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#509 of 11K

93458

Left heart catheterization with imaging

Left heart catheterization with imaging is the #509 most-billed Medicaid procedure code, with $176.9M in payments across 239K claims from 2018–2024. The national median cost per claim is $183.33. Costs vary widely — the 90th percentile is $1,436.24 per claim, 7.8× the median.

Total Paid

$176.9M

0.02% of all spending

Total Claims

239K

Providers

950

Avg Cost/Claim

$740

National Cost Distribution

How much do providers bill per claim for 93458? Based on 933 providers billing this code nationally.

Median

$183.33

Average

$533.15

Std Dev

$632.75

Max

$5,062.58

Percentile Distribution (Cost per Claim)

p10
$75.29
p25
$118.61
Median
$183.33
p75
$884.03
p90
$1,436.24
p95
$1,700.37
p99
$2,806.32

50% of providers bill between $118.61 and $884.03 per claim for this code.

90% bill between $75.29 and $1,436.24.

Top 1% bill above $2,806.32.

About This Procedure

HCPCS code 93458 (Left heart catheterization with imaging) was billed by 950 providers across 239K claims, totaling $176.9M in Medicaid payments from 2018–2024. This code was used for 202K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$183.33

Providers Billing

933

National Spending

$176.9M

Avg/Median Ratio

2.91×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 93458

#ProviderTotal Paid
11821143777$5.3M
21609856947$5.2M
3Nyu Langone Hospitals

New York, NY · Clinic/Center, Oncology

$4.4M
4Saint Francis Hospital And Medical Center

Hartford, CT · General Acute Care Hospital

$3.7M
5Mount Sinai Hospital

New York, NY · Ambulance

$3.6M
61538244918$3.3M
71891100855$3.2M
8Hmh Hospitals Corporation

Hackensack, NJ · Ambulance

$2.9M
91619038247$2.9M
10Ashland Hospital Corporation

Ashland, KY · Clinic/Center, Rural Health

$2.7M
11Uofl Health-louisville Inc

Louisville, KY · Psychiatric Hospital

$2.6M
12Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$2.6M
131477616571$2.6M
14Oakwood Healthcare, Inc.

Dearborn, MI · General Acute Care Hospital

$2.4M
15St Elizabeth Medical Center, Inc

Edgewood, KY · Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier

$2.3M
161609869916$2.3M
171043293608$2.2M
18Yuma Regional Medical Center

Yuma, AZ · General Acute Care Hospital

$2.2M
19The Cooper Health System

Camden, NJ · General Acute Care Hospital

$2.1M
20Hartford Hospital

Hartford, CT · General Acute Care Hospital

$2.1M

Showing top 20 of 950 providers billing this code