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 |
|---|---|---|---|---|
| Goodyear, AZ | $853.46 | $48.94 – $2,348 | 40 | 2 |
| Daly City, CA | $54.81 | $54.81 – $54.81 | 40 | 1 |
| Buena Park, CA | $354.13 | $354.13 – $354.13 | 39 | 1 |
| Merced, CA | $395.49 | $162.78 – $860.91 | 39 | 2 |
| Marion, IL | $147.17 | $147.17 – $147.17 | 39 | 1 |
| Merrillville, IN | $113.91 | $84.26 – $180.62 | 39 | 2 |
| Mount Vernon, NY | $232.46 | $232.46 – $232.46 | 39 | 1 |
| Mayfield Hts, OH | $1,153 | $1,153 – $1,153 | 37 | 1 |
| South Richmond Hill, NY | $115.09 | $107.78 – $130.33 | 37 | 2 |
| Johnson City, TN | $61.19 | $15.46 – $118.37 | 36 | 2 |
| Rockford, IL | $170.83 | $164.60 – $175.81 | 36 | 2 |
| Salisbury, MD | $76.11 | $76.11 – $76.11 | 36 | 1 |
| Greenville, NC | $122.82 | $122.82 – $122.82 | 33 | 1 |
| Nashville, TN | $76.30 | $61.81 – $93.68 | 33 | 2 |
| Hampton, VA | $1,405 | $1,405 – $1,405 | 33 | 1 |
| Kissimmee, FL | $241.29 | $241.29 – $241.29 | 33 | 1 |
| Countryside, IL | $135.92 | $135.92 – $135.92 | 33 | 1 |
| Pampa, TX | $67.24 | $67.24 – $67.24 | 33 | 1 |
| Pine Bluff, AR | $212.60 | $125.52 – $311.29 | 32 | 2 |
| Kingsport, TN | $160.77 | $124.18 – $199.80 | 31 | 2 |
| Michigan City, IN | $85.25 | $85.25 – $85.25 | 30 | 1 |
| Lumberton, NC | $103.02 | $103.02 – $103.02 | 30 | 1 |
| Fort Smith, AR | $989.50 | $259.72 – $1,671 | 29 | 2 |
| Bethlehem, PA | $256.50 | $256.50 – $256.50 | 29 | 1 |
| Gresham, OR | $150.58 | $150.58 – $150.58 | 29 | 1 |
| Parkersburg, WV | $1,578 | $191.71 – $3,063 | 29 | 2 |
| North Arlington, NJ | $252.78 | $252.78 – $252.78 | 29 | 1 |
| Santa Ana, CA | $668.46 | $668.46 – $668.46 | 29 | 1 |
| Bedford, TX | $136.58 | $136.58 – $136.58 | 29 | 1 |
| Peoria, IL | $162.30 | $156.70 – $166.86 | 29 | 2 |
| Cayey, PR | $1,410 | $1,410 – $1,410 | 29 | 1 |
| Mineola, NY | $1,767 | $1,767 – $1,767 | 28 | 1 |
| Portland, OR | $99.91 | $95.66 – $103.60 | 28 | 2 |
| Fayetteville, AR | $115.79 | $115.79 – $115.79 | 28 | 1 |
| Logan, WV | $153.86 | $153.86 – $153.86 | 28 | 1 |
| Valparaiso, IN | $103.39 | $103.39 – $103.39 | 28 | 1 |
| Newburgh, IN | $140.34 | $118.94 – $160.20 | 27 | 2 |
| Albany, GA | $953.81 | $953.81 – $953.81 | 27 | 1 |
| Atlanta, GA | $2,728 | $2,728 – $2,728 | 27 | 1 |
| National City, CA | $272.81 | $272.81 – $272.81 | 27 | 1 |
| Troy, MI | $137.15 | $137.15 – $137.15 | 26 | 1 |
| Poland, OH | $63.40 | $63.40 – $63.40 | 26 | 1 |
| Sun City, AZ | $1,075 | $1,075 – $1,075 | 26 | 1 |
| Mount Clemens, MI | $126.74 | $126.74 – $126.74 | 26 | 1 |
| Silverdale, WA | $1,010 | $1,010 – $1,010 | 26 | 1 |
| Barstow, CA | $132.06 | $132.06 – $132.06 | 26 | 1 |
| Farmington, NM | $1,098 | $1,098 – $1,098 | 26 | 1 |
| El Centro, CA | $35.15 | $35.15 – $35.15 | 26 | 1 |
| Burlington, VT | $241.36 | $241.36 – $241.36 | 25 | 1 |
| Sewell, NJ | $112.70 | $112.70 – $112.70 | 25 | 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.