Insertion of tube in right heart chambers for measurement
Medicare pricing data for 7,040 providers across 52 states
This procedure has a 6.1x markup — hospitals charge $804.41 but Medicare allows only $130.93. Uninsured patients may face bills 6.1 times higher than what insurance negotiates. Prices vary significantly by location — from $103 in Idaho to $305 in Arizona. Where you get this procedure matters more than almost any other factor. 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 right heart chambers for measurement (HCPCS code 93451) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $130.93, but hospitals typically charge $804.41 — a 6.1x 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 $130.93, your out-of-pocket cost would be approximately $26.19. 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 6.1x more than what Medicare allows for this procedure. Medicare actually pays $102.81 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Arizona | $305 | $1,939 | 167 | 834 | +132.9% |
| Nevada | $171 | $1,108 | 52 | 183 | +30.9% |
| Kansas | $166 | $1,227 | 73 | 465 | +27.0% |
| Texas | $162 | $1,274 | 656 | 3,368 | +23.7% |
| Alaska | $153 | $5,174 | 13 | 45 | +17.0% |
| Florida | $149 | $827 | 461 | 2,487 | +13.5% |
| Louisiana | $140 | $842 | 131 | 482 | +7.2% |
| Colorado | $134 | $592 | 121 | 758 | +2.0% |
| New York | $133 | $783 | 360 | 2,572 | +1.4% |
| Oregon | $133 | $487 | 92 | 431 | +1.4% |
| Mississippi | $131 | $968 | 85 | 405 | -0.1% |
| Illinois | $131 | $737 | 292 | 2,096 | -0.3% |
| Connecticut | $131 | $943 | 96 | 527 | -0.3% |
| Missouri | $130 | $908 | 165 | 919 | -0.7% |
| Massachusetts | $127 | $554 | 184 | 1,635 | -2.9% |
| Pennsylvania | $126 | $670 | 333 | 3,263 | -3.7% |
| New Hampshire | $125 | $2,007 | 38 | 303 | -4.2% |
| New Jersey | $125 | $869 | 162 | 801 | -4.5% |
| Virginia | $125 | $636 | 197 | 1,557 | -4.6% |
| Delaware | $125 | $448 | 28 | 219 | -4.8% |
| Maryland | $122 | $467 | 90 | 1,091 | -6.6% |
| Minnesota | $122 | $750 | 128 | 1,215 | -6.7% |
| West Virginia | $122 | $486 | 37 | 114 | -7.1% |
| New Mexico | $121 | $604 | 28 | 114 | -7.3% |
| Michigan | $121 | $629 | 257 | 1,395 | -7.9% |
| Montana | $120 | $599 | 27 | 122 | -8.2% |
| Wyoming | $120 | $1,607 | 9 | 37 | -8.2% |
| Vermont | $120 | $592 | 8 | 30 | -8.3% |
| District of Columbia | $120 | $527 | 20 | 515 | -8.5% |
| California | $119 | $675 | 523 | 2,718 | -8.9% |
| Georgia | $119 | $708 | 223 | 1,143 | -8.9% |
| Ohio | $119 | $782 | 299 | 1,782 | -9.0% |
| Oklahoma | $119 | $429 | 79 | 495 | -9.4% |
| Maine | $118 | $470 | 30 | 175 | -9.8% |
| North Dakota | $118 | $477 | 16 | 81 | -9.8% |
| Utah | $118 | $594 | 54 | 362 | -10.2% |
| Alabama | $117 | $601 | 123 | 904 | -11.0% |
| North Carolina | $116 | $744 | 221 | 1,403 | -11.6% |
| Rhode Island | $116 | $606 | 25 | 149 | -11.7% |
| Kentucky | $115 | $391 | 108 | 538 | -12.5% |
| Washington | $113 | $408 | 155 | 1,029 | -13.4% |
| South Dakota | $113 | $613 | 20 | 81 | -13.7% |
| Puerto Rico | $111 | $442 | 4 | 16 | -15.0% |
| Arkansas | $111 | $577 | 84 | 477 | -15.0% |
| South Carolina | $110 | $1,625 | 126 | 837 | -15.7% |
| Nebraska | $109 | $376 | 37 | 422 | -16.5% |
| Iowa | $109 | $765 | 61 | 301 | -16.7% |
| Indiana | $108 | $770 | 152 | 858 | -17.3% |
| Tennessee | $108 | $396 | 175 | 1,025 | -17.6% |
| Wisconsin | $105 | $1,871 | 110 | 749 | -19.7% |
| Hawaii | $104 | $401 | 10 | 31 | -20.7% |
| Idaho | $103 | $424 | 42 | 168 | -21.0% |
⚠️ 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