How Much Does Heart Catheterization with Coronary Angiography Cost?
Also known as: L hrt artery/ventricle angio (CPT 93458)
A procedure that combines heart catheterization with detailed imaging of the hearts blood vessels.
Heart Catheterization with Coronary Angiography (CPT 93458) costs $1,010 at Medicare rates. Hospital outpatient rate: $3.
Cost Comparison by Payer
How much L hrt artery/ventricle angio costs across different settings and payers
Patient Guide: Heart Catheterization with Coronary Angiography
What you need to know before your appointment
What to Expect
A catheter is threaded to the heart through the wrist or groin. Contrast dye is injected while X-ray movies show the hearts arteries and chambers.
How Long Does It Take?
45-90 minutes procedure, 4-6 hours recovery
Common Reasons Doctors Order This
Suspected blockages in heart arteries, heart attack diagnosis, evaluation before heart surgery
How to Prepare
Fast for 6-8 hours before. Tell doctor about all medications, especially blood thinners and diabetes medications. Arrange an overnight bag.
Procedures Commonly Done Together
These procedures are frequently performed alongside L hrt artery/ventricle angio
How to Reduce Your Cost for L hrt artery/ventricle angio
Practical tips that can save you hundreds or thousands of dollars
- 1 Ask about cash-pay discounts
Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.
- 2 Compare facility vs. office setting costs
Some procedures cost significantly less in an office setting than a hospital. Ask your provider about options.
- 3 Shop around — costs vary significantly
Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.
- 4 Check ambulatory surgery centers (ASCs)
This procedure is available at ASCs for $1, compared to $3 at hospital outpatient departments. ASCs often offer lower costs with comparable quality.
How is the Price Calculated?
Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.
Payment = Total RVU (30.24) x CF ($33.40) = $1,010
Related Procedures
Similar procedures in the same category or body system
Frequently Asked Questions
How much does L hrt artery/ventricle angio cost?
The Medicare facility rate for L hrt artery/ventricle angio is $1,010. In a hospital outpatient setting, the rate is $3. At an ambulatory surgery center, the rate is $1. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).
How much does L hrt artery/ventricle angio cost without insurance?
Without insurance, the cost of L hrt artery/ventricle angio can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.
Does insurance cover L hrt artery/ventricle angio?
Most commercial health insurance plans and Medicare cover L hrt artery/ventricle angio when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.
Why does the cost vary so much by location?
Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.