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What the whole heart catheterization costs

Left heart catheterization with coronary angiography. Every bill that usually comes with it, who sends it, and where each number comes from.

Price it for your ZIP, hospital or insurerRates by insurer

Medicare, national amounts, 2026

BillSurgery centerHospital outpatient
Facility$1,708$3,312
Surgeon$287$287
Before surgery (typical)$177$177
Total$2,172$3,777

National Medicare amounts (payment-area and wage adjustments at 1.0). Facility: OPPS Addendum B, July 2026 (national unadjusted rate); local = rate × (0.6 × wage index + 0.4); ASC Addendum AA, July 2026 (national rate); local = rate × (0.5 × wage index + 0.5); device-intensive (J8) codes keep the device portion unadjusted; FY 2026 IPPS final rule CMS-1833-F, Table 5; standard amounts from Tables 1A-1E; local = weight × (labor × wage index + non-labor + capital × wage index^0.6848). Leaves out teaching (IME), safety-net (DSH) and outlier add-ons. Surgeon: CMS Physician Fee Schedule CY2026 (RVU26D). Anesthesia: CMS base units × the CY2026 anesthesia conversion factor, with an assumed case time. An educational estimate, not a quote.

Line by line (surgery center)

Questions

How much does a heart catheterization cost in total, with every bill?

At national Medicare rates for 2026, the whole heart catheterization comes to about $2,172 in a surgery center and about $3,777 in a hospital outpatient, counting the facility, the surgeon and typical care before and after. Commercial plans usually pay more; local rates differ by area.

Why do I get separate bills for a heart catheterization?

The surgery center bills for the facility; the surgeon's group bills for the operation (Surgeon, CPT 93458-26, about $287 from Medicare nationally); labs, imaging, pathology and therapy each come from their own provider.

What does the surgeon's fee include?

Same-day global: covers the procedure day only.