How much does Medicare pay for CPT 93463?

Medicare allowed an average of $96.67 per service and paid $77.06 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $359.35, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 93463?

Drug infusion during cardiac catheterization. It was billed 2,827 times to 2,743 Medicare beneficiaries by 94 providers in 2024.

Which specialty bills 93463 most?

Interventional Cardiology, with 1,340 services from 43 clinicians. Next are Cardiology, Pulmonary Disease, Advanced Heart Failure and Transplant Cardiology.

CPT 93463

Drug infusion during cardiac catheterization

$96.67Medicare-allowed amount per service, averaged across 2,827 services

Providers submitted

$359.35

Asking price, not received

Medicare allowed

$96.67

The fee schedule figure

Medicare paid

$77.06

Balance is patient coinsurance

Providers submitted an average of $359.35 for this code and Medicare allowed $96.67 — 3.7× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $77.06 (80%); the rest is the patient’s coinsurance and deductible.

Services: 2,827
Beneficiaries: 2,743
Providers billing it: 94
Total allowed: $273,286

What Medicare pays for CPT 93463

Across 2,827 services billed by 94 providers to 2,743 beneficiaries, Medicare allowed an average of $96.67 per service. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 93463

Specialty	Services	Beneficiaries	Avg allowed	Providers
Interventional Cardiology	1,340	1,292	$96.03	43
Cardiology	1,016	987	$97.51	28
Pulmonary Disease	297	292	$97.97	13
Advanced Heart Failure and Transplant Cardiology	77	76	$95.17	4
Internal Medicine	60	59	$95.70	4
Critical Care (Intensivists)	37	37	$91.49	2

93463 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
California	758	$99.18	$74.37	10
Florida	662	$94.36	$74.65	22
Texas	197	$93.05	$74.58	9
Michigan	189	$98.86	$74.48	5
New Jersey	125	$105.78	$74.38	2
New York	121	$107.17	$74.42	7
Louisiana	106	$94.43	$74.54	3
Ohio	103	$90.94	$74.55	5
Massachusetts	86	$97.26	$74.44	3
Arkansas	71	$86.79	$74.65	3
Colorado	62	$93.77	$74.53	3
Minnesota	56	$93.79	$73.14	3
Washington	45	$104.35	$67.71	2
Connecticut	43	$98.20	$74.38	2
Oklahoma	39	$90.20	$74.55	2
Illinois	28	$96.72	$74.38	2
Georgia	24	$88.89	$75.21	2
Arizona	16	$92.25	$74.56	1
Oregon	15	$91.03	$73.42	1
Kentucky	13	$95.86	$74.26	1
Virginia	12	$89.88	$75.58	1
Pennsylvania	12	$91.61	$74.64	1
Nevada	11	$92.72	$74.53	1
Tennessee	11	$83.94	$75.67	1
Wisconsin	11	$89.50	$74.42	1
Utah	11	$91.51	$74.42	1

Related codes

93458Insertion of tube in left lower heart chamber and coronary artery for$272.38
93454Insertion of tube in coronary artery for diagnosis$211.98
93460Insertion of tube in right and left heart chambers and coronary artery$366.63
93451Insertion of tube in right heart chambers for measurement$131.03
93459Insertion of tube in left lower heart chamber$296.47
93456Insertion of tube in right heart chambers and coronary artery for diag$300.71
93455Insertion of tube in bypass graft for diagnosis$237.41
93462Insertion of tube in left heart chamber through heart septum$200.70
93452Insertion of tube in left heart chambers for diagnosis$152.91

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.