY | $296.14 | $169.64 – $1,127 | 492 | 2 |
| Rolla, MO | $152.21 | $152.21 – $152.21 | 496 | 1 |
| San Gabriel, CA | $167.80 | $167.80 – $167.80 | 500 | 1 |
| Modesto, CA | $1,416 | $128.92 – $1,763 | 510 | 3 |
| Tacoma, WA | $986.94 | $986.94 – $986.94 | 514 | 1 |
| Anaheim, CA | $782.50 | $620.39 – $786.54 | 535 | 2 |
| Fresno, CA | $39.96 | $0.00 – $186.34 | 535 | 8 |
| Manhasset, NY | $1,579 | $137.80 – $1,767 | 544 | 3 |
| Oxford, MS | $739.58 | $739.58 – $739.58 | 550 | 1 |
| East Brunswick, NJ | $101.61 | $101.61 – $101.61 | 554 | 1 |
| Zanesville, OH | $576.15 | $85.06 – $844.99 | 557 | 4 |
| Murrieta, CA | $885.06 | $134.01 – $921.49 | 562 | 2 |
| Stockton, CA | $502.63 | $143.43 – $1,156 | 578 | 3 |
| Corinth, MS | $796.34 | $48.73 – $910.77 | 580 | 3 |
| Clifton, NJ | $104.37 | $104.37 – $104.37 | 588 | 1 |
| Royal Oak, MI | $399.46 | $130.57 – $1,330 | 589 | 2 |
| Rochester, NY | $1,216 | $142.01 – $1,437 | 609 | 4 |
| Port Huron, MI | $150.80 | $137.44 – $767.24 | 613 | 2 |
| Lima, OH | $570.65 | $75.28 – $1,295 | 630 | 7 |
| Smithfield, NC | $177.50 | $177.50 – $177.50 | 637 | 1 |
| Glasgow, KY | $212.24 | $107.13 – $298.60 | 647 | 3 |
| Glendale, CA | $183.76 | $27.33 – $1,096 | 654 | 10 |
| Florence, SC | $20.90 | $0.00 – $122.17 | 657 | 4 |
| Jefferson City, TN | $216.10 | $216.10 – $216.10 | 659 | 1 |
| Long Island City, NY | $2,005 | $2,005 – $2,005 | 661 | 1 |
| Cincinnati, OH | $693.90 | $62.07 – $1,482 | 663 | 10 |
| Southfield, MI | $150.23 | $146.95 – $151.06 | 669 | 2 |
| Lafayette, LA | $413.80 | $98.64 – $554.83 | 691 | 5 |
| Steubenville, OH | $317.62 | $89.87 – $570.05 | 693 | 3 |
| Gainesville, GA | $696.25 | $696.25 – $696.25 | 694 | 1 |
| Las Vegas, NV | $172.31 | $106.17 – $382.24 | 720 | 6 |
| Ann Arbor, MI | $450.66 | $60.45 – $1,447 | 721 | 4 |
| Boynton Beach, FL | $316.32 | $316.32 – $316.32 | 723 | 1 |
| Memphis, TN | $122.42 | $50.48 – $172.03 | 725 | 9 |
| Midland, MI | $135.85 | $135.85 – $135.85 | 730 | 1 |
| West Hartford, CT | $126.74 | $126.74 – $126.74 | 738 | 1 |
| Indianapolis, IN | $167.47 | $83.45 – $192.56 | 740 | 7 |
| Buffalo, NY | $1,345 | $195.22 – $1,582 | 741 | 4 |
| Jackson, TN | $82.51 | $62.11 – $111.56 | 750 | 5 |
| Shreveport, LA | $314.66 | $59.27 – $586.10 | 768 | 6 |
| West Monroe, LA | $84.82 | $84.82 – $84.82 | 795 | 1 |
| Rome, GA | $321.85 | $321.85 – $321.85 | 800 | 1 |
| Englewood, NJ | $1,390 | $1,390 – $1,390 | 812 | 1 |
| Greenville, SC | $103.24 | $71.07 – $144.28 | 817 | 2 |
| Petersburg, VA | $1,194 | $974.77 – $1,247 | 821 | 2 |
| Alexandria, LA | $99.50 | $62.21 – $132.81 | 851 | 9 |
| Canton, OH | $733.83 | $88.80 – $1,167 | 869 | 7 |
| Pikeville, KY | $765.01 | $124.50 – $781.19 | 893 | 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.