Removal of tunneled central venous tube
Medicare pricing data for 12,670 providers across 52 states
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
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.
What Hospitals Charge vs. What Medicare Pays
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
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Rhode Island | $193 | $719 | 26 | 231 | +33.7% |
| Nevada | $184 | $960 | 93 | 780 | +27.1% |
| Alaska | $174 | $895 | 41 | 156 | +20.2% |
| New Jersey | $168 | $695 | 383 | 2,003 | +16.2% |
| California | $162 | $595 | 1,156 | 7,577 | +11.9% |
| Arizona | $159 | $933 | 186 | 1,680 | +9.8% |
| Maryland | $159 | $498 | 260 | 2,077 | +9.6% |
| Kansas | $156 | $497 | 123 | 699 | +7.5% |
| Oregon | $154 | $582 | 161 | 518 | +6.4% |
| New York | $150 | $712 | 816 | 3,572 | +3.6% |
| Illinois | $149 | $898 | 480 | 3,010 | +2.8% |
| Virginia | $146 | $497 | 346 | 2,208 | +0.6% |
| District of Columbia | $145 | $542 | 39 | 229 | +0.4% |
| Texas | $145 | $637 | 990 | 6,146 | +0.3% |
| Florida | $145 | $800 | 1,038 | 5,514 | -0.1% |
| Mississippi | $144 | $563 | 130 | 972 | -0.3% |
| Delaware | $144 | $371 | 59 | 322 | -0.6% |
| Ohio | $143 | $698 | 471 | 2,563 | -0.9% |
| Pennsylvania | $141 | $538 | 538 | 3,018 | -2.5% |
| Louisiana | $140 | $644 | 194 | 1,005 | -3.2% |
| Alabama | $140 | $486 | 242 | 1,066 | -3.5% |
| Georgia | $140 | $666 | 485 | 2,446 | -3.6% |
| Connecticut | $138 | $593 | 168 | 637 | -4.8% |
| Michigan | $138 | $466 | 361 | 1,804 | -4.9% |
| Hawaii | $136 | $393 | 43 | 210 | -5.7% |
| Indiana | $136 | $571 | 232 | 1,581 | -6.1% |
| South Carolina | $136 | $563 | 229 | 1,186 | -6.2% |
| Tennessee | $136 | $652 | 301 | 1,485 | -6.2% |
| North Carolina | $136 | $602 | 369 | 2,159 | -6.2% |
| New Mexico | $133 | $534 | 75 | 358 | -8.0% |
| Washington | $133 | $510 | 219 | 1,061 | -8.3% |
| Massachusetts | $133 | $592 | 281 | 1,403 | -8.4% |
| Colorado | $133 | $655 | 178 | 687 | -8.4% |
| Wyoming | $132 | $658 | 26 | 69 | -8.8% |
| Minnesota | $131 | $798 | 212 | 1,225 | -9.3% |
| Montana | $131 | $414 | 38 | 127 | -9.5% |
| Utah | $131 | $508 | 110 | 358 | -9.7% |
| Wisconsin | $129 | $1,154 | 245 | 1,215 | -11.1% |
| New Hampshire | $128 | $779 | 70 | 249 | -11.3% |
| Puerto Rico | $128 | $386 | 44 | 130 | -11.5% |
| Iowa | $128 | $523 | 97 | 579 | -11.6% |
| Kentucky | $128 | $418 | 186 | 862 | -11.9% |
| Missouri | $127 | $587 | 256 | 1,326 | -12.1% |
| Nebraska | $126 | $502 | 84 | 326 | -12.9% |
| Arkansas | $124 | $435 | 115 | 647 | -14.3% |
| North Dakota | $123 | $1,290 | 34 | 208 | -14.7% |
| Oklahoma | $122 | $400 | 148 | 927 | -15.9% |
| West Virginia | $121 | $424 | 93 | 292 | -16.1% |
| Maine | $121 | $455 | 43 | 134 | -16.6% |
| South Dakota | $118 | $379 | 58 | 280 | -18.3% |
| Idaho | $117 | $697 | 61 | 247 | -18.8% |
| Vermont | $117 | $866 | 13 | 61 | -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.
💊 Need post-procedure medications? Check costs on OpenPrescriber