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 |
|---|---|---|---|---|
| Holyoke, MA | $129.09 | $129.09 – $129.09 | 12 | 1 |
| Slidell, LA | $135.00 | $135.00 – $135.00 | 12 | 1 |
| Toms River, NJ | $1,652 | $1,652 – $1,652 | 12 | 1 |
| Miami, FL | $403.93 | $403.93 – $403.93 | 12 | 1 |
| Rio Piedras, PR | $246.41 | $246.41 – $246.41 | 12 | 1 |
| Thorndale, PA | $332.80 | $332.80 – $332.80 | 12 | 1 |
| Stony Brook, NY | $1,546 | $1,546 – $1,546 | 12 | 1 |
| Newport Beach, CA | $179.55 | $179.55 – $179.55 | 12 | 1 |
| Albany, NY | $1,459 | $1,459 – $1,459 | 12 | 1 |
| Scottsdale, AZ | $117.54 | $117.54 – $117.54 | 12 | 1 |
| Troy, NY | $202.31 | $202.31 – $202.31 | 12 | 1 |
| Grove City, OH | $142.40 | $142.40 – $142.40 | 12 | 1 |
| Lincoln, NE | $165.63 | $165.63 – $165.63 | 12 | 1 |
| Clarksdale, MS | $0.00 | $0.00 – $0.00 | 12 | 1 |
| Marshalltown, IA | $84.08 | $84.08 – $84.08 | 12 | 1 |
| Yuba City, CA | $133.64 | $133.64 – $133.64 | 12 | 1 |
| Temecula, CA | $371.88 | $371.88 – $371.88 | 12 | 1 |
| Gainesville, FL | $39.83 | $39.83 – $39.83 | 12 | 1 |
| Ozone Park, NY | $123.61 | $123.61 – $123.61 | 12 | 1 |
| West Reading, PA | $203.47 | $203.47 – $203.47 | 12 | 1 |
| Palmer, AK | $246.22 | $246.22 – $246.22 | 12 | 1 |
| Washington, PA | $84.37 | $84.37 – $84.37 | 12 | 1 |
| Roseville, CA | $55.04 | $55.04 – $55.04 | 12 | 1 |
| Perth Amboy, NJ | $1,618 | $1,618 – $1,618 | 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.