36005

Injection for x-ray imaging procedure into vein of arm or leg

Medicare pricing data for 4,409 providers across 49 states

🤖AI Overview

This procedure has a 6.7x markup — hospitals charge $657.35 but Medicare allows only $98.73. Uninsured patients may face bills 6.7 times higher than what insurance negotiates. Prices vary significantly by location — from $29 in Nebraska to $201 in Puerto Rico. Where you get this procedure matters more than almost any other factor. 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

Injection for x-ray imaging procedure into vein of arm or leg (HCPCS code 36005) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $98.73, but hospitals typically charge $657.35 — a 6.7x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$19.75

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $98.73, your out-of-pocket cost would be approximately $19.75. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$98.73
Average Hospital Charge
$657.35
Markup Ratio
6.7x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$657.35
Medicare Allowed$98.73
Medicare Payment$77.55

Hospitals charge 6.7x more than what Medicare allows for this procedure. Medicare actually pays $77.55 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Puerto Rico$201$4541429+103.3%
Michigan$146$709182793+48.1%
Texas$145$8204091,632+47.1%
California$141$7244192,334+43.2%
Delaware$140$6511331+42.1%
New York$136$1,149217607+38.0%
New Mexico$111$3922293+12.4%
Maryland$100$48977522+1.1%
Florida$100$5713921,517+1.0%
South Carolina$97$50390300-1.9%
Georgia$96$824125323-3.2%
Illinois$95$618204480-3.6%
Ohio$87$253153505-12.3%
Indiana$81$632113416-18.3%
Alabama$77$39969288-22.3%
Louisiana$76$49586363-23.2%
Iowa$76$62542117-23.5%
Connecticut$74$9463960-25.2%
Virginia$68$973109354-30.9%
New Jersey$66$504112330-33.0%
Pennsylvania$64$451188438-35.2%
Tennessee$61$43180177-38.3%
Missouri$60$73498208-39.3%
Colorado$56$78589195-43.0%
Massachusetts$56$1,20293363-43.3%
Minnesota$56$51976181-43.6%
North Carolina$52$825123219-46.9%
Mississippi$49$66550155-50.5%
Arizona$47$441103324-51.9%
Oklahoma$44$22454219-55.1%
Maine$41$1931219-58.0%
Nevada$39$4223051-60.0%
Montana$39$1971322-60.7%
District of Columbia$39$5671221-60.8%
New Hampshire$39$6242436-60.8%
West Virginia$36$3801654-63.4%
Kentucky$36$2834478-64.0%
Kansas$35$54745229-64.2%
Wisconsin$35$1,08074151-64.4%
Washington$35$5075387-64.5%
North Dakota$34$1,3161327-65.4%
Vermont$34$1,163812-65.5%
Utah$33$2852255-66.7%
Arkansas$33$29351195-66.8%
Oregon$32$2543480-67.1%
Idaho$31$3891735-68.1%
South Dakota$31$3531329-68.9%
Rhode Island$31$6421654-69.1%
Nebraska$29$3832672-70.9%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber