36224

Insertion of tube into internal neck artery for diagnosis or treatment with review by radiologist

Medicare pricing data for 1,786 providers across 51 states

🤖AI Overview

This procedure has a 11.5x markup — hospitals charge $4,960 but Medicare allows only $430.14. Uninsured patients may face bills 11.5 times higher than what insurance negotiates. Prices vary significantly by location — from $269 in Nebraska to $791 in Washington. 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 internal neck artery for diagnosis or treatment with review by radiologist (HCPCS code 36224) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $430.14, but hospitals typically charge $4,960 — a 11.5x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$86.03

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $430.14, your out-of-pocket cost would be approximately $86.03. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$430.14
Average Hospital Charge
$4,960
Markup Ratio
11.5x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$4,959.51
Medicare Allowed$430.14
Medicare Payment$340.92

Hospitals charge 11.5x more than what Medicare allows for this procedure. Medicare actually pays $340.92 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Washington$791$3,36742629+84.0%
Tennessee$686$4,07454638+59.5%
Alaska$588$7,536218+36.6%
Mississippi$579$4,89418133+34.7%
Georgia$526$8,23236527+22.2%
North Carolina$489$4,12343559+13.8%
California$461$6,4351932,761+7.3%
Florida$440$3,5411661,977+2.4%
New York$437$8,9891061,565+1.5%
Maryland$425$2,67226487-1.3%
Arizona$423$3,35436493-1.7%
District of Columbia$422$4,3417127-1.8%
Puerto Rico$417$2,389835-3.0%
Delaware$415$2,028227-3.5%
New Jersey$415$12,51143564-3.5%
Louisiana$413$6,05033186-4.0%
Illinois$407$5,125631,141-5.3%
Massachusetts$403$3,10534633-6.2%
West Virginia$401$1,6221255-6.8%
Missouri$398$6,74840398-7.5%
Connecticut$397$3,43419288-7.7%
Ohio$388$3,59457832-9.8%
Nevada$386$3,61916138-10.3%
Texas$385$2,8801621,548-10.4%
Arkansas$385$2,40113234-10.5%
Hawaii$384$1,7294111-10.7%
Pennsylvania$384$4,815871,223-10.8%
Alabama$383$4,34224313-11.0%
Oregon$381$6,40024200-11.4%
Michigan$379$2,18663498-12.0%
Virginia$374$4,28245756-13.1%
Maine$371$1,688767-13.7%
Utah$369$6,60817140-14.2%
Kentucky$364$2,60619288-15.4%
Colorado$359$3,41325327-16.6%
Kansas$358$1,27619244-16.7%
New Hampshire$357$15,167533-17.0%
Rhode Island$356$4,875423-17.1%
North Dakota$355$1,635590-17.6%
New Mexico$354$4,184423-17.7%
Idaho$353$3,50718140-17.8%
Oklahoma$350$2,57119230-18.6%
South Dakota$349$990495-18.8%
South Carolina$341$3,97719428-20.8%
Vermont$338$15,334250-21.4%
Wisconsin$336$11,30431307-21.9%
Indiana$327$4,23526418-24.0%
Minnesota$326$4,20522388-24.3%
Iowa$317$7,21713199-26.2%
Montana$315$1,788735-26.8%
Nebraska$269$4,1051285-37.6%

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

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💊 Need post-procedure medications? Check costs on OpenPrescriber