36248

Insertion of tube into abdominal, pelvic, or leg artery, additional second, third, and beyond

Medicare pricing data for 3,751 providers across 51 states

🤖AI Overview

This procedure has a 5.4x markup — hospitals charge $406.24 but Medicare allows only $75.61. Uninsured patients may face bills 5.4 times higher than what insurance negotiates. Prices vary significantly by location — from $43 in Nebraska to $115 in Virginia. 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 abdominal, pelvic, or leg artery, additional second, third, and beyond (HCPCS code 36248) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $75.61, but hospitals typically charge $406.24 — a 5.4x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$15.12

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $75.61, your out-of-pocket cost would be approximately $15.12. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$75.61
Average Hospital Charge
$406.24
Markup Ratio
5.4x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$406.24
Medicare Allowed$75.61
Medicare Payment$60.31

Hospitals charge 5.4x more than what Medicare allows for this procedure. Medicare actually pays $60.31 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Virginia$115$3841153,430+52.3%
Massachusetts$105$341992,365+38.7%
Pennsylvania$96$4431712,772+26.6%
Arizona$90$406761,013+19.0%
New York$84$6352582,698+10.6%
Missouri$83$395801,138+9.2%
North Carolina$82$3751221,653+8.7%
Mississippi$79$37619162+4.4%
New Mexico$78$54324316+2.8%
Maryland$72$38866495-5.0%
California$68$4533783,552-10.2%
Iowa$67$42224260-11.0%
Arkansas$67$27940237-11.5%
Florida$66$4542872,081-12.5%
Colorado$65$29982634-13.5%
Illinois$65$4061571,085-14.0%
Alaska$62$604746-17.4%
New Jersey$60$446103491-20.5%
Nevada$60$4462886-20.7%
Texas$59$3962951,383-21.4%
Washington$59$24799639-21.8%
Kentucky$56$26344217-26.3%
Indiana$55$41673555-27.0%
Kansas$54$27926233-29.0%
Tennessee$53$31587623-30.6%
Michigan$52$196121534-31.4%
Minnesota$52$33578483-31.7%
Georgia$51$44693438-31.9%
District of Columbia$51$2761563-32.5%
Oregon$50$27460435-34.4%
Connecticut$50$50342161-34.5%
Rhode Island$48$4731483-36.2%
Montana$48$27916174-36.9%
Louisiana$48$38532477-37.2%
Delaware$47$1711197-37.3%
Ohio$47$337116581-37.4%
Puerto Rico$47$67939-37.6%
Vermont$47$760952-37.7%
Hawaii$47$2741363-37.7%
New Hampshire$47$7881775-38.0%
West Virginia$47$1721299-38.2%
Utah$46$24018108-38.7%
Maine$46$1851430-38.8%
Alabama$45$28926177-39.9%
North Dakota$45$3491795-40.0%
South Carolina$45$33343420-40.1%
Oklahoma$45$19435298-40.1%
Wisconsin$45$55793483-41.1%
South Dakota$44$11010161-41.2%
Idaho$44$25124167-41.2%
Nebraska$43$37623333-42.5%

⚠️ 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