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 |
|---|---|---|---|---|
| Kokomo, IN | $3,819 | $3,819 – $3,819 | 14 | 1 |
| Joplin, MO | $128.21 | $128.21 – $128.21 | 14 | 1 |
| Essexville, MI | $175.04 | $175.04 – $175.04 | 14 | 1 |
| Binghamton, NY | $1,716 | $1,716 – $1,716 | 14 | 1 |
| Old Bridge, NJ | $140.62 | $140.62 – $140.62 | 14 | 1 |
| Clark, NJ | $107.23 | $107.23 – $107.23 | 14 | 1 |
| Santa Rosa, CA | $242.07 | $242.07 – $242.07 | 14 | 1 |
| Birmingham, AL | $306.29 | $306.29 – $306.29 | 14 | 1 |
| Saint Augustine, FL | $147.26 | $147.26 – $147.26 | 14 | 1 |
| Vincennes, IN | $53.10 | $53.10 – $53.10 | 14 | 1 |
| Apache Junction, AZ | $177.14 | $177.14 – $177.14 | 13 | 1 |
| Sterling Heights, MI | $155.89 | $155.89 – $155.89 | 13 | 1 |
| Valdosta, GA | $153.89 | $153.89 – $153.89 | 13 | 1 |
| Bloomingdale, IL | $156.93 | $156.93 – $156.93 | 13 | 1 |
| Oklahoma City, OK | $143.52 | $143.52 – $143.52 | 13 | 1 |
| Folsom, CA | $162.03 | $162.03 – $162.03 | 13 | 1 |
| The Woodlands, TX | $180.98 | $180.98 – $180.98 | 13 | 1 |
| Richland, WA | $261.74 | $261.74 – $261.74 | 13 | 1 |
| Concord, NC | $157.55 | $157.55 – $157.55 | 13 | 1 |
| Park Ridge, IL | $107.42 | $107.42 – $107.42 | 13 | 1 |
| Biloxi, MS | $69.61 | $69.61 – $69.61 | 13 | 1 |
| Pasadena, CA | $76.63 | $76.63 – $76.63 | 13 | 1 |
| Colton, CA | $674.43 | $674.43 – $674.43 | 13 | 1 |
| Pomona, CA | $115.50 | $115.50 – $115.50 | 13 | 1 |
| Beloit, WI | $235.68 | $235.68 – $235.68 | 13 | 1 |
| Gretna, LA | $92.88 | $92.88 – $92.88 | 13 | 1 |
| Wilmington, DE | $188.78 | $188.78 – $188.78 | 13 | 1 |
| Brockton, MA | $157.69 | $157.69 – $157.69 | 13 | 1 |
| Grand Forks, ND | $68.13 | $68.13 – $68.13 | 13 | 1 |
| Bismarck, ND | $126.40 | $126.40 – $126.40 | 13 | 1 |
| Palm Beach Gardens, FL | $320.19 | $320.19 – $320.19 | 13 | 1 |
| Pleasanton, CA | $1,300 | $1,300 – $1,300 | 13 | 1 |
| Gahanna, OH | $94.65 | $94.65 – $94.65 | 13 | 1 |
| Flower Mound, TX | $240.77 | $240.77 – $240.77 | 13 | 1 |
| Vicksburg, MS | $95.01 | $95.01 – $95.01 | 13 | 1 |
| Mansfield, OH | $74.78 | $74.78 – $74.78 | 12 | 1 |
| Dartmouth, MA | $114.85 | $114.85 – $114.85 | 12 | 1 |
| Schaumburg, IL | $128.56 | $128.56 – $128.56 | 12 | 1 |
| Wyandotte, MI | $1,166 | $1,166 – $1,166 | 12 | 1 |
| Lakeway, TX | $92.56 | $92.56 – $92.56 | 12 | 1 |
| Auburn, AL | $143.55 | $143.55 – $143.55 | 12 | 1 |
| Winchester, VA | $1,196 | $1,196 – $1,196 | 12 | 1 |
| Federal Way, WA | $683.79 | $683.79 – $683.79 | 12 | 1 |
| Myrtle Beach, SC | $133.85 | $133.85 – $133.85 | 12 | 1 |
| Franklin, IN | $290.73 | $290.73 – $290.73 | 12 | 1 |
| Springfield, MO | $146.91 | $146.91 – $146.91 | 12 | 1 |
| Vineland, NJ | $2,776 | $2,776 – $2,776 | 12 | 1 |
| Great Falls, MT | $0.00 | $0.00 – $0.00 | 12 | 1 |
| Centerville, OH | $110.91 | $110.91 – $110.91 | 12 | 1 |
| Hamilton, OH | $125.73 | $125.73 – $125.73 | 12 | 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.