36589

Removal of tunneled central venous tube

Medicare pricing data for 12,670 providers across 52 states

🤖AI Overview

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

Removal of tunneled central venous tube (HCPCS code 36589) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $144.71, but hospitals typically charge $645.54 — a 4.5x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$28.94

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $144.71, your out-of-pocket cost would be approximately $28.94. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$144.71
Average Hospital Charge
$645.54
Markup Ratio
4.5x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$645.54
Medicare Allowed$144.71
Medicare Payment$112.33

Hospitals charge 4.5x more than what Medicare allows for this procedure. Medicare actually pays $112.33 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Rhode Island$193$71926231+33.7%
Nevada$184$96093780+27.1%
Alaska$174$89541156+20.2%
New Jersey$168$6953832,003+16.2%
California$162$5951,1567,577+11.9%
Arizona$159$9331861,680+9.8%
Maryland$159$4982602,077+9.6%
Kansas$156$497123699+7.5%
Oregon$154$582161518+6.4%
New York$150$7128163,572+3.6%
Illinois$149$8984803,010+2.8%
Virginia$146$4973462,208+0.6%
District of Columbia$145$54239229+0.4%
Texas$145$6379906,146+0.3%
Florida$145$8001,0385,514-0.1%
Mississippi$144$563130972-0.3%
Delaware$144$37159322-0.6%
Ohio$143$6984712,563-0.9%
Pennsylvania$141$5385383,018-2.5%
Louisiana$140$6441941,005-3.2%
Alabama$140$4862421,066-3.5%
Georgia$140$6664852,446-3.6%
Connecticut$138$593168637-4.8%
Michigan$138$4663611,804-4.9%
Hawaii$136$39343210-5.7%
Indiana$136$5712321,581-6.1%
South Carolina$136$5632291,186-6.2%
Tennessee$136$6523011,485-6.2%
North Carolina$136$6023692,159-6.2%
New Mexico$133$53475358-8.0%
Washington$133$5102191,061-8.3%
Massachusetts$133$5922811,403-8.4%
Colorado$133$655178687-8.4%
Wyoming$132$6582669-8.8%
Minnesota$131$7982121,225-9.3%
Montana$131$41438127-9.5%
Utah$131$508110358-9.7%
Wisconsin$129$1,1542451,215-11.1%
New Hampshire$128$77970249-11.3%
Puerto Rico$128$38644130-11.5%
Iowa$128$52397579-11.6%
Kentucky$128$418186862-11.9%
Missouri$127$5872561,326-12.1%
Nebraska$126$50284326-12.9%
Arkansas$124$435115647-14.3%
North Dakota$123$1,29034208-14.7%
Oklahoma$122$400148927-15.9%
West Virginia$121$42493292-16.1%
Maine$121$45543134-16.6%
South Dakota$118$37958280-18.3%
Idaho$117$69761247-18.8%
Vermont$117$8661361-19.5%

⚠️ 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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