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 |
|---|---|---|---|---|
| Glendale, CA | $183.76 | $27.33 – $1,096 | 654 | 10 |
| Glasgow, KY | $212.24 | $107.13 – $298.60 | 647 | 3 |
| Smithfield, NC | $177.50 | $177.50 – $177.50 | 637 | 1 |
| Lima, OH | $570.65 | $75.28 – $1,295 | 630 | 7 |
| Port Huron, MI | $150.80 | $137.44 – $767.24 | 613 | 2 |
| Rochester, NY | $1,216 | $142.01 – $1,437 | 609 | 4 |
| Royal Oak, MI | $399.46 | $130.57 – $1,330 | 589 | 2 |
| Clifton, NJ | $104.37 | $104.37 – $104.37 | 588 | 1 |
| Corinth, MS | $796.34 | $48.73 – $910.77 | 580 | 3 |
| Stockton, CA | $502.63 | $143.43 – $1,156 | 578 | 3 |
| Murrieta, CA | $885.06 | $134.01 – $921.49 | 562 | 2 |
| Zanesville, OH | $576.15 | $85.06 – $844.99 | 557 | 4 |
| East Brunswick, NJ | $101.61 | $101.61 – $101.61 | 554 | 1 |
| Oxford, MS | $739.58 | $739.58 – $739.58 | 550 | 1 |
| Manhasset, NY | $1,579 | $137.80 – $1,767 | 544 | 3 |
| Anaheim, CA | $782.50 | $620.39 – $786.54 | 535 | 2 |
| Fresno, CA | $39.96 | $0.00 – $186.34 | 535 | 8 |
| Tacoma, WA | $986.94 | $986.94 – $986.94 | 514 | 1 |
| Modesto, CA | $1,416 | $128.92 – $1,763 | 510 | 3 |
| San Gabriel, CA | $167.80 | $167.80 – $167.80 | 500 | 1 |
| Rolla, MO | $152.21 | $152.21 – $152.21 | 496 | 1 |
| Elmhurst, NY | $296.14 | $169.64 – $1,127 | 492 | 2 |
| Rancho Cucamonga, CA | $166.04 | $166.04 – $166.04 | 486 | 1 |
| Chillicothe, OH | $537.12 | $73.58 – $761.74 | 480 | 5 |
| Hammond, LA | $98.00 | $81.53 – $101.22 | 471 | 2 |
| Anderson, SC | $104.48 | $104.48 – $104.48 | 464 | 1 |
| Appleton, WI | $122.09 | $98.57 – $484.78 | 457 | 3 |
| Elizabeth, NJ | $1,006 | $60.43 – $1,133 | 440 | 2 |
| Waterbury, CT | $835.40 | $81.38 – $1,208 | 412 | 5 |
| Muskegon, MI | $123.35 | $123.35 – $123.35 | 407 | 1 |
| Morristown, TN | $125.04 | $125.04 – $125.04 | 406 | 1 |
| Baltimore, MD | $65.84 | $0.00 – $225.12 | 401 | 8 |
| Greenville, MS | $562.22 | $55.61 – $583.55 | 396 | 2 |
| Columbus, MS | $873.34 | $873.34 – $873.34 | 384 | 1 |
| Paducah, KY | $997.89 | $96.51 – $1,030 | 378 | 2 |
| Bridgeport, WV | $1,031 | $74.97 – $1,063 | 371 | 2 |
| South Charleston, WV | $580.21 | $187.00 – $1,264 | 370 | 3 |
| Roswell, NM | $899.74 | $194.74 – $1,567 | 368 | 2 |
| Peoria, AZ | $122.93 | $71.20 – $180.85 | 364 | 3 |
| Weirton, WV | $148.67 | $136.26 – $398.32 | 359 | 2 |
| San Diego, CA | $545.41 | $115.42 – $833.51 | 357 | 4 |
| Charleston, SC | $13.46 | $0.00 – $184.87 | 357 | 2 |
| West Columbia, SC | $27.06 | $0.00 – $37.19 | 356 | 2 |
| Washington, DC | $281.16 | $9.49 – $755.29 | 354 | 6 |
| Morristown, NJ | $2,382 | $81.63 – $2,683 | 354 | 2 |
| Passaic, NJ | $532.69 | $60.56 – $1,464 | 348 | 4 |
| Glendale, AZ | $2,120 | $874.88 – $2,230 | 345 | 2 |
| Des Moines, IA | $154.10 | $146.83 – $225.51 | 339 | 3 |
| Livingston, NJ | $1,267 | $1,267 – $1,267 | 337 | 1 |
| Novi, MI | $1,431 | $1,431 – $1,431 | 329 | 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.