Insertion of tube in coronary artery for diagnosis with review by radiologist
Medicare pricing data for 8,918 providers across 52 states
This procedure has a 5.9x markup — hospitals charge $1,214 but Medicare allows only $205.97. 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 coronary artery for diagnosis with review by radiologist (HCPCS code 93454) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $205.97, but hospitals typically charge $1,214 — 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 $205.97, your out-of-pocket cost would be approximately $41.19. 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 5.9x more than what Medicare allows for this procedure. Medicare actually pays $161.94 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Arizona | $317 | $1,642 | 236 | 3,231 | +53.7% |
| Louisiana | $276 | $1,669 | 234 | 2,042 | +33.8% |
| Alaska | $247 | $6,473 | 21 | 321 | +20.0% |
| Oklahoma | $237 | $826 | 151 | 1,183 | +15.2% |
| Texas | $236 | $1,866 | 860 | 6,518 | +14.7% |
| Nevada | $229 | $1,849 | 84 | 767 | +11.1% |
| Florida | $227 | $963 | 691 | 7,084 | +10.0% |
| New York | $223 | $1,287 | 423 | 6,316 | +8.2% |
| Kansas | $220 | $1,764 | 91 | 2,000 | +6.7% |
| Nebraska | $215 | $837 | 69 | 839 | +4.5% |
| District of Columbia | $215 | $852 | 21 | 576 | +4.2% |
| Mississippi | $210 | $1,176 | 101 | 1,279 | +1.8% |
| Oregon | $206 | $978 | 104 | 1,363 | -0.2% |
| Maryland | $204 | $799 | 87 | 2,399 | -1.1% |
| Connecticut | $203 | $1,610 | 79 | 1,033 | -1.5% |
| Michigan | $203 | $847 | 313 | 2,623 | -1.6% |
| Illinois | $202 | $1,204 | 362 | 4,766 | -2.0% |
| Massachusetts | $201 | $973 | 178 | 4,509 | -2.4% |
| New Jersey | $201 | $1,187 | 225 | 2,438 | -2.6% |
| Vermont | $198 | $1,148 | 11 | 376 | -3.8% |
| Montana | $197 | $893 | 35 | 630 | -4.4% |
| Ohio | $196 | $1,294 | 367 | 4,098 | -5.1% |
| Pennsylvania | $195 | $1,217 | 338 | 5,576 | -5.2% |
| Georgia | $194 | $1,200 | 219 | 1,681 | -5.6% |
| Delaware | $194 | $568 | 24 | 428 | -5.8% |
| New Hampshire | $194 | $1,418 | 38 | 876 | -6.0% |
| Washington | $193 | $705 | 208 | 2,140 | -6.5% |
| Colorado | $191 | $837 | 133 | 1,622 | -7.1% |
| Arkansas | $191 | $763 | 143 | 1,262 | -7.3% |
| Missouri | $191 | $939 | 217 | 1,919 | -7.5% |
| California | $190 | $1,177 | 758 | 9,539 | -7.7% |
| South Dakota | $190 | $1,528 | 33 | 974 | -7.9% |
| Virginia | $189 | $806 | 210 | 2,630 | -8.0% |
| Maine | $187 | $960 | 33 | 592 | -9.2% |
| South Carolina | $187 | $1,365 | 149 | 1,326 | -9.3% |
| Rhode Island | $183 | $947 | 22 | 176 | -11.1% |
| Minnesota | $183 | $1,236 | 125 | 3,353 | -11.3% |
| North Carolina | $183 | $943 | 227 | 2,587 | -11.3% |
| Kentucky | $182 | $632 | 148 | 1,507 | -11.5% |
| West Virginia | $182 | $949 | 54 | 493 | -11.8% |
| Utah | $182 | $822 | 63 | 601 | -11.9% |
| Alabama | $181 | $1,014 | 153 | 1,254 | -12.0% |
| Iowa | $181 | $861 | 77 | 1,805 | -12.1% |
| Indiana | $180 | $874 | 205 | 2,425 | -12.5% |
| North Dakota | $178 | $1,015 | 21 | 541 | -13.7% |
| Wyoming | $177 | $3,355 | 8 | 22 | -13.9% |
| Wisconsin | $177 | $2,974 | 156 | 2,571 | -14.2% |
| Tennessee | $176 | $692 | 244 | 1,860 | -14.7% |
| Puerto Rico | $175 | $598 | 6 | 35 | -14.8% |
| New Mexico | $171 | $1,231 | 35 | 252 | -17.1% |
| Idaho | $170 | $658 | 43 | 622 | -17.4% |
| Hawaii | $167 | $639 | 13 | 69 | -19.1% |
⚠️ 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