36478

Laser destruction of incompetent vein of arm or leg using imaging guidance

Medicare pricing data for 1,876 providers across 44 states

🤖AI Overview

Prices vary significantly by location — from $212 in South Dakota to $1,148 in New York. 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

Laser destruction of incompetent vein of arm or leg using imaging guidance (HCPCS code 36478) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $930.49, but hospitals typically charge $3,982 — a 4.3x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$186.10

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $930.49, your out-of-pocket cost would be approximately $186.10. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$930.49
Average Hospital Charge
$3,982
Markup Ratio
4.3x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$3,981.67
Medicare Allowed$930.49
Medicare Payment$736.03

Hospitals charge 4.3x more than what Medicare allows for this procedure. Medicare actually pays $736.03 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New York$1,148$6,6491632,145+23.4%
California$1,083$4,1821152,790+16.4%
Hawaii$1,082$1,800118+16.3%
New Jersey$1,066$6,50968551+14.6%
Connecticut$1,038$5,12819114+11.6%
Massachusetts$1,027$5,38021321+10.4%
Washington$1,026$4,8231553+10.2%
Maryland$1,024$3,84425474+10.1%
Nevada$977$5,69932370+5.0%
Wyoming$976$4,993249+4.9%
Oregon$973$3,061858+4.5%
Maine$968$2,3455134+4.0%
Florida$958$2,7161955,332+3.0%
Georgia$957$5,23237468+2.9%
Iowa$952$3,916561+2.4%
Colorado$952$4,249631,076+2.3%
Illinois$928$4,1371161,990-0.3%
Texas$926$3,4191303,143-0.4%
Utah$910$3,5241051-2.2%
Arizona$906$2,430401,937-2.6%
South Carolina$901$3,74113305-3.2%
Michigan$896$3,19554427-3.7%
North Carolina$892$5,165771,719-4.1%
New Mexico$877$2,53811431-5.7%
Virginia$858$3,76750263-7.8%
Alabama$855$3,51626656-8.1%
Idaho$850$3,245518-8.7%
Pennsylvania$850$3,42642620-8.7%
Tennessee$828$3,82452762-11.0%
Ohio$825$4,406661,340-11.4%
Missouri$824$4,457531,406-11.5%
Mississippi$823$4,22511770-11.5%
Oklahoma$805$2,81212132-13.4%
Kentucky$800$2,97436231-14.0%
Indiana$787$4,88537333-15.4%
Kansas$784$2,68715174-15.7%
Louisiana$779$4,22036219-16.2%
Wisconsin$730$6,20670436-21.5%
Minnesota$711$4,88930185-23.6%
Montana$695$3,289787-25.3%
Arkansas$665$2,89111250-28.5%
Nebraska$608$3,3801895-34.7%
North Dakota$244$1,6551346-73.8%
South Dakota$212$1,617670-77.2%

⚠️ 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