36466

Injection of chemical agent into multiple incompetent veins of same leg using ultrasound guidance

Medicare pricing data for 1,108 providers across 38 states

🤖AI Overview

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 multiple incompetent veins of same leg using ultrasound guidance (HCPCS code 36466) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $1,435, but hospitals typically charge $5,213 — a 3.6x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$287.03

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $1,435, your out-of-pocket cost would be approximately $287.03. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$1,435
Average Hospital Charge
$5,213
Markup Ratio
3.6x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$5,213.38
Medicare Allowed$1,435.16
Medicare Payment$1,140.13

Hospitals charge 3.6x more than what Medicare allows for this procedure. Medicare actually pays $1,140 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
District of Columbia$1,714$16,637427+19.4%
Washington$1,695$6,047628+18.1%
New York$1,677$7,9061011,313+16.9%
New Jersey$1,655$8,038671,012+15.3%
California$1,613$5,3531062,463+12.4%
Massachusetts$1,586$5,9041967+10.5%
Maryland$1,562$6,64535399+8.8%
Michigan$1,520$4,31523193+5.9%
Colorado$1,492$3,87428731+3.9%
Connecticut$1,465$4,01116156+2.1%
Oregon$1,464$5,326723+2.0%
Minnesota$1,462$4,535744+1.8%
Illinois$1,457$6,35644426+1.5%
Nevada$1,419$4,1817118-1.1%
South Dakota$1,404$4,200233-2.1%
Virginia$1,402$4,05331469-2.3%
Texas$1,396$4,9021103,204-2.7%
Arizona$1,381$4,42335681-3.8%
Florida$1,376$3,935961,245-4.1%
Pennsylvania$1,366$5,81224549-4.8%
Nebraska$1,354$4,548571-5.6%
Wisconsin$1,340$7,6531146-6.6%
Utah$1,340$3,6829147-6.6%
Georgia$1,337$6,57038798-6.8%
New Mexico$1,327$3,223693-7.6%
South Carolina$1,325$3,8381045-7.6%
Louisiana$1,320$3,68810154-8.0%
Ohio$1,295$3,26227337-9.8%
North Carolina$1,289$4,57840421-10.2%
Iowa$1,284$4,6248241-10.5%
Montana$1,281$3,500161-10.7%
Alabama$1,275$3,2508129-11.2%
Tennessee$1,261$3,95531691-12.1%
Indiana$1,241$4,59523308-13.5%
Arkansas$1,206$4,793554-16.0%
Missouri$1,205$4,24424503-16.0%
Kentucky$1,183$3,44119202-17.6%
Oklahoma$1,047$3,250764-27.0%

⚠️ 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

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