Insertion of tube into chest or arm artery, each first order branch
Medicare pricing data for 3,452 providers across 47 states
This procedure has a 6.6x markup — hospitals charge $2,023 but Medicare allows only $307.56. Uninsured patients may face bills 6.6 times higher than what insurance negotiates. Prices vary significantly by location — from $102 in Nebraska to $483 in New York. 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 tube into chest or arm artery, each first order branch (HCPCS code 36215) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $307.56, but hospitals typically charge $2,023 — a 6.6x 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 $307.56, your out-of-pocket cost would be approximately $61.51. 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 6.6x more than what Medicare allows for this procedure. Medicare actually pays $245.02 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New York | $483 | $3,203 | 176 | 2,514 | +57.2% |
| District of Columbia | $472 | $2,865 | 14 | 52 | +53.4% |
| Indiana | $425 | $2,137 | 66 | 1,392 | +38.3% |
| New Jersey | $423 | $1,940 | 91 | 1,015 | +37.5% |
| California | $396 | $2,840 | 318 | 2,475 | +28.9% |
| Texas | $368 | $2,196 | 347 | 3,780 | +19.8% |
| Georgia | $335 | $2,597 | 111 | 1,591 | +9.0% |
| Florida | $334 | $1,897 | 250 | 1,860 | +8.7% |
| Michigan | $327 | $1,984 | 113 | 934 | +6.3% |
| Connecticut | $318 | $4,209 | 24 | 107 | +3.3% |
| Puerto Rico | $317 | $1,515 | 11 | 116 | +3.1% |
| Maryland | $317 | $1,985 | 69 | 602 | +2.9% |
| North Carolina | $306 | $1,731 | 129 | 1,082 | -0.5% |
| Virginia | $293 | $1,666 | 101 | 591 | -4.8% |
| Colorado | $287 | $1,879 | 60 | 273 | -6.5% |
| Kentucky | $287 | $2,324 | 38 | 176 | -6.6% |
| Alabama | $278 | $1,619 | 58 | 229 | -9.5% |
| South Carolina | $235 | $1,861 | 61 | 386 | -23.7% |
| Tennessee | $233 | $1,460 | 78 | 538 | -24.2% |
| Pennsylvania | $221 | $1,864 | 160 | 993 | -28.1% |
| Arizona | $214 | $1,560 | 83 | 767 | -30.5% |
| Oklahoma | $207 | $1,633 | 51 | 123 | -32.7% |
| Delaware | $190 | $816 | 18 | 103 | -38.4% |
| Illinois | $187 | $1,006 | 142 | 3,037 | -39.4% |
| Arkansas | $170 | $1,786 | 43 | 208 | -44.9% |
| Massachusetts | $169 | $1,808 | 94 | 602 | -45.2% |
| Minnesota | $168 | $1,970 | 50 | 201 | -45.3% |
| Louisiana | $153 | $1,937 | 67 | 274 | -50.1% |
| Washington | $150 | $1,124 | 59 | 208 | -51.4% |
| Ohio | $143 | $1,433 | 114 | 755 | -53.4% |
| Kansas | $139 | $812 | 32 | 295 | -54.9% |
| Rhode Island | $137 | $780 | 7 | 43 | -55.6% |
| South Dakota | $130 | $611 | 13 | 23 | -57.8% |
| Mississippi | $123 | $1,414 | 23 | 38 | -59.9% |
| Oregon | $121 | $1,525 | 39 | 82 | -60.7% |
| New Mexico | $117 | $2,052 | 10 | 29 | -61.9% |
| Maine | $115 | $647 | 14 | 29 | -62.7% |
| Missouri | $113 | $1,267 | 69 | 250 | -63.2% |
| Idaho | $113 | $1,039 | 17 | 37 | -63.4% |
| Montana | $113 | $1,326 | 13 | 28 | -63.4% |
| Nevada | $112 | $631 | 29 | 424 | -63.5% |
| West Virginia | $110 | $1,107 | 19 | 58 | -64.1% |
| Utah | $109 | $1,334 | 9 | 25 | -64.6% |
| Wisconsin | $108 | $4,156 | 55 | 132 | -65.0% |
| Iowa | $106 | $3,564 | 23 | 81 | -65.6% |
| New Hampshire | $104 | $1,324 | 9 | 62 | -66.1% |
| Nebraska | $102 | $1,745 | 20 | 51 | -66.9% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber