Replacement of tunneled central venous tube
Medicare pricing data for 6,183 providers across 51 states
Prices vary significantly by location — from $153 in Oklahoma to $720 in Maryland. 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
Replacement of tunneled central venous tube (HCPCS code 36581) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $457.14, but hospitals typically charge $2,067 — a 4.5x 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 $457.14, your out-of-pocket cost would be approximately $91.43. 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 4.5x more than what Medicare allows for this procedure. Medicare actually pays $361.76 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Maryland | $720 | $1,959 | 137 | 1,134 | +57.5% |
| Nevada | $703 | $2,944 | 56 | 507 | +53.7% |
| Rhode Island | $697 | $3,264 | 16 | 183 | +52.5% |
| Kansas | $636 | $1,758 | 39 | 325 | +39.1% |
| Puerto Rico | $616 | $1,531 | 27 | 103 | +34.8% |
| Arizona | $576 | $3,203 | 105 | 635 | +26.0% |
| Ohio | $566 | $2,336 | 226 | 1,096 | +23.9% |
| New Jersey | $538 | $2,470 | 195 | 918 | +17.6% |
| Virginia | $532 | $1,945 | 196 | 1,400 | +16.3% |
| New York | $526 | $2,310 | 357 | 1,909 | +15.2% |
| California | $525 | $2,226 | 574 | 2,549 | +14.8% |
| Alabama | $522 | $2,300 | 92 | 419 | +14.1% |
| Michigan | $501 | $1,749 | 223 | 1,215 | +9.6% |
| Texas | $495 | $2,159 | 472 | 2,701 | +8.2% |
| Pennsylvania | $478 | $2,068 | 299 | 1,363 | +4.5% |
| Delaware | $441 | $1,122 | 24 | 93 | -3.5% |
| Connecticut | $438 | $2,017 | 66 | 219 | -4.1% |
| Florida | $438 | $2,173 | 530 | 2,444 | -4.3% |
| Louisiana | $430 | $1,906 | 98 | 443 | -6.0% |
| Georgia | $430 | $2,589 | 203 | 1,029 | -6.0% |
| District of Columbia | $428 | $1,512 | 20 | 90 | -6.3% |
| North Carolina | $402 | $1,932 | 198 | 995 | -12.0% |
| South Carolina | $402 | $1,869 | 107 | 502 | -12.1% |
| Mississippi | $391 | $2,423 | 53 | 297 | -14.5% |
| Illinois | $386 | $2,136 | 276 | 1,623 | -15.5% |
| Indiana | $367 | $1,889 | 132 | 761 | -19.8% |
| Minnesota | $340 | $1,872 | 113 | 427 | -25.7% |
| Tennessee | $329 | $1,781 | 132 | 828 | -28.0% |
| Oregon | $318 | $1,196 | 48 | 129 | -30.5% |
| Colorado | $317 | $1,304 | 89 | 260 | -30.6% |
| New Mexico | $316 | $1,555 | 41 | 149 | -30.9% |
| Wisconsin | $301 | $2,631 | 127 | 477 | -34.2% |
| Utah | $297 | $1,404 | 52 | 137 | -35.1% |
| Arkansas | $291 | $1,266 | 57 | 338 | -36.4% |
| Missouri | $285 | $1,541 | 122 | 539 | -37.7% |
| Washington | $239 | $1,229 | 121 | 362 | -47.7% |
| Massachusetts | $229 | $1,244 | 127 | 352 | -49.9% |
| Alaska | $220 | $1,532 | 7 | 42 | -51.9% |
| Kentucky | $219 | $1,005 | 84 | 318 | -52.1% |
| Iowa | $216 | $1,790 | 44 | 168 | -52.8% |
| Nebraska | $214 | $2,038 | 26 | 106 | -53.1% |
| Montana | $168 | $863 | 18 | 41 | -63.3% |
| North Dakota | $164 | $2,977 | 17 | 95 | -64.1% |
| Wyoming | $164 | $1,452 | 7 | 16 | -64.1% |
| Idaho | $164 | $1,022 | 24 | 80 | -64.2% |
| South Dakota | $161 | $1,559 | 22 | 82 | -64.9% |
| Hawaii | $158 | $892 | 13 | 27 | -65.3% |
| New Hampshire | $157 | $1,397 | 27 | 72 | -65.7% |
| Maine | $157 | $836 | 21 | 65 | -65.7% |
| West Virginia | $157 | $990 | 33 | 99 | -65.7% |
| Oklahoma | $153 | $726 | 61 | 325 | -66.5% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
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