36465

Injection of chemical agent into single incompetent vein of leg using ultrasound guidance

Medicare pricing data for 2,427 providers across 48 states

🤖AI Overview

Prices vary significantly by location — from $769 in New Hampshire to $1,553 in District of Columbia. 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

Injection of chemical agent into single incompetent vein of leg using ultrasound guidance (HCPCS code 36465) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $1,319, but hospitals typically charge $4,306 — a 3.3x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$263.84

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $1,319, your out-of-pocket cost would be approximately $263.84. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$1,319
Average Hospital Charge
$4,306
Markup Ratio
3.3x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$4,305.68
Medicare Allowed$1,319.19
Medicare Payment$1,047.49

Hospitals charge 3.3x more than what Medicare allows for this procedure. Medicare actually pays $1,047 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
District of Columbia$1,553$12,2647245+17.7%
New York$1,550$6,8811966,646+17.5%
New Jersey$1,510$6,4281264,311+14.4%
California$1,459$4,2852269,812+10.6%
Maryland$1,451$3,552592,376+10.0%
Connecticut$1,415$4,477461,235+7.2%
Hawaii$1,392$4,292577+5.6%
Virginia$1,379$5,362611,464+4.5%
Rhode Island$1,374$6,029858+4.1%
Maine$1,332$3,176395+1.0%
South Dakota$1,328$4,566341+0.7%
Massachusetts$1,327$6,52037328+0.6%
Colorado$1,316$4,369452,185-0.3%
Wyoming$1,315$6,831258-0.3%
Illinois$1,311$4,5141033,369-0.6%
Nevada$1,310$3,204241,629-0.7%
Oregon$1,299$4,62310207-1.5%
Delaware$1,297$3,0225112-1.7%
Pennsylvania$1,289$7,327551,462-2.3%
Texas$1,283$4,0612528,422-2.8%
Michigan$1,270$3,422751,762-3.7%
Montana$1,263$3,2072165-4.3%
Arizona$1,261$3,2791114,366-4.4%
Florida$1,260$3,31629613,788-4.5%
Georgia$1,257$5,486681,523-4.7%
Minnesota$1,256$4,85817321-4.8%
Nebraska$1,251$3,42812191-5.2%
West Virginia$1,238$4,115484-6.2%
Idaho$1,236$3,879650-6.3%
New Mexico$1,225$3,05612412-7.1%
North Carolina$1,216$3,912672,517-7.8%
Wisconsin$1,215$4,96824390-7.9%
Kentucky$1,204$3,61120407-8.7%
Utah$1,194$5,25214298-9.5%
Louisiana$1,193$3,845351,158-9.5%
Tennessee$1,184$4,253762,325-10.2%
Indiana$1,176$3,200422,139-10.9%
South Carolina$1,173$3,42730886-11.1%
Ohio$1,172$2,801542,042-11.1%
Missouri$1,164$3,461271,010-11.8%
Alabama$1,153$2,895261,117-12.6%
Arkansas$1,136$3,650181,352-13.9%
Iowa$1,133$4,03417387-14.1%
Kansas$1,096$3,22014393-16.9%
Mississippi$1,055$4,11515257-20.0%
Washington$1,048$5,92617110-20.6%
Oklahoma$975$2,83715113-26.1%
New Hampshire$769$4,290415-41.7%

⚠️ 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