36140

Insertion of needle or tube into artery of arm or leg

Medicare pricing data for 4,271 providers across 47 states

🤖AI Overview

This procedure has a 5.7x markup — hospitals charge $896.72 but Medicare allows only $158.04. Uninsured patients may face bills 5.7 times higher than what insurance negotiates. Prices vary significantly by location — from $45 in Hawaii to $306 in District of Columbia. 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

Insertion of needle or tube into artery of arm or leg (HCPCS code 36140) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $158.04, but hospitals typically charge $896.72 — a 5.7x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$31.61

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $158.04, your out-of-pocket cost would be approximately $31.61. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$158.04
Average Hospital Charge
$896.72
Markup Ratio
5.7x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$896.72
Medicare Allowed$158.04
Medicare Payment$125.60

Hospitals charge 5.7x more than what Medicare allows for this procedure. Medicare actually pays $125.60 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
District of Columbia$306$1,312448+93.6%
Connecticut$268$1,46054227+69.4%
California$227$9653832,795+43.9%
Arizona$205$70889446+30.0%
Maryland$197$78672551+24.8%
Michigan$182$754169854+15.4%
Massachusetts$172$1,34191247+8.8%
New York$169$1,1092841,325+6.7%
Tennessee$167$84382182+5.4%
Alabama$159$59668137+0.7%
Texas$156$8894041,530-1.4%
Delaware$156$8121846-1.5%
Virginia$154$777107184-2.3%
Florida$152$8484091,098-3.6%
Georgia$147$1,209113246-6.9%
Louisiana$141$1,15878153-10.9%
Oregon$134$9464272-15.2%
Arkansas$128$80254154-19.1%
New Jersey$127$972158964-19.6%
South Carolina$127$1,05462143-19.9%
Nevada$126$61740112-20.0%
Kentucky$121$59764119-23.2%
Kansas$117$6993469-26.1%
Mississippi$113$64355145-28.8%
Oklahoma$106$78165127-32.8%
North Carolina$106$970121303-33.1%
Ohio$94$63699243-40.7%
Indiana$90$98868165-43.2%
Missouri$86$74793265-45.4%
Illinois$85$774158365-46.1%
Wisconsin$82$96869181-47.9%
Pennsylvania$76$565201649-51.9%
Montana$67$6271725-57.6%
New Hampshire$66$1,0182656-58.0%
Washington$65$65669169-58.7%
North Dakota$65$1,6281525-58.8%
West Virginia$64$4482159-59.7%
Colorado$62$5824175-60.5%
New Mexico$62$6311323-60.6%
Utah$61$3631124-61.2%
Nebraska$61$9462131-61.7%
Minnesota$58$1,0644373-63.0%
Idaho$57$5223042-63.9%
South Dakota$55$1,3371518-65.1%
Rhode Island$53$6701434-66.7%
Iowa$48$89942147-69.9%
Hawaii$45$314964-71.4%

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

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