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 |
|---|---|---|---|---|
| La Jolla, CA | $211.18 | $211.18 – $211.18 | 25 | 1 |
| Sebring, FL | $47.68 | $47.68 – $47.68 | 25 | 1 |
| Avon, IN | $201.96 | $201.96 – $201.96 | 25 | 1 |
| Hot Springs, AR | $210.74 | $210.74 – $210.74 | 25 | 1 |
| Omaha, NE | $75.31 | $75.31 – $75.31 | 25 | 1 |
| Anchorage, AK | $3,051 | $3,051 – $3,051 | 25 | 1 |
| Fall River, MA | $105.86 | $79.23 – $130.44 | 25 | 2 |
| Plattsburgh, NY | $827.74 | $132.22 – $1,470 | 25 | 2 |
| El Cajon, CA | $176.69 | $89.98 – $256.72 | 25 | 2 |
| Glastonbury, CT | $153.85 | $153.85 – $153.85 | 25 | 1 |
| Schenectady, NY | $1,106 | $1,106 – $1,106 | 24 | 1 |
| Montclair, NJ | $1,489 | $1,489 – $1,489 | 24 | 1 |
| Williamsville, NY | $110.59 | $110.59 – $110.59 | 24 | 1 |
| Youngsville, LA | $57.10 | $57.10 – $57.10 | 23 | 1 |
| Bullhead City, AZ | $118.61 | $118.61 – $118.61 | 21 | 1 |
| Statesboro, GA | $102.22 | $102.22 – $102.22 | 20 | 1 |
| Powell, TN | $48.07 | $48.07 – $48.07 | 20 | 1 |
| Chattanooga, TN | $32.85 | $32.85 – $32.85 | 19 | 1 |
| Sunnyside, WA | $151.23 | $151.23 – $151.23 | 19 | 1 |
| Arlington, TX | $159.96 | $159.96 – $159.96 | 19 | 1 |
| Brookfield, WI | $162.48 | $162.48 – $162.48 | 18 | 1 |
| Mooresville, NC | $168.58 | $168.58 – $168.58 | 18 | 1 |
| Belleville, IL | $165.50 | $165.50 – $165.50 | 18 | 1 |
| El Campo, TX | $102.41 | $102.41 – $102.41 | 17 | 1 |
| Encinitas, CA | $79.76 | $79.76 – $79.76 | 17 | 1 |
| Dover, DE | $162.46 | $162.46 – $162.46 | 17 | 1 |
| Midlothian, VA | $161.31 | $161.31 – $161.31 | 16 | 1 |
| Richmond Hill, NY | $135.84 | $135.84 – $135.84 | 16 | 1 |
| West Plains, MO | $311.16 | $311.16 – $311.16 | 16 | 1 |
| Franklin, OH | $1,273 | $1,273 – $1,273 | 16 | 1 |
| Murray, UT | $213.36 | $213.36 – $213.36 | 16 | 1 |
| Saint Paul, MN | $146.30 | $146.30 – $146.30 | 15 | 1 |
| San Antonio, TX | $99.74 | $99.74 – $99.74 | 15 | 1 |
| Saint Louis, MO | $168.81 | $168.81 – $168.81 | 15 | 1 |
| Naperville, IL | $123.19 | $123.19 – $123.19 | 15 | 1 |
| Newhall, CA | $269.18 | $269.18 – $269.18 | 15 | 1 |
| Lancaster, SC | $149.22 | $149.22 – $149.22 | 15 | 1 |
| Cape Girardeau, MO | $115.95 | $115.95 – $115.95 | 15 | 1 |
| Billings, MT | $0.00 | $0.00 – $0.00 | 15 | 1 |
| Astoria, NY | $135.60 | $135.60 – $135.60 | 15 | 1 |
| Gaithersburg, MD | $30.15 | $30.15 – $30.15 | 15 | 1 |
| Asheville, NC | $2,429 | $2,429 – $2,429 | 15 | 1 |
| Eau Claire, WI | $193.77 | $193.77 – $193.77 | 15 | 1 |
| Mchenry, IL | $117.90 | $117.90 – $117.90 | 15 | 1 |
| Lake Charles, LA | $59.73 | $59.73 – $59.73 | 15 | 1 |
| Methuen, MA | $90.58 | $90.58 – $90.58 | 14 | 1 |
| Greenwood, SC | $824.29 | $824.29 – $824.29 | 14 | 1 |
| Mckinney, TX | $93.13 | $93.13 – $93.13 | 14 | 1 |
| Springboro, OH | $100.69 | $100.69 – $100.69 | 14 | 1 |
| Sugar Land, TX | $122.31 | $122.31 – $122.31 | 14 | 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.