Cardiac Catheterization

A diagnostic procedure in which a catheter is threaded through a blood vessel to the heart to evaluate heart function, blood flow, and pressures. May include coronary angiography to visualize blocked arteries.

Price Comparison

Average Cost (Uninsured)$38,000

Average Cost (Insured)$15,000

Fair Price Range$8,000 – $25,000

Medicare Reimbursement$7,500

Detailed Breakdown

Average Cost (Insured)

$15,000

Average Cost (Uninsured)

$38,000

Medicare Reimbursement Rate

$7,500

Fair Price Range

$8,000 – $25,000

Common CPT Codes

9345293453934589345993460

Negotiation Tips

Verify whether the catheterization was diagnostic only or included an intervention (stent placement) -- these are separate procedures with separate charges
If a stent was placed, request the specific stent model and compare costs -- drug-eluting stents can be marked up 200-400% by hospitals
Check whether you were charged for both left and right heart catheterization if only one side was performed
Medicare pays about $7,500 for a diagnostic cardiac catheterization -- hospital charges of $30,000+ represent significant markup

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