Insertion of tunneled central venous tube for infusion (5 years or older)
Medicare pricing data for 10,961 providers across 52 states
This procedure has a 6.5x markup — hospitals charge $1,893 but Medicare allows only $290.11. Uninsured patients may face bills 6.5 times higher than what insurance negotiates. Prices vary significantly by location — from $226 in Oklahoma to $463 in Rhode Island. 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
Insertion of tunneled central venous tube for infusion (5 years or older) (HCPCS code 36558) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $290.11, but hospitals typically charge $1,893 — a 6.5x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $290.11, your out-of-pocket cost would be approximately $58.02. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 6.5x more than what Medicare allows for this procedure. Medicare actually pays $230.24 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Rhode Island | $463 | $2,364 | 40 | 259 | +59.8% |
| Nevada | $378 | $2,698 | 90 | 875 | +30.3% |
| Maryland | $346 | $1,284 | 214 | 2,614 | +19.1% |
| Delaware | $329 | $989 | 43 | 586 | +13.3% |
| New Jersey | $324 | $2,032 | 318 | 2,619 | +11.8% |
| California | $323 | $1,997 | 1,043 | 8,963 | +11.3% |
| Kansas | $320 | $1,336 | 112 | 947 | +10.4% |
| New York | $313 | $2,616 | 687 | 4,974 | +7.9% |
| Virginia | $312 | $1,520 | 304 | 2,949 | +7.7% |
| Alaska | $311 | $2,852 | 26 | 234 | +7.2% |
| Arizona | $310 | $2,792 | 207 | 1,628 | +6.7% |
| Puerto Rico | $306 | $993 | 52 | 185 | +5.4% |
| Texas | $303 | $1,912 | 876 | 7,398 | +4.5% |
| Connecticut | $302 | $2,199 | 129 | 848 | +4.1% |
| Georgia | $297 | $2,325 | 370 | 2,880 | +2.3% |
| Alabama | $297 | $1,405 | 185 | 1,358 | +2.3% |
| Illinois | $295 | $2,248 | 430 | 4,496 | +1.5% |
| North Carolina | $293 | $1,796 | 323 | 2,840 | +1.0% |
| District of Columbia | $292 | $1,214 | 36 | 427 | +0.6% |
| Michigan | $280 | $1,181 | 356 | 2,826 | -3.4% |
| New Mexico | $279 | $1,587 | 63 | 488 | -3.9% |
| Ohio | $278 | $1,816 | 405 | 3,391 | -4.1% |
| Pennsylvania | $277 | $1,413 | 473 | 4,423 | -4.5% |
| Oregon | $276 | $1,341 | 142 | 801 | -4.7% |
| Florida | $276 | $2,166 | 818 | 7,166 | -4.8% |
| Mississippi | $276 | $2,007 | 112 | 1,117 | -5.0% |
| Indiana | $275 | $1,832 | 229 | 1,927 | -5.2% |
| Minnesota | $275 | $2,279 | 158 | 1,682 | -5.3% |
| South Carolina | $274 | $1,913 | 172 | 1,426 | -5.5% |
| Louisiana | $273 | $1,667 | 178 | 1,306 | -5.9% |
| Massachusetts | $266 | $1,934 | 266 | 2,137 | -8.4% |
| Colorado | $263 | $1,427 | 156 | 974 | -9.2% |
| Tennessee | $262 | $1,622 | 252 | 2,200 | -9.5% |
| South Dakota | $261 | $1,693 | 42 | 373 | -10.1% |
| Utah | $259 | $1,333 | 84 | 505 | -10.6% |
| Washington | $256 | $1,415 | 200 | 1,626 | -11.7% |
| Nebraska | $248 | $1,987 | 66 | 522 | -14.6% |
| Arkansas | $247 | $1,478 | 113 | 891 | -14.9% |
| New Hampshire | $246 | $1,767 | 55 | 369 | -15.2% |
| Vermont | $245 | $4,400 | 13 | 83 | -15.5% |
| Wisconsin | $244 | $3,457 | 203 | 1,680 | -15.9% |
| Kentucky | $244 | $1,186 | 172 | 1,308 | -16.0% |
| Montana | $243 | $1,170 | 36 | 161 | -16.2% |
| Wyoming | $242 | $2,455 | 10 | 84 | -16.6% |
| Missouri | $241 | $1,529 | 218 | 1,929 | -17.1% |
| North Dakota | $239 | $3,538 | 25 | 296 | -17.5% |
| Iowa | $239 | $1,849 | 81 | 633 | -17.7% |
| Hawaii | $233 | $1,074 | 43 | 235 | -19.6% |
| West Virginia | $233 | $1,170 | 64 | 427 | -19.8% |
| Maine | $230 | $1,178 | 49 | 209 | -20.8% |
| Idaho | $228 | $1,576 | 55 | 386 | -21.4% |
| Oklahoma | $226 | $1,048 | 122 | 1,356 | -22.2% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber