Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist
Medicare pricing data for 11,692 providers across 52 states
This procedure has a 5.9x markup — hospitals charge $1,607 but Medicare allows only $270.65. Uninsured patients may face bills 5.9 times higher than what insurance negotiates. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist (HCPCS code 93458) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $270.65, but hospitals typically charge $1,607 — a 5.9x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $270.65, your out-of-pocket cost would be approximately $54.13. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 5.9x more than what Medicare allows for this procedure. Medicare actually pays $213.27 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Arizona | $384 | $2,436 | 298 | 10,985 | +41.9% |
| Louisiana | $346 | $2,829 | 301 | 8,558 | +27.8% |
| Kansas | $341 | $4,931 | 111 | 6,278 | +26.0% |
| Florida | $326 | $1,133 | 1,060 | 38,056 | +20.6% |
| Texas | $318 | $3,075 | 1,294 | 34,925 | +17.4% |
| Alaska | $317 | $7,424 | 20 | 707 | +17.1% |
| Oregon | $313 | $1,192 | 109 | 2,851 | +15.7% |
| Nevada | $312 | $2,695 | 107 | 3,240 | +15.3% |
| District of Columbia | $281 | $1,188 | 24 | 611 | +3.9% |
| Nebraska | $277 | $1,042 | 77 | 3,446 | +2.3% |
| New York | $276 | $1,734 | 553 | 21,895 | +1.8% |
| Oklahoma | $269 | $1,020 | 192 | 9,050 | -0.6% |
| Missouri | $268 | $1,541 | 299 | 10,483 | -0.9% |
| Mississippi | $265 | $2,057 | 120 | 5,826 | -2.0% |
| Illinois | $264 | $1,640 | 439 | 15,456 | -2.6% |
| Michigan | $261 | $1,099 | 414 | 11,537 | -3.7% |
| Alabama | $260 | $1,211 | 225 | 7,023 | -3.8% |
| Maryland | $259 | $1,028 | 117 | 6,019 | -4.3% |
| New Jersey | $259 | $1,514 | 338 | 10,886 | -4.3% |
| Puerto Rico | $255 | $672 | 58 | 420 | -5.6% |
| Connecticut | $255 | $1,921 | 97 | 2,730 | -5.7% |
| Massachusetts | $251 | $1,204 | 185 | 5,205 | -7.3% |
| Colorado | $249 | $897 | 141 | 3,526 | -8.2% |
| Pennsylvania | $248 | $1,351 | 393 | 12,501 | -8.2% |
| Arkansas | $248 | $985 | 183 | 9,692 | -8.3% |
| New Hampshire | $248 | $3,203 | 34 | 1,670 | -8.5% |
| Delaware | $247 | $861 | 29 | 1,545 | -8.7% |
| California | $246 | $1,424 | 1,117 | 28,816 | -9.2% |
| Georgia | $244 | $1,485 | 340 | 13,501 | -9.9% |
| Virginia | $243 | $927 | 251 | 10,011 | -10.3% |
| Ohio | $241 | $985 | 450 | 15,475 | -11.0% |
| Kentucky | $240 | $759 | 172 | 6,915 | -11.3% |
| Washington | $239 | $796 | 225 | 6,777 | -11.5% |
| New Mexico | $239 | $1,113 | 36 | 2,020 | -11.7% |
| Montana | $239 | $1,107 | 41 | 1,979 | -11.7% |
| Vermont | $239 | $1,343 | 12 | 325 | -11.9% |
| West Virginia | $236 | $1,109 | 67 | 2,734 | -12.8% |
| Wyoming | $236 | $3,947 | 14 | 312 | -12.9% |
| South Carolina | $234 | $1,816 | 191 | 8,924 | -13.7% |
| South Dakota | $233 | $914 | 36 | 1,710 | -13.8% |
| North Carolina | $233 | $1,195 | 302 | 11,373 | -14.1% |
| Hawaii | $231 | $759 | 22 | 621 | -14.6% |
| Minnesota | $230 | $1,504 | 122 | 2,715 | -14.9% |
| Maine | $230 | $981 | 28 | 497 | -14.9% |
| Rhode Island | $229 | $1,056 | 29 | 834 | -15.5% |
| Tennessee | $228 | $838 | 311 | 10,977 | -15.7% |
| Indiana | $225 | $1,094 | 251 | 10,758 | -16.9% |
| Wisconsin | $224 | $3,474 | 163 | 4,955 | -17.3% |
| North Dakota | $224 | $1,165 | 25 | 1,713 | -17.4% |
| Utah | $222 | $1,021 | 70 | 1,971 | -18.0% |
| Iowa | $219 | $1,105 | 81 | 4,448 | -19.1% |
| Idaho | $219 | $787 | 46 | 1,363 | -19.2% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber