Cost analysis for CPT 93458 — Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist
Average Medicare Payment
$206.32
2023 data
Total Payments (2023)
$81.1M
Services (2023)
381.3K
Price Change (2014–2023)
-9.6%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $228.18 | $112.8M | 511.6K | — |
| 2015 | $226.39 | $109.8M | 503.4K | -0.8% |
| 2016 | $225.26 | $110.9M | 509.4K | -0.5% |
| 2017 | $215.21 | $104.7M | 504.5K | -4.5% |
| 2018 | $214.73 | $102.4M | 493.1K | -0.2% |
| 2019 | $218.79 | $105.4M | 494.5K | +1.9% |
| 2020 | $217.73 | $86.1M | 396.8K | -0.5% |
| 2021 | $214.68 | $87.6M | 406.3K | -1.4% |
| 2022 | $211.51 | $81.9M | 380.0K | -1.5% |
| 2023 | $206.32 | $81.1M | 381.3K | -2.5% |
The most expensive state pays 1.8x more than the cheapest for this procedure. AZ averages $304.92 vs ID at $167.71.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| AZ | $304.92 | $3.3M | 10.7K | 221 |
| LA | $275.41 | $2.2M | 8.1K | 191 |
| KS | $270.52 | $1.7M | 6.2K | 85 |
| FL | $256.04 | $9.4M | 36.6K | 676 |
| TX | $251.81 | $8.3M | 32.8K | 799 |
| NV | $249.31 | $755.6K | 3.0K | 68 |
| OR | $247.87 | $659.8K | 2.7K | 74 |
| AK | $242.53 | $158.4K | 653 | 11 |
| DC | $220.99 | $127.3K | 576 | 16 |
| NE | $219.57 | $737.3K | 3.4K | 60 |
| NY | $216.88 | $4.5M | 21.0K | 367 |
| OK | $211.74 | $1.9M | 8.8K | 144 |
| MS | $208.76 | $1.2M | 5.7K | 101 |
| IL | $207.82 | $3.1M | 15.0K | 317 |
| MO | $205.61 | $2.1M | 10.0K | 198 |
| MI | $205.19 | $2.3M | 11.0K | 296 |
| MD | $204.12 | $1.2M | 5.9K | 94 |
| NJ | $203.82 | $2.1M | 10.5K | 237 |
| AL | $203.80 | $1.4M | 6.8K | 172 |
| CT | $201.42 | $532.8K | 2.6K | 74 |
| MA | $196.67 | $950.5K | 4.8K | 113 |
| NH | $195.61 | $321.6K | 1.6K | 29 |
| PA | $195.39 | $2.4M | 12.0K | 280 |
| CO | $195.26 | $644.2K | 3.3K | 88 |
| DE | $195.02 | $297.8K | 1.5K | 25 |
| PR | $194.27 | $50.5K | 260 | 11 |
| AR | $193.61 | $1.8M | 9.6K | 138 |
| CA | $192.35 | $5.2M | 26.9K | 646 |
| GA | $191.53 | $2.5M | 13.1K | 249 |
| VA | $191.07 | $1.9M | 9.7K | 191 |
| NM | $188.67 | $377.3K | 2.0K | 32 |
| OH | $188.44 | $2.8M | 14.9K | 320 |
| KY | $188.02 | $1.3M | 6.7K | 132 |
| MT | $187.97 | $363.4K | 1.9K | 28 |
| WY | $186.78 | $54.4K | 291 | 10 |
| WA | $185.72 | $1.2M | 6.4K | 150 |
| WV | $185.72 | $491.8K | 2.6K | 51 |
| SC | $184.13 | $1.6M | 8.8K | 163 |
| NC | $181.96 | $2.0M | 11.1K | 231 |
| VT | $181.80 | $58.9K | 324 | 11 |
| MN | $181.03 | $459.1K | 2.5K | 81 |
| SD | $179.45 | $298.1K | 1.7K | 25 |
| TN | $179.10 | $1.9M | 10.7K | 247 |
| RI | $178.89 | $142.6K | 797 | 20 |
| ME | $178.81 | $79.4K | 444 | 15 |
| HI | $178.20 | $104.8K | 588 | 15 |
| IN | $177.34 | $1.9M | 10.6K | 202 |
| ND | $175.05 | $297.8K | 1.7K | 22 |
| WI | $174.99 | $838.6K | 4.8K | 120 |
| UT | $173.86 | $320.8K | 1.8K | 43 |
| IA | $171.88 | $755.1K | 4.4K | 70 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Wichita Asc Lp | Ambulatory Surgical Center | KS | $604.0K | 623 | $969.45 |
| Cvi Ambulatory Surgery Center Llc | Ambulatory Surgical Center | FL | $416.4K | 383 | $1087.20 |
| Cardiovascular Asc Llc | Ambulatory Surgical Center | FL | $318.4K | 326 | $976.67 |
| Lakewood Asc, Llc | Ambulatory Surgical Center | FL | $310.8K | 383 | $811.37 |
| Cardiac And Vascular Institute Ambulatory Surgery Center, Llc | Ambulatory Surgical Center | FL | $302.4K | 284 | $1064.89 |
| Northern Louisiana Cardiac Services Llc | Ambulatory Surgical Center | LA | $290.1K | 298 | $973.60 |
| Pima Heart Asc Llc | Ambulatory Surgical Center | AZ | $273.4K | 277 | $986.93 |
| Richard Shlofmitz | Interventional Cardiology | NY | $260.1K | 1.0K | $251.83 |
| Advanced Surgical & Research Solutions Llc | Ambulatory Surgical Center | OK | $258.6K | 251 | $1030.26 |
| Phoenix Asc, Lp | Ambulatory Surgical Center | AZ | $235.3K | 231 | $1018.76 |
| Bcc West Valley Llc | Ambulatory Surgical Center | AZ | $230.6K | 213 | $1082.62 |
| Tri-City Surgical Centers, Llc | Ambulatory Surgical Center | AZ | $222.3K | 219 | $1015.28 |
| Seven Hills Asc | Ambulatory Surgical Center | NV | $200.7K | 171 | $1173.90 |
| Alexandria Ambulatory Surgery Center Lp | Ambulatory Surgical Center | LA | $199.4K | 196 | $1017.41 |
| Pacific Cardiovascular Center, Llc | Ambulatory Surgical Center | OR | $199.1K | 182 | $1093.76 |
| Sugar Land Cardiovascular Asc Llc | Ambulatory Surgical Center | TX | $192.0K | 181 | $1060.70 |
| Ambulatory Cardiovascular Center Of Mississippi | Ambulatory Surgical Center | MS | $183.5K | 219 | $837.84 |
| Cca Asc, Llc | Ambulatory Surgical Center | TX | $183.1K | 178 | $1028.52 |
| Advanced Medical Imaging Surgery Center, Llc | Ambulatory Surgical Center | NE | $173.5K | 170 | $1020.42 |
| Heart & Vascular Ambulatory Surgery Center, Llc | Ambulatory Surgical Center | FL | $163.6K | 173 | $945.72 |
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.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.