36590

Removal of central venous tube with port or pump

Medicare pricing data for 14,767 providers across 52 states

🤖AI Overview

This procedure has a 5.5x markup — hospitals charge $1,062 but Medicare allows only $193.38. Uninsured patients may face bills 5.5 times higher than what insurance negotiates. 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 central venous tube with port or pump (HCPCS code 36590) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $193.38, but hospitals typically charge $1,062 — a 5.5x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$38.68

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $193.38, your out-of-pocket cost would be approximately $38.68. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$193.38
Average Hospital Charge
$1,062
Markup Ratio
5.5x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,062.42
Medicare Allowed$193.38
Medicare Payment$149.69

Hospitals charge 5.5x more than what Medicare allows for this procedure. Medicare actually pays $149.69 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$295$2,75647133+52.7%
Delaware$222$70964220+14.6%
New Jersey$220$1,3393631,226+13.9%
California$211$1,0781,0833,811+8.9%
Mississippi$209$929157568+8.1%
Nebraska$208$939145519+7.3%
Maryland$205$7672981,085+6.2%
Wyoming$205$9233378+6.0%
Texas$205$1,4611,1713,564+5.8%
New York$203$1,2277162,110+5.2%
Kansas$202$1,244184767+4.3%
Florida$199$1,2821,1243,553+3.1%
Illinois$198$1,3215701,953+2.6%
Louisiana$198$1,058252634+2.6%
Alabama$195$833279636+0.6%
Indiana$194$1,2323721,107+0.2%
Colorado$193$914262793-0.3%
South Carolina$192$1,089290911-0.5%
Arkansas$191$759177507-1.3%
Hawaii$190$5744082-1.5%
Connecticut$190$945151407-1.7%
District of Columbia$188$81639189-2.5%
Virginia$188$7764181,572-2.7%
Utah$187$795122328-3.2%
Massachusetts$187$8973171,141-3.3%
Washington$186$6783461,192-3.6%
Pennsylvania$186$7916012,116-3.6%
Georgia$186$1,2084731,239-3.8%
Oregon$185$822235653-4.2%
Tennessee$185$1,0514101,127-4.4%
Nevada$185$1,155109302-4.5%
Minnesota$185$910231841-4.6%
New Mexico$184$79784262-4.6%
Rhode Island$184$81040175-4.7%
Iowa$182$875149491-5.7%
Michigan$182$6694471,344-5.8%
Ohio$182$8725441,490-5.8%
Montana$182$62172179-6.1%
Kentucky$181$710267754-6.6%
Arizona$180$1,4742901,043-6.7%
Missouri$179$9233331,091-7.3%
North Carolina$179$1,0384811,544-7.3%
South Dakota$177$70567243-8.3%
New Hampshire$177$1,13064272-8.5%
Puerto Rico$177$3672337-8.7%
North Dakota$176$1,29339160-9.2%
Oklahoma$175$609195645-9.4%
Vermont$171$1,11429129-11.5%
Wisconsin$170$1,775290877-12.2%
Maine$167$62859139-13.7%
West Virginia$164$636103302-15.2%
Idaho$159$96387263-18.0%

⚠️ 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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💊 Need post-procedure medications? Check costs on OpenPrescriber