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 |
|---|---|---|---|---|
| Mesa, AZ | $1,070 | $148.53 – $1,518 | 1,376 | 5 |
| Ypsilanti, MI | $143.83 | $128.91 – $1,594 | 1,375 | 2 |
| Tupelo, MS | $850.57 | $70.75 – $899.82 | 1,361 | 4 |
| Huntington, WV | $658.39 | $115.24 – $1,338 | 1,262 | 6 |
| Morgantown, WV | $182.51 | $146.48 – $249.17 | 1,215 | 4 |
| Tucson, AZ | $1,640 | $134.90 – $2,020 | 1,215 | 6 |
| Chicago, IL | $714.50 | $65.31 – $1,483 | 1,215 | 8 |
| Northridge, CA | $128.65 | $39.72 – $239.97 | 1,200 | 5 |
| Bridgeport, CT | $1,339 | $1,173 – $1,372 | 1,138 | 2 |
| Traverse City, MI | $159.49 | $131.10 – $1,437 | 1,104 | 2 |
| Owensboro, KY | $715.36 | $170.13 – $839.05 | 1,092 | 3 |
| Albuquerque, NM | $897.11 | $169.76 – $1,714 | 1,079 | 9 |
| Syracuse, NY | $1,322 | $231.18 – $1,410 | 1,058 | 2 |
| Toledo, OH | $750.37 | $124.04 – $1,306 | 998 | 6 |
| Cleveland, OH | $867.95 | $48.36 – $1,173 | 992 | 9 |
| Flushing, NY | $1,592 | $136.90 – $1,790 | 980 | 3 |
| Farmington Hills, MI | $121.70 | $121.70 – $121.70 | 973 | 1 |
| Jersey City, NJ | $1,764 | $105.76 – $1,838 | 963 | 2 |
| Roslyn, NY | $1,624 | $233.04 – $1,665 | 956 | 2 |
| Hackensack, NJ | $3,074 | $28.12 – $3,113 | 945 | 2 |
| Spokane, WA | $831.06 | $703.79 – $876.78 | 912 | 2 |
| Moreno Valley, CA | $435.37 | $153.82 – $647.48 | 910 | 3 |
| Hattiesburg, MS | $883.50 | $11.21 – $925.31 | 906 | 4 |
| Springfield, MA | $837.16 | $83.15 – $1,294 | 894 | 6 |
| Pikeville, KY | $765.01 | $124.50 – $781.19 | 893 | 2 |
| Canton, OH | $733.83 | $88.80 – $1,167 | 869 | 7 |
| Alexandria, LA | $99.50 | $62.21 – $132.81 | 851 | 9 |
| Petersburg, VA | $1,194 | $974.77 – $1,247 | 821 | 2 |
| Greenville, SC | $103.24 | $71.07 – $144.28 | 817 | 2 |
| Englewood, NJ | $1,390 | $1,390 – $1,390 | 812 | 1 |
| Rome, GA | $321.85 | $321.85 – $321.85 | 800 | 1 |
| West Monroe, LA | $84.82 | $84.82 – $84.82 | 795 | 1 |
| Shreveport, LA | $314.66 | $59.27 – $586.10 | 768 | 6 |
| Jackson, TN | $82.51 | $62.11 – $111.56 | 750 | 5 |
| Buffalo, NY | $1,345 | $195.22 – $1,582 | 741 | 4 |
| Indianapolis, IN | $167.47 | $83.45 – $192.56 | 740 | 7 |
| West Hartford, CT | $126.74 | $126.74 – $126.74 | 738 | 1 |
| Midland, MI | $135.85 | $135.85 – $135.85 | 730 | 1 |
| Memphis, TN | $122.42 | $50.48 – $172.03 | 725 | 9 |
| Boynton Beach, FL | $316.32 | $316.32 – $316.32 | 723 | 1 |
| Ann Arbor, MI | $450.66 | $60.45 – $1,447 | 721 | 4 |
| Las Vegas, NV | $172.31 | $106.17 – $382.24 | 720 | 6 |
| Gainesville, GA | $696.25 | $696.25 – $696.25 | 694 | 1 |
| Steubenville, OH | $317.62 | $89.87 – $570.05 | 693 | 3 |
| Lafayette, LA | $413.80 | $98.64 – $554.83 | 691 | 5 |
| Southfield, MI | $150.23 | $146.95 – $151.06 | 669 | 2 |
| Cincinnati, OH | $693.90 | $62.07 – $1,482 | 663 | 10 |
| Long Island City, NY | $2,005 | $2,005 – $2,005 | 661 | 1 |
| Jefferson City, TN | $216.10 | $216.10 – $216.10 | 659 | 1 |
| Florence, SC | $20.90 | $0.00 – $122.17 | 657 | 4 |
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.