36556

Insertion of non-tunneled central venous tube for infusion (5 years or older)

Medicare pricing data for 71,533 providers across 52 states

🤖AI Overview

This procedure has a 8.6x markup — hospitals charge $708.78 but Medicare allows only $82.28. Uninsured patients may face bills 8.6 times higher than what insurance negotiates. 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

Insertion of non-tunneled central venous tube for infusion (5 years or older) (HCPCS code 36556) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $82.28, but hospitals typically charge $708.78 — a 8.6x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$16.46

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $82.28, your out-of-pocket cost would be approximately $16.46. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$82.28
Average Hospital Charge
$708.78
Markup Ratio
8.6x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$708.78
Medicare Allowed$82.28
Medicare Payment$65.29

Hospitals charge 8.6x more than what Medicare allows for this procedure. Medicare actually pays $65.29 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$107$1,383126560+30.3%
New York$90$9644,84921,297+9.4%
California$90$7106,46130,721+9.1%
District of Columbia$87$4943601,431+6.0%
New Jersey$86$7931,6968,900+4.5%
Illinois$86$8382,79511,094+4.1%
Connecticut$84$8368953,160+2.4%
Florida$84$6685,01722,777+2.3%
Massachusetts$84$6422,0468,405+2.1%
Maryland$84$5321,4176,976+1.7%
Rhode Island$83$665241718+1.3%
Puerto Rico$83$431122335+0.6%
Washington$83$4941,4415,686+0.5%
Michigan$82$5502,6159,040+0.2%
Minnesota$82$8331,2584,375-0.3%
Nevada$82$6756403,161-0.3%
Montana$82$4442171,048-0.4%
Wyoming$82$58479223-0.6%
Colorado$81$5321,1283,478-1.2%
Pennsylvania$81$5603,61113,638-1.2%
Hawaii$81$455224951-1.5%
Louisiana$81$7331,0794,281-1.5%
West Virginia$81$5314952,278-1.9%
Arizona$81$6941,1135,500-2.0%
Oregon$80$5408352,845-2.3%
Missouri$80$6711,6367,984-2.4%
Texas$80$8735,17024,730-2.7%
New Hampshire$80$8133491,092-2.9%
Ohio$80$6263,34812,676-2.9%
North Dakota$80$9301751,046-3.0%
New Mexico$80$5213511,238-3.3%
Maine$79$394280956-3.5%
Virginia$79$5961,8688,725-3.7%
Utah$79$5004851,475-4.0%
Vermont$79$938133490-4.0%
South Dakota$78$505172758-4.8%
South Carolina$78$7111,1885,006-5.2%
Georgia$78$7352,2098,812-5.5%
Alabama$78$5589583,866-5.6%
Delaware$78$509230838-5.7%
Kansas$78$5155292,683-5.7%
Kentucky$78$5331,2095,714-5.7%
North Carolina$78$7162,3488,740-5.8%
Wisconsin$77$1,4771,4405,049-6.6%
Mississippi$77$6946963,633-6.6%
Idaho$77$492262916-7.0%
Tennessee$76$6191,5236,952-7.2%
Iowa$76$8085141,993-7.3%
Indiana$76$7131,5368,329-7.4%
Nebraska$76$6254342,310-7.4%
Arkansas$76$6756683,858-7.5%
Oklahoma$76$5049295,285-7.9%

⚠️ 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