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 |
|---|---|---|---|---|
| Brownsville, TX | $37.93 | $36.85 – $46.14 | 328 | 2 |
| Fair Lawn, NJ | $90.20 | $90.20 – $90.20 | 328 | 1 |
| Chandler, AZ | $1,215 | $1,215 – $1,215 | 324 | 1 |
| Norfolk, VA | $1,299 | $153.99 – $1,409 | 320 | 2 |
| Kansas City, MO | $432.51 | $316.63 – $462.28 | 318 | 2 |
| Laredo, TX | $17.31 | $17.31 – $17.31 | 317 | 1 |
| Las Cruces, NM | $1,280 | $162.02 – $1,503 | 308 | 6 |
| Caguas, PR | $446.40 | $358.28 – $997.34 | 306 | 4 |
| Jackson, MI | $137.07 | $136.14 – $144.28 | 302 | 3 |
| Kingman, AZ | $1,721 | $1,721 – $1,721 | 299 | 1 |
| Columbus, IN | $114.55 | $114.55 – $114.55 | 296 | 1 |
| Cynthiana, KY | $1,410 | $1,410 – $1,410 | 292 | 1 |
| Dayton, OH | $560.82 | $96.57 – $765.23 | 292 | 4 |
| Loma Linda, CA | $501.54 | $203.05 – $865.62 | 291 | 5 |
| Ventura, CA | $608.20 | $236.58 – $766.42 | 288 | 2 |
| Southgate, MI | $133.45 | $133.45 – $133.45 | 288 | 1 |
| New Hyde Park, NY | $147.73 | $133.22 – $163.32 | 278 | 2 |
| Saint Joseph, MI | $550.87 | $550.87 – $550.87 | 272 | 1 |
| Richmond, IN | $238.60 | $120.40 – $388.57 | 271 | 4 |
| Decatur, GA | $407.88 | $407.88 – $407.88 | 269 | 1 |
| Falls Church, VA | $1,547 | $1,547 – $1,547 | 264 | 1 |
| Newark, DE | $110.84 | $110.84 – $110.84 | 259 | 1 |
| Sun City, CA | $192.39 | $192.39 – $192.39 | 252 | 1 |
| West Orange, NJ | $75.02 | $71.21 – $77.35 | 250 | 2 |
| Salem, VA | $1,657 | $1,657 – $1,657 | 243 | 1 |
| Bangor, ME | $892.15 | $892.15 – $892.15 | 243 | 1 |
| Springfield, OH | $759.87 | $759.87 – $759.87 | 241 | 1 |
| Raleigh, NC | $119.00 | $85.27 – $121.58 | 239 | 2 |
| Evansville, IN | $115.17 | $82.65 – $182.03 | 239 | 8 |
| Flushing, MI | $142.12 | $142.12 – $142.12 | 235 | 1 |
| New Brunswick, NJ | $1,218 | $1,218 – $1,218 | 232 | 1 |
| Mccomb, MS | $825.54 | $130.17 – $1,049 | 218 | 3 |
| Garden City, KS | $66.17 | $66.17 – $66.17 | 216 | 1 |
| Imperial, CA | $90.87 | $90.87 – $90.87 | 216 | 1 |
| Worcester, MA | $539.61 | $108.38 – $848.40 | 212 | 4 |
| Upland, CA | $793.54 | $158.72 – $835.22 | 211 | 2 |
| Pascagoula, MS | $895.05 | $895.05 – $895.05 | 210 | 1 |
| Olympia, WA | $735.83 | $196.54 – $777.53 | 209 | 2 |
| Honolulu, HI | $655.19 | $132.24 – $1,329 | 208 | 3 |
| Jefferson Hills, PA | $109.35 | $109.35 – $109.35 | 206 | 1 |
| Cotto Laurel, PR | $827.36 | $827.36 – $827.36 | 206 | 1 |
| London, KY | $151.54 | $125.20 – $160.03 | 203 | 3 |
| Mission Hills, CA | $521.73 | $521.73 – $521.73 | 200 | 1 |
| Sacramento, CA | $204.92 | $31.82 – $909.22 | 199 | 5 |
| Okemos, MI | $133.48 | $133.48 – $133.48 | 195 | 1 |
| Pomona, NJ | $1,187 | $154.95 – $1,455 | 194 | 2 |
| Monterey Park, CA | $961.64 | $961.64 – $961.64 | 194 | 1 |
| Colonial Heights, VA | $143.67 | $130.03 – $169.91 | 193 | 3 |
| Oceanside, NY | $1,513 | $1,513 – $1,513 | 193 | 1 |
| Pickerington, OH | $138.11 | $138.11 – $138.11 | 192 | 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.