Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist
Medicare pricing data for 8,524 providers across 52 states
This procedure has a 5.9x markup — hospitals charge $1,692 but Medicare allows only $287.92. 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, coronary artery and bypass graft for diagnosis with review by radiologist (HCPCS code 93459) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $287.92, but hospitals typically charge $1,692 — 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 $287.92, your out-of-pocket cost would be approximately $57.58. 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 $227.37 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Arizona | $394 | $3,056 | 222 | 1,271 | +36.7% |
| Alaska | $361 | $8,691 | 12 | 77 | +25.5% |
| Kansas | $358 | $5,433 | 80 | 923 | +24.3% |
| Oregon | $344 | $1,405 | 83 | 377 | +19.4% |
| Florida | $335 | $1,201 | 775 | 5,553 | +16.3% |
| Nevada | $330 | $2,063 | 81 | 362 | +14.8% |
| Louisiana | $320 | $2,370 | 216 | 1,498 | +11.2% |
| Texas | $320 | $2,906 | 899 | 5,117 | +11.2% |
| District of Columbia | $313 | $1,225 | 15 | 56 | +8.8% |
| New York | $303 | $1,514 | 389 | 2,408 | +5.3% |
| Delaware | $293 | $906 | 23 | 244 | +1.6% |
| New Jersey | $287 | $1,581 | 230 | 1,155 | -0.4% |
| Oklahoma | $286 | $1,132 | 158 | 1,467 | -0.7% |
| Colorado | $285 | $960 | 83 | 319 | -1.0% |
| Massachusetts | $285 | $1,289 | 117 | 550 | -1.1% |
| Illinois | $282 | $1,752 | 325 | 1,998 | -1.9% |
| Maryland | $281 | $1,304 | 90 | 761 | -2.3% |
| Michigan | $280 | $1,342 | 310 | 1,572 | -2.6% |
| Nebraska | $278 | $1,056 | 58 | 451 | -3.6% |
| Connecticut | $277 | $1,799 | 73 | 328 | -3.7% |
| Missouri | $277 | $1,557 | 224 | 1,642 | -3.9% |
| Mississippi | $276 | $2,205 | 104 | 1,160 | -4.1% |
| Pennsylvania | $275 | $1,563 | 291 | 1,590 | -4.4% |
| Virginia | $274 | $1,006 | 196 | 1,167 | -4.7% |
| New Hampshire | $274 | $3,558 | 30 | 202 | -4.9% |
| California | $274 | $1,328 | 685 | 3,173 | -4.9% |
| Wyoming | $274 | $5,979 | 8 | 35 | -4.9% |
| Alabama | $272 | $1,295 | 185 | 1,335 | -5.4% |
| Vermont | $269 | $1,610 | 11 | 34 | -6.5% |
| Ohio | $268 | $1,043 | 343 | 2,296 | -7.0% |
| Georgia | $267 | $1,833 | 261 | 2,065 | -7.4% |
| Kentucky | $266 | $868 | 143 | 1,202 | -7.6% |
| Arkansas | $264 | $1,062 | 152 | 1,928 | -8.4% |
| Washington | $262 | $924 | 161 | 878 | -9.1% |
| Hawaii | $259 | $832 | 17 | 79 | -10.1% |
| North Carolina | $258 | $1,414 | 243 | 1,693 | -10.5% |
| Montana | $257 | $1,294 | 29 | 243 | -10.9% |
| West Virginia | $255 | $1,900 | 55 | 487 | -11.5% |
| Puerto Rico | $254 | $975 | 15 | 32 | -11.7% |
| Tennessee | $251 | $885 | 256 | 2,052 | -12.8% |
| Maine | $251 | $1,064 | 20 | 73 | -12.9% |
| South Carolina | $250 | $2,104 | 161 | 1,424 | -13.0% |
| Rhode Island | $250 | $1,185 | 21 | 87 | -13.2% |
| South Dakota | $249 | $1,037 | 20 | 200 | -13.5% |
| Idaho | $249 | $927 | 32 | 134 | -13.6% |
| New Mexico | $248 | $1,352 | 28 | 212 | -13.7% |
| Indiana | $247 | $1,466 | 208 | 1,642 | -14.3% |
| Wisconsin | $244 | $3,892 | 118 | 685 | -15.2% |
| North Dakota | $242 | $1,326 | 22 | 214 | -15.8% |
| Minnesota | $241 | $1,866 | 86 | 361 | -16.2% |
| Utah | $235 | $1,128 | 50 | 279 | -18.4% |
| Iowa | $232 | $1,159 | 68 | 563 | -19.4% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
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