36410

Insertion of needle into vein (3 years or older)

Medicare pricing data for 8,914 providers across 51 states

🤖AI Overview

Prices vary significantly by location — from $7 in Wyoming to $18 in Maryland. 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 into vein (3 years or older) (HCPCS code 36410) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $16.14, but hospitals typically charge $49.80 — a 3.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$3.23

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $16.14, your out-of-pocket cost would be approximately $3.23. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$16.14
Average Hospital Charge
$49.80
Markup Ratio
3.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$49.80
Medicare Allowed$16.14
Medicare Payment$11.64

Hospitals charge 3.1x more than what Medicare allows for this procedure. Medicare actually pays $11.64 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Maryland$18$412167,570+13.3%
California$18$4277524,430+10.3%
New York$18$661,25419,566+9.9%
New Jersey$18$3858213,618+8.6%
Alaska$17$5522151+5.0%
Illinois$17$523695,410+3.2%
Virginia$16$382593,693+2.1%
Washington$16$271041,135+1.5%
Arizona$16$36773,209+1.3%
Vermont$16$8417234-2.5%
North Carolina$16$302123,744-3.3%
Texas$16$464216,914-3.9%
Indiana$15$6098554-7.5%
Maine$15$4556397-8.3%
Georgia$15$53156645-9.7%
New Mexico$15$8341158-10.0%
Oregon$15$5141245-10.1%
Tennessee$14$461811,628-11.1%
Connecticut$14$6599903-12.3%
Florida$14$694564,505-12.5%
District of Columbia$14$3454378-15.9%
Oklahoma$13$4235232-16.4%
South Carolina$13$49951,532-17.2%
Colorado$13$4378283-17.2%
Michigan$13$473002,509-20.0%
Pennsylvania$13$633781,885-20.9%
Missouri$13$521141,660-22.4%
Arkansas$12$4739126-23.5%
Alabama$12$56126892-24.6%
Utah$12$4321120-24.8%
Massachusetts$12$475002,637-27.4%
West Virginia$12$3553554-28.0%
Delaware$11$3864188-32.7%
Nevada$11$1232636-33.1%
Ohio$11$482641,431-34.3%
Minnesota$10$90211674-38.4%
North Dakota$10$88101272-39.6%
Kansas$10$604582-41.0%
Nebraska$9$13657137-42.5%
Mississippi$9$461251,035-42.8%
Hawaii$9$250819-43.4%
Wisconsin$9$141199699-44.4%
Rhode Island$9$5767138-44.5%
Montana$9$701831-44.9%
Kentucky$9$4973227-45.8%
Louisiana$9$100103281-46.6%
South Dakota$9$144113372-47.3%
Iowa$8$88114459-47.7%
New Hampshire$8$5939260-47.8%
Idaho$8$302164-53.3%
Wyoming$7$121412-54.6%

⚠️ 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