Insertion of tube into brain artery for diagnosis or treatment with review by radiologist
Medicare pricing data for 1,748 providers across 51 states
This procedure has a 15.6x markup — hospitals charge $4,749 but Medicare allows only $305.15. Uninsured patients may face bills 15.6 times higher than what insurance negotiates. Prices vary significantly by location — from $201 in North Dakota to $483 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 brain artery for diagnosis or treatment with review by radiologist (HCPCS code 36226) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $305.15, but hospitals typically charge $4,749 — a 15.6x 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 $305.15, your out-of-pocket cost would be approximately $61.03. 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 15.6x more than what Medicare allows for this procedure. Medicare actually pays $242.62 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Washington | $483 | $3,037 | 34 | 481 | +58.4% |
| Tennessee | $441 | $4,017 | 56 | 555 | +44.5% |
| Georgia | $385 | $6,746 | 43 | 512 | +26.2% |
| Florida | $380 | $3,321 | 161 | 1,998 | +24.5% |
| Arizona | $360 | $2,806 | 33 | 428 | +18.1% |
| North Carolina | $359 | $4,342 | 46 | 548 | +17.6% |
| Mississippi | $325 | $3,895 | 25 | 187 | +6.6% |
| Montana | $317 | $1,687 | 3 | 22 | +3.9% |
| Massachusetts | $317 | $6,701 | 30 | 621 | +3.8% |
| New York | $316 | $10,481 | 107 | 1,666 | +3.5% |
| California | $311 | $6,409 | 175 | 2,274 | +1.8% |
| Texas | $305 | $2,797 | 160 | 1,469 | +0.0% |
| Alaska | $304 | $7,290 | 3 | 28 | -0.3% |
| Puerto Rico | $288 | $2,853 | 7 | 25 | -5.8% |
| Illinois | $287 | $4,266 | 69 | 1,019 | -5.9% |
| Rhode Island | $287 | $4,455 | 5 | 28 | -5.9% |
| Connecticut | $281 | $3,506 | 16 | 202 | -7.9% |
| New Hampshire | $270 | $10,484 | 4 | 18 | -11.6% |
| Hawaii | $269 | $1,563 | 4 | 113 | -11.7% |
| New Jersey | $269 | $12,050 | 34 | 494 | -11.9% |
| Ohio | $268 | $3,476 | 57 | 991 | -12.3% |
| West Virginia | $267 | $1,327 | 10 | 57 | -12.6% |
| Maryland | $266 | $2,049 | 20 | 458 | -12.7% |
| Michigan | $266 | $2,301 | 51 | 495 | -12.9% |
| Delaware | $264 | $1,776 | 2 | 23 | -13.5% |
| Pennsylvania | $261 | $3,658 | 80 | 1,090 | -14.4% |
| Nevada | $258 | $3,305 | 15 | 115 | -15.5% |
| Louisiana | $257 | $5,232 | 29 | 169 | -15.7% |
| Minnesota | $255 | $4,214 | 25 | 306 | -16.5% |
| Oregon | $254 | $5,872 | 20 | 200 | -16.7% |
| Alabama | $253 | $3,719 | 31 | 349 | -17.0% |
| Oklahoma | $252 | $2,495 | 40 | 255 | -17.4% |
| Kentucky | $251 | $2,550 | 24 | 298 | -17.9% |
| Virginia | $249 | $4,206 | 41 | 588 | -18.4% |
| District of Columbia | $248 | $4,038 | 7 | 93 | -18.7% |
| South Carolina | $247 | $3,437 | 22 | 405 | -19.1% |
| Colorado | $242 | $2,576 | 22 | 332 | -20.6% |
| Maine | $242 | $1,681 | 6 | 48 | -20.7% |
| Missouri | $240 | $3,940 | 37 | 446 | -21.3% |
| Kansas | $231 | $1,164 | 13 | 179 | -24.1% |
| New Mexico | $230 | $3,302 | 6 | 19 | -24.6% |
| Vermont | $230 | $13,687 | 2 | 35 | -24.6% |
| Arkansas | $228 | $1,973 | 18 | 237 | -25.3% |
| Iowa | $226 | $6,209 | 9 | 158 | -25.9% |
| Idaho | $225 | $3,434 | 14 | 102 | -26.2% |
| Wisconsin | $224 | $9,624 | 33 | 262 | -26.6% |
| Utah | $223 | $5,554 | 15 | 133 | -26.9% |
| Nebraska | $222 | $4,100 | 10 | 53 | -27.3% |
| South Dakota | $218 | $1,600 | 7 | 140 | -28.4% |
| Indiana | $218 | $2,126 | 25 | 285 | -28.7% |
| North Dakota | $201 | $1,245 | 8 | 75 | -34.1% |
⚠️ 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