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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Procedures
  3. 93458
  4. Cost Analysis

How Much Does Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist Cost on Medicare?

Cost analysis for CPT 93458 — Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist

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Average Medicare Payment

$206.32

2023 data

Total Payments (2023)

$81.1M

Services (2023)

381.3K

Price Change (2014–2023)

-9.6%

📈 Year-over-Year Cost Trend

YearAvg PaymentTotal PaymentsServicesYoY Change
2014$228.18$112.8M511.6K—
2015$226.39$109.8M503.4K-0.8%
2016$225.26$110.9M509.4K-0.5%
2017$215.21$104.7M504.5K-4.5%
2018$214.73$102.4M493.1K-0.2%
2019$218.79$105.4M494.5K+1.9%
2020$217.73$86.1M396.8K-0.5%
2021$214.68$87.6M406.3K-1.4%
2022$211.51$81.9M380.0K-1.5%
2023$206.32$81.1M381.3K-2.5%

🗺️ State-by-State Cost Variation

The most expensive state pays 1.8x more than the cheapest for this procedure. AZ averages $304.92 vs ID at $167.71.

StateAvg PaymentTotal PaymentsServicesProviders
AZ$304.92$3.3M10.7K221
LA$275.41$2.2M8.1K191
KS$270.52$1.7M6.2K85
FL$256.04$9.4M36.6K676
TX$251.81$8.3M32.8K799
NV$249.31$755.6K3.0K68
OR$247.87$659.8K2.7K74
AK$242.53$158.4K65311
DC$220.99$127.3K57616
NE$219.57$737.3K3.4K60
NY$216.88$4.5M21.0K367
OK$211.74$1.9M8.8K144
MS$208.76$1.2M5.7K101
IL$207.82$3.1M15.0K317
MO$205.61$2.1M10.0K198
MI$205.19$2.3M11.0K296
MD$204.12$1.2M5.9K94
NJ$203.82$2.1M10.5K237
AL$203.80$1.4M6.8K172
CT$201.42$532.8K2.6K74
MA$196.67$950.5K4.8K113
NH$195.61$321.6K1.6K29
PA$195.39$2.4M12.0K280
CO$195.26$644.2K3.3K88
DE$195.02$297.8K1.5K25
PR$194.27$50.5K26011
AR$193.61$1.8M9.6K138
CA$192.35$5.2M26.9K646
GA$191.53$2.5M13.1K249
VA$191.07$1.9M9.7K191
NM$188.67$377.3K2.0K32
OH$188.44$2.8M14.9K320
KY$188.02$1.3M6.7K132
MT$187.97$363.4K1.9K28
WY$186.78$54.4K29110
WA$185.72$1.2M6.4K150
WV$185.72$491.8K2.6K51
SC$184.13$1.6M8.8K163
NC$181.96$2.0M11.1K231
VT$181.80$58.9K32411
MN$181.03$459.1K2.5K81
SD$179.45$298.1K1.7K25
TN$179.10$1.9M10.7K247
RI$178.89$142.6K79720
ME$178.81$79.4K44415
HI$178.20$104.8K58815
IN$177.34$1.9M10.6K202
ND$175.05$297.8K1.7K22
WI$174.99$838.6K4.8K120
UT$173.86$320.8K1.8K43
IA$171.88$755.1K4.4K70

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
Wichita Asc LpAmbulatory Surgical CenterKS$604.0K623$969.45
Cvi Ambulatory Surgery Center LlcAmbulatory Surgical CenterFL$416.4K383$1087.20
Cardiovascular Asc LlcAmbulatory Surgical CenterFL$318.4K326$976.67
Lakewood Asc, LlcAmbulatory Surgical CenterFL$310.8K383$811.37
Cardiac And Vascular Institute Ambulatory Surgery Center, LlcAmbulatory Surgical CenterFL$302.4K284$1064.89
Northern Louisiana Cardiac Services LlcAmbulatory Surgical CenterLA$290.1K298$973.60
Pima Heart Asc LlcAmbulatory Surgical CenterAZ$273.4K277$986.93
Richard ShlofmitzInterventional CardiologyNY$260.1K1.0K$251.83
Advanced Surgical & Research Solutions LlcAmbulatory Surgical CenterOK$258.6K251$1030.26
Phoenix Asc, LpAmbulatory Surgical CenterAZ$235.3K231$1018.76
Bcc West Valley LlcAmbulatory Surgical CenterAZ$230.6K213$1082.62
Tri-City Surgical Centers, LlcAmbulatory Surgical CenterAZ$222.3K219$1015.28
Seven Hills AscAmbulatory Surgical CenterNV$200.7K171$1173.90
Alexandria Ambulatory Surgery Center LpAmbulatory Surgical CenterLA$199.4K196$1017.41
Pacific Cardiovascular Center, LlcAmbulatory Surgical CenterOR$199.1K182$1093.76
Sugar Land Cardiovascular Asc LlcAmbulatory Surgical CenterTX$192.0K181$1060.70
Ambulatory Cardiovascular Center Of MississippiAmbulatory Surgical CenterMS$183.5K219$837.84
Cca Asc, LlcAmbulatory Surgical CenterTX$183.1K178$1028.52
Advanced Medical Imaging Surgery Center, LlcAmbulatory Surgical CenterNE$173.5K170$1020.42
Heart & Vascular Ambulatory Surgery Center, LlcAmbulatory Surgical CenterFL$163.6K173$945.72

🤔 Is Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist Overpriced?

Based on the data, CPT 93458 shows a 1.8x variation in pricing across states — moderate variation by Medicare standards.

Costs have decreased 9.6% since 2014. Medicare's fee schedule attempts to standardize pricing, though some variation is expected due to geographic cost-of-living adjustments and practice expense differences.

This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.

Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • Medicare Physician Fee Schedule

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.