Removal of blood clot and portion of chest, neck, or brain artery
Medicare pricing data for 5,193 providers across 51 states
Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Removal of blood clot and portion of chest, neck, or brain artery (HCPCS code 35301) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $855.95, but hospitals typically charge $3,357 — a 3.9x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $855.95, your out-of-pocket cost would be approximately $171.19. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 3.9x more than what Medicare allows for this procedure. Medicare actually pays $680.33 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $1,067 | $3,150 | 8 | 12 | +24.6% |
| Massachusetts | $1,028 | $4,535 | 114 | 676 | +20.1% |
| Wyoming | $1,020 | $5,368 | 6 | 15 | +19.2% |
| Rhode Island | $1,013 | $4,401 | 15 | 67 | +18.4% |
| Delaware | $979 | $3,403 | 17 | 96 | +14.4% |
| Virginia | $978 | $2,841 | 114 | 607 | +14.2% |
| Illinois | $961 | $6,166 | 184 | 1,193 | +12.3% |
| Ohio | $957 | $3,212 | 182 | 908 | +11.9% |
| Michigan | $950 | $2,635 | 155 | 709 | +11.0% |
| Vermont | $944 | $5,148 | 7 | 45 | +10.3% |
| Maryland | $931 | $2,488 | 101 | 621 | +8.8% |
| New York | $927 | $4,215 | 303 | 1,450 | +8.3% |
| Pennsylvania | $910 | $3,097 | 274 | 1,182 | +6.3% |
| New Jersey | $904 | $3,540 | 146 | 820 | +5.6% |
| Nevada | $904 | $2,739 | 38 | 291 | +5.6% |
| Maine | $896 | $2,814 | 30 | 107 | +4.7% |
| Tennessee | $888 | $2,802 | 128 | 711 | +3.7% |
| Missouri | $878 | $3,148 | 108 | 605 | +2.5% |
| Texas | $874 | $3,219 | 375 | 2,348 | +2.1% |
| Florida | $870 | $3,073 | 378 | 2,263 | +1.6% |
| Louisiana | $854 | $2,698 | 95 | 726 | -0.2% |
| Oklahoma | $852 | $2,850 | 55 | 498 | -0.4% |
| West Virginia | $851 | $2,808 | 52 | 247 | -0.6% |
| Arizona | $850 | $2,754 | 96 | 607 | -0.7% |
| North Dakota | $846 | $4,327 | 26 | 137 | -1.2% |
| New Hampshire | $842 | $5,569 | 50 | 227 | -1.7% |
| Iowa | $839 | $3,169 | 44 | 248 | -2.0% |
| South Carolina | $837 | $3,394 | 107 | 654 | -2.2% |
| Connecticut | $835 | $3,520 | 75 | 234 | -2.5% |
| California | $834 | $3,177 | 384 | 1,968 | -2.6% |
| Kansas | $818 | $2,618 | 57 | 616 | -4.4% |
| Kentucky | $816 | $2,199 | 95 | 583 | -4.6% |
| Georgia | $816 | $3,254 | 197 | 1,079 | -4.7% |
| Alaska | $814 | $5,812 | 11 | 48 | -4.9% |
| South Dakota | $812 | $3,460 | 26 | 177 | -5.2% |
| Hawaii | $809 | $2,992 | 13 | 51 | -5.4% |
| Mississippi | $797 | $3,080 | 47 | 474 | -6.9% |
| North Carolina | $796 | $3,349 | 195 | 862 | -7.0% |
| Minnesota | $791 | $4,230 | 70 | 358 | -7.6% |
| Montana | $779 | $2,591 | 30 | 219 | -9.0% |
| Arkansas | $777 | $2,391 | 48 | 383 | -9.2% |
| Alabama | $773 | $2,527 | 92 | 632 | -9.7% |
| Washington | $769 | $2,655 | 115 | 531 | -10.2% |
| Colorado | $764 | $2,545 | 73 | 346 | -10.7% |
| Indiana | $737 | $2,814 | 113 | 782 | -13.9% |
| Idaho | $737 | $2,574 | 33 | 239 | -13.9% |
| Oregon | $735 | $2,696 | 70 | 318 | -14.2% |
| Wisconsin | $712 | $7,801 | 128 | 658 | -16.8% |
| New Mexico | $641 | $2,514 | 25 | 96 | -25.1% |
| Nebraska | $596 | $2,292 | 44 | 419 | -30.4% |
| Utah | $585 | $2,396 | 35 | 121 | -31.6% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber