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 |
|---|---|---|---|---|
| Salem, OR | $711.96 | $711.96 – $711.96 | 192 | 1 |
| San Francisco, CA | $83.12 | $16.87 – $112.62 | 190 | 3 |
| Gadsden, AL | $292.83 | $283.88 – $300.50 | 182 | 2 |
| Prestonsburg, KY | $171.12 | $171.12 – $171.12 | 182 | 1 |
| Chula Vista, CA | $477.08 | $175.85 – $1,056 | 180 | 4 |
| Hot Springs National Park, AR | $160.39 | $160.39 – $160.39 | 180 | 1 |
| Youngstown, OH | $704.08 | $91.60 – $818.41 | 178 | 2 |
| Apple Valley, CA | $1,296 | $182.70 – $1,571 | 177 | 2 |
| Secaucus, NJ | $1,183 | $168.06 – $1,271 | 177 | 2 |
| Belleville, NJ | $878.39 | $878.39 – $878.39 | 175 | 1 |
| Stamford, CT | $1,372 | $1,372 – $1,372 | 175 | 1 |
| Batesville, AR | $115.90 | $115.90 – $115.90 | 171 | 1 |
| Monroe, LA | $96.70 | $90.08 – $119.71 | 170 | 2 |
| New Albany, IN | $127.43 | $61.04 – $144.49 | 168 | 3 |
| Roanoke, VA | $762.52 | $175.72 – $1,062 | 168 | 3 |
| Fountain Valley, CA | $171.49 | $171.49 – $171.49 | 167 | 1 |
| Bluefield, WV | $527.02 | $182.78 – $697.56 | 163 | 2 |
| St Clair Shores, MI | $130.43 | $130.43 – $130.43 | 161 | 1 |
| Visalia, CA | $367.30 | $26.55 – $539.26 | 161 | 2 |
| Middletown, NY | $1,906 | $1,906 – $1,906 | 159 | 1 |
| Gallipolis, OH | $258.98 | $112.62 – $1,654 | 158 | 2 |
| Kew Gardens, NY | $156.41 | $100.46 – $212.72 | 152 | 3 |
| Jonesboro, AR | $183.11 | $152.71 – $209.51 | 152 | 5 |
| Baton Rouge, LA | $110.35 | $96.18 – $160.99 | 150 | 4 |
| Liverpool, NY | $219.50 | $219.50 – $219.50 | 149 | 1 |
| West Islip, NY | $1,661 | $1,661 – $1,661 | 145 | 1 |
| Fayetteville, NC | $106.51 | $51.87 – $152.84 | 142 | 4 |
| Spartanburg, SC | $37.47 | $37.47 – $37.47 | 137 | 1 |
| Opelousas, LA | $131.05 | $130.91 – $131.10 | 136 | 2 |
| Portland, ME | $993.76 | $993.76 – $993.76 | 135 | 1 |
| Victorville, CA | $460.72 | $185.75 – $712.10 | 135 | 3 |
| Orange, CA | $271.18 | $136.20 – $581.63 | 132 | 2 |
| Lapeer, MI | $120.33 | $120.33 – $120.33 | 132 | 1 |
| Wyoming, MI | $711.67 | $711.67 – $711.67 | 130 | 1 |
| Avondale, AZ | $176.11 | $155.63 – $182.51 | 130 | 3 |
| Oak Lawn, IL | $135.51 | $127.50 – $136.80 | 129 | 2 |
| Germantown, TN | $29.01 | $12.09 – $75.95 | 129 | 4 |
| Lancaster, OH | $524.95 | $74.61 – $579.78 | 129 | 2 |
| Minneapolis, MN | $688.53 | $589.04 – $957.75 | 126 | 2 |
| Silver Spring, MD | $35.55 | $35.55 – $35.55 | 125 | 1 |
| Elyria, OH | $259.43 | $75.24 – $903.04 | 125 | 3 |
| Linden, NJ | $95.60 | $95.60 – $95.60 | 125 | 1 |
| Neptune, NJ | $1,547 | $1,510 – $1,841 | 123 | 2 |
| Trenton, NJ | $779.91 | $57.84 – $1,026 | 122 | 2 |
| Fredericksburg, VA | $1,254 | $107.88 – $1,440 | 122 | 2 |
| Everett, WA | $904.52 | $904.52 – $904.52 | 121 | 1 |
| Redding, CA | $648.97 | $177.91 – $1,979 | 119 | 4 |
| Trumbull, CT | $113.11 | $102.10 – $120.24 | 118 | 3 |
| Covington, LA | $117.20 | $114.31 – $142.49 | 117 | 2 |
| Meridian, MS | $813.53 | $805.02 – $870.31 | 115 | 2 |
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.