36581

Replacement of tunneled central venous tube

Medicare pricing data for 6,183 providers across 51 states

🤖AI Overview

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

$91.43

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.

Average Allowed Cost
$457.14
Average Hospital Charge
$2,067
Markup Ratio
4.5x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$2,066.89
Medicare Allowed$457.14
Medicare Payment$361.76

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

StateAllowed CostHospital ChargeProvidersServicesvs. National
Maryland$720$1,9591371,134+57.5%
Nevada$703$2,94456507+53.7%
Rhode Island$697$3,26416183+52.5%
Kansas$636$1,75839325+39.1%
Puerto Rico$616$1,53127103+34.8%
Arizona$576$3,203105635+26.0%
Ohio$566$2,3362261,096+23.9%
New Jersey$538$2,470195918+17.6%
Virginia$532$1,9451961,400+16.3%
New York$526$2,3103571,909+15.2%
California$525$2,2265742,549+14.8%
Alabama$522$2,30092419+14.1%
Michigan$501$1,7492231,215+9.6%
Texas$495$2,1594722,701+8.2%
Pennsylvania$478$2,0682991,363+4.5%
Delaware$441$1,1222493-3.5%
Connecticut$438$2,01766219-4.1%
Florida$438$2,1735302,444-4.3%
Louisiana$430$1,90698443-6.0%
Georgia$430$2,5892031,029-6.0%
District of Columbia$428$1,5122090-6.3%
North Carolina$402$1,932198995-12.0%
South Carolina$402$1,869107502-12.1%
Mississippi$391$2,42353297-14.5%
Illinois$386$2,1362761,623-15.5%
Indiana$367$1,889132761-19.8%
Minnesota$340$1,872113427-25.7%
Tennessee$329$1,781132828-28.0%
Oregon$318$1,19648129-30.5%
Colorado$317$1,30489260-30.6%
New Mexico$316$1,55541149-30.9%
Wisconsin$301$2,631127477-34.2%
Utah$297$1,40452137-35.1%
Arkansas$291$1,26657338-36.4%
Missouri$285$1,541122539-37.7%
Washington$239$1,229121362-47.7%
Massachusetts$229$1,244127352-49.9%
Alaska$220$1,532742-51.9%
Kentucky$219$1,00584318-52.1%
Iowa$216$1,79044168-52.8%
Nebraska$214$2,03826106-53.1%
Montana$168$8631841-63.3%
North Dakota$164$2,9771795-64.1%
Wyoming$164$1,452716-64.1%
Idaho$164$1,0222480-64.2%
South Dakota$161$1,5592282-64.9%
Hawaii$158$8921327-65.3%
New Hampshire$157$1,3972772-65.7%
Maine$157$8362165-65.7%
West Virginia$157$9903399-65.7%
Oklahoma$153$72661325-66.5%

⚠️ 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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