Insertion of tube in right heart chambers and coronary artery for diagnosis with review by radiologist
Medicare pricing data for 4,397 providers across 50 states
This procedure has a 5.2x markup — hospitals charge $1,571 but Medicare allows only $299.68. Uninsured patients may face bills 5.2 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 right heart chambers and coronary artery for diagnosis with review by radiologist (HCPCS code 93456) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $299.68, but hospitals typically charge $1,571 — a 5.2x 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 $299.68, your out-of-pocket cost would be approximately $59.94. 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 5.2x more than what Medicare allows for this procedure. Medicare actually pays $236.45 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Arizona | $492 | $1,688 | 105 | 424 | +64.3% |
| Alaska | $361 | $10,303 | 9 | 32 | +20.6% |
| Nevada | $354 | $1,315 | 36 | 78 | +18.2% |
| Florida | $347 | $1,322 | 300 | 1,065 | +15.7% |
| Texas | $342 | $3,126 | 343 | 1,052 | +14.3% |
| District of Columbia | $327 | $1,153 | 13 | 315 | +9.2% |
| New York | $326 | $2,002 | 243 | 1,777 | +8.7% |
| Kansas | $322 | $3,048 | 45 | 103 | +7.4% |
| Louisiana | $308 | $1,395 | 60 | 85 | +2.7% |
| Illinois | $305 | $1,591 | 215 | 1,021 | +1.8% |
| Connecticut | $302 | $1,979 | 55 | 254 | +0.8% |
| New Jersey | $300 | $1,239 | 110 | 465 | -0.0% |
| Maryland | $297 | $1,223 | 55 | 388 | -0.9% |
| Oregon | $291 | $1,124 | 60 | 258 | -2.9% |
| Oklahoma | $290 | $877 | 55 | 156 | -3.2% |
| Mississippi | $290 | $1,589 | 48 | 122 | -3.4% |
| New Mexico | $289 | $905 | 20 | 71 | -3.4% |
| California | $289 | $1,548 | 303 | 1,140 | -3.6% |
| Pennsylvania | $288 | $1,463 | 250 | 2,266 | -3.8% |
| Montana | $288 | $1,117 | 18 | 69 | -3.8% |
| Colorado | $288 | $1,176 | 76 | 320 | -4.0% |
| Massachusetts | $287 | $1,199 | 138 | 1,145 | -4.2% |
| Wyoming | $287 | $5,389 | 7 | 40 | -4.3% |
| Vermont | $286 | $1,641 | 6 | 15 | -4.5% |
| Michigan | $285 | $1,074 | 173 | 666 | -5.0% |
| Delaware | $283 | $767 | 18 | 88 | -5.4% |
| Ohio | $283 | $1,785 | 178 | 773 | -5.6% |
| New Hampshire | $282 | $3,697 | 26 | 185 | -6.0% |
| Washington | $281 | $862 | 123 | 546 | -6.1% |
| Rhode Island | $279 | $1,236 | 11 | 33 | -6.9% |
| Georgia | $279 | $1,631 | 89 | 260 | -7.0% |
| Virginia | $279 | $944 | 120 | 589 | -7.0% |
| Missouri | $278 | $1,194 | 89 | 176 | -7.1% |
| Maine | $277 | $1,113 | 32 | 395 | -7.6% |
| North Carolina | $275 | $1,253 | 150 | 849 | -8.3% |
| Utah | $274 | $1,134 | 42 | 151 | -8.4% |
| Alabama | $269 | $1,252 | 73 | 446 | -10.2% |
| Iowa | $269 | $1,302 | 38 | 142 | -10.3% |
| South Carolina | $269 | $1,804 | 47 | 111 | -10.4% |
| Kentucky | $265 | $1,035 | 57 | 153 | -11.7% |
| Wisconsin | $265 | $3,830 | 91 | 341 | -11.7% |
| North Dakota | $264 | $2,076 | 13 | 36 | -12.0% |
| South Dakota | $260 | $2,044 | 10 | 37 | -13.1% |
| Arkansas | $260 | $1,153 | 42 | 84 | -13.2% |
| Tennessee | $260 | $848 | 134 | 571 | -13.3% |
| Minnesota | $260 | $1,533 | 95 | 576 | -13.3% |
| Idaho | $258 | $823 | 25 | 92 | -14.0% |
| Nebraska | $257 | $801 | 23 | 44 | -14.2% |
| West Virginia | $257 | $1,411 | 19 | 35 | -14.4% |
| Indiana | $257 | $972 | 83 | 191 | -14.4% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber