36470

Injection of chemical agent into single incompetent vein

Medicare pricing data for 1,076 providers across 43 states

🤖AI Overview

Prices vary significantly by location — from $56 in South Dakota to $136 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 (HCPCS code 36470) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $108.58, but hospitals typically charge $454.03 — a 4.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$21.72

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $108.58, your out-of-pocket cost would be approximately $21.72. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$108.58
Average Hospital Charge
$454.03
Markup Ratio
4.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$454.03
Medicare Allowed$108.58
Medicare Payment$83.70

Hospitals charge 4.2x more than what Medicare allows for this procedure. Medicare actually pays $83.70 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
District of Columbia$136$1,200133+25.4%
New York$134$73862661+23.8%
New Jersey$129$38741383+19.1%
Maine$125$3535109+14.9%
Connecticut$120$30818158+10.9%
Maryland$120$45032806+10.2%
Illinois$117$65562909+7.5%
Delaware$116$221419+7.1%
West Virginia$113$543519+3.9%
Colorado$113$38824119+3.7%
California$113$402741,234+3.7%
Nevada$111$344595+2.1%
New Mexico$111$2446221+2.1%
Virginia$108$60134277-0.2%
Wisconsin$108$5062058-0.8%
Pennsylvania$108$64543200-0.9%
Massachusetts$106$7091531-1.9%
Washington$106$3992053-2.3%
Georgia$105$67744311-3.2%
Kentucky$103$35910201-4.8%
Indiana$103$6178173-4.9%
Florida$103$3351121,209-5.2%
Montana$101$406243-6.8%
North Carolina$101$36142220-7.3%
Alabama$99$3471161-9.2%
Louisiana$98$3231242-9.4%
Ohio$98$36629143-9.9%
Texas$97$406108744-10.6%
Missouri$96$419831-11.3%
Minnesota$94$8611365-13.2%
Tennessee$93$32823338-14.6%
Arizona$92$30837421-14.9%
South Carolina$91$4021373-16.0%
Michigan$89$30538248-18.4%
Mississippi$87$422522-19.6%
Oregon$86$367833-20.4%
Oklahoma$82$522823-24.8%
Utah$78$4191547-27.8%
Kansas$77$3461138-29.4%
Idaho$76$3231643-29.8%
Nebraska$66$342419-38.8%
Iowa$60$248825-44.3%
South Dakota$56$343319-48.5%

⚠️ 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