36475

Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance

Medicare pricing data for 4,369 providers across 51 states

🤖AI Overview

Prices vary significantly by location — from $249 in Vermont to $1,234 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

Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance (HCPCS code 36475) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $1,032, but hospitals typically charge $4,712 — a 4.6x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$206.49

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $1,032, your out-of-pocket cost would be approximately $206.49. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$1,032
Average Hospital Charge
$4,712
Markup Ratio
4.6x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$4,712.43
Medicare Allowed$1,032.45
Medicare Payment$817.77

Hospitals charge 4.6x more than what Medicare allows for this procedure. Medicare actually pays $817.77 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
District of Columbia$1,234$5,6868216+19.5%
New Jersey$1,191$8,3611683,204+15.3%
California$1,178$4,3234228,763+14.1%
New York$1,171$7,4063034,229+13.4%
Connecticut$1,169$5,538711,859+13.2%
Alaska$1,162$9,121766+12.5%
Hawaii$1,138$4,2996208+10.2%
Maryland$1,130$6,206852,705+9.5%
Rhode Island$1,096$5,49014232+6.1%
Nevada$1,089$4,03639762+5.4%
Wyoming$1,061$6,7224117+2.7%
Florida$1,057$3,76745610,951+2.3%
Delaware$1,052$3,18610143+1.9%
Illinois$1,041$6,1921372,403+0.8%
Louisiana$1,041$5,040501,059+0.8%
Arizona$1,030$3,2341664,532-0.2%
Texas$1,029$4,37543612,363-0.4%
Colorado$1,017$4,398681,239-1.5%
Georgia$1,014$6,1631662,848-1.8%
Oregon$1,009$4,11250546-2.2%
Montana$1,009$4,42517394-2.3%
Virginia$994$4,3291181,908-3.7%
Massachusetts$991$6,34692957-4.0%
Pennsylvania$980$3,9581871,333-5.1%
New Mexico$972$4,99920400-5.9%
North Carolina$966$4,523962,114-6.5%
South Carolina$957$4,469591,076-7.3%
Michigan$957$3,6041261,612-7.3%
Kentucky$935$3,85832633-9.5%
Tennessee$934$4,283992,710-9.5%
Iowa$903$4,24536451-12.5%
Idaho$888$3,69426196-14.0%
Utah$883$3,66245503-14.4%
Washington$870$4,10866438-15.7%
South Dakota$869$4,34917229-15.8%
Ohio$857$3,081981,506-17.0%
West Virginia$852$3,76717289-17.5%
Minnesota$850$5,48585499-17.7%
Arkansas$809$3,47320413-21.7%
Indiana$771$5,14380970-25.3%
Maine$769$3,1451663-25.5%
Wisconsin$722$6,33280543-30.1%
Nebraska$702$3,67733317-32.1%
Oklahoma$681$2,85439462-34.0%
Mississippi$673$4,57812168-34.8%
Alabama$648$2,73155715-37.3%
Missouri$643$3,27750510-37.7%
New Hampshire$635$5,4721892-38.5%
Kansas$521$2,50328303-49.5%
North Dakota$256$1,898739-75.2%
Vermont$249$5,562633-75.8%

⚠️ 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