Price Checker / CPT 93461

CPT 93461R&l hrt art/ventricle angio

2026 Medicare Physician Fee Schedule rates and hospital pricing data

Medicare Rate (Facility)

$1,329

What Medicare pays in a hospital/ASC setting

Medicare Rate (Office)

$1,329

What Medicare pays in a physician's office

Avg Hospital Charge

$22,273

Based on 35 hospital(s) in our database

What do these numbers mean?

The Medicare rateis what the federal government determines is a fair payment for this procedure. It's based on the Relative Value Unit (RVU) system, which accounts for physician work, practice expense, and malpractice cost. Hospitals and providers often charge 3-20x this amount. If your bill is significantly higher than the Medicare rate, you may have grounds to negotiate.

Hospital Charges for CPT 93461

From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.

HospitalGross ChargeCash Ratevs Medicare
Gateway Regional Medical Center

Granite City, IL

$50,73611276%
SOUTHSIDE MEDICAL CENTER

Petersburg, VA

$71,9715315%
UAB St. Vincent's Birmingham

, AL

$53,0433891%
Logan Regional Medical Center

Logan, WV

$39,3372860%
Logan Regional Medical Center

, WV

$39,337$15,7352860%
Valley Children's Hospital

Madera, CA

$35,0062581%
Lane Regional Medical Center

Zachary, LA

$27,8571640%
The Queen's Medical Center

, HI

$18,9571624%
Vaughan Regional Medical Center Parkway Campus

Selma, AL

$22,7871615%
The Queen's North Hawaii Community Hospital

, HI

$13,6181509%
USA Health Providence Hospital

Mobile, AL

$21,3161504%
Avita Ontario Hospital

Ontario, OH

$21,2431371%
Bucyrus Community Hospital

Bucyrus, OH

$21,2431371%
Galion Community Hospital

, OH

$21,2431371%
Atrium Health Navicent Peach

Byron, GA

1344%

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About CPT 93461

CPT code 93461 refers to “R&l hrt art/ventricle angio”. Under the 2026 Medicare Physician Fee Schedule, this procedure is reimbursed at $1,329 in a facility (hospital or ambulatory surgery center) and $1,329in a non-facility (physician's office) setting.

These rates are set by CMS (Centers for Medicare & Medicaid Services) and represent what the government considers a fair payment for this service. While commercial insurance typically pays somewhat more than Medicare, many hospitals charge significantly higher amounts — sometimes 10-50x the Medicare rate.

What to do if you were overcharged

  1. Upload your bill— we'll identify this code and compare it against the rates shown above.
  2. Get a dispute letter— citing the Medicare rate and your hospital's own published pricing data.
  3. Negotiate or let us handle it — 25% of savings, no savings = no fee.

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