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Heart catheterization in Pennsylvania: what insurers pay

Posted commercial rates at 19 Pennsylvania hospitals, each next to its own Medicare base rate.

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CPT 93458

HospitalMedian across insurers× MedicareInsurersFile date
Upmc Mercy Pittsburgh$3,4481.1×12026-03-06
Jefferson Hospital Jefferson Hills$4,1241.3×52026-04-14
Upmc Passavant Pittsburgh$4,2901.4×12026-03-07
Upmc St Margaret Pittsburgh$4,4741.4×12026-03-06
Upmc East Monroeville$4,4741.4×12026-03-06
Jefferson Abington Hospital Abington$5,3281.7×32026-09-15
Upmc Washington Washington$5,5981.8×22026-03-06
Allegheny Valley Hospital Natrona$5,6261.8×52026-04-14
Forbes Hospital Monroeville$5,6261.8×52026-04-14
Ahn Wexford Hospital Wexford$5,8791.9×52026-04-14
Jefferson Einstein Montgomery Hospital East Norriton$6,9982.2×42026-09-15
Upmc Presbyterian Shadyside Pittsburgh$7,2032.3×12026-03-06
Jefferson Health-Northeast Philadelphia$7,5322.3×42026-09-15
Temple University Hospital Philadelphia$7,9882.4×62026-04-13
Paoli Hospital Paoli$8,9742.8×22026-04-01
Bryn Mawr Hospital Bryn Mawr$9,0732.7×22026-04-01
Lankenau Medical Center Wynnewood$9,1662.9×22026-04-01
Riddle Memorial Hospital Media$9,5322.9×22026-04-01
Thomas Jefferson University Hospital Philadelphia$11,7323.5×22026-09-15

CPT 93452

HospitalMedian across insurers× MedicareInsurersFile date
Upmc Presbyterian Shadyside Pittsburgh$5,7581.8×12026-03-06
Bryn Mawr Hospital Bryn Mawr$9,0732.7×22026-04-01
Riddle Memorial Hospital Media$9,5322.9×22026-04-01
Thomas Jefferson University Hospital Philadelphia$11,7323.5×22026-09-15

Questions

How much do insurers pay for heart catheterization in Pennsylvania?

19 Pennsylvania hospitals post usable commercial rates for heart catheterization in their federal price-transparency files. For CPT 93458, hospital outpatient, the median across 19 hospitals is $5,879, 1.9× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.